bluuebunny/crossref_metadata_2025_split huggingface dataset:
Feeding practices in public hospitals’ neonatal intensive care units: An exploration into the ways in which COVID-19 affected the best practice in Gauteng
Authors: Coutts Kim A. , Neille Joanne , Louw Nicole 
Published: August 2022

Background: South Africa’s healthcare system has a multitude of pre-existing challenges prior to the onset of the coronavirus disease 2019 (COVID-19) pandemic, ranging from reduced number of staff, lack of resources and units being at overcapacity both in the adult and paediatric populations. The neonatal intensive care units (NICUs) require a team approach to ensure best practice with vulnerable infants, but little is known about how the onset of the COVID-19 pandemic and the resultant lockdown restrictions impacted the feeding practices within the NICU.Objectives: This study aimed to explore the impact that COVID-19 had on the feeding practices within the NICU settings in public hospitals in Gauteng.Methods: A qualitative design was employed with data collected in two NICUs in Gauteng. Data were collected in the form of observations and semi-structured interviews with healthcare workers (HCWs) in the NICU. Data were analysed using inductive thematic analysis.Results: Although the sample size of participants was limited, social distancing proved to be a challenge resulting in mothers and healthcare workers being given restricted access. This had effects on the ability to provide adequate feeding practices and resulted in anxiety for the mothers and mental health challenges for the HCWs when feeding these at-risk infants. A limitation of this study was the use of only two sites.Conclusion: COVID-19 amplified the existing challenges in the NICU. A multidisciplinary and family-centred approach to address feeding challenges is required to offset the challenges resulting from the pandemic and subsequent lockdown.
Descriptive analysis of infections due to New Delhi metallo-β-lactamase-producing Enterobacterales in children at Red Cross War Memorial Children’s Hospital
Authors: Greybe Leonore , Nuttall James J.C. , Brink Adrian J. , Tootla Hafsah D. 
Published: August 2022

The increased incidence and absence of antibiotic treatment options for New Delhi metallo-β-lactamase (NDM)-producing carbapenem-resistant Enterobacterales (CRE) infection are concerning. Recent reports have highlighted NDM-producing Serratia marcescens, as a specific concern, as it is an organism which is intrinsically resistant to colistin. In this study, a descriptive analysis of NDM-producing CRE infections was performed at the Red Cross War Memorial Children’s Hospital.
In search of factors that hinder the career advancement of women to senior leadership positions
Authors: Barkhuizen Emmerentia N. , Masakane Gwendoline , Van der Sluis Lidewey 
Published: August 2022

Orientation: Despite promising legislative frameworks and policies to eradicate gender imbalances in the workplace, women have yet to earn their rightful place as senior business leaders.Research purpose: The primary goal of this study was to investigate the factors that prevent women from advancing to senior leadership positions in a variety of South African business contexts.Motivation for the study: More research is required to understand the unique challenges that senior women leaders experience in various South African business contexts.Research approach/design and method: This research followed a qualitative approach. Data were gathered using semistructured interviews with nine women (n = 9) who made significant inroads in their respective professions. Theme analyses were applied to analyse the data.Main findings: The findings revealed six factors that hinder the career advancement of women to senior leadership positions: societal perceptions and stereotypes, a lack of mentorship, masculine corporate cultures, leadership identity distortions, inadequate training and development and poor work-life balance.Practical/managerial implications: Organisations are encouraged to create more feminine workplace cultures that allow women to realise their full potential and establish their identity as senior leaders. Mentoring, networking, and professional development opportunities can all assist women in advancing their careers. Senior female leaders play an essential role in fostering workplace cultures that promote equal opportunity and combat unfair discrimination on various grounds. They pave the way for younger, upcoming female talent to move into senior management positions more quickly.Contribution/value-add: This study fills important gaps in the global understanding of the factors limiting women’s career advancement to senior leadership positions. The findings of this study emphasise the importance of recognising and embracing women’s leadership competence in the modern workplace.
Effectiveness of cognitive behavioural therapy and social skills training in management of conduct disorder
Authors: Kumuyi Daniel O. , Akinnawo Ebenezer O. , Akpunne Bede C. , Akintola Aderonke A. , Onisile Deborah F. , Aniemeka Onyeka O. 
Published: August 2022

Background: Conduct Disorder (CD) is a repetitive disruptive behaviour that violates the rights of others, manifests in rules violation, aggression, hostility, and deceitfulness and has assumed prominence in its association with juvenile offending and criminality in adulthood. Despite this knowledge, little research attention is given to ascertaining effective psychobehavioural interventions to manage this problem, especially amongst Nigerian adolescents.Aim: This study examined the efficacy of two psychobehavioural strategies to manage CD amongst in-school adolescents in Ibadan, Nigeria.Setting: Ibadan, Southwestern Nigeria.Method: A randomised controlled trial (RCT) of adolescents with CD was performed. Sixteen participants (aged 12–17 years) who reported high CD from an assessment of 1006 in-school adolescents of selected secondary schools in Ibadan were randomly grouped to receive either cognitive behavioural therapy (CBT), social skills training (SST) or combined CBT and SST. The Frequency of Delinquent Behaviour Scaling Instrument (FDBSI) was used for assessments.Results: Significant reduction in CD was observed among participants exposed to CBT (t[6] = 8.510), p 0.05) at 8 weeks, SST (t[6] = 12.728), p 0.05) at 8 weeks, and combined CBT and SST (t[8] = 12.728, p 0.05) at the 6 week mark of interventions respectively.Conclusion: From the study, CBT and SST are effective in managing CD. However, the combined psychobehavioural intervention of CBT and SST was more effective in managing CD, based on a faster therapeutic effect than the independent psychobehavioural intervention of CBT and SST.
Can sensory protection improve the functional outcome in delay repaired rat brachial plexus injury?
Authors: Chang Tommy Nai-Jen , Hsieh Wei-Chuan , Hsiao Jo-Chun , Daniel Bassem W. , Chuang David Chwei-Chin , Lu Johnny Chuieng-Yi 
Published: August 2022

Background:
Reconstruction of brachial plexus injuries (BPIs) at a delayed time point may prolong the denervation of target muscles and jeopardize the outcome. Sensory protection has been hailed as a promising technique that may help preserve muscle mass and restore functional outcome. We utilize the rat brachial plexus model to investigate the difference between early and delay repair, and evaluate if sensory protection of distal nerves can assist in delayed repair.

Materials and Methods:
Forty-eight Lewis rats were randomly assigned to four groups (n = 12 in each group, including one positive control group). All the rats were transected at the upper, middle, and lower trunk levels with a 2-cm gap. Group I underwent immediate reconstruction from the upper trunk to the median; Group II underwent the same reconstruction but at 4 months after the initial transection; Group III was same as Group II and additional sensory protection to the median nerve via a nerve graft from the lower trunk. The final outcome was studied and analyzed 16 weeks postoperatively.

Results:
Group I (immediate repair) showed the best functional results in muscle contraction force, muscle action potential, and muscle weight, in addition to higher axon counts. Groups II and III (delayed repair) both showed inferior results to Group I, and sensory protection did not show any significant improvements in outcome.

Conclusion:
Delayed repair still shows inferior outcomes to acute repair in BPIs. There is no sufficient evidence to support the use of sensory protection in delayed repair.
Evaluation of the satisfaction level of patients visiting dental emergency services
Authors: Goswami Mridula , Talwar Sangeeta , Goswami Mihika , Goswami M. M. 
Published: August 2022

Context:
Inadequate data is available of patient satisfaction in dental emergency departments in India.

Aim:
This study was undertaken with the aim to evaluate the satisfaction level of patients visiting emergency services of a dental institute in an Indian city.

Settings and Design:
A questionnaire-based cross-sectional exploratory study was designed over a period of 2 months.

Subjects and Methods:
A total of 51 subjects visiting the dental emergency services after routine working hours participated in this questionnaire-based study and submitted their responses.

Statistical Analysis Used:
Pearson’s Chi-square test. Results: A statistically significant correlation (P < 0.05) was observed between effectiveness of the treatment given in terms of relief from complaints with the experience at reception, rating the hospital in terms of overall waiting time for any service with ambience (P = 0.031), between effectiveness of the treatment given in terms of control/relief from complaints (P = 0.00), ‘rating patient’s experience with “on-duty doctor” (response time, behavior, appearance, attitude etc.), rating the hospital in terms of overall waiting time for any service (P = 0.010), experience’ with nursing staff (responsive, courteous, polite) and rating the hospital in terms of overall waiting time for any service.

Conclusions:
Emergency care where patients were satisfied included reception, greeting while entering the department, ambience of the hospital and the Emergency Department, and good experience with the on-duty doctor, nursing staff, and security. Waiting time for treatment at emergency care was less. Recommending this hospital to others was statistically significant with the experience of the patient with the staff.
Energy drink consumption among medical students of Taif University
Authors: Edrees Awatif E , Altalhi Thekra M. , Al-halabi Shatha K. , Alshehri Hibatullah A. , Altalhi Hadeel H. , Althagafi Atheer M. , Koursan Samar M. 
Published: August 2022

Background:
Previous studies show that energy drink (ED) consumption was very common among medical students. The study aimed to assess the frequency and pattern of energy drink consumption among Taif University medical students and their knowledge of the effect and side effects of EDs.

Methods:
A cross-sectional study was conducted using a pretested and validated questionnaire, which was distributed to all medical students in the University, of which we received responses from 256 medical students. The final sample included responses from 207 students who fulfilled the study criteria. All the responses were entered and analyzed through satistical package for social science (SPSS) version 23 by an independent biostatistician.

Results:
The prevalence of using energy drinks was 74.88%, where a non-significant relationship was present between EDs usage and participants’age, gender, and academic year. Participants with ages ranging from 21 to23 years, male students, and those in the 5th academic year significantly believed that EDs are effective. Students in the 2nd and 3rd academic year were the ones who consumed energy drinks daily than others (P < 0.05). The most commonly consumed ED brands were Code Red and Red bull.

Conclusions:
There was a high prevalence of energy drinks consumption among medical students. The majority of the participants were aware of the side effects of increased ED consumption. Primary care physicians play an essential role in our society, so they should educate families and young adults about the risk of energy drinks.
Health research in the state of Odisha, India
Authors: Kshatri Jaya S. , Satpathy Parmeshwar , Sharma Sumita , Bhoi Trilochan , Mishra Smruti P. , Sahoo Soumya S. 
Published: August 2022

Background:
Bibliometric analyses are an important tool for evaluating health research outputs in terms of their distribution, trends, contributors, focus, and funding sources. The transition from millennium to sustainable development goals has led to a gradual shift in the health policy, and possibly, research priorities of low-income settings in the Empowered Action Group (EAG) states lagging in socioeconomic and health parameters, and also ranking low on innovations and research. In this study, we depict the recent trends, quantity, type, focus, and sources of health-related research in the EAG state of Odisha, India.

Methods:
Peer-reviewed published original research articles related to human health published between 1 January, 2011 and 31 December, 2020 and where the study population was the residents of Odisha, or the study site was in Odisha, exclusively or partially, were analyzed. The publication characteristics were tabulated, including the title, journal name, open access, date of publication, number of authors, designation of the authors, number of institutes involved, and name of the institute of the first author. The details of the study setting, study site, ethical clearance, and funding source were also analyzed.

Results:
The study identified 2,285 articles from database searches and included 666 articles after screening for bibliometric analysis. Most of the manuscripts had between three and six authors (43.5%). Two institutes from the state, the Regional Medical Research Center (ICMR-RMRC) and Kalinga Institute of Industrial Technology (KIIT), together contributed to 22.4% of the published manuscripts. Nearly 45.9% of the studies were community-based while 45.3% were hospital-based. While most of the published work was on infectious diseases, the proportion came down with time. An overwhelming majority of the studies were observational and less than 10% were experimental in design.

Conclusions:
The analysis shows a substantial increase in the number of publications in this decade. Priority setting of healthcare problems, increased funding, and capacity-building can give a much-necessitated impetus to more quality- and evidence-based research for aiding policy implementation and improvement of the overall health.
Fluorodeoxyglucose-positron emission tomography (FDG-PET) of carotid arteries and non-alcoholic fatty liver disease (NAFLD)
Authors: Rane Sameer , Thachathodiyl Rajesh , Palaniswamy Shanmuga S. , Menon Jaideep C. , Sudevan Remya 
Published: August 2022

Introduction:
Evidence related to carotid artery F-fluorodeoxyglucose-positron emission tomography (FDG -PET) and non-alcoholic fatty liver disease (NAFLD) is limited from a low-resource setting. The present study aims to examine the association between FDG-PET uptakes by the carotid arteries in patients having different grades of NAFLD.

Materials and Methods:
An analytical cross-sectional study was done in a tertiary care center in South India for 1 year. Sonographically confirmed NAFLD patients of the age group 18 years and above were consecutively enrolled for the study after getting informed consent. Anthropometric measurements, ultrasonography for identifying the grades of fatty liver and FDG-PET were performed in the study participants. The data for the study were collected by the research personnel and entered in Microsoft Excel. The data were analyzed in the IBM SPSS version 20.0 software.

Results:
A total of 24 patients were in the final analysis. The mean age of patients in this study was 56.79 (11.26) years. Among the 24 patients, 95.83% (n = 23) were males. The mean FDG-PET uptake in the carotids was 1.75 (0.42) units. The FDG uptake was higher in the moderate NAFLD group (1.46 [0.40] v/s 2.04 [0.14]) and the difference was statistically significant with P < 0.001. The FDG uptake between the coronary artery disease (CAD) with NAFLD and non CAD with NAFLD groups was not statistically significant (1.60 [0.46] v/s 1.86 [0.36], P = 0.17). The FDG uptake in CAD patients with mild and moderate NAFLD had no statistical significance between the two groups (1.43 [0.45] v/s 2.00 [0.00], P= 0.06).

Conclusion:
The findings of this study showed increased uptake of FDG-PET in carotids in subjects with moderate fatty liver when compared with those with mild fatty liver.
Relationship between endogenous testosterone and prostate carcinoma
Authors: Paunikar Vaishali M. , Barapatre Suchit A. 
Published: August 2022

Introduction:
Prostate cancer incidence is rising rapidly worldwide, which includes Asian countries too. There are a lot of controversies regarding the link between endogenous testosterone levels and prostate disorders. This study was conducted to understand the value of serum testosterone in predicting the risk and occurrence of prostate carcinoma.

Material and Methods:
Eighty males in the age group of 50–80 years, out of which forty were diagnosed as Prostate cancer patients and forty were healthy controls matched with respect to age and sex, were recruited in the study. Serum testosterone and serum prostate-specific antigen levels were estimated in both groups.

Results:
Serum testosterone levels were low in 67.5% and normal in 32.5% of the patients of prostate cancer. In comparison with the controls, serum PSA levels were observed to be higher in prostate cancer patients (P < 0.001). Analysis of the data was done with the help of an unpaired t-test, and P < 0.05 was considered to be statistically significant.

Discussion:
Androgens promote cellular differentiation and proliferation of prostate epithelial cells via the genetic alterations in the TMPRSS2 gene and ETS (E26 transforming sequences) transcription factor genes involved in cell proliferation and tumor cell invasion. These genes are found to be over-expressed in prostate carcinomas. Suppression of testosterone by prostate cancer-induced production of inhibin that initiates the hypothalamic-pituitary axis negative feedback mechanism might be the reason for lower levels of serum testosterone in prostate carcinoma patients. Hence, screening of elderly men above 60 years of age for serum testosterone levels should be done for early identification of prostate carcinoma as well as a better prognosis in the management of the disease.
Health care professional’s perceived stress levels and novel brief COPE-4 factor structure-based assessment of coping methods during COVID-19 pandemic in India
Authors: Tirukkovalluri Sree Sucharitha , Rangasamy Pradeep , Ravi Vijaya Lakshmi , Julius Angeline , Chatla Chakrapani , Mahendiran Balaji Sivaram , Manoharan Aravind 
Published: August 2022

Background:
SARS-CoV-19 or popularly known as COVID-19 is recognized as a global public health emergency and a pandemic necessitating readiness of the health system and its operational work force to address the unprecedent challenge. Objective: To assess perceived stress and coping methods using novel brief COPE-4 factor structure and narrate thematic testimonials among health care professionals involved in COVID care in India.

Settings and Designs:
Health care settings and multi-state cross-sectional study. Methods and Material: A cross sectional mixed-methods study, with multi-modal aids was undertaken during April-May, 2020 using a novel brief COPE-4 Factor structure. Oral informed consent was obtained to document narrative testimonials verbatim from interviews among doctors, nurse practitioners.

Statistical Analysis Used:
The web-survey data from Google forms analyzed using STATA (Ver 12.0) statistical package. The interview content was subjected to manual inductive thematic coding, grouped into piles to identify broad themes as main categories.

Results:
Among total 218 respondents, 75 (34.4%) were female and 143 (65.6%) male, mean age of 34.71 (SD = 8.9) years. Majority of the respondents were medical post-graduates on duty (38%) followed by nurses (25%) and public health professionals (14%). Slightly higher levels of stress seen among respondents involved in COVID-19 duty, compared to those not involved (p < 0.001) and positive thinking is the major coping method adopted.

Conclusions:
Appraising the coping mechanisms of health care professionals reveals positive outlook amidst medium levels of perceived stress while providing COVID-19 pandemic related health care services.
Aprendizaje de números racionales a partir de representaciones semióticas
Authors: Aguilar Terrones Dafne , Sánchez Ruiz José Gabriel , Salgado Suárez Gladys Denisse 
Published: August 2022

A pesar de los grandes esfuerzos en tiempo y dedicación para lograr los aprendizajes esperados del currículo escolar, los números racionales siguen siendo un tema de alta complejidad para los estudiantes de bachillerato porque apenas si llegan a la comprensión de los conceptos más básicos y elementales. A partir de la Teoría de Registros de Representación Semiótica (TRRS) de Raymond Duval y de la Teoría de las Inteligencias Múltiples (IM) de Howard Gardner, se diseñaron e implementaron tres estrategias de enseñanza basadas en distintas representaciones semióticas, favoreciendo el desarrollo de la inteligencia espacial con los planteamientos de la Ingeniería Didáctica para favorecer el aprendizaje de los números racionales en estudiantes de primer año de bachillerato. Además, se diseñó y aplicó una misma actividad que sirvió como pretest y postest para comparar resultados y podernos dar cuenta si la estrategia didáctica ayudó a la adquisición del concepto de número racional. A partir de los resultados obtenidos, pudimos concluir que las actividades sirvieron para incrementar el aprendizaje del concepto de número racional.