bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychometric Testing of the Preceptor Self-Assessment Tool (PSAT)-40 for Nursing Preceptors
Authors: L'Ecuyer Kristine , Subramaniam Divya S. , Reangsing Chuntana , DuBois John C. 
Published: November 2022

Background
The aim of this study was to complete the third phase of development of the Preceptor Self-Assessment Tool (PSAT).

Method
Psychometric testing was conducted via an online Qualtrics survey with a statewide sample of 320 nurse preceptors from July to September 2020. Exploratory factor analysis and internal consistency and scale reliability testing were conducted on the 64-item PSAT.

Results
Exploratory factor analysis identified three factors: (1) inter/intrapersonal skills and attitudes, (2) knowledge and understanding, and (3) administrative resources and support. Cronbach's alpha values for the PSAT-40 ranged from 0.978 to 0.998. Final scale reliability was excellent at 0.983.

Conclusion

The Preceptor Self-Assessment Tool, now in its final form as the PSAT-40, has established construct validity and reliability and can be used to assess competency as a preceptor. Nurse educators can use this instrument to assess the needs of nurse preceptors and develop strategic nursing preceptor education programs.

[
J Contin Educ Nurs
. 2022;53(11):491–499.]
Electronic Health Record Knowledge, Skills, and Attitudes Among Newly Graduated Nurses: A Scoping Review
Authors: Weinschreider Joanne , Sisk Heather , Jungquist Carla 
Published: November 2022

Background
This scoping review aimed to identify key characteristics related to electronic health record (EHR) end-user system optimization levels among graduating/newly graduated nurses.

Method
Using a systematic approach to conducting a scoping review, 11 articles were identified from three databases. Articles were reviewed for nursing level status, type of EHR used for research, type of assessment, and which EHR knowledge, skills, or attitudes were studied.

Results
The majority of the studies used a reported by evaluator approach that examined the accuracy of EHR documentation (e.g., skills). EHR knowledge was examined in two studies. No study examined EHR attitudes. Studies that reflected self-reported data mainly focused on EHR skills related to navigating, finding, utilizing, and showing and EHR knowledge gains.

Conclusion

Graduating/newly graduated nurses have gaps in EHR skills, knowledge, and attitudes. Simulation and EHR education are viable pedagogical approaches to building EHR end-user system optimization.

[
J Contin Educ Nurs
. 2022;53(11):505–512.]
Prevention of Tracheostomy-Related Pressure Injury: A Systematic Review and Meta-analysis
Authors: Moser Chandler H. , Peeler Anna , Long Robert , Schoneboom Bruce , Budhathoki Chakra , Pelosi Paolo P. , Brenner Michael J. , Pandian Vinciya 
Published: November 2022

Background
In the critical care environment, individuals who undergo tracheostomy are highly susceptible to tracheostomy-related pressure injuries.

Objective
To evaluate the effectiveness of interventions to reduce tracheostomy-related pressure injury in the critical care setting.

Methods
MEDLINE, Embase, CINAHL, and the Cochrane Library were searched for studies of pediatric or adult patients in intensive care units conducted to evaluate interventions to reduce tracheostomy-related pressure injury. Reviewers independently extracted data on study and patient characteristics, incidence of tracheostomy-related pressure injury, characteristics of the interventions, and outcomes. Study quality was assessed using the Cochrane Collaboration’s risk-of-bias criteria.

Results
Ten studies (2 randomized clinical trials, 5 quasi-experimental, 3 observational) involving 2023 critically ill adult and pediatric patients met eligibility criteria. The incidence of tracheostomy-related pressure injury was 17.0% before intervention and 3.5% after intervention, a 79% decrease. Pressure injury most commonly involved skin in the peristomal area and under tracheostomy ties and flanges. Interventions to mitigate risk of tracheostomy-related pressure injury included modifications to tracheostomy flange securement with foam collars, hydrophilic dressings, and extended-length tracheostomy tubes. Interventions were often investigated as part of care bundles, and there was limited standardization of interventions between studies. Meta-analysis supported the benefit of hydrophilic dressings under tracheostomy flanges for decreasing tracheostomy-related pressure injury.

Conclusions
Use of hydrophilic dressings and foam collars decreases the incidence of tracheostomy-related pressure injury in critically ill patients. Evidence regarding individual interventions is limited by lack of sensitive measurement tools and by use of bundled interventions. Further research is necessary to delineate optimal interventions for preventing tracheostomy-related pressure injury.
Systematic Review and Individual Patient Data Analysis of Uncommon Variants of Glioblastoma
Authors: Mallick Supriya , Benson Rony , Venkatesulu Bhanuprasad , Melgandi Wineeta , Rath Goura K 
Published: November 2022

Objectives:
Different variant of GBM has been reported viz. Epithelioid Glioblastoma (GBM-E), Rhabdoid GBM (GBM-R), Small cell GBM (GBM-SC), Giant cell GBM (GBM-GC), GBM with neuro ectodermal differentiation (GBM-PNET) with unknown behavior.

Materials:
We conducted a systematic review and individual patient data analysis of these rare GBM variants. We searched PubMed, google search, and Cochrane library for eligible studies till July 1st 2016 published in English language and collected data regarding age, sex, subtype and treatment received, Progression Free Survival (PFS), Overall Survival (OS). Statistical Package for social sciences (SPSS) v16 software was used for all statistical analysis.

Results:
We retrieved data of 196 patients with rare GBM subtypes. Among these GBM-GC is commonest (51%), followed by GBM-R (19%), GBM-PNET (13%), GBM-SC (9%) and GBM-E (8%). Median age at diagnosis was 38, 40, 43.5, 69.5 and 18 years, respectively. Male: female ratio was 2:1 for GBM-E, and 1:3 for GBM-SC. Maximal safe resection followed by adjuvant local radiation was used for most of the patients. However, 6 patients with GBM-PNET, 3 each of GBM-E, GBM-SC received adjuvant craniospinal radiation. Out of 88 patients who received chemotherapy, 64 received Temozolomide alone or combination chemotherapy containing Temozolomide. Median PFS and OS for the entire cohort were 9 and 16 months. In univariate analysis, patient with a Gross Total Resection had significantly better PFS and OS compared to those with a Sub Total Resection [23 vs. 13 months (p-0.01)]. Median OS for GBM PNET, GBM-GC, GBM-SC, GBM-R and GBM-E were 32, 18.3, 11, 12 and 7.7 months, respectively (P = 0.001). Interestingly, 31.3%, 37.8% of patients with GBM-E, GBM-R had CSF dissemination.

Conclusion:
Overall cohort of rarer GBM variant has equivalent survival compared to GBM not otherwise specified. However, epithelioid and Rhabdoid GBM has worst survival and one third shows CSF dissemination.
Antineutrophil Cytoplasmic Autoantibodies–Associated Vasculitides and Risk of Stroke
Authors: Ungprasert Patompong , Wijarnpreecha Karn , Dejhansathit Siroj , Cheungpasitporn Wisit 
Published: November 2022

Background:Increased incidence of cardiovascular disease, including stroke, has been consistently observed in patients with chronic inflammatory diseases, although data on antineutrophil cytoplasmic autoantibody (ANCA)-associated vasculitides (AAV) are still limited due to the relative rarity of the disease.Methods:Two investigators independently searched published studies indexed in MEDLINE and EMBASE database from inception to June 2019 using the search terms related to AAV and stroke. The eligible study must be cohort study that consisted of cohort of patients with AAV and cohort of patients without AAV. The study must follow the participants for incident stroke. The magnitude of difference in the incidence of stoke between the cohorts must be reported. Pooled effect estimates were calculated by combining the effect estimate of each eligible study using generic inverse variance method. Statistical heterogeneity was assessed using the Cochran's Q test and I2statistics. All analyses were conducted using RevMan 5.3 software from the Cochrane Collaboration.Results:A total of six cohort studies fulfilled the eligibility criteria and were included into the meta-analysis. Patients with AAV had a higher risk of developing incident stroke than individuals without AAV with the a pooled risk ratio of 2.02 (95% CI, 1.02–4.00; I2of 89%). Funnel revealed no suggestive evidence of publication bias.Conclusion:A significantly higher risk of incident stroke among patients with AAV than individuals without AAV was demonstrated by this meta-analysis.
A Three months Electrodiagnostic Follow-Up of Patients Suspected of having Ulnar Nerve Involvement at Elbow Level with Normal Conventional Electrodiagnostic Study at First Evaluation
Authors: Mansoori Korosh , Raissi Gholam Reza , Madani Seyed Pezhman , Ameri Milad , ZoghAli Masoume , Sajadi Simin 
Published: November 2022

Background:
Compression of ulnar nerve at the elbow is the second most common peripheral neuropathy of the upper extremity.

Objective:
Due to the lack of the gold diagnostic standard for ulnar nerve involvement at elbow level (UNE) and the lack of sufficient study in this field, we decided to evaluate patients with symptoms of this disease who have normal conventional electrodiagnostic study (EDX) in first evaluation.

Materials and Methods:
In this cross-sectional study, 18 persons were selected from patients who were referred to the clinic of Physical Medicine and Rehabilitation. If conventional EDX was normal, compound nerve action potential (CNAP) test (peak latency and amplitude) was carried out. Patients with normal conventional EDX but abnormal ulnar CNAP included to our study. After 3 months, if they had not been treated for ulnar neuropathy, they were reexamined by conventional EDX plus ulnar CNAP measurement.

Results:
In total, 18 patients (11 females, 7 males) aged 28–58 years old (mean = 40.11) were analyzed in this study. After 3 months, 14 patients (77.8%) demonstrated parameter changes consistent with UNE in conventional EDX.

Conclusion:
Based on the results of this study, ulnar CNAP has diagnostic value in patients with symptoms of UNE who have normal routine EDX. Therefore, ulnar CNAP should be taken into account for early diagnosis of ulnar neuropathy when routine electrodiagnostic tests are normal.
Effectiveness of 3D-printed models prepared from radiological data for anatomy education
Authors: Asghar Adil , Naaz Shagufta , Patra Apurba , Ravi Kumar S. , Khanal Laxman 
Published: November 2022

BACKGROUND:
Many academicians suggested the supplementary use of 3D-printed models reconstructed from radiological images for optimal anatomy education. 3D-printed model is newer technology available to us. The purpose of this systematic review was to capture the usefulness or effectiveness of this newer technology in anatomy education.

MATERIALS AND METHODS:
Twenty-two studies met the inclusion and exclusion criteria for quantitative synthesis. The included studies were sub-grouped according to the interventions and participants. No restrictions were applied based on geographical location, language and publication years. Randomized, controlled trial, cross-sectional and cross-over designs were included. The effect size of each intervention in both participants was computed as a standardized mean difference (SMD).

RESULTS:
Twenty-two randomized, controlled trials were included for quantitative estimation of effect size of knowledge acquisition as standardized mean difference in 1435 participants. The pooled effect size for 3D-printed model was 0.77 (0.45–1.09, 95% CI, P < 0.0001) with 86% heterogeneity. The accuracy score was measured in only three studies and estimated effect size was 2.81 (1.08–4.54, 95% CI, P = 0.001) with 92% heterogeneity. The satisfaction score was examined by questionnaire in 6 studies. The estimated effect size was 2.00 (0.69–3.32, 95% CI, P = 0.003) with significant heterogeneity.

CONCLUSION:
The participants exposed to the 3D-printed model performed better than participants who used traditional methodologies. Thus, the 3D-printed model is a potential tool for anatomy education.
Clinical, laboratory and high-resolution computed tomography (HRCT) thorax profile of reverse transcription polymerase chain reaction (RT-PCR) negative COVID-19 suspects with moderate to severe disease
Authors: Banerjee Arnab , Mukhopadhyay Olivia , Santra Ranjita , Bhadury Anuran , Chaudhuri Sirshendu 
Published: November 2022

BACKGROUND:
Diagnostic dilemma arises when patients with clinical suspicion of COVID-19 disease having moderate-to-severe respiratory symptoms yield negative result for COVID-19 in reverse transcription polymerase chain reaction (RT-PCR). This study evaluated the clinical, laboratory and HRCT thorax findings among RT-PCR-negative COVID-19 suspects with moderate-to-severe disease.

MATERIALS AND METHODS:
A hospital-based retrospective observational study was conducted between July 2021 to December 2021, among 60 moderate and severe symptomatic COVID-19 suspects admitted in the severe acute respiratory illness (SARI) ward and intensive care unit (ICU), who were negative for COVID-19 in RT-PCR. Data were abstracted from the medical records section of the hospital using a predesigned data abstraction form and presented by descriptive statistics.

RESULTS:
Mean age of study participants was 55.5 years (SD 14.1 years), and majority were males (n = 43, 71.7%). Common presenting symptoms were fever (n = 60, 100%), dyspnea (n = 57, 95%), and cough (n = 54, 90%). The common laboratory findings were rise of C-reactive protein (n = 60, 100%), NLR (n = 49, 81.7%), d-dimer (n = 47, 78.3%), ferritin (n = 46, 76.7%), and LDH (n = 40, 66.7%). HRCT scan of thorax revealed ground glass opacities with or without consolidations located bilaterally with diffuse or peripheral distribution, interlobar septal thickening (n = 43, 74.1%), vascular thickening (n = 35, ≥58.3%), and sub-pleural lines (n = 32, 53.3%). Median CT-SS value was 15 (IQR 11–19), and majority (n = 56, 93.3%) belonged to CO-RADS ≥4.

CONCLUSION:
Diagnosis of COVID-19 can be presumed in RT-PCR-negative suspected COVID-19 patients with moderate-to-severe disease, with marked rise of inflammatory markers and HRCT revealing typical findings of COVID-19 pneumonia.
The feasibility study of Internet-assisted play therapy to resolve psychological disorders in primary healthcare settings
Authors: Shabani Sevil Momeni , Darabi Fatemeh , Nejaddadgar Nazila , Azimi Ahad , Shabani Masoud 
Published: November 2022

BACKGROUND:
Play therapy is an intelligent tool in cognitive–behavioral therapies. In today's world, the Internet and technology play a key role in all aspects of people's life including mental health. The present study explores the feasibility of using Internet-assisted play therapy to solve children's psychological issues in primary healthcare systems.

MATERIALS AND METHODS:
The present qualitative research was conducted by the content analysis approach on 20 experts working in the healthcare centers, who were selected purposefully. The sample was saturated with these 20 participants. Data were collected through semi-structured interviews and were coded manually. Then, they were analyzed in the Atlas.ti software package.

RESULTS:
The results revealed 15 themes and 10 sub-themes. The themes included (1) safety, (2) efficiency, (3) client-orientedness, (4) organizational growth, (5) time, (6) effectiveness, (7) justice-orientedness, (8) access, (9) feedback, (10) analysis, (11) children's computer game room, (12) reward, (13) group game, and (14) capability to be integrated into other electronic programs.

CONCLUSION:
It seems that Internet-based play therapy is plausible to be used as a service in primary healthcare to tackle the psychological problems of children in the target population if the challenges related to the exploratory themes are taken care of.
Country-Level Governance Indicators as Predictors of COVID-19 Morbidity, Mortality, and Vaccination Coverage: An Exploratory Global Analysis
Authors: Baghbanzadeh Mahdi , Smith Madison , Pilz Juergen , Rahman M. Sohel , Karamehic-Muratovic Ajlina , Garg Ashvita , Annan Esther , Nguyen Uyen-Sa D T , Schedler Nathan , Nandy Rajesh , Islam Rafiul , Haque Ubydul 
Published: November 2022

ABSTRACT.
As the COVID-19 pandemic continues to affect all countries across the globe, this study seeks to investigate the relationship between nations’ governance, COVID-19 national data, and nation-level COVID-19 vaccination coverage. National-level governance indicators (corruption index, voice and accountability, political stability, and absence of violence/terrorism), officially reported COVID-19 national data (cases, death, and tests per one million population), and COVID-19 vaccination coverage was considered for this study to predict COVID-19 morbidity and mortality. Results indicate a strong relationship between nations’ governance and officially reported COVID-19 data. Countries were grouped into three clusters using only the governance data: politically stable countries, average countries or “less corrupt countries,” and corrupt countries or “more corrupt countries.” The clusters were then tested for significant differences in reporting various aspects of the COVID-19 data. According to multinomial regression, countries in the cluster of politically stable nations reported significantly more deaths, tests per one million, total cases per one million, and higher vaccination coverage compared with nations both in the clusters of corrupt countries and average countries. The countries in the cluster of average nations reported more tests per one million and higher vaccination coverage than countries in the cluster of corrupt nations. Countries included in the corrupt cluster reported a lower death rate and morbidity, particularly compared with the politically stable nations cluster, a trend that can be attributed to poor governance and inaccurate COVID-19 data reporting. The epidemic evaluation indices of the COVID-19 cases demonstrate that the pandemic is still evolving on a global level.
Challenges of caregivers and needs of children with parents in a Nigerian prison
Authors: Ogunbosi B.O. , Adepoju A.A. , Orimadegun A.E. , Odaibo G.N. , Olaleye O.D. , Akinyinka O.O. 
Published: November 2022

Background: Separation of a parent from the family as a result of incarceration has both short-term and long-term effects on the family, even after release from prison. This study is a report of factors and challenges of the family left to adapt to the changed circumstances of separation from parent(s) who are incarcerated.
Methods: This was a cross sectional study carried out on 89 care -givers of children whose parents are incarcerated at the Agodi prison, Ibadan who gave informed and written consent to interview their families.
Results: Most caregivers had little or no formal education (69.7%) and 67.4% are into petty trading or subsistence farming. A majority of the caregivers reported the need of schooling (85.4%), provision of food (84.3%) and medical care (71.9%) as major challenges, only 25% received any form of support to meet these needs. Twenty-nine (32.6%) respondents reported receiving financial support to provide for the child’s feeding. Some care-givers 21 (23.6%), obtained loans to cope with the financial needs of the children hile only 3 (3.4%) received support from family or other nongovernmental organisations.
Conclusion: The caregivers of children of prison inmates face significant challenges in meeting the needs of feeding, health and schooling. Support structures and policies to address these gaps are required.
Paediatric heart failure in Uyo: A retrospective analysis
Authors: Okpokowuruk Frances S , Bassey Kelvin , Oghenedoro Osafugbe 
Published: November 2022

Background/Aim: Paediatric heart failure is a condition that continues to present challenges in management in our environment especially in its treatment and outcomes hence the aim of this study.Materials and Methods: A retrospective analysis of the case notes of all children who were diagnosed and managed for heart failure from January 2019 – October 2021 was undertaken. Data obtained included age, sex, presenting features, primary diagnosis, treatment modalities, duration ofhospital stay and outcomes.Results: A total of 2226 children were admitted over the study period with 67 children diagnosed with heart failure giving a prevalence rate of 3% although only 47 case notes could be retrieved giving a case retrieval rate of 70%. There were 26 (55.3%) males and 21 (44.7%) females (M:F ratio1.2: 1). Mean age of patients was 32.6 months (±52.23) with 28 (59.6%) of them being infants. Bronchopneumonia was the commonest cause of heart failure 31(65.9%) either singly or in combination with acyanotic congenital heart disease followed by severe anaemia in 14 (29.8%). Average duration of hospital stay was 6.9days (±5.08) and average cost of admission was N13,266. Twenty-three patients were discharged (48.9%), while 10 (21.3%) left against medical advice, 2 absconded (4.3%) while 12 (25.3%) died.Conclusion: Heart failure remains an important cause of morbidity and mortality in children in our environment arising from largely preventable causes. Urgent steps such as patient care giver education, immunization and screening for congenital heart disease are needed to reduce its effect on children in our environment.
Ferritin concentrations in low-birth babies in South-west Nigeria
Authors: Adediran Adewumi , Isife Sunday , Osunkalu Vincent , Wakama Tamunomieibi , Ocheni Sunday 
Published: November 2022

Background: In the absence of acute phase reaction, ferritin concentration has been used as a standard measurement of iron stores. Low birth weight babies are at risk of developing iron lack because ferritin concentration at birth is influenced by duration of gestation, maternal iron status and conditions altering maternal–foetal iron exchange.
Aim: The aim of this study was to determine the ferritin concentrations of low birth weight babies in comparison with that of normal birth weight babies.
Materials and methods: Fortyfour normal birth weight (NBW) babies and 40 low birth weight (LBW) babies were recruited for the study. About 1.0ml of venous blood was drawn aseptically from each subject into a micro EDTA tube, centrifuged at 5000rpm for 5 minutes, the plasma separated into cryotubes and stored at-20oC until ready for quantitative determination of ferritin concentrations using direct immunoenzymatic colorimetric method. Data obtained was analysed statistically using the Statistical Package for Social Sciences (SPSS, version 23, Chicago, IL, USA).
Results: Gestational age correlated positively with ferritin concentrations in LBW neonates (p<0.05) while APGAR score correlated positively with ferritin concentrations in normal birth weight babies (r=0.398; p<0.05). Though not statistically significant (p=0.214), median values for ferritin concentrations were 188.5μg/dl and 373μg/dl for LBW and NBW neonates respectively.
Conclusion: Gestational age correlated positively with ferritin concentrations in LBW neonates.