bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mother-Infant Bonding and Its Associated Factors Among Mothers in the Postpartum Period, Northwest Ethiopia, 2021
Authors: Hailemeskel Habtamu Shimels , Kebede Alemwork Baye , Fetene Metsihet Tariku , Dagnaw Fentaw Teshome 
Published: July 2022

BackgroundThe emotional bond that a mother senses to her infant is essential to their social, emotional, and cognitive development. Understanding the level of mother-infant bonding plays an imperative role in the excellence of care. However, in Ethiopia, there is a paucity of information about mother-infant bonding in the postpartum period.ObjectiveThis study aimed to assess the level of mother-infant bonding and its associated factors among mothers in the postpartum period, Debre Tabor Town Northwest Ethiopia, 2021.MethodsA community-based cross-sectional study was conducted with 422 postpartum mothers. The postpartum Bonding Questionnaire was used to assess mother-infant bonding. The Edinburgh Postnatal Depression Scale was used to assess postnatal depression. The level of marital satisfaction was assessed by using Kansas marital satisfaction scale. Social support was assessed by Oslo social support scale. A simple random sampling technique was applied to select study participants. Simple and multiple linear regression were used to identify potential factors associated with the mother-infant bonding scale. A P-value of &lt;0.05 was considered to declare statistical significance.ResultsIn this study, out of 420 postpartum mothers,53 (12.6%) had a risk for the quality of mother-infant bond difficulties between mother and an infant; 8.1% of mothers had a risk for rejection and pathological anger; 3.6% of mothers had a risk for infant-focused anxiety and 1.9% of mothers had risk for incipient abuse of an infant. Maternal depression status [adjusted β coefficient (β) = 2.31, 95% CI: (1.98, 2.64)], non-union marital status [β = 15.58, 95% CI: (9.88, 21.27)], being government employee [β = −5.68, 95% CI: (−9.71, −1.64)], having current pregnancy complication [β = −7.28, 95% CI: (−12.27, −2.29)], being non-breastfeeding mother [β = 7.66, 95% CI: (2.94, 12.38)], substance use history [β = −6.55, 95% CI: (−12.80, −0.30)], and social support [β = −2, 95% CI: (−2.49, −1.50)] were statistically significant factors for mother-infant bonding.ConclusionGenerally, a significant number of mothers had mother-infant bonding difficulties in the postpartum period. Preventing strategies for bonding difficulties focus on social support during pregnancy, screening postpartum mothers for postpartum depression, and special attention to substance users, non-union maternal status, and non-breastfeeding mothers.
Relatives Experience More Psychological Distress Due to COVID-19 Pandemic-Related Visitation Restrictions Than In-Patients
Authors: Felser Sabine , Sewtz Corinna , Kriesen Ursula , Kragl Brigitte , Hamann Till , Bock Felix , Strüder Daniel Fabian , Schafmayer Clemens , Dräger Désirée-Louise , Junghanss Christian 
Published: July 2022

BackgroundThe COVID-19 pandemic led to visiting restrictions (VRs) of patients in hospitals. Social contacts between patients' relatives play an important role in convalescence. Isolation may cause new psychological comorbidity. The present study investigated the psychological distress of VR in in-patients and their relatives.MethodsFrom April 1, 2020 to May 20, 2020, 313 in-patients (≥14 years) of the University Medical Center Rostock were interviewed by questionnaires and 51 relatives by phone. Subjective psychological distress was assessed by a distress thermometer [0 (not at all)−100 (extreme)]. The study also investigated stressors due to VR, psychological distress in dependence on demographic or disease-related data, currently used communication channels and desired alternatives and support.ResultsRelatives were more psychologically distressed by VR than in-patients (59 ± 34 vs. 38 ± 30, p = 0.002). Loss of direct physical contact and facial expressions/gestures resulted in the most distress. Psychological distress due to VR was independent of demographics and indicates small positive correlations with the severity of physical restriction and the general psychological distress of in-patients. The most frequent ways of communication were via phone and social media. Frequently requested alternatives for patients were other interlocutors and free phone/tablet use, for relatives visiting rooms with partitions.ConclusionVRs are a stressor for patients and their relatives. The establishment of visiting rooms with partitions and the free use of phones/tablets could reduce the additional distress.
Trends and Species Diversity of Non-tuberculous Mycobacteria Isolated From Respiratory Samples in Northern China, 2014–2021
Authors: Sun Qing , Yan Jun , Liao Xinlei , Wang Chaohong , Wang Chenqian , Jiang Guanglu , Dong Lingling , Wang Fen , Huang Hairong , Wang Guirong , Pan Junhua 
Published: July 2022

BackgroundPulmonary non-tuberculous mycobacteria (NTM) infection has become a public health concern in China and around the world. The objective of this study was to describe the longitudinal changes in the frequency and diversity of NTM in northern China.MethodsWe retrospectively analyzed data on mycobacterium species in Beijing Chest Hospital from January 2014 to December 2021. The isolates were identified to species level by targeted DNA sequencing.ResultsAfter excluding duplicates, 1,755 NTM strains were analyzed, which were from 27 provinces in China over 8 years. Among all mycobacteria, the proportion of NTM increased each year, from 4.24% in 2014 to 12.68% in 2021. Overall, 39 different NTM species were identified, including 23 slow growing mycobacteria (SGM) and 16 rapid growing mycobacteria (RGM). The most common species were M. intracellulare (51.62%), M. abscessus (22.22%), M. kansasii (8.32%), M. avium (7.75%) and M. fortuitum (2.05%). The number of NTM species identified also increased each year from 9 in 2014 to 26 in 2021. Most species showed stable isolation rates over the years; however, the proportion of M. avium increased from 3.85 to 10.42% during the study period. Besides, 81 non-mycobacteria strains, including Gordonia (21 isolates), Nocardia (19 isolates) and Tsukamurella (17 isolates), etc., were also discovered.ConclusionThe proportion of NTM and species diversity increased considerably in northern China from 2014 to 2021. M. intracellulare was the most common NTM isolated among respiratory specimens, followed by M. abscessus and M. kansasii. Rare NTM species and non-mycobacteria pathogens also need attention.
Public-Public Collaboration for Food Safety Risk Management: Essence, Modes, and Identification of Key Influencing Factors Using DANP
Authors: Zhang Liwei , Qin Ke , Li Yufeng , Wu Linhai 
Published: July 2022

ObjectiveFood safety risk management is an important cross-boundary issue from both theoretical and practical standpoints. Because food safety has the social attributes of public goods, public-public collaboration can be considered a particularly important mode of cross-boundary governance. The study aims to provide a theoretical basis for the Chinese government to promote public-public collaboration for food safety risk management by identifying key factors.MethodsBased on a review of literature across diverse fields, such as political science, sociology, and new public governance, this study discusses the essence, modes, and dilemma of public-public collaboration for food safety risk management using practical explorations in various countries as the main thread and taking into account the actual situation in China. Moreover, this study quantitatively analyzes the relationships between the dimensions and factors affecting public-public collaboration and identifies key dimensions and factors using the Decision-making Trial and Evaluation Laboratory-based Analytic Network Process (DANP).ResultsAmong the 20 factors in the calculation results of DANP, Lawmaking has the highest value of (fi+ei) (7.022) and ranks sixth in terms of influence weight. The (fi+ei)value of Professionalism (6.993) ranks second and its influence weight ranks fourth. The (fi+ei) value of Administrative enforcement (6.722) ranks fifth, and its influence weight ranks seventh. The (fi+ei) value of Improvement of the social environment (6.699) ranks sixth, and its influence weight ranks fifth. The (fi+ei) value of Legal authorization (6.614) ranks seventh, and its influence weight ranks tenth. Data analysis indicated that these are the five key factors affecting the governance capacity in public-public collaboration for food safety risk management.ConclusionThe legal basis is the most important dimension affecting public-public collaboration. Legislation-based governance, administrative law enforcement–based governance, and social environment improvement–based governance in the behavior and capabilities dimension, professionalism in the basic characteristics dimension, and laws and regulations in the legal basis dimension are the five key factors.
Treatment of Elderly Patients with Acute Symptomatic OVCF: A Study of Comparison of Conservative Treatment and Percutaneous Kyphoplasty
Authors: Yu Dejun , Liu Zuyao , Wang Hongqing , Yao Ran , Li Fu , Yang Yang , Sun Fenglong 
Published: July 2022

ObjectiveThe present study was designed for the contrastive analysis of conservative and percutaneous kyphoplasty (PKP) on pain severity and recovery of injured vertebrae in elderly patients with acute symptomatic osteoporotic vertebral compression fracture (OVCF).MethodsA total of 60 elderly patients with acute symptomatic OVCF were divided into two groups according to different treatment protocols, with 30 patients in each group. Patients in the Con group received conservative treatment, while patients in the PKP group received percutaneous kyphoplasty treatment. Clinical evaluation included the visual analogue scale (VAS), the Dallas pain questionnaire, the vertebral body leading edge height, the Cobb angle of injured vertebrae, the MOS item short-form health survey (SF-36), the Barthel index, and the mini-mental state examination (MMSE).ResultsAt 3 days, 3 months, and 6 months post-treatment, the score of VAS and the Cobb angle of injured vertebrae in patients of the PKP group were all significantly lower than those in the Con group (P &lt; 0.05), while the height of vertebral body leading edge in patients of the PKP group was significantly longer than that in the Con group (P &lt; 0.05). At 6 months post-treatment, the scores of the four dimensions of the Dallas pain questionnaire scale in the PKP group were all significantly lower than those in the Con group (P &lt; 0.05), while the score of SF-36 (PCS), SF-36 (MCS), and Barthel index in patients of the PKP group were all significantly lower than those in the Con group (P &lt; 0.05), and there was no significant difference in the scores of MMSE between these two groups (P &gt; 0.05).ConclusionCompared with conservative treatment, PKP treatment of elderly patients with acute symptomatic OVCF provides rapid pain relief, restoration of damaged vertebral body height, correction of Cobb's angle, and improved quality of life.
PELATIHAN PENERAPAN TEKNIK EFF-DEE MASS UNTUK MENGURANGI SAKIT PERSALINAN
Authors: Surahmat Eneng Solihah , Sugiarsih Ugi , Warliana Warliana 
Published: July 2022

Puskesmas C merupakan salah satu Puskesmas dengan fasilitas Pelayanan Obstetri Neonatal Emergensi Dasar (PONED). Kematian ibu terbanyak, yaitu 5 kasus pada tahun 2020, dengan Jumlah kunjungan persalinan 479 orang. Teknik Eff- Dee Mass merupakan salah satu alternatif untuk mengurangi rasa sakit pada saat persalinan, diharapkan ibu bersalin mampu beradaptasi dengan rasa sakit akibat kontraksi pada saat persalinan. Penerapannya dengan melibatkan bidan dan pendamping persalinan. Dampak yang dirasakan oleh ibu bersalin dengan penerapan Teknik ini, yaitu secara fisiologi terjadinya peningkaran endhorpin yang menimbulkan relaksasi sehingga mengurangi rasa nyeri saat kontraksi persalinan dan yang kedua dengan adanya pendamping peralinan sebagai pelaksana penerapan Teknik Eff Dee Mass secara tidak langsung akan meningkatkan rasa aman dan nyaman. Hasil studi pendahuluan didapatkan data bahwa dari 29 Bidan yang bertugas di Puskesmas C belum tahu tentang cara mengurangi nyeri persalinan secara fisik. Tujuan penelitian ini adalah meningkatkan pengetahuan dan keterampilan bidan dan pendamping persalinan dalam penatalaksanaan nyeri persalinan. Metode : Program kemitraan. Hasil menungjukkaan ada peningkatan pengetahuan sebanyak 5,6 point dari nilai pre dan poat tes, penambahan keterampilan bidan dalam menatalaksanaan nyeri persalinan secara langsung kepada ibu dalam masa persalinan dan sebagai educator untuk pendamping persalinan dalam menerapkan Teknik Eff-Dee Mass sehingga ibu yang sedang melahirkan dapat melalui persalinan dengan tenang serta peran aktif pendamping persalinan dalam meminimalisir nyeri persalinan. Kesimpulannya bahwa pelatihan penerapan teknik eff-dee dapat meningkatkan pengetahuan dan menambah keterampilan mitra sebagai penolong persalinan serta keluarga pasien sebagai pendamping persalinan, sehingga nyeri persalinan dapat ditatalaksana dengan tepat, ibu bersalin dapat melahirkan dengan aman dan nyaman.
Quality of Life in Patients with Chronic Kidney Disease Managed with or without Dialysis: An Observational Study
Authors: So Sarah , Li Kelly , Hoffman Anna T. , Josland Elizabeth , Brown Mark A. 
Published: July 2022

Key Points

Patients on conservative kidney management reported no significant decline in quality of life domains at 12 months or in quality of life scores at 18 months.Appropriately supported patients on conservative kidney management can maintain quality of life.

Background
Emerging research suggests that quality of life (QOL) outcomes, such as maintenance of independence, rather than length of life, are the main priority for many patients with end stage kidney disease (ESKD). There is therefore a need to focus on whether QOL for older patients on dialysis differs significantly from conservative kidney management (CKM). This study aimed to describe the QOL trajectory for patients with ESKD, comparing CKM to dialysis and transplantation.

Methods
This retrospective, observational study included all patients who attended the Kidney Supportive Care Clinic at St. George Hospital and had one or more EuroQOL (EQ5D5L) questionnaires between July 2014 and May 2020. Kruskal–Wallis tests compared QOL scores between groups at baseline and 12 months. Wilcoxon signed rank tests compared QOL scores from baseline to 18 months within groups. Chi-squared tests compared proportions of patients reporting problems with QOL “domains” between the groups at baseline and 12 months. McNemar’s tests compared changes in proportions of patients reporting problems with QOL “domains” within groups from baseline to 12 months.

Results
A total of 604 patients had an initial survey. At baseline, patients who were managed conservatively reported more problems with mobility, self-care, and ability to perform usual activities. However, pain/discomfort and anxiety/depression were no higher in the conservative population. CKM patients reported no significant decline in mobility, self-care, ability to perform their usual activities, pain/discomfort, or anxiety/depression after 12 months or in QOL scores after 18 months compared with the other groups.

Conclusions
QOL scores or symptom burdens did not change significantly in patients receiving CKM compared with dialysis, suggesting that appropriately supported CKM can maintain patients’ QOL.
Continuous Long-Term Physical Activity Monitoring in Hemodialysis Patients
Authors: Cohen Brandon , Munugoti Samhitha , Kotwani Sonia , Randhawa Lovepreet S. , Dalezman Solomon , Elters Antonio C. , Nam Kate , Ibarra Jose S. , Venkataraman Sandheep , Paredes William , Ohri Nitin , Abramowitz Matthew K. 
Published: July 2022

Key Points

Long-term continuous use of wrist-worn accelerometers is acceptable to patients receiving hemodialysis and is well tolerated.In patients with substantial comorbidity, the highest intensity of physical activity occurred in the hour immediately after hemodialysis.Recognition of increased activity after dialysis may create an opportunity for clinicians and dialysis staff to promote physical activity.

Background
Physical inactivity is common in patients receiving hemodialysis, but activity patterns throughout the day and in relation to dialysis are largely unknown. This knowledge gap can be addressed by long-term continuous activity monitoring, but this has not been attempted and may not be acceptable to patients receiving dialysis.

Methods
Ambulatory patients with end-stage kidney disease receiving thrice-weekly hemodialysis wore commercially available wrist-worn activity monitors for 6 months. Step counts were collected every 15 minutes and were linked to dialysis treatments. Physical function was assessed using the Short Physical Performance Battery (SPPB). Fast time to recovery from dialysis was defined as ≤2 hours. Mixed effects models were created to estimate step counts over time.

Results
Of 52 patients enrolled, 48 were included in the final cohort. The mean age was 60 years, and 75% were Black or Hispanic. Comorbidity burden was high, 38% were transported to and from dialysis by paratransit, and 79% had SPPB <10. Median accelerometer use (199 days) and adherence (95%) were high. Forty-two patients (of 43 responders) reported wearing the accelerometer every day, and few barriers to adherence were noted. Step counts were lower on dialysis days (3991 [95% CI, 3187 to 4796] versus 4561 [95% CI, 3757 to 5365]), but step-count intensity was significantly higher during the hour immediately after dialysis than during the corresponding time on nondialysis days (188 steps per hour increase [95% CI, 171 to 205]); these levels were the highest noted at any time. Postdialysis increases were more pronounced among patients with fast recovery time (225 [95% CI, 203 to 248] versus 134 [95% CI, 107 to 161] steps per hour) or those with SPPB ≥7. Estimates were unchanged after adjustment for demographics, diabetes status, and ultrafiltration rate.

Conclusions
Long-term continuous monitoring of physical activity is feasible in patients receiving hemodialysis. Highly granular data collection and analysis yielded new insights into patterns of activity after dialysis treatments.
Associations of Metabolic Syndrome and Abdominal Obesity with Anion Gap Metabolic Acidosis among US Adults
Authors: Lambert Douglas C. , Kane Jamie , Slaton Anthony , Abramowitz Matthew K. 
Published: July 2022

Key Points

Waist circumference and metabolic syndrome features were associated with greater risk of anion gap metabolic acidosis and its components.Findings were preserved after excluding CKD (eGFR <90 ml/min per 1.73 m2 or urine albumin to creatinine ratio ≥30 mg/g).Clear associations were evident for anion gap metabolic acidosis, but not for nonanion gap metabolic acidosis.

Background
Obesity is a recently identified risk factor for metabolic acidosis and anion gap elevations in the absence of CKD. Metabolic acidosis is a treatable condition with substantial adverse effects on human health. Additional investigations are needed to characterize at-risk populations and explore potential mechanisms. We hypothesized metabolic syndrome (MetS) and waist circumference (WC) would be closely associated with this pathology.

Methods
Adult participants from NHANES 1999–2018 meeting study criteria were compiled as main (n=31,163) and fasting (n=12,860) cohorts. Regression models adjusted for dietary acid, eGFR, and other factors examined associations of WC and MetS features with anion gap metabolic acidosis and its components (serum bicarbonate ≤23 mEq/L and anion gap >95th percentile).

Results
Greater WC and MetS features were associated with progressively lower bicarbonate, higher anion gap, and greater odds ratios (OR) of metabolic acidosis (MA) and anion gap metabolic acidosis (AGMA). Compared with the reference, participants with the highest WC had ORs for MA and AGMA of 2.26; 95% CI, 1.96 to 2.62 and 2.89; 95% CI, 1.97 to 4.21; those with three and four versus zero MetS features had ORs for AGMA of 2.52; 95% CI, 1.95 to 2.94 and 3.05; 95% CI, 2.16 to 3.82. Associations of body mass index with outcomes were attenuated or absent after adjustment for WC or MetS. Findings were preserved after excluding eGFR <90 ml/min per 1.73 m2 and albuminuria. A lower MA cutoff (<22 mEq/L) raised the estimate of association between MetS and MA (OR for three and four vs zero features: 3.56; 95% CI, 2.53 to 5.02 and 5.44; 95% CI, 3.66 to 8.08).

Conclusions
Metabolic diseases are characterized by metabolic acidosis and anion gap elevations. Metabolic dysfunction may predispose patients without CKD to systemic acidosis from endogenous sources. Comprehensive acid-base analyses may be informative in patients with metabolic diseases.
To the Question of Surgical Treatment of Degenerative Diseases of the Lumbar Spine
Authors: Сидорович Р.Р. 
Published: July 2022

Представлены результаты хирургического лечения 891 пациента с дегенеративными заболеваниями поясничного отдела позвоночника. Отличные результаты получены у 467 (52,4%) пациентов; хороший результат достигнут у 282 (31,6%) оперированных, к удовлетворительным результатам отнесено 142 (16,0%) пациента. Хорошие и отличные клинические результаты получены в группе пациентов (n=27), которым выполнялась динамическая стабилизация заднего опорного комплекса. Проблема хирургического лечения дегенеративных заболеваний поясничного отдела позвоночника по многим аспектам на сегодняшний день остается нерешенной, и не существует единой точки зрения у врачей-специалистов по методам и срокам хирургического лечения, что требует дальнейшего исследования данной проблемы.
Presents the results of surgical treatment of 891 patients with degenerative diseases of the lumbar spine. Excellent results were obtained in 467 (52.4%) patients; good results were achieved in 282 (31.6%) operated patients, 142 (16.0%) were classified as satisfactory results. Good and excellent clinical results were obtained in the group of patients (n=27) who underwent dynamic stabilization of the posterior support complex. The problem of surgical treatment of degenerative diseases of the lumbar spine in many aspects remains unresolved today, and there is no single point of view among medical specialists on the methods and timing of surgical treatment, which requires further study of this problem.