bluuebunny/crossref_metadata_2025_split huggingface dataset:
Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men
Authors: Adasonla Kelvin , Pathak Sandeep , Li Chi-Ying 
Published: December 2022

Abstract
Urologists and general surgeons alike are familiar with assessing acute perineal pathology. A Cowper’s gland syringocele is a rare cystic dilatation of the male bulbourethral gland, typically seen in children. We report the diagnosis and emergency management of two adult cases of large, infected Cowper’s gland syringoceles. A comorbid 76-year old was diagnosed with sepsis and penile swelling, but there was no discrete superficial pathology. Magnetic resonance imaging (MRI) revealed a perineal collection communicating with the membranous urethra. A suprapubic catheter was inserted, and aspiration was attempted. Meanwhile, a 55-year-old diabetic presented with severe perineal pain. MRI revealed a deep perineal collection, involving the scrotum and proximal penis. He improved with antibiotics and aspiration of the collection. This rare diagnosis may be more common in older men than previously thought. Pelvic MRI is a key diagnostic tool. A minimally invasive approach is possible in those with considerable perioperative risk.
Decoding the puzzle: Chinese culture, familial transfers, and disputes in Western courts
Authors: Liao Zhixiong (Leo) 
Published: December 2022

Abstract
More and more Chinese live in Western countries nowadays and many disputes over transfers between Chinese family members are brought to Western courts. Generally, little documentary evidence on such transactions is available and the oral evidence is commonly divergent as to what was agreed and what happened. Western judges are faced with the puzzle whether the transfer was a gift, a loan, or an equity investment. This article elaborates on the relevant Chinese cultural dimensions and the recent developments. It discusses the cultural relevance in determining the nature of such transfers and investigates whether clearly established Chinese cultural norms could be admissible evidence aiding the interpretation, or even implied terms, of the transaction. It argues that Chinese culture should be seriously considered in assessing the credibility of Chinese witnesses. This article critiques the prevailing common law presumptions, and proposes an analytical model aiming to assist Western judges and lawyers to assess the cultural influence properly for better answers to the puzzles.
Are human rights ‘toothless’ in Australian child protection matters? Perspectives of lawyers and social workers
Authors: Walsh Tamara , Healy Karen , Venables Jemma , Thompson Kate 
Published: December 2022

Abstract
Human rights law is in its infancy in Australia. Some states and territories have human rights legislation that requires government officials to take human rights into account in decision-making. However, there is very little Australian case law or commentary regarding the application of human rights law to child protection matters. In this article, we discuss the potential for human rights law to influence decision-making in child protection. We interviewed lawyers and social workers who support parents in child protection matters in the state of Queensland to determine whether they thought rights-based advocacy could bring about better outcomes for their clients. Whilst some social workers were optimistic about the potential for human rights advocacy to improve outcomes for parents, lawyers generally believed that human rights law was unlikely to assist. Jurisprudence from other jurisdictions demonstrates that human rights arguments can influence outcomes in child protection matters, so additional human rights training may be needed for lawyers and judicial officers in Australia to encourage consideration of human rights in child protection cases.
A case of neuropathic arthropathy of the elbow with early loosening after total elbow arthroplasty
Authors: Nakamura Hiroshi , Iwamoto Takuji , Kimura Hiroo , Suzuki Taku , Matsumura Noboru , Matsumoto Morio , Nakamura Masaya 
Published: December 2022

ABSTRACT
We reported the case of a 65-year-old woman who presented with neuropathic arthropathy of the elbow and had undergone cervical spinal cord tumour resection at 32 years of age. Open synovectomy with free-body resection was performed; however, the instability of the elbow joint rapidly progressed. Therefore, we performed total elbow arthroplasty (TEA) using a linked-type prosthesis. However, the humeral stem became severely loosened 1 year after arthroplasty. Furthermore, a periprosthetic humeral fracture developed due to a minor trauma. A revision TEA using a long-stem prosthesis was performed 4 years after the primary TEA. Radiographs taken 2 years after the revision surgery showed no evidence of implant loosening. In this case, early postoperative loosening occurred despite the use of a linked-type prosthesis and an appropriate cementing technique, suggesting that normal implants may not provide sufficient fixation for neuropathic arthropathy of the elbow. Since surgery for neuropathic arthropathy generally has a poor prognosis, surgical interventions including TEA should be carefully considered.
Utilizing a High-Fidelity COVID-19 Simulation to Develop Collaboration Skills Among Multispecialty Cohorts
Authors: Crawford Julie M. , Lee Ashley H. 
Published: December 2022

Abstract
Nursing students rarely have the opportunity to witness nurse-to-nurse collaboration with nurses from differing specialties. Simulation can provide students with an opportunity to practice this important skill. In this simulation, students from a critical care course and students from a maternal/newborn course worked together to care for a pregnant client with COVID-19. The client’s condition required expertise from both an obstetrical nurse and a critical care nurse. Although the design of the simulation was aimed at collaboration, various other important observations and teaching moments were uncovered during the implementation of the simulation.
Acute Respiratory Distress Syndrome and Shunt Detection With Bubble Studies: A Systematic Review and Meta-Analysis
Authors: Odenbach Jeffrey , Dhanoa Sumeet , Sebastianski Meghan , Milovanovic Lazar , Robinson Andrea , Mah Graham , Rewa Oleksa G. , Bagshaw Sean M. , Buchanan Brian , Lau Vincent I. 
Published: December 2022

OBJECTIVE:
Acute respiratory distress syndrome (ARDS) is a life-threatening respiratory injury with multiple physiological sequelae. Shunting of deoxygenated blood through intra- and extrapulmonary shunts may complicate ARDS management. Therefore, we conducted a systematic review to determine the prevalence of sonographically detected shunts, and their association with oxygenation and mortality in patients with ARDS.

DATA SOURCES:
Medical literature analysis and retrieval system online, Excerpta Medica dataBASE, Cochrane Library, and database of abstracts of reviews of effects databases on March 26, 2021.

STUDY SELECTION:
Articles relating to respiratory failure and sonographic shunt detection.

DATA EXTRACTION:
Articles were independently screened and extracted in duplicate. Data pertaining to study demographics and shunt detection were compiled for mortality and oxygenation outcomes. Risk of bias was appraised using the Joanna-Briggs Institute and the Newcastle-Ottawa Scale tools with evidence rating certainty using Grading of Recommendations Assessment, Development and Evaluation methodology.

DATA SYNTHESIS:
From 4,617 citations, 10 observational studies met eligibility criteria. Sonographic detection of right-to-left shunt was present in 21.8% of patients (range, 14.4–30.0%) among included studies using transthoracic, transesophageal, and transcranial bubble Doppler ultrasonographies. Shunt prevalence may be associated with increased mortality (risk ratio, 1.22; 95% CI, 1.01–1.49; p = 0.04, very low certainty evidence) with no difference in oxygenation as measured by Pao
2:Fio
2 ratio (mean difference, –0.7; 95% CI, –18.6 to 17.2; p = 0.94, very low certainty).

CONCLUSIONS:
Intra- and extrapulmonary shunts are detected frequently in ARDS with ultrasound techniques. Shunts may increase mortality among patients with ARDS, but its association with oxygenation is uncertain.
A Cross-sectional Study on the Unmet Supportive Care Needs of Cancer Patients Under the COVID-19 Pandemic
Authors: Cheung Denise Shuk Ting , Takemura Naomi , Lui Helen Yun-Fong , Chang Wen-Pei , Chiang Chi-Leung , Mui Wing-Ho , Ng Alina Yee Man , Chau Pui Hing , Lee Anne Wing Mui , Lin Chia-Chin 
Published: December 2022

Background:
Research on unmet supportive care needs in Chinese populations, where most governments have been adopting zero-tolerance policies on COVID-19, unlike Western countries, is lacking.

Objective:
To examine the impact of COVID-19 on healthcare services and unmet supportive care needs in cancer survivors during the pandemic in Hong Kong and Taiwan.

Methods:
This was multicenter, cross-sectional survey conducted in 469 adult cancer survivors in 2021. Primary outcome measurement was the Supportive Care Needs Survey short form.

Results:
Less than 10% respondents reported that the COVID pandemic has affected hospital treatment or follow-up. For unmet supportive care needs, the highest mean scores were found in the health system & information domain, followed by psychological domain. Multivariate linear regression models showed significant associations between age, gender, geographical location, time since diagnosis, treatment status, and worry about getting infected and cancer survivors’ unmet supportive care needs.

Conclusions:
Despite the pandemic having little influence overall on health services, unmet supportive care needs in the psychological domain seem to be higher under the pandemic. High levels of unmet supportive care needs were also identified in the health system & information domain.

Implications for Practice:
Cancer services should seek to fulfill unmet psychological needs of cancer survivors. Qualitative studies are warranted to deepen our understanding of patients’ evolving needs during the pandemic and beyond to inform practice change.

What is Foundational:
Supportive care needs is an important area to inform optimal cancer services delivery. Demographic and disease-related characteristics are associated with unmet supportive care needs.
Living With Ovarian Cancer: Transitions Lost in Translation
Authors: Gissum Karen Rosnes , Drageset Sigrunn , Thomsen Liv Cecilie Vestrheim , Bjørge Line , Strand Roger 
Published: December 2022

Background:
Living with ovarian cancer involves uncertainty, fear of recurrence, and premature death while preparing for a life after treatment. The women depend on health care professionals while moving from being healthy to experiencing ovarian cancer.

Objective:
To explore experiences of women living with ovarian cancer and their interactions with health care professionals.

Methods:
Five focus group interviews were conducted with the same 4 women, between 2018 and 2020. The interviews were analyzed using systematic text condensation.

Results:
Living with ovarian cancer involved a set of transitions from health to illness and disease. These transitions were difficult for the women to articulate to health care professionals, friends and family, and to themselves. All participants expressed the experiencing of existential and emotional chaos and paradoxes. As their illness developed, it impacted their ability to articulate changes to their body and sense of self and to their own identity negatively. Consequently, the women felt that their ability to communicate their needs to others, including to health care professionals, deteriorated as the disease progressed.

Conclusions:
Women living with ovarian cancer experience transitions lost in translation within themselves and in communication with persons in their personal, familial, and medical realms.

Implications for Practice:
A better understanding of their existential suffering and how it is easily lost in translation may refine care and support for these women throughout their illness and disease trajectory.

Foundational:
Communicating and understanding illness and disease in ovarian cancer is essential to provide personalized care and support to ovarian cancer patients.
Why Do Adult Patients With Cancer Not Seek Help for Their Depressive Symptoms? The Role of Illness Perceptions, Coping, and Social Support
Authors: Bickel Esmée A. , Fleer Joke , Ranchor Adelita V. , Schroevers Maya J. 
Published: December 2022

Background:
Up to 75% of cancer patients with depressive symptoms do not make use of psychological care.

Objective:
To examine how perceptions of and coping with depressive symptoms and perceived social support in adults with cancer are associated with their need for psychological care, concurrently and over time.

Methods:
In this longitudinal study, 127 participants who received a cancer diagnosis in the past 5 years, experienced at least moderate depressive symptoms, and were not receiving psychological help, completed 2 self-report questionnaires (3 months apart) including the brief Illness Perception Questionnaire and brief Coping Orientation to Problems Experienced Inventory and Social Support List.

Results:
Participants with stronger belief in the efficacy of psychological care and more likely to use avoidant coping reported a greater need for psychological care at both data points. Social support was not significantly associated with perceived need for psychological care.

Conclusions:
Stronger perceived treatment control and greater use of avoidant coping were significantly associated with a greater perceived need for psychological care.

Implications for practice:
People with cancer may benefit from being informed about the efficacy of depression treatment. Furthermore, health care professionals should be aware that avoidant coping may complicate psychological care seeking for a group of adults with cancer experiencing depressive symptoms and having a need for psychological care.

Foundational:
Illness perceptions and coping mechanisms can predict cancer patients’ need for psychological care. Providing information about treatment options and its efficacy, together with targeting avoidant coping may increase adequate decision-making and possibly the uptake of psychological care.
Safety and efficacy of Chinese herbal tonics for the treatment of olfactory disorders caused by the Delta strain in COVID-19: A protocol for systematic review and meta-analysis
Authors: Gao Qing , Wang YiFeng , Li Xuhao 
Published: December 2022

Background:
Coronavirus disease 2019 (COVID-19) is an acute respiratory infectious disease that makes breathing difficult and is often accompanied by olfactory disorders and distension. Chinese herbal tonics, a special external treatment of traditional Chinese medicine, has shown beneficial effects in the treatment of olfactory disorders. Currently, there is a lack of systematic reviews on Chinese herbal tonics for the treatment of olfactory disorders. We conduct this study to evaluate the efficacy and safety of Chinese herbal tonics in the treatment of olfactory disorders. This study is designed to evaluate the effectiveness and safety of Chinese herbal tonics for olfactory disorders in COVID-19.

Methods:
Randomized controlled trials from December 2019 to September 2022. will be included, without restrictions on language or publication date. PubMed, EMBASE, Cochrane Library, Web of Science, Chinese Biomedical Databases, China National Knowledge Infrastructure, Wanfang Database, and VIP Database were searched. Two researchers will independently select studies, extract data, and evaluate study quality. The Cochrane risk of bias tool for randomized trials will be used to assess the risk of bias in the included studies. Statistical analyses will be conducted using the Review Manager (RevMan 5.3, Cochrane Collaboration, Nordic Cochrane Center, Copenhagen, Denmark).

Results:
This study aimed to prove the efficacy and safety of Chinese herbal tonics for olfactory disorders in patients with COVID-19. Our study provides a more accurate treatment method for olfactory disorders during COVID-19.We will publish our results in a peer-reviewed journal.
Characteristics and background mucosa status of early gastric cancer after Helicobacter pylori eradication: A narrative review
Authors: Wei Yali , Jiang Chen , Han Yiping , Song Wen , Li Xiaoyu , Yin Xiaoyan 
Published: December 2022

Helicobacter pylori (H pylori) eradication treatment can reduce the risk of gastric cancer. However, early gastric cancer (EGC) can still be detected after eradication. Meanwhile, EGC after eradication is challenging to diagnose by an endoscopist in some cases due to the lack of apparent characteristics and the complex mucosal status.
This review aims to summarize the endoscopic and histological characteristics and the mucosal risk factors for gastric cancer after H pylori eradication.
The literature was searched for possible reported gastric cancer after eradication in “PubMed.” These included related clinical studies and reviews, and unrelated or non-English articles were excluded.
Endoscopically, EGC displays a small, reddish and depressed lesion, indistinct border, “gastritis-like” appearance and submucosal invasion. Histologically, it is divided into surface differentiation, nontumorous epithelium, and intestinal type. The risk factors include severe gastric atrophy, intestinal metaplasia in the corpus, and map-like redness.
In conclusion, these studies on the characteristics and risk mucosal factors of patients with gastric cancer after H pylori eradication will drive the establishment of a novel endoscopic surveillance and diagnosis system for H pylori-eradicated patients.
Analysis of the association between location and patient prognosis in spontaneous intracerebral hemorrhage in the basal ganglia and thalamus: A retrospective single-center study
Authors: Park Jung Soo , Jang Hyoung Gyu 
Published: December 2022

Spontaneous intracerebral hemorrhage (ICH) causes profound neurological sequelae in survivors. The patient’s prognosis is closely linked to the location and amount of hemorrhage. Therefore, we explored the relationship between the hemorrhage location within the basal ganglia, including the thalamus, and its clinical outcomes in patients with spontaneous intracerebral hemorrhage. A retrospective analysis of consecutively enrolled patients with basal ganglia and thalamic intracerebral hemorrhage treated conservatively at a single tertiary neurosurgical center was conducted between January 2014 and December 2020. Patients were divided into 2 groups according to the lateralization of the right or left hemisphere hemorrhage. Furthermore, baseline patient demographics, hematoma volume, location of the hemorrhage (i.e., caudate nucleus, globus palidus, putamen, internal capsule anterior limb, internal capsule posterior limb, thalamus), and clinical outcomes were evaluated. Clinical outcomes were assessed using the modified Rankin scale at the 1-year follow-up. An modified Rankin scale score between 3 and 6 was considered a poor outcome. In the analysis according to location, the prognosis was poor when the ICH was localized to the posterior limb of the internal capsule (P < .000) and globus palidus (P = .001) in the right hemisphere. Similarly, the prognosis was also poor when the ICH was localized to the posterior limb of the internal capsule (P < .000), globus palidus (P < .000), putamen (P = .018), and thalamus (P < .000) of the left hemisphere. In the spontaneous intracerebral hemorrhages of the basal ganglia and thalamus, hemorrhaging within the internal capsule and the left thalamus’s bilateral posterior limbs is associated with a poor prognosis.
Multivariable logistic analysis showed that hematoma volume (odds ratio [OR] = 70.85, 95% confidence interval [CI]: 1.95–60.53, P = .007) and the posterior limb of the internal capsule (OR = 10.98, 95% CI:1.02–118.49, P = .048) were independent predictors of poor outcomes in the right hemisphere, while hematoma volume (OR = 70.85, 95% CI: 1.95–60.53, P = .007), the posterior limb of the internal capsule (OR = 10.98, 95% CI:1.02–118.49, P = .048) and thalamus (OR = 10.98, 95% CI:1.02–118.49, P = .048) were independent predictors of poor outcomes in the left hemisphere.
The efficacy and safety of Chinese herbal medicine for reducing wound complications after anal fistula surgery: A protocol for systematic review and meta-analysis
Authors: Qi Wenyue , Wang Linyue , Xu Jiancheng , Gao Jihua 
Published: December 2022

Background:
Anal fistula is one of the most common diseases in anorectal surgery. The wound healing after surgery can affect the prognosis of patients. We conducted a protocol for systematic review and meta-analysis to assess the efficacy and safety of Chinese herbal medicine for reducing wound complications after anal fistula surgery.

Methods:
We have prepared this protocol in accordance with the Preferred Reporting Item for Systematic Review and Meta-analysis (PRISMA-P) statement. We will search the following databases: the China National Knowledge Infrastructure, Wanfang Database, Chinese Science and Technology Periodical Database, Chinese Biomedical Literature Database, Pubmed, Embase, Web of Science, and the Cochrane library. Two authors will independently assess the risk of bias of the included studies based on the bias risk assessment tool recommended in the Cochrane “Risk of bias” assessment tool. All calculations are carried out with STATA13.0 software.

Results:
A synthesis of current evidence of Chinese herbal medicine for wound management after anal fistula surgery will be shown in this protocol.

Conclusion:
This study may provide more convincing evidence to help clinicians make decisions when dealing with anal fistula patients after surgery.
Study of mirabegron and solifenacin in the improvement of catheter-related bladder discomfort in patients undergoing transurethral resection: A case–control study
Authors: Fan Bohan , Shen Jianwu , Wu Liyang , Zhang Peng 
Published: December 2022

Background:
The goal of this study was to see if using mirabegron, solifenacin, or placebo may help patients with transurethral resection avoid catheter-related bladder discomfort (CRBD).

Methods:
Patients who underwent transurethral surgery and were given a catheter for 3 days after surgery were chosen for this study. The enrolled patients were separated into 3 groups: mirabegron (M), solifenacin (S), and a blank control group (C). All patients had their overactive bladder symptoms score (OABSS) and blood pressure checked before surgery. The CRBD, blood pressure, and heart rate were measured at 6, 24, 48, and 72 hours after surgery. The OABSS and side effects were documented on the 7th day.

Results:
The 104 patients in this trial were randomized into 3 groups at random: M, S, and C. The ultimate follow-up was completed by 99 patients, including 33 in group M, 33 in group S, and 33 in group C. The OABSS, CRBD, and blood pressure in groups M and S were similar before and after surgery (P > .05). Groups M and S performed much better on the OABSS and CRBD than group C (P < .05). There were no significant differences in blood pressure between the 3 groups (P > .05). There were no significant differences in the occurrences of new onset dry mouth (P = .84) or constipation (P = .64) among the 3 groups.

Conclusion:
Mirabegron is comparable to solifenacin as an alternative for the prevention of CRBD, making it a viable option for CRBD prevention.