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Ede MO, Nwosu KC, Okeke CI, Oneli JO. Predictors of pathological gambling behaviours in parents population in Nigeria. Sci Rep 2024; 14:9197. [PMID: 38649388 PMCID: PMC11035556 DOI: 10.1038/s41598-024-56369-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 03/05/2024] [Indexed: 04/25/2024] Open
Abstract
The increasing incidence of psychological pains, burnout, and anxiety among gamblers in Nigeria is high. This is because pathological gambling (PG) is on the rise and it is linked to many social vices such as stealing, drug abuse, and sexual abuse. It is important to investigate the trajectories of PG in Nigeria. A cross-sectional survey design was employed in our study with 197 participants sampled from 28 gambling venues in Nigeria made up the study's sample size. Of the 197, 131 (66.5%) were males and 66 (33.5%) were females. 50 (25.4%) were within the age range of 20-30 years, 42 (21.3%) were within 31-40 years, 40 (20.3%) were within 41-50 years, 35 (17.8%) were within 51-60 years, and 30 (15.2%) were within 61 and above. Using the hierarchical regression analysis, our finding revealed a significant association between psychological distress and our respondents' pathological gambling behaviour whereas none of the sociodemographic variables made a significant contribution to their pathological gambling behaviour. We concluded that gamblers' psychological well-being is crucial to understanding their problematic gambling behaviours in the context of a developing nation such as Nigeria, and that this could be similar among our respondents. Implications of our findings were highlighted.
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Affiliation(s)
- Moses Onyemaechi Ede
- Department of Childhood Education, Faculty of Education, University of the Free State, Bloemfontein, South Africa
| | | | - Chinedu Ifedi Okeke
- Department of Childhood Education, Faculty of Education, University of the Free State, Bloemfontein, South Africa
| | - Joy Obiageli Oneli
- Teleo Network International School of Theology, Pastoral Ministry Grace Training International Bible Institute, Duluth, Gambia.
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Hooyman A, Haikalis NK, Wang P, Schambra HM, Lohse KR, Schaefer SY. Evidence and sources of placebo effects in transcranial direct current stimulation during a single session of visuospatial working memory practice. Sci Rep 2024; 14:9094. [PMID: 38643299 PMCID: PMC11032394 DOI: 10.1038/s41598-024-59927-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 04/16/2024] [Indexed: 04/22/2024] Open
Abstract
Transcranial direct current stimulation (tDCS) can be used to non-invasively augment cognitive training. However, the benefits of tDCS may be due in part to placebo effects, which have not been well-characterized. The purpose of this study was to determine whether tDCS can have a measurable placebo effect on cognitive training and to identify potential sources of this effect. Eighty-three right-handed adults were randomly assigned to one of three groups: control (no exposure to tDCS), sham tDCS, or active tDCS. The sham and active tDCS groups were double-blinded. Each group performed 20 min of an adapted Corsi Block Tapping Task (CBTT), a visuospatial working memory task. Anodal or sham tDCS was applied during CBTT training in a right parietal-left supraorbital montage. After training, active and sham tDCS groups were surveyed on expectations about tDCS efficacy. Linear mixed effects models showed that the tDCS groups (active and sham combined) improved more on the CBTT with training than the control group, suggesting a placebo effect of tDCS. Participants' tDCS expectations were significantly related to the placebo effect, as was the belief of receiving active stimulation. This placebo effect shows that the benefits of tDCS on cognitive training can occur even in absence of active stimulation. Future tDCS studies should consider how treatment expectations may be a source of the placebo effect in tDCS research, and identify ways to potentially leverage them to maximize treatment benefit.
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Affiliation(s)
- Andrew Hooyman
- School of Biological and Health Systems Engineering, Arizona State University, 501 E. Tyler Mall, MC 9709, Tempe, AZ, 85287, USA
| | - Nicole K Haikalis
- School of Biological and Health Systems Engineering, Arizona State University, 501 E. Tyler Mall, MC 9709, Tempe, AZ, 85287, USA
| | - Peiyuan Wang
- School of Biological and Health Systems Engineering, Arizona State University, 501 E. Tyler Mall, MC 9709, Tempe, AZ, 85287, USA
| | - Heidi M Schambra
- Department of Neurology and Department of Physical Medicine and Rehabilitation, Grossman School of Medicine, New York University, New York, NY, USA
| | - Keith R Lohse
- Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, USA
| | - Sydney Y Schaefer
- School of Biological and Health Systems Engineering, Arizona State University, 501 E. Tyler Mall, MC 9709, Tempe, AZ, 85287, USA.
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Cavallo A, Al Kayal T, Soldani G, Losi P, Tedeschi L. Riboflavin based setup as an alternative method for a preliminary screening of face mask filtration efficiency. Sci Rep 2024; 14:8830. [PMID: 38632265 PMCID: PMC11024099 DOI: 10.1038/s41598-024-59485-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Accepted: 04/11/2024] [Indexed: 04/19/2024] Open
Abstract
Face masks are essential in reducing the transmission of respiratory infections and bacterial filtration efficiency, a key parameter of mask performances, requires the use of Staphylococcus aureus and specialised staff. This study aims to develop a novel method for a preliminary screening of masks or materials filtration efficiency by a green, easy and rapid setup based on the use of a riboflavin solution, a safe autofluorescent biomolecule. The proposed setup is composed of a commercial aerosol generator commonly used for aerosol therapy, custom 3D printed aerosol chamber and sample holder, a filter for downstream riboflavin detection and a vacuum pump. The filtration efficiency of four different masks was assessed using the riboflavin-based setup and the bacterial filtration efficiency (BFE). The averaged filtration efficiency values, measured with both methods, were similar but were higher for the riboflavin-based setup (about 2% for all tested samples) than bacterial filtration efficiency. Considering the good correlation, the riboflavin-based setup can be considered validated as an alternative method to bacterial filtration efficiency for masks and related materials fabrics filtration efficiency screening but This study aims to develop a novel method for a preliminary screening of masks or materials filtration efficiency by a green, easy and rapid setup based on the use of a riboflavin solution, a safe autofluorescent biomolecule, but not to replace regulation approaches. The proposed setup can be easily implemented at low price, is more rapid and eco-friendly and can be performed in chemical-physical laboratories without the needing of biosafety laboratory and specialised operators.
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Affiliation(s)
- Aida Cavallo
- Institute of Clinical Physiology, National Research Council, Pisa, Italy
| | - Tamer Al Kayal
- Institute of Clinical Physiology, National Research Council, Pisa, Italy
| | - Giorgio Soldani
- Institute of Clinical Physiology, National Research Council, Pisa, Italy
| | - Paola Losi
- Institute of Clinical Physiology, National Research Council, Pisa, Italy.
| | - Lorena Tedeschi
- Institute of Clinical Physiology, National Research Council, Pisa, Italy
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Essayagh F, Essayagh M, Lambaki A, Naji AA, Essayagh S, Essayagh T. Determinants associated with low dietary diversity among migrants to Morocco: a cross sectional study. Sci Rep 2024; 14:8361. [PMID: 38600240 PMCID: PMC11006864 DOI: 10.1038/s41598-024-59082-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2023] [Accepted: 04/07/2024] [Indexed: 04/12/2024] Open
Abstract
Low dietary diversity (LDD) is prevalent among vulnerable populations, posing a morbidity risk. Few studies have been conducted on the dietary diversity of migrants. The objectives of this study are to determine the prevalence of LDD among migrants in Morocco and the risk factors associated with it. In the Oriental region, we conducted a cross-sectional study with migrants between November and December 2021. The sampling method used was convenience sampling. A face-to-face, structured questionnaire was used to collect sociodemographic, behavioral, and clinical data. We calculated a dietary diversity score based on a 24-h food recall and assessed food intake. The risk factors associated with LDD were identified using multivariate logistic regression. A total of 445 migrants was enrolled. The prevalence of LDD was 31.7%. Risk factors associated with LDD were: being homeless (adjusted Odds Ratio (AOR) of 6.32; CI% [3.55-11.25]), a lack of social support (AOR of 2.30; CI% [1.33-03.98]), and low monthly income (AOR of 8.21; CI% [3.39-19.85]). Public policies must focus on social and environmental determinants. Nutrition training programs should be set up for the migrant population.
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Affiliation(s)
- Firdaous Essayagh
- Université Sidi Mohamed Ben Abdellah, Laboratoire droit privé et enjeux de développement, Faculté des sciences juridiques, économiques et sociales, Fès, Morocco
| | - Meriem Essayagh
- Office national de sécurité sanitaire des produits alimentaires, Oriental, Morocco
| | - Abdellah Lambaki
- Université de Lomé, Faculté des sciences de la santé, Lomé, Togo.
| | - Ahmed Anouar Naji
- Université Sidi Mohamed Ben Abdellah, Laboratoire droit privé et enjeux de développement, Faculté des sciences juridiques, économiques et sociales, Fès, Morocco
| | - Sanah Essayagh
- Hassan First University of Settat, Faculté des sciences et techniques, Laboratoire agroalimentaire et santé, Settat, Morocco
| | - Touria Essayagh
- Hassan First University of Settat, Institut supérieur des sciences de la santé, Laboratoire sciences et technologies de la santé, Settat, Morocco
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Cherie N, Teketelew BB, Tamir M, Angelo AA, Terekegne AM, Chane E, Nigus M, Berta DM. Performances and determinants of proficiency testing in clinical laboratory services at comprehensive specialized hospitals, northwest Ethiopia. Sci Rep 2024; 14:7745. [PMID: 38565637 PMCID: PMC10987491 DOI: 10.1038/s41598-024-58525-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Accepted: 04/01/2024] [Indexed: 04/04/2024] Open
Abstract
Proficiency testing (PT) is an impartial laboratory performance-evaluating system using an independent body. It is a mandatory accreditation requirement and means for improving the laboratory's performance. The study aimed to evaluate the performance of PT, with a focus on identifying and discussing determinants that influence PT performance at comprehensive specialized hospitals in northwest Ethiopia. A retrospective cross-sectional study was carried out from 2020 to 2022. Using a convenient sampling technique, laboratory tests with recorded PT results in each hospital laboratory were included. A data collection template and customized checklists were used to collect the data. Epi Data Version 3.1 for data entry and STATA Version 14.1 for cleaning and analysis were used. Binary logistic regression analyses were used. Variables with p < 0.05 in the multivariable logistic regression were considered to be statistically significant. Over nine cycles, 3807 PT challenges were distributed. The total failure rate of the laboratories was 32.4%, with a peak failure rate of 40.3% in 2020, after which the failure rate was decline to 20.6% in 2022. Among the five laboratory sections, molecular biology had the lowest failure rate (22.2%), while microbiology had the highest failure rate (56.5%). Multivariate logistic regression revealed that PT results reported without appropriate unit of measurement (AOR 7.5), lack of corrective action for PT nonconformance (AOR 7.1), and reagent unavailability (AOR 6.1) had significant effects on PT performance (p < 0.001). The results of this study showed that the overall performance of the laboratory was lower. Reporting PT results without appropriate units of measurement and not taking corrective action for PT nonconformance were the major aggravating factors for high failure rates.
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Affiliation(s)
- Negesse Cherie
- Department of Quality Assurance and Laboratory Management, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
| | - Bisrat Birke Teketelew
- Department of Hematology and Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Mebratu Tamir
- Department of Medical Parasitology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Abiy Ayele Angelo
- Department of Immunology and Molecular Biology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Amare Mekuanint Terekegne
- Department of Clinical Chemistry, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Elias Chane
- Department of Clinical Chemistry, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Mesele Nigus
- Department of Quality Assurance and Laboratory Management, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Dereje Mengesha Berta
- Department of Hematology and Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
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Rarichan G, Bacchi S, Gupta A, Chan WO. The illusion of explanatory depth in patient consent. Eye (Lond) 2024; 38:1223. [PMID: 37993602 PMCID: PMC11009305 DOI: 10.1038/s41433-023-02825-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 10/19/2023] [Accepted: 11/01/2023] [Indexed: 11/24/2023] Open
Affiliation(s)
| | - Stephen Bacchi
- Royal Adelaide Hospital, Adelaide, SA, 5000, Australia
- Flinders University, Bedford Park, SA, 5042, Australia
| | - Aashray Gupta
- University of Adelaide, Adelaide, SA, 5000, Australia
| | - Weng Onn Chan
- Royal Adelaide Hospital, Adelaide, SA, 5000, Australia
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Chisholm-Burns MA, Spivey CA. Analysis of 10-year income trends for pharmacists and other select health professionals. Am J Health Syst Pharm 2024:zxae087. [PMID: 38530987 DOI: 10.1093/ajhp/zxae087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Indexed: 03/28/2024] Open
Abstract
DISCLAIMER In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE To evaluate income trends among pharmacists and other select health professions (dentists, nurse practitioners, registered nurses, and physicians) in the US for the 10-year period of 2012 to 2021, with special attention given to the first 2 years of the COVID-19 pandemic (2020 and 2021). METHODS A retrospective analysis was conducted of 2012 to 2021 income data for select health professions, collected from the American Community Survey. Univariate time series analysis was conducted using exponential smoothing to examine income patterns over the 10-year study period and forecast income for the next 5-year period (2022 to 2026) for each health profession. Additionally, time series regression models were constructed for each health profession. Descriptive statistics (mean percent change in income and SD) were calculated for each health profession for the prepandemic era (2012 to 2019) and the first 2 years of the pandemic (2020 and 2021). RESULTS Goodness-of-fit statistics for each forecast model indicate highly accurate forecasts. The model for each health profession indicates a significant positive trajectory in income (P < 0.001), although pharmacists are projected to have a lower rate of income growth among the 5 health professions for the next 5-year period, 2022 to 2026. During the first 2 years of the pandemic, pharmacists had the lowest mean percent change in income (mean, 2.0%; SD, 2.0%) among the 5 health professions. CONCLUSION Growth in pharmacist income is projected to lag behind that in other health professions in the near future. Individual-, organization-, and profession-level strategies may facilitate opportunities for income growth among pharmacists.
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Riaz S, Shakil Ur Rehman S, Hafeez S, Hassan D. Effects of kinect-based virtual reality training on bone mineral density and fracture risk in postmenopausal women with osteopenia: a randomized controlled trial. Sci Rep 2024; 14:6650. [PMID: 38503875 PMCID: PMC10950849 DOI: 10.1038/s41598-024-57358-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 03/18/2024] [Indexed: 03/21/2024] Open
Abstract
Osteopenia is a condition characterized by low bone mineral density (BMD) that increases fracture risk, particularly among postmenopausal women (PMW). This study aimed to determine the effects of Kinect-based VRT on BMD and fracture risk in PMW with osteopenia. The study was a prospective, two-arm, parallel-design, randomized controlled trial. The study enrolled 52 participants, 26 randomly assigned to each group. In the experimental group, Kinect-based VRT was provided thrice weekly for 24 weeks for 45 min/session. Both groups were instructed to engage in a daily 30-min walk outdoors. The fracture risk assessment tool (FRAX) was used to calculate fracture risk, and dual-energy X-ray absorptiometry was used to measure lumbar spine and femur neck BMD. Both variables were assessed at baseline and 24 weeks afterwards. After 24 weeks of Kinect-based VRT, the experimental group showed significant BMD increases in the right and left femoral necks and lumbar spine (p value < 0.001). In the control group, the BMD at the right and left femoral necks showed fewer significant changes (p value < 0.022 and 0.004, respectively). In the control group, lumbar spine BMD did not change (p = 0.57). The experimental group showed significantly lower FRAX scores for hip fracture prediction (HFP) and hip prediction of major osteoporotic (HPMO) at both femoral necks (p value < 0.001) than the control group (p = 0.05 and p = 0.01, respectively), but no significant change at the left femoral neck for HFP (p = 0.66) or HPMO (p = 0.26). These findings indicate that a Kinect-based VRT intervention resulted in significantly increased BMD and a reduced fracture risk, as predicted by HFP and HPMO measurements. These improvements were more pronounced in the experimental group than in the control group. Thus, Kinect-based VRT may be utilized as an effective intervention to improve BMD and reduce fracture risk in postmenopausal women with osteopenia.
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Affiliation(s)
- Saima Riaz
- Department of Physical Therapy, Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University, Gulberg III, Lahore, 54000, Pakistan.
| | - Syed Shakil Ur Rehman
- Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University, Lahore, 54000, Pakistan
| | - Sana Hafeez
- School of Health Sciences, University of Management and Technology, Lahore, 54000, Pakistan
| | - Danish Hassan
- Department of Physical Therapy, Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University, Gulberg III, Lahore, 54000, Pakistan
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Sawatari H, Kumagai H, Kawaguchi K, Kiyohara Y, Konishi N, Arita A, Hayashi M, Shiomi T. Risk factors for collisions attributed to microsleep-related behaviors while driving in professional truck drivers. Sci Rep 2024; 14:6378. [PMID: 38493230 PMCID: PMC10944504 DOI: 10.1038/s41598-024-57021-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 03/13/2024] [Indexed: 03/18/2024] Open
Abstract
Sleep-disordered breathing (SDB) is prevalent among professional drivers. Although SDB is a known risk factor for truck collisions attributed to microsleep-related behaviors at the wheel (TC-MRBs), the usefulness of overnight pulse oximetry for predicting TC-MRBs is debatable. This retrospective study assessed the association between overnight pulse oximetry parameters, the Epworth Sleepiness Scale (ESS), and TC-MRBs, confirmed by dashcam footage. This study included 108 matched professional truck drivers (TC-MRBs: N = 54; non-TC-MRBs: N = 54), with a mean age and body mass index of 41.9 ± 11.3 years and 23.0 ± 3.7 kg/m2, respectively. Night-time drivers, 4% oxygen desaturation index (ODI), and nadir oxygen saturation (SpO2) were associated with TC-MRBs (odds ratio [95% confidence interval]: 25.63 [5.88-111.77], p < 0.0001; 2.74 [1.02-7.33], p = 0.045; and 3.87 [1.04-14.39], p = 0.04, respectively). The area under the curve of 4% ODI and nadir SpO2 for TC-MRBs were 0.50 and 0.57, respectively. In conclusion, night-time driving, 4% ODI, and nadir SpO2 were significantly associated with TC-MRBs in professional truck drivers. However, the sensitivity of overnight pulse oximetry parameters to predict TC-MRBs in a real-world application was poor. Therefore, combining subjective and objective assessments such as dashcam video footage may be needed to achieve high accuracy for predicting TC-MRBs among professional truck drivers.
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Affiliation(s)
- Hiroyuki Sawatari
- Department of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Hajime Kumagai
- Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan.
- Sleep Disorders Center, Hiroshima University Hospital, Hiroshima, Japan.
| | - Kengo Kawaguchi
- Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan
| | - Yuka Kiyohara
- Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan
- Sleep Disorders Center, Hiroshima University Hospital, Hiroshima, Japan
| | - Noriyuki Konishi
- Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan
| | - Aki Arita
- Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan
| | - Mitsuo Hayashi
- Graduate School of Integrated Arts and Sciences, Hiroshima University, Hiroshima, Japan
| | - Toshiaki Shiomi
- Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan
- Sleep Disorders Center, Hiroshima University Hospital, Hiroshima, Japan
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10
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Xue Y, Peng Y, Zhang L, Ba Y, Jin G, Liu G. Effect of different exercise modalities on nonalcoholic fatty liver disease: a systematic review and network meta-analysis. Sci Rep 2024; 14:6212. [PMID: 38485714 PMCID: PMC10940706 DOI: 10.1038/s41598-024-51470-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 01/05/2024] [Indexed: 03/18/2024] Open
Abstract
Physical exercise intervention can significantly improve the liver of patients with Non-alcoholic fatty liver disease (NAFLD), but it is unknown which exercise mode has the best effect on liver improvement in NAFLD patients. Therefore, we systematically evaluated the effect of exercise therapy on liver and blood index function of NAFLD patients through network meta-analysis (NMA). Through systematic retrieval of PubMed, Cochrane Library, Web of Science, EBSCO, and CNKI (National Knowledge Infrastructure), two reviewers independently screened the literature, extracted data, and assessed the risk of bias of the included studies by means of databases from inception to January 2023. The NMA was performed using the inconsistency model. A total of 43 studies, 2070 NAFLD patients were included: aerobic training (n = 779), resistance training (n = 159), high-intensity interval training (n = 160), aerobic training + resistance training (n = 96). The results indicate that aerobic training + resistance training could significantly improve serum total cholesterol (TC) (Surface under the cumulative ranking curve (SUCRA) = 71.7), triglyceride (TG) (SUCRA = 96.8), low-density lipoprotein cholesterol (LDL-C) (SUCRA = 86.1) in patients with NAFLD including triglycerides. Aerobic training is the best mode to improve ALT (SUCRA = 83.9) and high-density lipoprotein cholesterol (HDL-C) (SUCRA = 72.3). Resistance training is the best mode to improve aspartate transaminase (AST) (SUCRA = 81.7). Taking various benefits into account, we believe that the best modality of exercise for NAFLD patients is aerobic training + resistance training. In our current network meta-analysis, these exercise methods have different effects on the six indicators of NAFLD, which provides some reference for further formulating exercise prescription for NAFLD patients.
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Affiliation(s)
- Yaqi Xue
- Beijing Normal University College of Physical Education and Sport, Beijing, China
| | - Yang Peng
- Physical Education Department, Northeastern University, Shenyang, Liaoning, China
| | | | - Yi Ba
- Beijing Normal University College of Physical Education and Sport, Beijing, China
| | - Gang Jin
- Physical Education Department, Northeastern University, Shenyang, Liaoning, China
| | - Ge Liu
- School of Economics and Management, Hebei University of Architecture, Hebei, China.
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Ulaş SC, Açıl D, Büyük DŞ, Durgun SK, Açışlı FU. Risk Perceptions Regarding COVID-19 and Compliance with Protective Measures of Midwifery and Nursing Senior Students. Rev Esc Enferm USP 2024; 58:20230303. [PMID: 38466907 PMCID: PMC10959002 DOI: 10.1590/1980-220x-reeusp-2023-0303en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Accepted: 01/10/2024] [Indexed: 03/13/2024] Open
Abstract
OBJECTIVE This study aims to examine the risk perceptions of midwifery and nursing senior students regarding COVID-19 and compliance with vaccination and protective measures. METHOD This cross-sectional study was conducted in two academic years on senior midwifery and nursing students (n = 358). In the present study, the descriptive characteristics of the students and the COVID-19 risk perception scale were used. RESULTS The students' COVID-19 Risk Perception Scale scores were at a moderate level and a similar level in both years of this study. More than 80% of the students were fully vaccinated, and the family history of COVID-19 was positive in approximately half of them. In the second year of the pandemic, they paid less attention to social distance and avoidance of being indoors. CONCLUSION Although the COVID-19 risk perceptions of future health professional students remained at a similar level during the examined period, it was found that in the second year of the pandemic, they started to get used to the process and paid less attention to social protective measures.
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Affiliation(s)
- Seval Cambaz Ulaş
- Manisa Celal Bayar University, Faculty of Health Sciences, Midwifery Department/Manisa, Turkey
| | - Dilay Açıl
- Manisa Celal Bayar University, Faculty of Health Sciences, Public Health Nursing Department/Manisa, Turkey
| | - Damla Şahin Büyük
- Manisa Celal Bayar University, Faculty of Health Sciences, Public Health Nursing Department/Manisa, Turkey
| | - Seçil Köken Durgun
- Manisa Celal Bayar University, Faculty of Health Sciences, Midwifery Department/Manisa, Turkey
| | - Fatma Uyar Açışlı
- Manisa Celal Bayar University, Faculty of Health Sciences, Public Health Nursing Department/Manisa, Turkey
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Iwata D, Nanjo KZ. Adaptive estimation of the Gutenberg-Richter b value using a state space model and particle filtering. Sci Rep 2024; 14:4630. [PMID: 38443383 PMCID: PMC10915173 DOI: 10.1038/s41598-024-54576-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2023] [Accepted: 02/14/2024] [Indexed: 03/07/2024] Open
Abstract
Earthquakes follow an exponential distribution referred to as the Gutenberg-Richter law, which is characterized by the b value that represents a ratio of the number of large earthquakes to that of small earthquakes. Spatial and temporal variation in the b value is important for assessing the probability of a larger earthquake. Conventionally, the b value is obtained by a maximum-likelihood estimation based on past earthquakes with a certain sample size. To properly assess the occurrence of earthquakes and understand their dynamics, determining this parameter with a statistically optimal method is important. Here, we discuss a method that uses a state space model and a particle filter, as a framework for time-series data, to estimate temporal variation in the b value. We then compared our output with that of a conventional method using data of earthquakes that occurred in Tohoku and Kumamoto regions in Japan. Our results indicate that the proposed method has the advantage of estimating temporal variation of the b value and forecasting magnitude. Moreover, our research suggests no heightened probability of a large earthquake in the Tohoku region, in contrast to previous studies. Simultaneously, there is the potential of a large earthquake in the Kumamoto region, emphasizing the need for enhanced monitoring.
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Affiliation(s)
- Daichi Iwata
- OPT, Inc., Tokyu Bancho Bldg., 6 Yonbancho, Chiyoda-ku, Tokyo, 102-0081, Japan.
| | - Kazuyoshi Z Nanjo
- Global Center for Asian and Regional Research, University of Shizuoka, 3-6-1, Takajo, Aoi-ku, Shizuoka, 420-0839, Japan
- Center for Integrated Research and Education of Natural Hazards, Shizuoka University, 836, Oya, Suruga-ku, Shizuoka, 422-8529, Japan
- Institute of Statistical Mathematics, 10-3, Midori-cho, Tachikawa, Tokyo, 190-8562, Japan
- Japan Agency for Marine-Earth Science and Technology, Yokohama Institute for Earth Sciences, 3173-25 Showa-machi, Kanazawa-ku, Yokohama, Kanagawa, 236-0001, Japan
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Churchill RA, Pecoraro TYC, Tooley AA, Houghton OM, Mashayekhi A, Dalvin LA. Multimodal imaging risk factors predictive of small choroidal melanocytic lesion growth to melanoma: An educational study and pictorial guide. Eye (Lond) 2024; 38:798-805. [PMID: 37880451 PMCID: PMC10920886 DOI: 10.1038/s41433-023-02782-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 09/25/2023] [Accepted: 09/27/2023] [Indexed: 10/27/2023] Open
Abstract
BACKGROUND Risk factors for small choroidal melanocytic lesion growth to melanoma have been redefined using multimodal imaging. We explored provider ability to recognize risk factors for small choroidal melanocytic lesion growth to melanoma before and after image-based education and with and without multimodal imaging. METHODS Providers were invited to participate in a survey assessing ability to identify risk factors for small choroidal melanocytic lesion growth to melanoma using either fundus imaging or multimodal imaging. Risk factors included thickness >2 mm on ultrasonography, subretinal fluid on optical coherence tomography, presence of orange pigment by autofluorescence, acoustic hollowness by ultrasonography, and diameter >5 mm by fundus imaging. Performance was assessed before and after reviewing an educational PowerPoint providing pictorial examples of risk factors. Comparison between groups was conducted using two-tailed Fisher's exact test. RESULTS Thirty and 26 providers completed the pre-education and post-education assessments, respectively. Post-education participants were more accurate within ±1 risk factor for lesions with zero risk factors (77% vs. 100%, p = 0.01) or two risk factors (79% vs. 91%, p = 0.03). Following education, participants presented with multimodal imaging more often correctly identified lesions with four (12% vs. 42%, p = 0.03) or five (4% vs. 39%, p = 0.004) risk factors, demonstrated lower mean level of concern for lesions with zero risk factors (2.0 vs. 1.4, p < 0.001), and expressed higher level of concern for lesions with 5 risk factors (2.4 vs. 3.6, p < 0.001). CONCLUSION Use of multimodal imaging may be more beneficial than education itself to improve accuracy of risk factor identification for small choroidal melanocytic lesions.
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Affiliation(s)
| | | | - Andrea A Tooley
- Department of Ophthalmology, Mayo Clinic, Rochester, MN, USA
| | | | | | - Lauren A Dalvin
- Department of Ophthalmology, Mayo Clinic, Rochester, MN, USA.
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14
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Korman M, Zarina D, Tkachev V, Merikanto I, Bjorvatn B, Bjelajac AK, Penzel T, Landtblom AM, Benedict C, Chan NY, Wing YK, Dauvilliers Y, Morin CM, Matsui K, Nadorff M, Bolstad CJ, Chung F, Mota-Rolim S, De Gennaro L, Plazzi G, Yordanova J, Holzinger B, Partinen M, Reis C. Estimation bias and agreement limits between two common self-report methods of habitual sleep duration in epidemiological surveys. Sci Rep 2024; 14:3420. [PMID: 38341476 PMCID: PMC10858912 DOI: 10.1038/s41598-024-53174-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Accepted: 01/29/2024] [Indexed: 02/12/2024] Open
Abstract
Accurate measurement of habitual sleep duration (HSD) is crucial for understanding the relationship between sleep and health. This study aimed to assess the bias and agreement limits between two commonly used short HSD self-report methods, considering sleep quality (SQ) and social jetlag (SJL) as potential predictors of bias. Data from 10,268 participants in the International COVID Sleep Study-II (ICOSS-II) were used. Method-Self and Method-MCTQ were compared. Method-Self involved a single question about average nightly sleep duration (HSDself), while Method-MCTQ estimated HSD from reported sleep times on workdays (HSDMCTQwork) and free days (HSDMCTQfree). Sleep quality was evaluated using a Likert scale and the Insomnia Severity Index (ISI) to explore its influence on estimation bias. HSDself was on average 42.41 ± 67.42 min lower than HSDMCTQweek, with an agreement range within ± 133 min. The bias and agreement range between methods increased with poorer SQ. HSDMCTQwork showed less bias and better agreement with HSDself compared to HSDMCTQfree. Sleep duration irregularity was - 43.35 ± 78.26 min on average. Subjective sleep quality predicted a significant proportion of variance in HSDself and estimation bias. The two methods showed very poor agreement and a significant systematic bias, both worsening with poorer SQ. Method-MCTQ considered sleep intervals without adjusting for SQ issues such as wakefulness after sleep onset but accounted for sleep irregularity and sleeping in on free days, while Method-Self reflected respondents' interpretation of their sleep, focusing on their sleep on workdays. Including an SQ-related question in surveys may help bidirectionally adjust the possible bias and enhance the accuracy of sleep-health studies.
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Affiliation(s)
- Maria Korman
- Department of Occupational Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel.
| | - Daria Zarina
- Department of Occupational Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel
| | - Vadim Tkachev
- Department of Occupational Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel
| | - Ilona Merikanto
- SleepWell Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Orton Orthopaedics Hospital, Helsinki, Finland
| | - Bjørn Bjorvatn
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
- Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Bergen, Norway
| | | | - Thomas Penzel
- Sleep Medicine Center, Charité Universitätsmedizin Berlin, Berlin, Germany
| | - Anne-Marie Landtblom
- Department of Medical Sciences, Neurology, Uppsala University, Uppsala, Sweden
- Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
| | | | - Ngan Yin Chan
- Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Sha Tin, Hong Kong SAR, China
| | - Yun Kwok Wing
- Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Sha Tin, Hong Kong SAR, China
| | - Yves Dauvilliers
- Sleep-Wake Disorders Unit, Department of Neurology, Gui-de-Chauliac Hospital, CHU Montpellier, INSERM Institute of Neurosciences of Montpellier, University of Montpellier, Montpellier, France
| | - Charles M Morin
- Centre de Recherche CERVO/Brain Research Center, École de Psychologie, Université Laval, Quebec, QC, Canada
| | - Kentaro Matsui
- Department of Clinical Laboratory, National Center Hospital, National Center of Neurology and Psychiatry, Kodaia, Japan
| | - Michael Nadorff
- Department of Psychology, Mississippi State University, Starkville, MS, USA
| | - Courtney J Bolstad
- Department of Psychology, Mississippi State University, Starkville, MS, USA
- South Texas Veterans Health Care System, San Antonio, TX, USA
| | - Frances Chung
- Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada
| | - Sérgio Mota-Rolim
- Brain Institute, Physiology and Behavior Department and Onofre Lopes University Hospital, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Luigi De Gennaro
- Department of Psychology, Sapienza University of Rome, Roma, Lazio, Italy
- IRCCS Fondazione Santa Lucia, Rome, Italy
| | - Giuseppe Plazzi
- Irccs Istituto Delle Scienze Neurologiche di Bologna, Bologna, Italy
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio-Emilia, Modena, Italy
| | - Juliana Yordanova
- Institute of Neurobiology, Bulgarian Academy of Sciences, Sofia, Bulgaria
| | - Brigitte Holzinger
- Institute for Consciousness and Dream Research, Medical University of Vienna, Vienna, Austria
| | - Markku Partinen
- Department of Clinical Neurosciences, University of Helsinki Clinicum Unit, Helsinki, Finland
- Helsinki Sleep Clinic, Terveystalo Healthcare Services, Helsinki, Finland
| | - Cátia Reis
- Católica Research Centre for Psychological - Family and Social Welbeing, Universidade Católica Portuguesa, Lisbon, Portugal.
- Instituto de Medicina Molecular João Lobo Antunes, Universidade de Lisboa, Lisbon, Portugal.
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15
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Kim SS, Kim OY, Kim SH, Heo JE, Ho SH, Kim JH, Bae YH. Correlations between ADL in patients with SCI and caregiver burden, quality of life, and presenteeism in South Korea. Sci Rep 2024; 14:3081. [PMID: 38321052 PMCID: PMC10847127 DOI: 10.1038/s41598-023-50559-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Accepted: 12/21/2023] [Indexed: 02/08/2024] Open
Abstract
The correlations between activities of daily living (ADL) among patients with spinal cord injury (SCI) and their caregivers' burden, quality of life (QoL), and presenteeism was investigated. Participants included outpatients and inpatients with SCI at a rehabilitation center and their caregivers, recruited between March 2020 and April 2021. Eighty-seven valid responses were analysed using independent t-tests and Pearson's correlations. There was a difference in caregiver burden according to patients' ADL performance. QoL was negatively correlated with caregiver burden and presenteeism. Caregiver burden and presenteeism were positively correlated. Social support can improve caregivers' QoL and reduce caregiver burden and presenteeism-induced work impairment.
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Affiliation(s)
- Sung Shin Kim
- Department of Clinical Rehabilitation Research, National Rehabilitation Center, Seoul, Republic of Korea
| | - On Yoo Kim
- Department of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Republic of Korea
| | - Sun Hong Kim
- Department of Nursing, National Rehabilitation Center, Seoul, Republic of Korea
| | - Jae Eun Heo
- Department of Rehabilitative and Assistive Technology, National Rehabilitation Center, Seoul, Republic of Korea
| | - Seung Hee Ho
- Department of Healthcare and Public Health, National Rehabilitation Center, Seoul, Republic of Korea
| | - Ju Hee Kim
- Department of Healthcare and Public Health, National Rehabilitation Center, Seoul, Republic of Korea
| | - Young-Hyeon Bae
- Department of Healthcare and Public Health, National Rehabilitation Center, Seoul, Republic of Korea.
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16
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Sung JY, Lee KL. Physical strength, body composition, and G-test results of air force cadets based on nutrition knowledge differences. Sci Rep 2024; 14:3083. [PMID: 38321091 PMCID: PMC10847096 DOI: 10.1038/s41598-024-53600-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 02/02/2024] [Indexed: 02/08/2024] Open
Abstract
The Gravitational Acceleration Test (G-test) is a demanding, and sophisticated high-intensity physical activity, greatly influenced by individual body composition and physical strength. This study analyzed the general nutrition knowledge questionnaire (GNKQ) responses of Air Force cadets to identify the relationship between nutrition knowledge, body composition, physical activity, physical strength, and gravity-induced loss of consciousness. Based on the G-test results, 105 fourth-year Air Force cadets were divided into two groups: GP (G-test pass group) and GF (G-test fail group). The analysis items were GNKQ responses, body composition, and physical strength analysis, based on which independent sample t-tests , and logistic regression analysis were conducted. Physical activity according to the G-test results was statistically higher in the GP compared to the GF (vigorous activity reps/week, p = 0.017; mins/day, p = 0.011). The GP Group showed a statistically high GNKQ score compared to the GF Group: Overall (p = 0.003), Section 1 (p < 0.001), and Section 2 (p = 0.002). Based on this study, it can be deduced that analyzing the effect G-test through continuous research over the next years and applying them to physical training will have a greater impact on the cadets' increased physical strength and their success on the G-test.
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Affiliation(s)
- Jun-Young Sung
- Institute of Human Convergence Health Science, Gachon University, Hambakmoe-ro, Yeonsu-gu, Incheon, South Korea
| | - Kyu-Lim Lee
- Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
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17
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Cho SY, Park S, Shin Y, Jung IY. Randomized clinical trial of pulpotomy using a premixed injectable calcium silicate cement on mature permanent teeth with reversible pulpitis. Sci Rep 2024; 14:2994. [PMID: 38316823 PMCID: PMC10844323 DOI: 10.1038/s41598-024-52818-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Accepted: 01/24/2024] [Indexed: 02/07/2024] Open
Abstract
The aim of this two-center randomized controlled trial was to assess the outcomes and relative factors associated with pulpotomies performed using a premixed injectable calcium silicate cement, as compared to mineral trioxide aggregate in mature permanent premolar and molar teeth with reversible pulpitis. Included teeth were randomly divided into two groups according to pulpotomy material (ProRoot MTA [PMTA] group, Endocem MTA Premixed [EPM] group). After pulp exposure, the superficial pulp was either removed to a depth of 2 mm (partial pulpotomy) or completely amputated to the level of the root canal orifice (full pulpotomy). A 3-mm layer of either material was randomly placed over the pulp wound, followed by the application of a thin layer of a light-cured glass ionomer composite liner. The restoration procedure was then carried out during the same visit. After one year of treatment, the pulpotomy success rate was 94.4% (67/71), with no significant difference between the PMTA and EPM groups. The success rate was 93.9% in the PMTA group and 97.1% in the EPM group. There were no significant factors related to the procedures. EPM is a viable alternative to PMTA for single-visit pulpotomies of permanent premolars and molars.
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Affiliation(s)
- Sin-Yeon Cho
- Department of Conservative Dentistry, National Health Insurance Service Ilsan Hospital, Goyang, Gyeonggi-Do, Korea
| | - Seonghun Park
- Microscope Center, Department of Conservative Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Sudaemun-gu, Seoul, 03722, Korea
| | - Yooseok Shin
- Microscope Center, Department of Conservative Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Sudaemun-gu, Seoul, 03722, Korea
| | - Il-Young Jung
- Microscope Center, Department of Conservative Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Sudaemun-gu, Seoul, 03722, Korea.
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18
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Afework A, Tamene A, Tafa A. Musculoskeletal disorders and its associated factors among hospital cleaners in Addis Ababa, Ethiopia. Sci Rep 2024; 14:2887. [PMID: 38311673 PMCID: PMC10838922 DOI: 10.1038/s41598-024-53531-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 02/01/2024] [Indexed: 02/06/2024] Open
Abstract
There is a paucity of published evidence about musculoskeletal disorders among hospital cleaners in Ethiopia. Therefore, this study was conducted to assess the prevalence of musculoskeletal disorders and its associated factors among hospital cleaners in Addis Ababa, Ethiopia. A total of 437 hospital cleaners participated in the study. A standardized questionnaire adapted from the Nordic musculoskeletal questionnaire was used for data collection. Bivariate and multivariable logistic regression analyses were used to determine factors associated with musculoskeletal disorders. The prevalence of work-related musculoskeletal disorders among hospital cleaners was 57.2% with 95% CI (52.6-62.0). Occupational safety training [AOR: 2.34, 95% CI (1.47-3.73)], repetitive tasks [AOR: 3.09, 95% CI (1.61-5.94)], heavy lifting [AOR: 5.21, 95% CI (3.20-8.48)], work-related stress [AOR: 2.42, 95% CI (1.48-3.97) and work-related dissatisfaction [AOR: 1.97, 95% CI (1.23-3.13)] were identified as associated factors for the development of musculoskeletal disorders. In conclusion the study revealed a high prevalence of musculoskeletal disorder. Notably, work related and organizational factors emerged as key contributing factors to the development of disorders. The identified associations underscore the importance of targeted interventions promoting organizational change involving managers to mitigate the risk of musculoskeletal disorders and enhance overall occupational health and well-being.
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Affiliation(s)
- Abel Afework
- Center for Sustainable Development, Addis Abeba University, Addis Abeba, Ethiopia.
| | - Aiggan Tamene
- Centre for Sustainability, University of Otago, Dunedin, New Zealand
- Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand
| | - Abera Tafa
- Infection Prevention and Control, Dilla University, Dilla, Ethiopia
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19
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Liu Z, Li J, Liu F, Guan N, Li Y, Zhang Y, Hou L, Jiang Q. Exploring the status and associated factors of the readiness for return-to-work in young and middle-aged stroke patients. Sci Rep 2024; 14:2841. [PMID: 38310121 PMCID: PMC10838315 DOI: 10.1038/s41598-024-53262-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 01/30/2024] [Indexed: 02/05/2024] Open
Abstract
Stroke increasingly affects individuals of working age. An accurate assessment of Readiness for Return-to-Work (RRTW) can help determine the optimal timing for RRTW and facilitate an early reintegration into society. This study investigates the current state of RRTW and the influencing factors among young and middle-aged stroke patients in China. A sample of young and middle-aged stroke patients hospitalized in a tertiary hospital in Henan Province between December 2021 and May 2022 were included in this study. A general information questionnaire and the Readiness for RRTW scale, the Social Support Rate Scale, the Stroke Self-Efficacy Scale, and the Fatigue Severity Scale were administered to the patients. Of the 203 patients successfully surveyed, 60 (29.6%) were in the pre-contemplation stage, 35 (17.2%) in the contemplation stage, 81 (39.9%) in the prepared for action-self-evaluative stage, and 27 (13.3%) in the prepared for action- behavior stage. Logistic regression analysis identified education level, monthly income, time to start rehabilitation therapy, social support, stroke self-efficacy, and fatigue severity as key factors affecting RRTW scale readiness in young and middle-aged stroke patients. The readiness of young and middle-aged stroke patients to Return-to-Work needs to be increased further. Healthcare professionals should consider the influencing factors of RRTW and design targeted intervention programs to facilitate a successful Return-to-Work and normal life.
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Affiliation(s)
- Ziwei Liu
- Nursing Department, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, No. 19 Renmin Road, Jinshui District, Zhengzhou, 450099, He Nan, China
| | - Jiaxin Li
- Institute of Nursing and Health, Henan University, Kaifeng, 475000, He Nan, China
| | - Fangli Liu
- Institute of Nursing and Health, Henan University, Kaifeng, 475000, He Nan, China
| | - Ningxiao Guan
- Institute of Nursing and Health, Henan University, Kaifeng, 475000, He Nan, China
| | - Ye Li
- Institute of Nursing and Health, Henan University, Kaifeng, 475000, He Nan, China
| | - Yu Zhang
- Institute of Nursing and Health, Henan University, Kaifeng, 475000, He Nan, China
| | - Linlin Hou
- Institute of Nursing and Health, Henan University, Kaifeng, 475000, He Nan, China
| | - Qiuhuan Jiang
- Nursing Department, Henan Provincial People's Hospital, No.7 Weiwu Road, Jinshui District, Zhengzhou, 45003, He Nan, China.
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20
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Tekavec E, Nilsson T, Dahlin LB, Huynh E, Axmon A, Nordander C, Riddar J, Kåredal M. Serum biomarkers in patients with hand-arm vibration injury and in controls. Sci Rep 2024; 14:2719. [PMID: 38302542 PMCID: PMC10834969 DOI: 10.1038/s41598-024-52782-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 01/23/2024] [Indexed: 02/03/2024] Open
Abstract
Hand-arm vibration injury is a well-known occupational disorder that affects many workers globally. The diagnosis is based mainly on quantitative psychophysical tests and medical history. Typical manifestations of hand-arm vibration injury entail episodes of finger blanching, Raynaud's phenomenon (RP) and sensorineural symptoms from affected nerve fibres and mechanoreceptors in the skin. Differences in serum levels of 17 different biomarkers between 92 patients with hand-arm vibration injury and 51 controls were analysed. Patients with hand-arm vibration injury entailing RP and sensorineural manifestations showed elevated levels of biomarkers associated with endothelial injury or dysfunction, inflammation, vaso- or neuroprotective compensatory, or apoptotic mechanisms: intercellular adhesion molecule-1 (ICAM-1), monocyte chemoattractant protein-1 (MCP-1); thrombomodulin (TM), heat shock protein 27 (HSP27); von Willebrand factor, calcitonin gene-related peptide (CGRP) and caspase-3. This study adds important knowledge on pathophysiological mechanisms that can contribute to the implementation of a more objective method for diagnosis of hand-arm vibration injury.
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Affiliation(s)
- Eva Tekavec
- Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 221 00, Lund, Sweden.
| | - Tohr Nilsson
- Section of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, SE-901 87, Umeå, Sweden
| | - Lars B Dahlin
- Department of Translational Medicine-Hand Surgery, Lund University, 221 00, Lund, Sweden
| | - Elizabeth Huynh
- Occupational and Environmental Medicine, Region Skåne, 223 63, Lund, Sweden
| | - Anna Axmon
- Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 221 00, Lund, Sweden
| | - Catarina Nordander
- Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 221 00, Lund, Sweden
| | - Jakob Riddar
- Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 221 00, Lund, Sweden
| | - Monica Kåredal
- Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 221 00, Lund, Sweden
- Occupational and Environmental Medicine, Region Skåne, 223 63, Lund, Sweden
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21
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Hattab S, Saleh B, Qasarweh L, Draidi M, Zyoud SH. Knowledge and attitudes toward the use of anabolic-androgenic steroids among physical education university students: a cross-sectional study from Palestine. Sci Rep 2024; 14:2146. [PMID: 38273101 PMCID: PMC10810783 DOI: 10.1038/s41598-024-52787-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 01/23/2024] [Indexed: 01/27/2024] Open
Abstract
The use of androgenic-anabolic steroids (AASs) has increased in recent years, especially among athletes, due to their effect on body shape and performance. These agents could have serious side effects on this highly susceptible population, which tends to use these substances frequently to promote muscle growth and physical performance. Therefore, this study aimed to evaluate the knowledge and attitudes toward the use of anabolic androgenic steroids among physical education university students in Palestine. A cross-sectional study of physical education students from November 2020 to January 2021 was conducted using an electronic questionnaire. The main outcome was to measure the level of knowledge and use of the AAS. A total of 380 students were included. The mean age of the students was 21 years (SD = 4.2), and the study participants were distributed almost equally according to sex. Approximately a quarter of the students were smokers. Eighty percent (80%) of the study participants were from the West Bank, while the remaining 20% were from Jerusalem and 48 territories. Furthermore, most of the students lived with their families; half lived in cities, approximately 152 (40%) lived in villages, and only 29 (8%) lived in camps. The average level of knowledge of the AAS was 2.95 out of 8 (37/100), with a median of three. Furthermore, only 36 (10%) of the participants had satisfactory knowledge, scoring 80% or more. Regarding the use of AAS, 11 (2.9%) participants, all males, confirmed that they were currently using AAS. Additionally, approximately 28 (7%) had previously used them, while 30 (8%) planned to try them in the future. Overall, 221 (58%) patients were confirmed to use vitamins and minerals. Our study showed that most of the participants had a substantial lack of information on the potential side effects of AAS, while the level of use was comparable with that of other populations.
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Affiliation(s)
- Suhaib Hattab
- Physiology, Pharmacology and Toxicology Division, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
| | - Bashar Saleh
- Department of Physical Education, An-Najah National University, Nablus, Palestine
| | - Laith Qasarweh
- Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
| | - Mahmoud Draidi
- Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
| | - Sa'ed H Zyoud
- Department of Clinical and Community Pharmacy, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine
- Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine
- Clinical Research Center, An-Najah National University Hospital, Nablus, 44839, Palestine
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Abdaljaleel M, Barakat M, Alsanafi M, Salim NA, Abazid H, Malaeb D, Mohammed AH, Hassan BAR, Wayyes AM, Farhan SS, Khatib SE, Rahal M, Sahban A, Abdelaziz DH, Mansour NO, AlZayer R, Khalil R, Fekih-Romdhane F, Hallit R, Hallit S, Sallam M. A multinational study on the factors influencing university students' attitudes and usage of ChatGPT. Sci Rep 2024; 14:1983. [PMID: 38263214 PMCID: PMC10806219 DOI: 10.1038/s41598-024-52549-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 01/19/2024] [Indexed: 01/25/2024] Open
Abstract
Artificial intelligence models, like ChatGPT, have the potential to revolutionize higher education when implemented properly. This study aimed to investigate the factors influencing university students' attitudes and usage of ChatGPT in Arab countries. The survey instrument "TAME-ChatGPT" was administered to 2240 participants from Iraq, Kuwait, Egypt, Lebanon, and Jordan. Of those, 46.8% heard of ChatGPT, and 52.6% used it before the study. The results indicated that a positive attitude and usage of ChatGPT were determined by factors like ease of use, positive attitude towards technology, social influence, perceived usefulness, behavioral/cognitive influences, low perceived risks, and low anxiety. Confirmatory factor analysis indicated the adequacy of the "TAME-ChatGPT" constructs. Multivariate analysis demonstrated that the attitude towards ChatGPT usage was significantly influenced by country of residence, age, university type, and recent academic performance. This study validated "TAME-ChatGPT" as a useful tool for assessing ChatGPT adoption among university students. The successful integration of ChatGPT in higher education relies on the perceived ease of use, perceived usefulness, positive attitude towards technology, social influence, behavioral/cognitive elements, low anxiety, and minimal perceived risks. Policies for ChatGPT adoption in higher education should be tailored to individual contexts, considering the variations in student attitudes observed in this study.
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Affiliation(s)
- Maram Abdaljaleel
- Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman, 11942, Jordan
- Department of Clinical Laboratories and Forensic Medicine, Jordan University Hospital, Amman, 11942, Jordan
| | - Muna Barakat
- Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, Amman, 11931, Jordan
| | - Mariam Alsanafi
- Department of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Kuwait City, Kuwait
- Department of Pharmaceutical Sciences, Public Authority for Applied Education and Training, College of Health Sciences, Safat, Kuwait
| | - Nesreen A Salim
- Prosthodontic Department, School of Dentistry, The University of Jordan, Amman, 11942, Jordan
- Prosthodontic Department, Jordan University Hospital, Amman, 11942, Jordan
| | - Husam Abazid
- Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, Amman, 11931, Jordan
| | - Diana Malaeb
- College of Pharmacy, Gulf Medical University, P.O. Box 4184, Ajman, United Arab Emirates
| | - Ali Haider Mohammed
- School of Pharmacy, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Bandar Sunway, Selangor Darul Ehsan, Malaysia
| | | | | | - Sinan Subhi Farhan
- Department of Anesthesia, Al Rafidain University College, Baghdad, 10001, Iraq
| | - Sami El Khatib
- Department of Biomedical Sciences, School of Arts and Sciences, Lebanese International University, Bekaa, Lebanon
- Center for Applied Mathematics and Bioinformatics (CAMB), Gulf University for Science and Technology (GUST), 32093, Hawally, Kuwait
| | - Mohamad Rahal
- School of Pharmacy, Lebanese International University, Beirut, 961, Lebanon
| | - Ali Sahban
- School of Dentistry, The University of Jordan, Amman, 11942, Jordan
| | - Doaa H Abdelaziz
- Pharmacy Practice and Clinical Pharmacy Department, Faculty of Pharmacy, Future University in Egypt, Cairo, 11835, Egypt
- Department of Clinical Pharmacy, Faculty of Pharmacy, Al-Baha University, Al-Baha, Saudi Arabia
| | - Noha O Mansour
- Clinical Pharmacy and Pharmacy Practice Department, Faculty of Pharmacy, Mansoura University, Mansoura, 35516, Egypt
- Clinical Pharmacy and Pharmacy Practice Department, Faculty of Pharmacy, Mansoura National University, Dakahlia Governorate, 7723730, Egypt
| | - Reem AlZayer
- Clinical Pharmacy Practice, Department of Pharmacy, Mohammed Al-Mana College for Medical Sciences, 34222, Dammam, Saudi Arabia
| | - Roaa Khalil
- Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman, 11942, Jordan
| | - Feten Fekih-Romdhane
- The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry "Ibn Omrane", Razi Hospital, 2010, Manouba, Tunisia
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Rabih Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon
- Department of Infectious Disease, Bellevue Medical Center, Mansourieh, Lebanon
- Department of Infectious Disease, Notre Dame des Secours, University Hospital Center, Byblos, Lebanon
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - Malik Sallam
- Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman, 11942, Jordan.
- Department of Clinical Laboratories and Forensic Medicine, Jordan University Hospital, Amman, 11942, Jordan.
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Karmakar R, Reddy US, Bhagat RB. Understanding patients' mobility for treatment seeking in India. Sci Rep 2024; 14:1887. [PMID: 38253646 PMCID: PMC10803797 DOI: 10.1038/s41598-023-50184-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 12/16/2023] [Indexed: 01/24/2024] Open
Abstract
Healthcare systems worldwide are grappling with the challenge of providing high-quality healthcare in the face of evolving disease patterns. India, like many other countries, faces a significant treatment gap for various curable impairments, non-communicable diseases (NCDs), and cardiovascular diseases (CVDs). To address their healthcare needs, individuals often relocate in search of better treatment options. However, no studies were conducted to understand the spatial mobility. This paper explores the determinants of spatial mobility for treatment in India using data from NSS 75th round (2017-2018). A total of 64,779 individual medical cases of different diseases were taken into consideration for our analysis. Fixed effect and multinomial regression models were used to understand diseases specific mobility for treatment. It was found that those with CVDs, NCDs, and disabilities are more prone to travel outside their district for medical care. Rural and economically disadvantaged individuals also tend to travel further for treatment. The key factors impacting treatment-seeking mobility include insurance coverage, hospital quality, cost of medicine, and cost of X-rays/surgeries. The study highlights the need for improved policies to address the gap between healthcare needs and infrastructure in India, with a focus on prioritizing the development of local healthcare facilities for disabilities, NCDs, and CVDs.
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Affiliation(s)
- Ranjan Karmakar
- Department of Migration and Urban Studies, International Institute for Population Sciences (IIPS), Mumbai, India
| | | | - Ram Babu Bhagat
- Department of Migration and Urban Studies, International Institute for Population Sciences (IIPS), Mumbai, India
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24
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Collis JM, Barradell S, Broman P, Brownie S. University Staff Insights on Interprofessional Education and Student-Led Clinic Opportunities at an Australian University. J Multidiscip Healthc 2024; 17:305-315. [PMID: 38268850 PMCID: PMC10807446 DOI: 10.2147/jmdh.s447690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 12/28/2023] [Indexed: 01/26/2024] Open
Abstract
Purpose Organizational and university staff buy-in and advocacy are critical considerations in planning successful interprofessional education (IPE) initiatives in healthcare, such as interprofessional student-led clinics (SLCs). This study was designed with the purpose of gaining deeper insight into current views and perspectives of academic and professional staff at an Australian university, as a precursor to planning IPE and SLC activities. Methods All academic and professional staff from within the School of Health Sciences were invited to participate in the study. In-depth-qualitative interviews were conducted with 16 staff to explore academic and professional staff perspectives on IPE and SLCs. Reflexive thematic analysis was used to analyse the data. Results Findings are grouped within five themes that incorporate broad perspectives on the tensions and possibilities of IPE and establishment of SLCs: Academic and professional staff commitment; Better/smarter IPE; Student-led clinic potential; Vision and innovation; and Strategy and resourcing. The themes reflect the high value placed on IPE by academic and professional staff and incorporate innovative ideas on how to prepare students for a rapidly changing and evolving healthcare environment. A reticence towards standard models of university based SLCs was expressed. Conclusion Academic and professional staff insights suggest university leaders need to develop a greater strategic focus on improving IPE. Effective engagement with staff is required to support IPE planning and implementation. If considering implementation of SLCs, contemporary fit-for-purpose models should be explored such as partnerships with primary healthcare providers, community wellness facilities, and hospital clinics rather than traditional university-based clinics.
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Affiliation(s)
- Julie M Collis
- School of Health Sciences, Swinburne University of Technology, Melbourne, VIC, Australia
| | - Sarah Barradell
- School of Health Sciences, Swinburne University of Technology, Melbourne, VIC, Australia
| | - Patrick Broman
- School of Health Sciences, Swinburne University of Technology, Melbourne, VIC, Australia
- Centre for Health and Social Practice, Waikato Institute of Technology, Hamilton, New Zealand
| | - Sharon Brownie
- School of Health Sciences, Swinburne University of Technology, Melbourne, VIC, Australia
- Centre for Health and Social Practice, Waikato Institute of Technology, Hamilton, New Zealand
- Griffith Health, Griffith University, Gold Coast, QLD, Australia
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25
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Ghane G, Zare Z, Shahsavari H, Ahmadnia S, Siavashi B. The process of social death in patients with hip fracture. Sci Rep 2024; 14:1707. [PMID: 38242886 PMCID: PMC10799015 DOI: 10.1038/s41598-023-50115-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Accepted: 12/15/2023] [Indexed: 01/21/2024] Open
Abstract
People with chronic disability and uncontrollable long-term complications following hip fracture have characterist.ics that may predispose them to social death. Continuous physical disability can have negative physical, psychological, and social consequences in these patients. To design care interventions for preventing and controlling social death, it is essential to identify the dimensions and characteristics of this process. Therefore, the present study aimed to explain the process of social death in hip fracture patients. In this study, which was conducted using a grounded theory approach, 20 patients were selected with maximum diversity and 9 professional and non-professional caregivers also through purposive sampling followed by theoretical sampling. Data were collected through semi-structured in-depth interviews, field notes, and observations. Data were analyzed using the approach proposed by Corbin and Strauss in stages including data analysis for concepts and their dimensions and characteristics, the context, process extraction, and integration of the categories. One core category and 16 main categories, which consisted of 55 subcategories and 212 primary concepts, were extracted. The results showed that the core process of social death in hip fracture is an intentional self-destruction for getting liberated from the conditions of the illness and the disrupted social life after the fracture, which ultimately leads to outcomes such as isolation-seeking and death ideations in these patients. The core category of liberating self-destruction reflects the close relationship between the context, process, and outcomes of social death. The process of social death is social, multidimensional, and complex. So far, no explanatory theory has been presented for this group of patients. Therefore, the results of this study can play an important role in designing helpful interventions for preventing, modifying, and changing the phenomenon of social death.
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Affiliation(s)
- Golnar Ghane
- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
| | - Zahra Zare
- Department of Operating Room, School of Allied Medical Science, Tehran University of Medical Sciences, Tehran, Iran.
| | - Hooman Shahsavari
- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Shirin Ahmadnia
- Department of Sociology, School of Social Sciences, University of Allameh Tabataba'i, Tehran, Iran
| | - Babak Siavashi
- Department of Orthopedics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
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26
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Tang G, Jiang Z, Xu L, Yang Y, Yang S, Yao R. Development and validation of a prognostic nomogram for predicting in-hospital mortality of patients with acute paraquat poisoning. Sci Rep 2024; 14:1622. [PMID: 38238454 PMCID: PMC10796350 DOI: 10.1038/s41598-023-50722-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Accepted: 12/23/2023] [Indexed: 01/22/2024] Open
Abstract
This study aimed to develop and validate a predictive model to determine the risk of in-hospital mortality in patients with acute paraquat poisoning. This retrospective observational cohort study included 724 patients with acute paraquat poisoning whose clinical data were collected within 24 h of admission. The primary outcome was in-hospital mortality. Patients were randomly divided into training and validation cohorts (7/3 ratio). In the training cohort, the least absolute shrinkage and selection operator regression models were used for data dimension reduction and feature selection. Multivariate logistic regression was used to generate a predictive nomogram for in-hospital mortality. The prediction model was assessed for both the training and validation cohorts. In the training cohort, decreased level of consciousness (Glasgow Coma Scale score < 15), neutrophil-to-lymphocyte ratio, alanine aminotransferase, creatinine, carbon dioxide combining power, and paraquat plasma concentrations at admission were identified as independent predictors of in-hospital mortality in patients with acute paraquat poisoning. The calibration curves, decision curve analysis, and clinical impact curves indicated that the model had a good predictive performance. It can be used on admission to the emergency department to predict mortality and facilitate early risk stratification and actionable measures in clinical practice after further external validation.
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Affiliation(s)
- Guo Tang
- Emergency Medicine Laboratory and the Department of Emergency, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, Sichuan, China
| | - Zhen Jiang
- Emergency Medicine Laboratory and the Department of Emergency, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, Sichuan, China
| | - Lingjie Xu
- Emergency Medicine Laboratory and the Department of Emergency, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, Sichuan, China
| | - Ying Yang
- Emergency Medicine Laboratory and the Department of Emergency, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, Sichuan, China
| | - Sha Yang
- Emergency Medicine Laboratory and the Department of Emergency, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, Sichuan, China
| | - Rong Yao
- Emergency Medicine Laboratory and the Department of Emergency, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, Sichuan, China.
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27
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Ghorbani M, Ebrahimi H, Vosoughi S, Eskandari D, Moradi Hanifi S, Mandali H. Analyzing the influential factors of process safety culture by hybrid hidden content analysis and fuzzy DEMATEL. Sci Rep 2024; 14:1470. [PMID: 38233481 PMCID: PMC10794464 DOI: 10.1038/s41598-024-52067-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 01/12/2024] [Indexed: 01/19/2024] Open
Abstract
Due to the complex nature of safety culture and process industries, several factors influence process safety culture. This paper presents a novel framework that combines the hidden content analysis method with Decision Making Trial and Evaluation Laboratory (DEMATEL) and Fuzzy logic to achieve a comprehensive set of influential factors and their relationship. The proposed methodology consists of two primary stages. Firstly, combined methods of literature review and Delphi study were used to identifying influential factors of process safety culture. Secondly, the Fuzzy-DEMATEL approach is employed to quantify and determine the relationships between different influential factors. A diverse pool of experts' opinions is leveraged to assess the impact of each factor on others and process safety culture. In the first stage, 18 factors identified as influential factors on process safety. The findings of second stage revealed that eight variables were identified as causes, while ten variables were classified as effects. Also, the Organization management's commitment to safety factor had the greatest influence among all of the factors. As well as, the most significant interaction was associated with the risk assessment and management aspect. The integrated approach not only identified the influential factors, but also elucidates the cause-effect relationships among factors. By prioritizing factors and understanding their interconnections, organizations can implement targeted safety measures to improve process safety culture. Its effectiveness in quantifying qualitative data, identifying influential factors, and establishing cause-effect relationships make it a valuable tool for enhancing safety culture in process industries.
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Affiliation(s)
- Mohammad Ghorbani
- Occupational Health Research Center, Department of Occupational Health and Safety Engineering, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Hossein Ebrahimi
- Occupational Health Research Center, Department of Occupational Health and Safety Engineering, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran.
| | - Shahram Vosoughi
- Occupational Health Research Center, Department of Occupational Health and Safety Engineering, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Davoud Eskandari
- Department of Occupational Health and Safety Engineering, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Saber Moradi Hanifi
- Occupational Health Research Center, Department of Occupational Health and Safety Engineering, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Hassan Mandali
- Occupational Health Research Center, Department of Occupational Health and Safety Engineering, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran
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28
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Bizhang M, Adib Shaban H, Vahlenkamp A, Zimmer S, Möltner A, Ehlers J. Reduction of discrepancies between students and instructors in the assessment of practical tasks through structured evaluation sheets and peer feedback. Sci Rep 2024; 14:1514. [PMID: 38233449 PMCID: PMC10794213 DOI: 10.1038/s41598-024-51953-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 01/11/2024] [Indexed: 01/19/2024] Open
Abstract
The aim of this study was to reduce discrepancies between students and instructors in a preclinical dental course by employing structured peer feedback based on a detailed evaluation sheet. In a crossover study of dental students (n = 32), which compared peer feedback using an evaluation sheet (test) with the traditional method (control), participants completed tasks involving cavity and partial crown preparation. The practical tasks were scored numerically on a scale ranging from one (excellent) to six (failure). The amount of feedback provided by the instructor was also recorded. Statistical analysis was conducted using Wilcoxon signed-rank tests (p < 0.05). Regarding cavity preparation, no statistically significant difference was observed (median (25th-75th percentile)) between the grades received by the test (2.00 (1.50-3.00)) and control groups (2.25 (2.00-3.00)). However, the grades pertaining to partial crown preparation exhibited a statistically significant difference between the test (2.25 (2.00-2.50)) and control (2.50 (2.00-3.00)) groups. LimeSurvey and five-finger feedback were used to assess satisfaction with the new method, revealing that most students found the evaluation sheet and peer feedback to be effective. Within the limitations of this study, structured peer feedback using the evaluation sheet positively impacted grades pertaining to partial crown preparation, requiring less instructor feedback.
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Affiliation(s)
- Mozhgan Bizhang
- Faculty of Health, Department of Operative Dentistry and Preventive Dentistry, School of Dentistry, Witten/Herdecke University, 58448, Witten, Germany.
| | - Havre Adib Shaban
- Faculty of Health, Department of Operative Dentistry and Preventive Dentistry, School of Dentistry, Witten/Herdecke University, 58448, Witten, Germany
| | - Andreas Vahlenkamp
- Faculty of Health, Department of Prosthodontics and Dental Technology, School of Dentistry, Witten/Herdecke University, 58448, Witten, Germany
| | - Stefan Zimmer
- Faculty of Health, Department of Operative Dentistry and Preventive Dentistry, School of Dentistry, Witten/Herdecke University, 58448, Witten, Germany
| | - Andreas Möltner
- Center of Excellence for Assessment in Medicine, University of Heidelberg, Grabengasse 1, 69117, Heidelberg, Germany
| | - Jan Ehlers
- Chair of Didactics and Educational Research in Health Care, Witten/Herdecke University, 58448, Witten, Germany
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29
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Rana MS, Alam MB, Khanam SJ, Kabir MI, Khandaker G, Khan MN. Prevalence and patterns of comorbidities in people with disabilities and their associated socio-demographic factors. Sci Rep 2024; 14:1425. [PMID: 38228776 PMCID: PMC10791601 DOI: 10.1038/s41598-024-51678-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 01/08/2024] [Indexed: 01/18/2024] Open
Abstract
The presence of comorbidities among individuals with disabilities worsens their already complex health and social circumstances. This study aims to explore prevalence and patterns of morbidities among persons with disabilities in Bangladesh and identify associated socio-demographic factors. Data from 4270 persons with disability was analysed extracted from the 2021 Bangladesh National Household Survey on Persons with Disability. Outcome variable considered was the occurrence of morbidity among persons with disabilities. Explanatory variables encompassed factors at the individual, household, and community levels. Adjusted and unadjusted multilevel mixed-effects logistic regression model was used to explore association of outcome variable with explanatory variables. We found that approximately half of individuals with disabilities experienced one or more morbidities, with chronic conditions being the most prevalent (44%). Around 42% of total persons with disability were unable to work. Specifically, hypertension (18.3%), diabetes (9.1%), and heart problems (17.1%) were prevalent chronic conditions. The likelihood of experiencing comorbidity was found to be higher among females (aOR 1.3, 95% CI 1.1, 1.7), increase year of education (aOR, 1.1, 95% CI 1.0-1.2), and those from wealthier households (aOR 1.6, 95% CI 1.2, 2.2). This underscores the need for targeted policies and interventions addressing their distinct healthcare needs.
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Affiliation(s)
- Md Shohel Rana
- Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh, Bangladesh
| | - Md Badsha Alam
- Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh, Bangladesh
| | - Shimlin Jahan Khanam
- Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh, Bangladesh
| | - Md Iqbal Kabir
- Climate Change and Health Promotion Unit (CCHPU), Health Services Division, Ministry of Health and Family Welfare, Topkhana Road, Dhaka, 1000, Bangladesh
- Department of Disaster Science and Climate Resilience, University of Dhaka, Dhaka, 1000, Bangladesh
| | - Gulam Khandaker
- Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia
- School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Australia
| | - Md Nuruzzaman Khan
- Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh, Bangladesh.
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30
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Błażejewski G, Witkoś J, Hartman-Petrycka M. Changes in sensitivity and hedonic rating to transcutaneous electrical nerve stimulation following COVID-19. Sci Rep 2024; 14:1233. [PMID: 38216666 PMCID: PMC10786926 DOI: 10.1038/s41598-024-51596-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 01/07/2024] [Indexed: 01/14/2024] Open
Abstract
COVID-19 affects not only the respiratory system but also other biological systems such as the nervous system. Usually, these changes are reported based on the patient's subjective description. The aim of our study, therefore, was to objectively determine the effect that the SARS-CoV-2 virus and COVID-19 disease has on sensory threshold and the hedonic and subjective perception of an electrical stimulus. The sensory threshold was tested on the inner forearm by applying non-invasive transcutaneous electrical nerve stimulation (TENS) with 100 Hz and 100 µs parameters and a biphasic current waveform. The study involved 211 participants, aged 22-79 years, with a mean age of 56.9 ± 12.1 years. There were 131 subjects in the COVID group, while the NON-COVID group, the control group, was matched to the COVID group in terms of gender, age, body mass index and presence of chronic diseases. The research was carried out in 2022. Sensory sensitivity was highest in the group that had suffered with COVID-19. The median sensory sensitivity was 11 mA in the COVID group and 14 mA (p < 0.001) in the NON-COVID group, however, the current sensitivity threshold decreased over time (R = 0.52, p < 0.001). Post COVID-19, the electrical stimulus was more often perceived as unpleasant: COVID versus NON-COVID (23% vs. 3%, p < 0.001) and as a different sensation to tingling (27% vs. 2%, p < 0.001). Post-COVID-19 patients have a lower sensory threshold, the electrical stimulus is more often described as unpleasant and in subjective feelings it is more often described as pinching. The differences between COVID and NON-COVID decrease with time since the onset of COVID symptoms.
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Affiliation(s)
- Grzegorz Błażejewski
- Faculty of Medicine and Health Science, Andrzej Frycz Modrzewski Krakow University, Kraków, Poland.
| | - Joanna Witkoś
- Faculty of Medicine and Health Science, Andrzej Frycz Modrzewski Krakow University, Kraków, Poland
| | - Magdalena Hartman-Petrycka
- Department of Basic Biomedical Science, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia, Katowice, Poland
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31
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Trajković N, Rančić D, Ilić T, Herodek R, Korobeynikov G, Pekas D. Measuring handgrip strength in school children: inter-instrument reliability between Takei and Jamar. Sci Rep 2024; 14:1074. [PMID: 38212414 PMCID: PMC10784289 DOI: 10.1038/s41598-024-51368-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 01/04/2024] [Indexed: 01/13/2024] Open
Abstract
The aim of this study was to determine inter-instrument reliability between Takei and Jamar dynamometers in school children. Fifty-six five grade participants aged eleven to twelve (n = 32 boys, n = 24 girls) performed handgrip strength test on two different occasions, with a 5-day gap between them, as test-retest. The Pearson correlation coefficient showed very large to almost perfect correlation between both devices (r = 0.76-0.91) which was graphically confirmed by Bland-Altman method. Test-retest also showed high reliability (ICC = 0.78-0.85) for Jamar and Takei. Trivial, nonsignificant differences (p > 0.05) were observed between for test-retest trials for Takei left hand (ES = 0.04), right hand (ES = 0.12) and Jamar left hand (ES = 0.15). According to the results, both the Jamar and Takei dynamometers are valid and reliable for measuring schoolchildren, and both devices may be used to assess a student's handgrip strength for this age group.
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Affiliation(s)
- Nebojša Trajković
- Faculty of Sport and Physical Education, University of Niš, Niš, Serbia
| | - Doroteja Rančić
- Faculty of Sport and Physical Education, University of Niš, Niš, Serbia
| | - Tamara Ilić
- Faculty of Sport and Physical Education, University of Niš, Niš, Serbia
| | - Romina Herodek
- Faculty of Sport and Physical Education, University of Niš, Niš, Serbia
| | - Georgiy Korobeynikov
- National University of Physical Education and Sport, Kyiv, Ukraine.
- Institute of Psychology, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany.
| | - Damir Pekas
- Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
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Tsai LH, Chen BY, Su KC, Cheng CY. The status of binocular visual functions among Taiwan high-tech industry engineers and its correlation with computer vision symptom. Sci Rep 2024; 14:826. [PMID: 38191660 PMCID: PMC10774332 DOI: 10.1038/s41598-024-51314-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 01/03/2024] [Indexed: 01/10/2024] Open
Abstract
To analyze the status of binocular visual functions, the relationship between binocular visual function and computer vision-related symptoms in the high-tech industry group. The study sample was comprised of 33 participants aged between 20 and 40 years of age. After completing basic information and the Computer Vision Symptom Scale (CVSS-17) questionnaire, the participants underwent a comprehensive examination of binocular visual function. All data were statistically analyzed with SPSS V26.0 software. The value of the binocular vision function of the Taiwan high-tech industry group was significantly different compared with the Scheiman and Morgan standard value. Study subjects were generally found to exhibit larger exophoric at distance, which in turn might lead to a lower ability to maintain binocular fusion to a single image, or recover from fusional disruption at distance. Subjects also experienced accommodation and convergence problems at near at the same time. Age, gender, and refractive errors had no significant impact on CVSS-17 scores, only the duration of computer usage showed a significant effect, particularly for internal symptom factor (ISF) dimensions. In addition, the interaction between the ISF and external symptom factor resulted in more severe visual symptoms. Long-term use of electronic devices may lead to an imbalance in binocular vision function, thereby increasing or exacerbating visual symptoms. If the use of electronic devices is an unchangeable trend, interventions in prescription, visual training or the visual design of electronic products become worthwhile topics for development.
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Affiliation(s)
- Lung-Hui Tsai
- Department of Optometry, Chung Shan Medical University, Taichung, 402, Taiwan
| | - Bo-Yu Chen
- Department of Optometry, Chung Shan Medical University, Taichung, 402, Taiwan
| | - Kuo-Chen Su
- Department of Optometry, Chung Shan Medical University, Taichung, 402, Taiwan
- Department of Ophthalmology, Chung Shan Medical University Hospital, Taichung, 402, Taiwan
| | - Ching-Ying Cheng
- Department of Optometry, Chung Shan Medical University, Taichung, 402, Taiwan.
- Department of Ophthalmology, Chung Shan Medical University Hospital, Taichung, 402, Taiwan.
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Aas CF, Vold JH, Chalabianloo F, Løberg EM, Lim AG, Vickerman P, Johansson KA, Fadnes LT. Effect of integrated hepatitis C virus treatment on psychological distress in people with substance use disorders. Sci Rep 2024; 14:816. [PMID: 38191795 PMCID: PMC10774384 DOI: 10.1038/s41598-024-51336-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 01/03/2024] [Indexed: 01/10/2024] Open
Abstract
People with substance use disorders (SUD) have a high prevalence of chronic hepatitis C virus (HCV) infection and mental health disorders. We aimed to assess the impact of integrated HCV treatment on psychological distress measured by Hopkins-symptom-checklist-10 (SCL-10). This multi-center randomized controlled trial evaluated psychological distress as a secondary outcome of integrated HCV treatment (INTRO-HCV trial). From 2017 to 2019, 289 participants were randomly assigned to receive either integrated or standard HCV treatment with direct-acting antiviral therapy. Integrated HCV treatment was delivered in eight decentralized outpatient opioid agonist therapy clinics and two community care centers; standard treatment was delivered in internal medicine outpatient clinics at centralized hospitals. Participants in the integrated treatment arm had a sustained virologic response of 93% compared to 73% for those in standard treatment arm. Psychological distress was assessed using SCL-10 prior to initiation of HCV treatment and 12 weeks after treatment completion. The mean SCL-10 score prior to HCV treatment was 2.2 (standard deviation [SD]: 0.7) for patients receiving integrated HCV treatment and 2.2 (SD: 0.8) for those receiving standard HCV treatment. Twelve weeks after the end of treatment, the mean SCL-10 score change was - 0.1 (- 0.3;0.0) in the integrated compared to the standard arm. Psychological distress did not substantially change during the treatment period and was not significantly different between the treatment arms.
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Affiliation(s)
- Christer F Aas
- Department of Addiction Medicine, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway.
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
- Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.
| | - Jørn Henrik Vold
- Department of Addiction Medicine, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
- Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
| | - Fatemeh Chalabianloo
- Department of Addiction Medicine, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Else-Marie Løberg
- Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
- Department of Clinical Psychology, University of Bergen, Bergen, Norway
| | - Aaron G Lim
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
| | - Peter Vickerman
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
| | - Kjell Arne Johansson
- Department of Addiction Medicine, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Lars Thore Fadnes
- Department of Addiction Medicine, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
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Chen Y, Zhang X, Ye Q, Zhang X, Cao N, Li SY, Yu J, Zhao ST, Zhang J, Xu XM, Shi YK, Yang LX. Machine learning-based prediction model for myocardial ischemia under high altitude exposure: a cohort study. Sci Rep 2024; 14:686. [PMID: 38182722 PMCID: PMC10770400 DOI: 10.1038/s41598-024-51202-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 01/02/2024] [Indexed: 01/07/2024] Open
Abstract
High altitude exposure increases the risk of myocardial ischemia (MI) and subsequent cardiovascular death. Machine learning techniques have been used to develop cardiovascular disease prediction models, but no reports exist for high altitude induced myocardial ischemia. Our objective was to establish a machine learning-based MI prediction model and identify key risk factors. Using a prospective cohort study, a predictive model was developed and validated for high-altitude MI. We consolidated the health examination and self-reported electronic questionnaire data (collected between January and June 2022 in 920th Joint Logistic Support Force Hospital of china) of soldiers undergoing high-altitude training, along with the health examination and second self-reported electronic questionnaire data (collected between December 2022 and January 2023) subsequent to their completion on the plateau, into a unified dataset. Participants were subsequently allocated to either the training or test dataset in a 3:1 ratio using random assignment. A predictive model based on clinical features, physical examination, and laboratory results was designed using the training dataset, and the model's performance was evaluated using the area under the receiver operating characteristic curve score (AUC) in the test dataset. Using the training dataset (n = 2141), we developed a myocardial ischemia prediction model with high accuracy (AUC = 0.86) when validated on the test dataset (n = 714). The model was based on five laboratory results: Eosinophils percentage (Eos.Per), Globulin (G), Ca, Glucose (GLU), and Aspartate aminotransferase (AST). Our concise and accurate high-altitude myocardial ischemia incidence prediction model, based on five laboratory results, may be used to identify risks in advance and help individuals and groups prepare before entering high-altitude areas. Further external validation, including female and different age groups, is necessary.
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Affiliation(s)
- Yu Chen
- Department of Cardiology, 920th Hospital of Joint Logistics Support Force, PLA, Kunming, China
| | - Xin Zhang
- Department of Pulmonary and Critical Care Medicine, 920th Hospital of Joint Logistics Support Force, PLA, Kunming, China
| | - Qing Ye
- Department of Radiation Oncology, First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Xin Zhang
- Department of Radiology, 920th Hospital of Joint Logistics Support Force, PLA, Kunming, China
| | - Ning Cao
- Department of Neurosurgery, 920th Hospital of Joint Logistics Support Force, PLA, Kunming, China
| | - Shao-Ying Li
- Department of Pulmonary and Critical Care Medicine, 920th Hospital of Joint Logistics Support Force, PLA, Kunming, China
| | - Jie Yu
- Department of Thoracocardiac Surgery, 920th Hospital of Joint Logistics Support Force, PLA, Kunming, China
| | - Sheng-Tao Zhao
- Department of Pulmonary and Critical Care Medicine, 920th Hospital of Joint Logistics Support Force, PLA, Kunming, China
| | - Juan Zhang
- Department of Pulmonary and Critical Care Medicine, 920th Hospital of Joint Logistics Support Force, PLA, Kunming, China
| | - Xin-Ming Xu
- Department of Quality Control, 920th Hospital of Joint Logistics Support Force, PLA, No. 212 Daguan Rd, Kunming, 650032, Yunnan, China.
| | - Yan-Kun Shi
- Department of Cardiology, 920th Hospital of Joint Logistics Support Force, PLA, Kunming, China.
| | - Li-Xia Yang
- Department of Cardiology, 920th Hospital of Joint Logistics Support Force, PLA, Kunming, China.
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Mohammadaliee B, Roomi V, Samei ME. [Formula: see text] model for analyzing [Formula: see text]-19 pandemic process via [Formula: see text]-Caputo fractional derivative and numerical simulation. Sci Rep 2024; 14:723. [PMID: 38184696 PMCID: PMC10771536 DOI: 10.1038/s41598-024-51415-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 01/04/2024] [Indexed: 01/08/2024] Open
Abstract
The objective of this study is to develop the [Formula: see text] epidemic model for [Formula: see text]-[Formula: see text] utilizing the [Formula: see text]-Caputo fractional derivative. The reproduction number ([Formula: see text]) is calculated utilizing the next generation matrix method. The equilibrium points of the model are computed, and both the local and global stability of the disease-free equilibrium point are demonstrated. Sensitivity analysis is discussed to describe the importance of the parameters and to demonstrate the existence of a unique solution for the model by applying a fixed point theorem. Utilizing the fractional Euler procedure, an approximate solution to the model is obtained. To study the transmission dynamics of infection, numerical simulations are conducted by using MatLab. Both numerical methods and simulations can provide valuable insights into the behavior of the system and help in understanding the existence and properties of solutions. By placing the values [Formula: see text], [Formula: see text] and [Formula: see text] instead of [Formula: see text], the derivatives of the Caputo and Caputo-Hadamard and Katugampola appear, respectively, to compare the results of each with real data. Besides, these simulations specifically with different fractional orders to examine the transmission dynamics. At the end, we come to the conclusion that the simulation utilizing Caputo derivative with the order of 0.95 shows the prevalence of the disease better. Our results are new which provide a good contribution to the current research on this field of research.
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Affiliation(s)
| | - Vahid Roomi
- Department of Mathematics, Azarbaijan Shahid Madani University, Tabriz, Iran
- Insurance Research Center, Tehran, Iran
| | - Mohammad Esmael Samei
- Department of Mathematics, Faculty of Basic Science, Bu-Ali Sina University, Hamedan, 65178-38695, Iran.
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Zhou X, Yu G, Li X, Zhang W, Nian X, Cui J, Wei X, Sun Y. The application and influence of "Small Private Online Course" based on flipped classroom teaching model in the course of fundamental operations in surgery in China. Sci Rep 2024; 14:375. [PMID: 38172151 PMCID: PMC10764302 DOI: 10.1038/s41598-023-50580-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Accepted: 12/21/2023] [Indexed: 01/05/2024] Open
Abstract
To investigate the effect of "Small Private Online Course" (SPOC) based on flipped classroom teaching model on the students in the course of fundamental operations in surgery. A prospective study. 8-year program students (juniors) majored in clinical medicine in Navy medical university. The mastery of theoretical knowledge and operational skill of the students, the comparison of final test examination score between traditional teaching method and "SPOC + flipped classroom" model and the feedback completed by students. Our study found that SPOC + flipped classroom could significantly increase the efficacy of the class and enhance the ability of the students compared with the traditional method. The new teaching model could have a positive influence for medical students on their basic knowledge and operational skill.
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Affiliation(s)
- Xiaoyi Zhou
- Teaching and Research Section of Surgery and Field Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China
- Department of Orthopaedics, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China
| | - Guanyu Yu
- Teaching and Research Section of Surgery and Field Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China
- Department of Colorectal Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China
| | - Xu Li
- Teaching and Research Section of Surgery and Field Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China
- Department of Colorectal Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China
| | - Wei Zhang
- Teaching and Research Section of Surgery and Field Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China
- Department of Urology Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China
| | - Xinwen Nian
- Teaching and Research Section of Surgery and Field Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China
- Department of Urology Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China
| | - Jin Cui
- Teaching and Research Section of Surgery and Field Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China.
- Department of Orthopaedics, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China.
| | - Xianzhao Wei
- Teaching and Research Section of Surgery and Field Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China.
- Department of Orthopaedics, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China.
| | - Yu Sun
- Teaching and Research Section of Surgery and Field Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China.
- Department of Burn Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, 200433, China.
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37
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Ren L, Kang Y, Tan Z, Jiang C, Hu Y. Passenger muscle responses in emergency braking events with reclined seating. Sci Rep 2024; 14:38. [PMID: 38168918 PMCID: PMC10761918 DOI: 10.1038/s41598-023-50918-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 12/28/2023] [Indexed: 01/05/2024] Open
Abstract
Emergency braking can generate forward displacement that may influence the effectiveness of protection in collisions, especially for passengers. The development of automated vehicles has enabled the diversification and rationalization of sitting positions, including reclined seating. However, the passenger response in pre-crash scenarios in reclined seating differs from that in standard seating, which poses different requirements for biofidelic human body models (HBMs) to evaluate passenger injuries in collisions. This study conducted emergency braking trials in vehicles at an initial velocity of 80 km/h. Five volunteers were exposed to approximately 1 g manual emergency braking (MEB), and the muscle responses at the front passenger seat with backrest angles of 25°, 45°, and 65° were recorded. The electromyography obtained from 14 muscles of the neck, torso, and lower extremity were normalized using maximum voluntary contractions (MVCs). In the quiet sitting phase, the activity levels were low (< 5% MVC) in all muscles for the three sitting positions. During emergency braking, the muscles are activated to restrict the body motion. There were differences in muscle amplitude and onset time in different backrest angles, with higher muscle activity levels in most muscles in a reclined sitting position. In particular, the sternocleidomastoid, rectus abdominis, and vastus medialis showed different patterns in the peak and steady-state phases. We found that the tibialis anterior was consistently activated at a lower level in all sitting postures (< 8% MVC), which indicates limited support of the shank for the body. The data provided in the paper are presented in corridors and intended for use in the development and validation of HBMs with active muscle models to simulate evasive maneuvers that potentially occur before a crash in the reclined sitting position.
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Affiliation(s)
- Lihai Ren
- Key Laboratory of Advanced Manufacturing Technology for Automobile Parts, Ministry of Education, Chongqing University of Technology, Chongqing, 400054, China.
| | - Yuze Kang
- Key Laboratory of Advanced Manufacturing Technology for Automobile Parts, Ministry of Education, Chongqing University of Technology, Chongqing, 400054, China
| | - Zheng Tan
- Key Laboratory of Advanced Manufacturing Technology for Automobile Parts, Ministry of Education, Chongqing University of Technology, Chongqing, 400054, China
| | - Chengyue Jiang
- Key Laboratory of Advanced Manufacturing Technology for Automobile Parts, Ministry of Education, Chongqing University of Technology, Chongqing, 400054, China
| | - Yuanzhi Hu
- Key Laboratory of Advanced Manufacturing Technology for Automobile Parts, Ministry of Education, Chongqing University of Technology, Chongqing, 400054, China
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Chen Z, Cheng X, Wang X, Ni S, Yu Q, Hu J. Identification of core carcinogenic elements based on the age-standardized mortality rate of lung cancer in Xuanwei Formation coal in China. Sci Rep 2024; 14:232. [PMID: 38167547 PMCID: PMC10761687 DOI: 10.1038/s41598-023-49975-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Accepted: 12/14/2023] [Indexed: 01/05/2024] Open
Abstract
In this study, the core carcinogenic elements in Xuanwei Formation coal were identified. Thirty-one samples were collected based on the age-standardized mortality rate (ASMR) of lung cancer; Si, V, Cr, Co, Ni, As, Mo, Cd, Sb, Pb, and rare earth elements and yttrium (REYs) were analyzed and compared; multivariate statistical analyses (CA, PCA, and FDA) were performed; and comprehensive identification was carried out by combining multivariate statistical analyses with toxicology and mineralogy. The final results indicated that (1) the high-concentration Si, Ni, V, Cr, Co, and Cd in coal may have some potential carcinogenic risk. (2) The concentrations of Cr, Ni, As, Mo, Cd, and Pb meet the zoning characteristics of the ASMR, while the Si concentration is not completely consistent. (3) The REY distribution pattern in Longtan Formation coal is lower than that in Xuanwei Formation coal, indicating that the materials of these elements in coal are different. (5) The heatmap divides the sampling sites into two clusters and subtypes in accordance with carcinogenic zoning based on the ASMR. (6) PC1, PC2, and PC3 explain 62.629% of the total variance, identifying Co, Ni, As, Cd, Mo, Cr, and V. (7) Fisher discriminant analysis identifies Ni, Si, Cd, As, and Co based on the discriminant function. (8) Comprehensive identification reveals that Ni is the primary carcinogenic element, followed by Co, Cd, and Si in combination with toxicology. (9) The paragenesis of Si (nanoquartz), Ni, Co, and Cd is an interesting finding. In other words, carcinogenic elements Ni, Co, Cd, and Si and their paragenetic properties should receive more attention.
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Affiliation(s)
- Zailin Chen
- Engineering Center of Yunnan Education Department for Health Geological Survey and Evaluation, Kunming, 652501, China.
- Yunnan Land and Resources Vocational College, Kunming, 652501, China.
- College of Earth Sciences, Chengdu University of Technology, Chengdu, 610059, China.
| | - Xianfeng Cheng
- Engineering Center of Yunnan Education Department for Health Geological Survey and Evaluation, Kunming, 652501, China
- Yunnan Land and Resources Vocational College, Kunming, 652501, China
| | - Xingyu Wang
- College of Earth Sciences, Chengdu University of Technology, Chengdu, 610059, China
| | - Shijun Ni
- College of Earth Sciences, Chengdu University of Technology, Chengdu, 610059, China
| | - Qiulian Yu
- Engineering Center of Yunnan Education Department for Health Geological Survey and Evaluation, Kunming, 652501, China
- Yunnan Land and Resources Vocational College, Kunming, 652501, China
| | - Junchun Hu
- Coal Geology Prospecting Institute of Yunnan Province, Kunming, 650218, China
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Kawakami R, Yamakawa S, Konda S, Ogasawara I, Hasegawa R, Yamasaki K, Kanamoto T, Yokoyama T, Yoshida A, Marutani Y, Ueda Y, Mitsuoka H, Horie S, Horio D, Nakata K. Characteristics of physical activity during beginner-level group tennis lessons and the effect daily activity. Sci Rep 2024; 14:249. [PMID: 38167742 PMCID: PMC10761839 DOI: 10.1038/s41598-023-46843-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 11/06/2023] [Indexed: 01/05/2024] Open
Abstract
Tennis is a popular leisure sport, and studies have indicated that playing tennis regularly provides many health benefits. We aimed to clarify the characteristics of physical activity during beginner-level group tennis lessons and daily physical activity of the participants. Physical activity was measured using an accelerometer sensor device for four weeks, including the 80-min duration tennis lessons held twice a week. Valid data were categorized for tennis and non-tennis days. The mean physical activity intensity during the tennis lesson was 3.37 METs. The mean ratio of short-bout rest periods to the tennis lesson time in 90 and 120 s was 7% and 4%, respectively. The mean physical activity intensity was significantly higher (p < 0.0001) and the duration of vigorous-intensity physical activity (VPA) was increased in 76% of participants on days with tennis lessons compared to without tennis lessons. Beginner-level tennis lesson has characteristics of less short-bout rest physical activity than previously reported competitive tennis match and increased the duration of VPA in daily activity compared to without tennis lessons, suggesting that beginner-level tennis lessons contribute physical activity of health benefits.
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Affiliation(s)
- Ryo Kawakami
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan
| | - Satoshi Yamakawa
- Department of Sports Medical Biomechanics, Osaka University Graduate School of Medicine, Suita, Osaka, 565-0871, Japan
| | - Shoji Konda
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan
- Department of Sports Medical Biomechanics, Osaka University Graduate School of Medicine, Suita, Osaka, 565-0871, Japan
| | - Issei Ogasawara
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan
- Department of Sports Medical Biomechanics, Osaka University Graduate School of Medicine, Suita, Osaka, 565-0871, Japan
| | - Ryosuke Hasegawa
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan
| | - Keita Yamasaki
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan
| | - Takashi Kanamoto
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan
| | - Teruki Yokoyama
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan
| | - Akiyo Yoshida
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan
| | - Yoshihiro Marutani
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan
- Graduate School of Sport Science, Osaka University of Health and Sports Sciences, Kumatori, Osaka, 590-0496, Japan
| | - Yuko Ueda
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan
| | - Hideo Mitsuoka
- GODAI Incorporated Educational Institution, Yokohama, Kanagawa, 220-6220, Japan
| | - Shintaro Horie
- GODAI Incorporated Educational Institution, Yokohama, Kanagawa, 220-6220, Japan
| | - Daigo Horio
- GODAI Incorporated Educational Institution, Yokohama, Kanagawa, 220-6220, Japan
| | - Ken Nakata
- Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Toyonaka, Osaka, 560-0043, Japan.
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40
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Salari S, Sadeghi-Yarandi M, Golbabaei F. An integrated approach to occupational health risk assessment of manufacturing nanomaterials using Pythagorean Fuzzy AHP and Fuzzy Inference System. Sci Rep 2024; 14:180. [PMID: 38168505 PMCID: PMC10762155 DOI: 10.1038/s41598-023-48885-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Accepted: 11/30/2023] [Indexed: 01/05/2024] Open
Abstract
Nanomaterials (NMs) have the potential to be hazardous owing to their unique physico-chemical properties. Therefore, the need for Health Risk Assessment (HRA) of NMs is expanding. In this study, a novel HRA was developed by the Pythagorean Fuzzy Health Risk Assessment (PFHRA) approach. Risk is considered to be the outcome of parameters including Occurrence Likelihood (OL), Potential Exposure (PE) and Toxic Effects (TE). In our proposed method, priority weights of sub-factors in Pythagorean Fuzzy-Analytical Hierarchical Process (PF-AHP) were determined by pairwise comparison based on expert judgment. After determining parameter scores, both RM and risk class (i.e., negligible, minor, major and critical) were reported as Fuzzy Inference System (FIS) output. Ultimately, a risk management strategy is presented for NMs manufacturing workplaces. This proposed method provides experts with more flexibility to express their opinions. The PFHRA approach was applied for two scenarios. The production scenario for SiNPs can create minor (5%) and major (95%) occupational health risks; the production scenario for ZnONPs can create minor (100%) concerns. However, the production SiNPs and ZnONPs utilizing the CB Nanotool technique had a major and minor risk class, respectively. The results of the present study confirmed the reliability and applicability of this approach.
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Affiliation(s)
- Samaneh Salari
- Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
| | - Mohsen Sadeghi-Yarandi
- Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Farideh Golbabaei
- Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
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Saidu AS, Mohammed S, Adamu SG, Sadiq MA, Tijjani AO, Musa HI, Jajere SM, Goni MD, Muhammed A, Idriss MD. Prevalence and risk estimates of Cryptosporidium oocysts infection associated with consumption of raw-eaten vegetables in Maiduguri metropolis LGAs, Northeast Nigeria. Sci Rep 2023; 13:23079. [PMID: 38155194 PMCID: PMC10754946 DOI: 10.1038/s41598-023-49451-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2023] [Accepted: 12/08/2023] [Indexed: 12/30/2023] Open
Abstract
Cryptosporidium is one of the most important protozoan parasitic pathogens, and it is a common cause of diarrhoea in humans, domestic animals, and wild vertebrates and has serious public health threats. A cross-sectional study was designed to determine the prevalence of Cryptosporidium oocysts in raw-eaten vegetables in Maiduguri Metropolitan Council (MMC) and Jere Local Government Areas (LGAs). A total of 400 samples were collected from four (4) different locations, namely Tashan Bama, Gomboru, and Monday Markets (n = 100), while fifty (n = 50) each from 202-Vegetable-Vendors and Unimaid Commercials. A total of 16 visits were conducted in all the sampling areas (twenty-five samples per visit). The Cryptosporidium oocysts were detected using the Modified Ziehl-Neelsen Staining Technique. The locations, sources, and types of raw-eaten vegetables were also assessed. The oocysts were confirmed (100×) as bright pink spherules. Data generated were analyzed using IBM-SPSS V23.0, and p ≤ 0.05 was considered significant. Out of the total samples (n = 400) analyzed, cabbage appeared to have the highest number of 10 (12.5%) of Cryptosporidium oocysts detected, while Tomato and garden egg had 9 (11.3%) and 1 (1.2%), respectively. There was a statistically significant association (χ2 = 12.5, P = 0.014) between the presence of Cryptosporidium oocysts in raw-eaten vegetables and vegetable types. Among the sources of the vegetables sampled, Alau had the highest number of Cryptosporidium oocysts, 15 (12.5%), followed by Kilari-Abdullahi and Zabarmari sources with 4 (10.0%) and 4 (5.0%), respectively. However, Jetete appeared to have the least number 2 (2.5%) of oocysts, and there was a statistically significant association (χ2= 10.4, P = 0.034) between the presence of Cryptosporidium oocysts and the sources of vegetables and fruits. The study concludes that the raw-eaten vegetables sampled from Maiduguri Metropolis were contaminated with Cryptosporidium oocysts. The study recommends that all raw-eaten vegetables should be from cleaned sources and washed before consumption. Consumers should be enlightened on the hygienic measures in the food chain in line with the Hazard Analysis and Critical Control Points (HACCP) principles.
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Affiliation(s)
- A S Saidu
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, 600001, Borno State, Nigeria.
- Public Health and Zoonoses Research Group, Faculty of Veterinary Medicine, Universiti Malaysia Kelantan, 16100, Kelantan, Pengkalan Chepa, Malaysia.
| | - S Mohammed
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, 600001, Borno State, Nigeria
| | - S G Adamu
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, 600001, Borno State, Nigeria
| | - M A Sadiq
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, 600001, Borno State, Nigeria
| | - A O Tijjani
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, 600001, Borno State, Nigeria
| | - H I Musa
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, 600001, Borno State, Nigeria
- Department of Veterinary Laboratory Diagnostics, Faculty of Veterinary Medicine, Universiti Putra Malaysia (UPM), 43400, Serdang, Selangor, Malaysia
| | - S M Jajere
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, 600001, Borno State, Nigeria
| | - M D Goni
- Public Health and Zoonoses Research Group, Faculty of Veterinary Medicine, Universiti Malaysia Kelantan, 16100, Kelantan, Pengkalan Chepa, Malaysia
- Institute for Artificial Intelligence and Big Data, Universiti Malaysia Kelantan, 16100, Kota Bharu, Kelantan, Malaysia
| | - A Muhammed
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, 600001, Borno State, Nigeria
| | - M D Idriss
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, 600001, Borno State, Nigeria
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Väisänen D, Johansson PJ, Kallings L, Hemmingsson E, Andersson G, Wallin P, Paulsson S, Nyman T, Stenling A, Svartengren M, Ekblom-Bak E. Moderating effect of cardiorespiratory fitness on sickness absence in occupational groups with different physical workloads. Sci Rep 2023; 13:22904. [PMID: 38129646 PMCID: PMC10739801 DOI: 10.1038/s41598-023-50154-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 12/15/2023] [Indexed: 12/23/2023] Open
Abstract
Sickness absence from work has a large adverse impact on both individuals and societies in Sweden and the costs for sickness absence were calculated to 64.6 billion Swedish kronor (approx. 5.6 billion in Euros) in 2020. Although high cardiorespiratory fitness may protect against potential adverse effects of high physical workload, research on the moderating effect of respiratory fitness in the relation between having an occupation with high physical workload and sickness absence is scarce. To study the moderating effect of cardiorespiratory fitness in the association between occupation and psychiatric, musculoskeletal, and cardiorespiratory diagnoses. Data was retrieved from the HPI Health Profile Institute database (1988-2020) and Included 77,366 participants (mean age 41.8 years, 52.5% women) from the Swedish workforce. The sample was chosen based on occupational groups with a generally low education level and differences in physical workload. Hurdle models were used to account for incident sickness absence and the rate of sickness absence days. There were differences in sickness absence between occupational groups for musculoskeletal and cardiorespiratory diagnoses, but not for psychiatric diagnoses. In general, the association between occupation and musculoskeletal and cardiorespiratory diagnoses was moderated by cardiorespiratory fitness in most occupational groups with higher physical workload, whereas no moderating effect was observed for psychiatric diagnoses. The study results encourage community and workplace interventions to both consider variation in physical workload and to maintain and/or improve cardiorespiratory fitness for a lower risk of sickness absence, especially in occupations with high physical workload.
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Affiliation(s)
- Daniel Väisänen
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, Stockholm, Sweden.
| | - Peter J Johansson
- Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden
- Occupational and Environmental Medicine, Uppsala University Hospital, Uppsala, Sweden
| | - Lena Kallings
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, Stockholm, Sweden
| | - Erik Hemmingsson
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, Stockholm, Sweden
| | - Gunnar Andersson
- Department of Research, HPI Health Profile Institute, Danderyd/Stockholm, Sweden
| | - Peter Wallin
- Department of Research, HPI Health Profile Institute, Danderyd/Stockholm, Sweden
| | - Sofia Paulsson
- Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden
- Department of Research, HPI Health Profile Institute, Danderyd/Stockholm, Sweden
| | - Teresia Nyman
- Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden
- Occupational and Environmental Medicine, Uppsala University Hospital, Uppsala, Sweden
| | - Andreas Stenling
- Department of Psychology, Umeå University, Umeå, Sweden
- Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
| | - Magnus Svartengren
- Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden
- Occupational and Environmental Medicine, Uppsala University Hospital, Uppsala, Sweden
| | - Elin Ekblom-Bak
- Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, Stockholm, Sweden
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Khurana DA, Swathi N, Rajalakshmi AR. Factors influencing the need and willingness for presbyopic correction: a cross sectional study from south India. Sci Rep 2023; 13:22906. [PMID: 38129652 PMCID: PMC10739945 DOI: 10.1038/s41598-023-50288-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 12/18/2023] [Indexed: 12/23/2023] Open
Abstract
Presbyopia is an age-related physiological phenomenon in which eye gradually losses its ability to accommodate. It is one of the leading causes of visual impairment worldwide, especially in adults above the age of 40. If uncorrected, it can significantly impair a patient's quality of life. This study aims to evaluate the factors which affects patient's need and willingness to accept presbyopic correction. This cross-sectional analytical study was carried out in a semi urban tertiary care hospital from Jan 2021 to June 2022 among patients aged 40 and above who presented to Outpatient department (OPD). Demographic details, medical history, presenting ocular complaints pertaining to presbyopia, spectacle use and decision regarding using near vision correction were noted. Ocular examination included refraction and ocular biometry. Factors that may have influenced complaints of presbyopia or willingness to accept presbyopic correction were analysed. Three hundred and forty two patients with a mean age of 48.55 ± 6.68 years were included. Of these, 262 (76.61%) patients presented with chief complaints related to presbyopia. Those with higher educational qualification (p = 0.031), hypermetropia (p = 0.021), shallower AC depth (p = 0.028) and on medications for systemic ailments (p = 0.01), were more likely to present with chief complaints attributable to presbyopia. Among them, those with higher educational qualifications (p = 0.02) and skilled workers were more likely to accept near vision glasses (p = 0.02), while those with lower Hb (p = 0.01) and myopia (p = 0.01) were less likely to accept correction for presbyopia. Among the 80 patients without chief complaints related to presbyopia, 35 (43.75%) were not willing to accept near vision glasses. Those with higher BMI (p = 0.04) and hypermetropes (p = 0.05) were more willing to accept presbyopic correction. Presbyopia constitutes a significant reason for patients above the age of 40 visiting eye care facility. Multiple socio-economic, systemic and ocular factors influenced both the chief complaints related to presbyopia and willingness to accept presbyopic correction.
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Affiliation(s)
- Dhruval A Khurana
- Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry, India
| | - N Swathi
- Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry, India.
| | - A R Rajalakshmi
- Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry, India
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Liang H, Zhang H, Chen B, Yang L, Xu R, Duan S, Cai Z. 3D printing technology combined with personalized plates for complex distal intra-articular fractures of the trimalleolar ankle. Sci Rep 2023; 13:22667. [PMID: 38114629 PMCID: PMC10730506 DOI: 10.1038/s41598-023-49515-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 12/08/2023] [Indexed: 12/21/2023] Open
Abstract
This study investigated the effectiveness of 3D printing technology in combination with personalized custom-made steel plates in the treatment of complex distal intra-articular trimalleolar fractures, with the aim of providing a new approach to improve ankle joint function in patients. The 48 patients with complex distal intra-articular trimalleolar fractures included in the study were randomly divided into two groups: the personalized custom-made steel plate group (n = 24) and the conventional steel plate group (n = 24). A comparison was made between the two groups in terms of preoperative preparation time, hospitalization duration, surgical time, fracture reduction and internal fixation time, intraoperative fluoroscopy instances, surgical incision length, fracture healing time, follow-up duration, degree of fracture reduction, ankle joint functional recovery, and the occurrence of complications. The personalized steel plate group exhibited longer preoperative preparation time and hospitalization duration compared to the conventional steel plate group (p < 0.001). However, the personalized steel plate group demonstrated significantly shorter surgical duration, time for fracture reduction and internal fixation, reduced intraoperative fluoroscopy frequency, and a shorter overall surgical incision length (p < 0.001). Both groups displayed similar fracture healing times and follow-up durations (p > 0.05). The personalized steel plate group showed a higher rate of successful fracture reduction (87.5% vs. 79.2%, p > 0.05) and a lower incidence of complications (8.3% vs. 20.8%, p = 0.22), although these differences did not reach statistical significance. Furthermore, the personalized steel plate group exhibited superior ankle joint function scores during follow-up compared to the conventional steel plate group (p < 0.05). By utilizing 3D printing technology in conjunction with personalized custom-made steel plates, personalized treatment plans are provided for patients with complex comminuted tri-malleolar ankle fractures, enabling safer, more efficient, and satisfactory orthopedic surgeries.
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Affiliation(s)
- Hairui Liang
- Department of Orthopedics Surgery, Central Hospital Afliated to Shenyang Medical College, 5 Nanqi West Road, Shenyang, 110075, Liaoning, China
| | - He Zhang
- Department of Orthopedics Surgery, Central Hospital Afliated to Shenyang Medical College, 5 Nanqi West Road, Shenyang, 110075, Liaoning, China
| | - Beibei Chen
- Department of Orthopedics Surgery, Central Hospital Afliated to Shenyang Medical College, 5 Nanqi West Road, Shenyang, 110075, Liaoning, China
| | - Lei Yang
- School of Pharmacy, Inner Mongolia Medical University, 5 Xinhua Street, Hohhot, 010107, Inner Mongolia Autonomous Region, China
| | - Rongda Xu
- Department of Orthopedics Surgery, Central Hospital Afliated to Shenyang Medical College, 5 Nanqi West Road, Shenyang, 110075, Liaoning, China
| | - Siyu Duan
- Department of Orthopedics Surgery, Central Hospital Afliated to Shenyang Medical College, 5 Nanqi West Road, Shenyang, 110075, Liaoning, China
| | - Zhencun Cai
- Department of Orthopedics Surgery, Central Hospital Afliated to Shenyang Medical College, 5 Nanqi West Road, Shenyang, 110075, Liaoning, China.
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45
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Helou M, Mahdi A, Abou Fayad A, Sleiman A, Matar GM, Zoghbi S, Madani T, Husni R. Antimicrobial effects of chlorine dioxide in a hospital setting. Sci Rep 2023; 13:22866. [PMID: 38129523 PMCID: PMC10739700 DOI: 10.1038/s41598-023-49997-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 12/14/2023] [Indexed: 12/23/2023] Open
Abstract
Chlorine dioxide is a powerful disinfectant with strong antibacterial properties. We conducted a study at different sites of the Lebanese American University Medical Center-Rizk Hospital to determine the efficacy of the ECOM air mask in decreasing the particle load. Air cultures were obtained from three different locations, namely the patients' elevator, visitors' elevator and mobile clinic and the number of colonies grown on each type of agar was determined. We also measured particle counts at the three sites both at baseline and after placement of the ECOM air mask. After 7 days of ECOM air mask use, the numbers of colonies grown on all types of media was decreased by 20-100% versus the baseline values. The counts of particles of different diameters (0.3, 0.5 and 5 µm) were decreased at all three sampled sites. This study highlighted the efficacy of the ECOM air mask. The utility of the gaseous form of ClO2 as an antiseptic in the hospital setting appears promising.
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Affiliation(s)
- Mariana Helou
- Division of Emergency, Department of Internal Medicine, School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Ahmad Mahdi
- Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Antoine Abou Fayad
- Center for Infectious Diseases Research, American University of Beirut, Beirut, Lebanon
| | - Ahmad Sleiman
- Center for Infectious Diseases Research, American University of Beirut, Beirut, Lebanon
| | - Ghassan M Matar
- Center for Infectious Diseases Research, American University of Beirut, Beirut, Lebanon
| | - Sanaa Zoghbi
- Infection Control Program, Lebanese American University Medical Center, Beirut, Lebanon
| | - Tarek Madani
- Infection Control Program, Lebanese American University Medical Center, Beirut, Lebanon
| | - Rola Husni
- Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Lebanese American University, Beirut, Lebanon.
- Lebanese American University-Rizk Hospital, Beirut, Lebanon.
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46
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Jindal A, Sumodhee D, Brandao-de-Resende C, Melo M, Neo YN, Lee E, Day AC. Usability of an artificially intelligence-powered triage platform for adult ophthalmic emergencies: a mixed methods study. Sci Rep 2023; 13:22490. [PMID: 38110457 PMCID: PMC10728059 DOI: 10.1038/s41598-023-49213-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 12/05/2023] [Indexed: 12/20/2023] Open
Abstract
There is growing demand for emergency-based eyecare services where the majority of those attending do not require urgent ophthalmic management. The Royal College of Ophthalmologists have recommended upskilling and supporting of allied health professionals to support eyecare delivery, where machine learning algorithms could help. A mixed methods study was conducted to evaluate the usability of an artificial intelligence (AI) powered online triage platform for ophthalmology. The interface, usability, safety and acceptability were investigated using a Think Aloud interview and usability questionnaires. Twenty participants who actively examine patients in ophthalmic triage within a tertiary eye centre or primary care setting completed the interview and questionnaires. 90% or more of participants found the platform easy to use, reflected their triage process and were able to interpret the triage outcome, 85% found it safe to use and 95% felt the processing time was fast. A quarter of clinicians reported that they have experienced some uncertainty when triaging in their career and were unsure of using AI, after this study 95% of clinicians were willing to use the platform in their clinical workflow. This study showed the platform interface was acceptable and usable for clinicians actively working in ophthalmic emergency triage.
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Affiliation(s)
- Anish Jindal
- Moorfields Eye Hospital NHS Foundation Trust, London, UK.
- Department of Brain Sciences, Institute of Ophthalmology, University College London, London, UK.
| | | | - Camilo Brandao-de-Resende
- Department of Brain Sciences, Institute of Ophthalmology, University College London, London, UK
- NIHR Moorfields Clinical Research Facility, Moorfields Eye Hospital, London, UK
| | - Mariane Melo
- NIHR Moorfields Clinical Research Facility, Moorfields Eye Hospital, London, UK
| | - Yan Ning Neo
- Moorfields Eye Hospital NHS Foundation Trust, London, UK
| | - Elsa Lee
- Moorfields Eye Hospital NHS Foundation Trust, London, UK
| | - Alexander C Day
- Moorfields Eye Hospital NHS Foundation Trust, London, UK
- Department of Brain Sciences, Institute of Ophthalmology, University College London, London, UK
- NIHR Moorfields Clinical Research Facility, Moorfields Eye Hospital, London, UK
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Zhang H, Weng Z, Zheng Y, Zheng M, Chen W, He H, Ye X, Zheng Y, Xie J, Zheng K, Zhang J, Zhuang X, Su Z, Zhou Y, Yu X. Epidemiological and clinical features of SARS-CoV-2 Omicron variant infection in Quanzhou, Fujian province: a retrospective study. Sci Rep 2023; 13:22152. [PMID: 38092887 PMCID: PMC10719353 DOI: 10.1038/s41598-023-49098-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 12/04/2023] [Indexed: 12/17/2023] Open
Abstract
Epidemiological and clinical data of patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant (BA.2) admitted to three designated hospitals in Quanzhou City, Fujian Province, China, were collected and analyzed. Overall, 2,541 patients infected with BA.2, comprising 1,060 asymptomatic, 1,287 mild, and 194 moderate infections, were enrolled. The percentage of moderate infections was higher in patients aged ≥ 60 years than in those aged < 18 years and 18-59 years. The median hospitalization duration was 17 days. Among the 2,541 patients, 43.52% had a clear history of close contact. The vaccination rate was 87.92%, and the percentage of asymptomatic infections was higher in vaccinated than in unvaccinated patients. Moreover, patients with underlying diseases, including hypertension and diabetes mellitus, had more moderate infections than those without underlying diseases. The three most common clinical manifestations were fever, dry cough, and sore throat. The albumin-to-globulin (A/G) ratio and lymphocyte count decreased in cases with mild and moderate infections, while procalcitonin, erythrocyte sedimentation rate, interleukin-6, D-dimer, and C4 levels increased. Advanced age, non-vaccination, and underlying comorbid diseases were high-risk factors for disease progression in patients. However, dynamic monitoring of blood routine parameters, A/G ratio, and inflammatory indicators facilitated the prediction of disease progression.
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Affiliation(s)
- Huatang Zhang
- Department of Infection Disease, Fujian Medical University Affiliated First Quanzhou Hospital, No. 250 East Street, Licheng District, Quanzhou, 362000, Fujian, China
| | - Zhangyan Weng
- Department of Infection Disease, Fujian Medical University Affiliated First Quanzhou Hospital, No. 250 East Street, Licheng District, Quanzhou, 362000, Fujian, China
| | - Yijuan Zheng
- Department of Infection Disease, Fujian Medical University Affiliated First Quanzhou Hospital, No. 250 East Street, Licheng District, Quanzhou, 362000, Fujian, China
| | - Minghui Zheng
- Department of Infection Disease, Fujian Medical University Affiliated First Quanzhou Hospital, No. 250 East Street, Licheng District, Quanzhou, 362000, Fujian, China
| | - Wenhuang Chen
- Department of Infection Disease, Fujian Medical University Affiliated First Quanzhou Hospital, No. 250 East Street, Licheng District, Quanzhou, 362000, Fujian, China
- Department of Infection Disease, Quanzhou Guangqian Hospital, Guangqian South Street, Nan'an, Quanzhou, 362000, Fujian, China
| | - Haoyi He
- Department of Infection Disease, Fujian Medical University Affiliated First Quanzhou Hospital, No. 250 East Street, Licheng District, Quanzhou, 362000, Fujian, China
| | - Xiaoyi Ye
- Department of Respiratory Disease, Fujian Medical University Affiliated First Quanzhou Hospital, No. 250 East Street, Licheng District, Quanzhou, 362000, Fujian, China
| | - Youxian Zheng
- Department of Clinical Laboratory, Quanzhou Center for Disease Control and Prevention, No. 21 Jinhuai Street, Fengze District, Quanzhou, 362000, Fujian, China
| | - Jianfeng Xie
- Fujian Provincial Key Laboratory of Zoonosis Research, Fujian Center for Disease Control and Prevention, No. 76 Jintai Road, Gulou District, Fuzhou, 350001, Fujian, China
| | - Kuicheng Zheng
- Fujian Provincial Key Laboratory of Zoonosis Research, Fujian Center for Disease Control and Prevention, No. 76 Jintai Road, Gulou District, Fuzhou, 350001, Fujian, China
| | - Jiming Zhang
- Department of Infection Disease, Huashan Hospital Fudan University, No. 12 Wulumuqi Middle Road, Shanghai, 200040, China
| | - Xibin Zhuang
- Department of Respiratory Disease, Fujian Medical University Affiliated First Quanzhou Hospital, No. 250 East Street, Licheng District, Quanzhou, 362000, Fujian, China.
| | - Zhijun Su
- Department of Infection Disease, Fujian Medical University Affiliated First Quanzhou Hospital, No. 250 East Street, Licheng District, Quanzhou, 362000, Fujian, China.
| | - Yongjun Zhou
- Institute of Bioengineering and Biotechnology, College of Life Sciences and Chemistry, Minnan Science and Technology University, Quanzhou, 362000, China.
| | - Xueping Yu
- Department of Infection Disease, Fujian Medical University Affiliated First Quanzhou Hospital, No. 250 East Street, Licheng District, Quanzhou, 362000, Fujian, China.
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48
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Zhai Y, Wu S, Hu Q, Zhou W, Shen Y, Yan X, Ma Y. Influence of grasping postures on skin deformation of hand. Sci Rep 2023; 13:21416. [PMID: 38049461 PMCID: PMC10695991 DOI: 10.1038/s41598-023-48658-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 11/29/2023] [Indexed: 12/06/2023] Open
Abstract
To investigate the influence of different grasping postures on the hand's skin deformation, a handheld 3D EVA SCANNER was used to obtain 3D models of 111 women in five postures, including a straight posture and grasping cylinders with various diameters (4/6/8/10 cm). Skin relaxation strain ratio ([Formula: see text]) and surface area skin relaxation strain ratio ([Formula: see text]) were used as measures of skin deformation between two landmarks and multiple landmarks, respectively. The effects of grasping posture on skin deformation in different directions were analyzed. The results revealed significant variations in skin deformation among different grasping postures, except for the width of middle finger metacarpal and the length of middle finger's proximal phalanx. The [Formula: see text] increased with decreasing grasping object diameter, ranging from 5 to 18% on the coronal axis, and from 4 to 20% on the vertical axis. The overall variation of [Formula: see text] ranged from 5 to 37.5%, following the same trend as [Formula: see text] except for the surface area of tiger's mouth, which exhibited a maximum difference of 10.9% with significant differences. These findings have potential applications in improving the design of hand equipment and understanding hand movement characteristics.
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Affiliation(s)
- Yanru Zhai
- School of Textile and Clothing, Nantong University, Nantong, 226019, China
| | - Shaoguo Wu
- School of Textile and Clothing, Nantong University, Nantong, 226019, China
| | - Qinyue Hu
- School of Textile and Clothing, Nantong University, Nantong, 226019, China
| | - Wenjing Zhou
- School of Textile and Clothing, Nantong University, Nantong, 226019, China
| | - Yue Shen
- School of Textile and Clothing, Nantong University, Nantong, 226019, China.
| | - Xuefeng Yan
- School of Textile and Clothing, Nantong University, Nantong, 226019, China.
| | - Yan Ma
- School of Textile and Clothing, Nantong University, Nantong, 226019, China.
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Lin JC, Younessi DN, Kurapati SS, Tang OY, Scott IU. Comparison of GPT-3.5, GPT-4, and human user performance on a practice ophthalmology written examination. Eye (Lond) 2023; 37:3694-3695. [PMID: 37156862 PMCID: PMC10686407 DOI: 10.1038/s41433-023-02564-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 04/17/2023] [Accepted: 04/24/2023] [Indexed: 05/10/2023] Open
Affiliation(s)
- John C Lin
- The Warren Alpert Medical School, Brown University, Providence, RI, USA
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - David N Younessi
- Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Sai S Kurapati
- Departments of Ophthalmology and Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA
| | - Oliver Y Tang
- The Warren Alpert Medical School, Brown University, Providence, RI, USA
- Department of Neurosurgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - Ingrid U Scott
- Departments of Ophthalmology and Public Health Sciences, Penn State College of Medicine, Hershey, PA, USA.
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Lakshminrusimha S, Song C, Pearlman SA, Martin G, Duncan S. Controversies in CPT® coding in the neonatal intensive care unit: - critical vs. intensive care. J Perinatol 2023; 43:1535-1540. [PMID: 37355710 PMCID: PMC10716034 DOI: 10.1038/s41372-023-01704-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 05/19/2023] [Accepted: 06/14/2023] [Indexed: 06/26/2023]
Abstract
Professional reimbursement to neonatal providers is based on the level of Current Procedural Terminology (CPT®) coding in the NICU, newborn nursery and other areas where neonatal care is provided. Four levels of evaluation and management (E&M) care-critical, intensive, routine-hospital care or normal newborn care can be provided to neonates. The work relative value units (wRVUs) associated with these four levels of care vary widely. This manuscript provides a brief review of basic features associated with each of these four levels with a specific perspective on differences between critical and intensive care codes. Coding and billing are constantly evolving fields with significant variation in interpretation and readers are encouraged to review the current publications on CPT® coding and make an informed decision on the best codes to be used for their patients.
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Affiliation(s)
| | - Clara Song
- Southern California Permanente Medical Group, Pasadena, CA, USA
| | - Stephen A Pearlman
- Department of Pediatrics, Sidney Kimmel Medical College at TJU, Philadelphia, PA, USA
| | - Gilbert Martin
- Department of Pediatrics, Loma Linda University Children's Hospital, Riverside, CA, USA
| | - Scott Duncan
- Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA
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