bluuebunny/crossref_metadata_2025_split huggingface dataset:
Motivations, barriers and exercise preferences among female undergraduates: A need assessment analysis
Authors: Othman Mohd Sham , Mat Ludin Arimi Fitri , Chen Lew Leong , Hossain Hanisah , Abdul Halim Ida Irwani , Sameeha Mohd Jamil , Tahir Ahmad Rashidi Mohamed 
Published: February 2022

IntroductionThe decreasing level of physical activity among female undergraduates is worrying as it is associated with the increased risk of non-communicable diseases. Thus, this study aimed to identify the motivations, barriers and preferences towards exercise among female undergraduates in Malaysia.MethodsA non-probability purposive sampling was used for the recruitment process. The inclusion criteria of the participants were registered female undergraduates and aged between 18–30 years old. A semi-structured in-depth interview was used to collect topic-related information from the participants and signed consents were obtained prior to the interview. The interview questions were on respondents’ understanding of exercise, motivation and barriers to exercise, and exercise preferences. The recruitment process was conducted until the data was saturated. All interviews were audio recorded and manually transcribed verbatim. NVivo 11 was used to conduct the inductive analysis of the data to develop themes for motivation and barriers to exercise. For exercise preferences, four predetermined themes were used.FindingsA total of 26 respondents participated in this study. Eight themes were found for motivation to exercise, with the most common themes being maintaining or improving appearance, health benefits and togetherness. For barriers of exercising, five themes were found, and the most common ones were disliking exercise and no motivation. For exercise preferences, most respondents preferred a structured exercise program with flexibility in terms of when and where the exercise could be conducted. Light or moderate intensity exercise for 10–30 minutes with a frequency of 1–2 times a week was desired the most among the respondents.ConclusionIn conclusion, personal and environmental factors play important roles in motivating or hampering female undergraduates to exercise, and a structured program was the preferred mode of exercise of these respondents. A new exercise module was designed based on this needs assessment with a 70% acceptance rate among the participants. These findings can help the future development of more exercise modules tailored to female university students.
Risk of revision arthroplasty surgery after exposure to physically demanding occupational or leisure activities: A systematic review
Authors: Zaballa Elena , Harris E. Clare , Cooper Cyrus , Linaker Catherine H. , Walker-Bone Karen 
Published: February 2022

Introduction
Lower limb arthroplasty is successful at relieving symptoms associated with joint failure. However, physically-demanding activities can cause primary osteoarthritis and accordingly such exposure post-operatively might increase the risk of prosthetic failure. Therefore, we systematically reviewed the literature to investigate whether there was any evidence of increased risk of revision arthroplasty after exposure to intensive, physically-demanding activities at work or during leisure-time.

Methods
We searched Medline, Embase and Scopus databases (1985—July 2021) for original studies including primary lower limb arthroplasty recipients that gathered information on physically-demanding occupational and/or leisure activities and rates of revision arthroplasty. Methodological assessment was performed independently by two assessors using SIGN, AQUILA and STROBE. The protocol was registered in PROSPERO [CRD42017067728].

Results
Thirteen eligible studies were identified: 9 (4,432 participants) after hip arthroplasty and 4 (7,137participants) after knee arthroplasty. Narrative synthesis was performed due to considerable heterogeneity in quantifying exposures. We found limited evidence that post-operative activities (work or leisure) did not increase the risk of knee revision and could even be protective. We found insufficient high-quality evidence to indicate that exposure to physically-demanding occupations increased the risk of hip revision although “heavy work”, agricultural work and, in women, health services work, may be implicated. We found conflicting evidence about risk of revision hip arthroplasty associated with either leisure-time or total physical activities (occupational or leisure-time).

Conclusion
There is currently a limited evidence base to address this important question. There is weak evidence that the risk of revision hip arthroplasty may be increased by exposure to physically-demanding occupational activities but insufficient evidence about the impact on knee revision and about exposure to leisure-time activities after both procedures. More evidence is urgently needed to advise lower limb arthroplasty recipients, particularly people expecting to return to jobs in some sectors (e.g., construction, agriculture, military).
Severe mental illness and pregnancy outcomes in Australia. A population-based study of 595 792 singleton births 2009–2016
Authors: Edvardsson Kristina , Hughes Elizabeth , Copnell Beverley , Mogren Ingrid , Vicendese Don , Gray Richard 
Published: February 2022

Background
Women with Severe Mental Illness (SMI) may have more complex pregnancies and pregnancy outcomes that require different care and management, but this has not been extensively studied. The aim of this study was to explore associations between SMI and adverse maternal and infant outcomes in the state of Victoria, Australia.

Methods
Our sample included all reported live singleton births in Victoria 2009–2016 (N = 595 792). Associations between SMI and adverse pregnancy outcomes were explored using Odds Ratios (OR), adjusted for sociodemographic and lifestyle factors, and co-morbidities, including any other mental illness.

Results
Of all singleton births, 2046 (0.34%) were to a mother diagnosed with a SMI. We found evidence of an association between SMI and a range of adverse maternal and infant outcomes. Compared to women without SMI, women with a SMI had higher adjusted odds of being admitted to a High Dependency Unit or Intensive Care Unit (aOR 1.83, 1.37–2.43), having gestational diabetes mellitus (1.57, 1.34–1.84), undergoing an unplanned caesarean section (1.17, 1.02–1.33), induction of labour (1.17, 1.05–1.30) and postpartum haemorrhage (1.15, 1.03–1.29). Newborns of women with SMI had higher adjusted odds of being admitted to Special Care Nursery (aOR 1.61, 1.43–1.80), a low Apgar score at 5 minutes (1.50, 1.19–1.90), preterm birth (1.40, 1.20–1.63), and low birthweight (1.26, 1.06–1.49).

Conclusion
Women with SMI are at higher risk for a range of adverse maternal and infant outcomes and are a population that may benefit from targeted early identification and enhanced antenatal care.
Uninformed Bidding in Sequential Auctions
Authors: Lorenzon Emmanuel 
Published: February 2022

Abstract
We consider a private-value auction with one-sided incomplete information in which two objects are sold in a sequence of two second-price auctions. The buyers have multiunit demand and are asymmetrically informed at the ex ante stage of the game. One buyer perfectly knows his type, and the other buyer is uninformed about her own type. We consider interim information acquisition by the uninformed buyer and derive an asymmetric equilibrium that is shown to produce a declining price sequence across both sales. The supermartingale property of the price sequence stems from the uninformed buyer’s incentives to gather private information, which leads to aggressive bidding in the first-stage auction.
Telehealth consultations in cardio-oncology
Authors: Potievskaya V. I. , Kononova E. V. , Shaputko N. V. , Raushkin D. A. , Gameeva E. V. , Alekseeva G. S. , Kaprin A. D. 
Published: February 2022

Aim. To evaluate the role of a cardiologist in telehealth counseling of cancer patients at the federal oncology center.Material and methods. This retrospective study was conducted based on the materials of 215 telehealth consultations on cardiooncology, performed in the period from January 2019 to September 2021. Data on referrals to a cardiologist (cardio-oncologist) from various Russian regions and consultants’ answers were analyzed, taking into account the following data: region, sex, age of a patient, cancer type, stage, participation of other consultants, type of cardiovascular disease, the need for additional information and features of treatment — surgery, chemotherapy, radiation therapy. Risk was stratified based on a checklist including the main risk factors for cardiotoxicity. The recommendations of consultants for monitoring patients, as well as drug therapy prescriptions, were analyzed.Results. The most common cancer sites in patients referred for telehealth consultations on cardio-oncology were lungs, larynx and trachea, colon and rectum, kidneys and bladder, ovaries and uterus, and stomach. Cardiologists consulted together with oncologists — surgeons, medical oncologists, as well as anesthesiologists and radiation oncologists. The most common cardiovascular diseases were hypertension — 80,9% of patients, heart failure — 60%, arrhythmias — 41,6% and coronary heart disease — 37,7%. From 71 to 80,3%, 15,6-21% and 3,9-7,8% of patients had preserved, mid-range and reduced left ventricular ejection fraction. In 47,6-66,7% of cases, consultants required additional information. Based on risk stratification of cardiotoxicity of anticancer treatment, 118 (81,9%) patients out of 144 were classified as high and very high risk. Most patients were recommended cardioprotective therapy, which most often included angiotensin-converting enzyme inhibitors/angiotensin receptor blockers — 43,1-53,1%, beta-blockers — 44,8-58,6%, and statins — 22,4-38,3%. An algorithm for creating a request for a cardio-oncology telehealth consultation has been developed.Conclusion. The important role of cardio-oncology telehealth consultations in the work of the federal oncology center is demonstrated. Consulting cardiologists are part of a single multidisciplinary team of specialists and must act taking into account the characteristics of cancer and antitumor therapy prescribed by oncologists.
Case report of breast implant-associated anaplastic large cell lymphoma and a call for increased awareness
Authors: Long Brittany , Dissanayake Thushara 
Published: February 2022

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare but serious complication of breast implants. The incidence of BIA-ALCL varies between 1:9121 and 1:13745, and a recent meta-analysis found that countries where specific monitoring measures have been implemented have higher rates of cases. While a significant complication, there is no current evidence to support surgical risk management strategies to prevent BIA-ALCL. Many countries have adopted a model of surveillance, and in Australia the Therapeutic Goods Administration has endorsed data collection through the Australian Breast Device Registry (ABDR). We present a case of a 67-year-old woman who presented to her GP with 2 months of left breast swelling, on a background of a left breast implant in 2004. MRI of the left breast demonstrated a large peri-implant fluid collection, and cytology confirmed BIA-ALCL, CD30-positive and ALK-negative. She underwent a capsulectomy and final histology demonstrated a Breast Implant-Associated Anaplastic Large Cell Lymphoma with focal penetration of neoplastic cells beyond the capsule and into pericapsular fat (stage T4). While development of registries and national guidelines has ensured the safeguarding of health outcomes for patients moving forward, there is still a concern for women with pre-existing breast implants who are unaware of the risk of BIA-ALCL. This case highlights the importance of raising awareness and providing support to primary health care providers to ensure their patients are given the necessary information to avoid this rare, but serious complication.
Self-care among medical professionals: a cross sectional study
Authors: Sathiarajan Dhanya , Chandrashekarappa Smitha M. , Anil Deepak , Robin Roshna S. , Narayana Murthy M. R. 
Published: February 2022

Background: High rates of burnout, moral distress, anxiety and depression and suicide tendencies are found among medical professionals who continue throughout their career. It can lead to personal crisis as well as suboptimal patient care. Self- care strategies among medical professionals can minimize harm due to these burnouts. Self care have multiple dimensions including nutrition, interpersonal relations, health responsibility, physical activity, spiritual growth, and stress management to promote and maintain emotional and physical well being. This study was aimed to assess the self-care among medical professionals in Mysuru. To assess self –care among medical professionals.Methods: It’s a cross sectional study conducted using pretested semi structured questionnaire on self-care among 376 medical students, both undergraduates and postgraduates. Questionnaire included various domains of self care. Data was entered in Microsoft Excel and analysed using SPSS version 25 (Licensed to JSS AHER). Descriptive statistics like mean, median and interquartile range and inferential statistics like Mann-Whitney Test were used.Results: Among 376 participants, social well-being among undergraduates were found to be better than post graduate students. No other domain had differences in the self-care scores with respect to year of study or with respect to gender.Conclusions: Markedly decreased self-care practices among medical professionals calls for urgent attention and strategies multilayered at the individual, institutional, and national levels need to be promoted.
Sleep quality and its associated factors among elderly population in a rural area of West Bengal
Authors: A. Inba Raja , Sardar Jadab C. 
Published: February 2022

Background: The problems with sleep increases sharply with age and can have profound effects among the elderly. The present study was done to assess the prevalence of sleep quality and its associated risk factors among the elderly people in a rural area of West Bengal.Methods: Cross-sectional study was done at Arkhali village, West Bengal, among 80 elderly individuals of 60 years and above age during February and March 2020. Face to Face interview was conducted using self - designed general socio-demographic questionnaire, Pittsburgh Sleep Quality Index (PSQI), 7 – Item General Anxiety Disorder (GAD) Scale and 5 – Item Geriatric Depression Scale (GDS). Chi-square test was done to test association using SPSS 20 software.Results: The mean age of the respondents was 70.1 ± 6.9 years and majority (60%) were females. Prevalence of poor sleep quality (GPSQI≥5) was 75%. The mean GPSQI of the study was 8.33±4.272. Increasing age category (p=0.001), marital status (p=0.003), present living status (p=0.006), health problems (p=0.014), help for daily activities (p=0.030), mosquitoes disturbing sleep (p=0.001), generalised anxiety (p=0.001) and Geriatric depression (p=0.001) had a significant association with poor sleep quality.Conclusions: Healthcare providers should regularly provide sleep health education, encourage participation in family activities, sharing of ideas and making of compromises within the family.
Study of profile and factors associated with high-risk pregnancies among PMSMA beneficiaries visiting block Barwala, district Hisar of Haryana
Authors: Kumar Amit , Sharma Seema , Sindwani Pooja , Jakhu Paramjeet , Pandey S. M. , . Diksha 
Published: February 2022

Background: Any pregnant woman can develop life-threatening complications with little or no advance warning, so all pregnant women need access to quality antenatal services to detect and prevent life-threatening complications during childbirth. The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) is thus being introduced to ensure quality antenatal care to pregnant women in the country. Under the campaign, a minimum package of antenatal care services would be provided to the beneficiaries on the 9th of every month at the PMSMA clinics. The objectives of study were to study profile and identify high risk pregnancies and associated factors of PMSMA beneficiaries.Methods: It was a retrospective study. Information was collected from hospital records of antenatal beneficiaries attending monthly PMSMA clinic in block Barwala. Maternal characteristics such as age, gravida, parity, trimester at time of first visit were noted. High risk factors were also noted. Data was collected & analysed by using SPSS version 20 software. Percentage & Chi-square test are used to analyse the data.Results: The records of total 401 antenatal beneficiaries were analysed. Out of total beneficiaries 26.9% were detected as high-risk pregnancy. Most common medical condition was anaemia. Majority of beneficiaries were belonged to age group 21-30 years. Percentage of Rh-ve beneficiaries were found to be 7.7%. Out of total 4.2% beneficiaries were having twins’ pregnancies. Maximum number of high-risk pregnancies belonged to blood group A.Conclusions: Detecting High-risk pregnancies in an effective measure to reducing maternal and infant mortality.
Association between HBA1C and NIHSS score in stroke
Authors: Ambresh Ayyali , K R Madhu 
Published: February 2022

Diabetes Mellitus is a very common metabolic disorder and it is an independent risk factor for stroke and is associated with 2 to 6 fold increased risk compared with non-diabetic subjects and worsens survival of patients with acute stroke. Glucose intolerance or even fasting hyperglycemia may follow an acute vascular event, and ensuing physical inactivity and poor food intake may lead to continued glucose intolerance. Glucose intolerance in a stroke patient may or may not reflect glycemia prior to the event. Measurement of HbA1C rather than glucose as an indicator of prior glycemia offers a new perspective. Hence this study is to find out association between HbA1c levels with NIHSS score in stroke. To find out association between HbA1c levels with NIHSS score in stroke. This a cross sectional descriptive study. In this study well controlled Diabetes has moderate stroke severity, fairly controlled Diabetes has moderate to severe stroke severity and poorly controlled Diabetes has severe stroke. It is observed that severity of the presenting complaints worsened from well controlled Diabetes to poorly controlled Diabetes. The NIHSS score correlates with the HbA1C, with increase in severity of the stroke from well controlled Diabetes to poorly controlled Diabetes. Severity of the score increases as the infarct size increases. Poorly controlled Diabetes has more severe stroke as per NIHSS score with large sized infarcts. Stroke is a medical emergency and can cause permanent neurological damage, complications and death. National Institutes of Health Stroke Scale (NIHSS) is a well-validated, reliable scoring system for use specifically with stroke patients. The National Institutes of Health Stroke Scale (NIHSS) can be used as a standard measurement instrument by physicians to evaluate the severity of a patient and outcome.
No-Reflow phenomenon in the perspective of endovascular neurosurgery
Authors: Yadav Kuldeep , Singh Deepak Kumar , Kaif Mohd. , Shankar Diwakar 
Published: February 2022

Concept of No-Reflow (NR) phenomenon is largely studied in cardiological intervention characterised by the failure of myocardial reperfusion despite the absence of mechanical obstruction of large and medium sized vessels. NR negatively affects outcome of procedure, so there is great importance of prediction and management. The objective was to introduce concept of NR in neuro-intervention and have an idea of incidence and independent predictors of NR in patients with post intervention no-reflow in large and medium sized brain arteries.This was a single-centre prospective case– control study between march 2017-march 2021 in the department of Neurosurgery, Dr. R.M.L.I.M.S., Lucknow, India. Cases were subjects who suffered NR, and the control comparators were those who did not. Clinical outcomes were documented. Salient variables relating to the patients and their presentation, history and angiographical findings were documented.Of 153 consecutive patients, 11(7.2%) suffered from NR, with all cases occurring post intervention in the form of coiling with or without stent/balloon support or flow diverter placement with or without coiling. Patients with NR had increased risk of in-hospital death and disability (1 patient/9.1% death, 8 patients/72.72% with one or multiple neurological dysfunction with varying severity) in comparison to patients without NR (4 patients/2.8% deaths and 12 patients/8.5% disabilities, out of 142 patients). From baseline variables available prior to neuro-endovascular surgery, the independent predictors of NR were increased complexity of pathology, admission systolic hypertension, weight of more than 75 kg and history of hypertension, history of DM, history of ischaemic vascular disease/dissection/aneurysm in the brain or elsewhere, history of systemic arteritis, history of autoimmune disease and atherosclerosis, history of smoking, female gender, elderly. Patients with NR have a higher rate of morbidity and mortality following ischaemia and embolism. Predictors of NR include lesion complexity, systolic hypertension and high body weight, female gender, elderly, dyslipidaemia and preexisting arterial disease. Further validation of this risk model is required with lager number of patients and multicenter studies.
Organisational membership and professional excellence among medical practitioners
Authors: Mukhopadhyay J 
Published: February 2022

Professional organizations play indispensible role among medical practitioners ensuring gold standard medical care and treatment. Organisational membership effectuates expression of clinical work, scientific understanding and ardour for distinction. Considering ever-exceeding scientific unfurling in clinical horizon and organisations’ role in upholding therapeutic excellence, it was decided to construe membership status among certain doctors inter-alia, reckoning allied benefits, if any. Study was conducted among 72 doctors selected semi-purposively from certain consenting medicos connected to scholar through various links during August’ 19 - October’ 19 incorporating medicos from diverse age-groups, specialities and functional domains. Sample size was calculated on basis of membership percentage observed in pilot study. Structured pre-tested questionnaire was formulated including participants’ personal attributes and parameters related to their membership in professional organisations with benefits ensued there-by. Questionnaires were circulated online, collected, analysed and tabulated.Majority (44.4%) belonged to 41-50 years and overall 59.7% availed organizational membership. Most were male (66.7%), post-graduate (52.7%), private practitioner (30.6%) with 47.2% harbouring 21-30 years expertise. Many benefitted by ‘relevant information’ (74.4%), ‘professional acquaintance’ (55.8%) and publication (51.1%). Personal reason (27.9%), scarce time, routine commitments (23.2% each) represented common pretexts for missing membership errands. Post-graduate, middle aged, experienced, male, private practitioners found significantly endowed with wealth of clinical information, publications, clinical acquaintances, professional knowledge and interactive confidence being associative.Study elicited precious information about elite professionals elucidating orientation towards model clinical society. Further research is recommended to explore factors that could play important role in professional lives to achieve excellence.