Evaluation Scores Research Articles

Evaluation of the Effectiveness of the Competency Model for Nursing Managers in the Training of Newly Appointed Head Nurses

Objective: To explore the effectiveness of the competency model for nursing managers in the training of newly appointed head nurses. Methods: Eighteen newly appointed head nurses from Yichang Central People’s Hospital, selected between August 2023 and July 2024, were chosen as the research subjects. Based on the nursing manager competency model, corresponding training programs were developed, and these 18 head nurses were trained accordingly. Results: After the training, all newly appointed head nurses passed the theoretical assessments, with a pass rate of 100.00%. The pass rates for two rounds of assessment were 100.00% and 94.54%, respectively. There was no significant difference in the performance evaluation scores between new and senior head nurses in terms of standardized services, nursing quality, nursing research and teaching, and patient satisfaction (P > 0.05). Conclusion: The competency model for nursing managers has a significant effect on the training of newly appointed head nurses. It effectively enhances management awareness, facilitates role transition, and, to some extent, improves the management and leadership capabilities of head nurses. It holds high value for broader implementation.

An operational risk assessment method for petrochemical plants based on deep learning

The petrochemical industry is an important guarantee for the development of people’s lives, and the operational risk assessment method of personnel in the operation of petrochemical enterprises is the most important. Based on a deep learning algorithm, a new method based on the micro-Doppler effect and fuzzy analytic hierarchy process is proposed to evaluate the operational risk of personnel in petrochemical enterprises. The original monitoring image of petrochemical equipment is invoked, and micro-Doppler analysis is performed based on the original image to identify the activity target of the personnel on the job site and generate the activity map of the petrochemical plant operators. Based on the analysis data of the micro-Doppler effect, the fuzzy function and hierarchical analysis method are combined. The fuzzy theory is introduced into the analytic hierarchy process, and the inherent expert evaluation scores are transformed into fuzzy numbers. It makes the expert evaluation of petrochemical plants more accurate in the subsequent coupling and improves the objectivity of the traditional analytic hierarchy process. The scheme proposed in this paper can monitor real-time operation safety and provide a guarantee for the personal safety of field operators. This method plays an important role in improving the safety of petrochemical plants.

Combined Analysis of Grade Differences in Lapsang Souchong Black Tea Using Sensory Evaluation, Electronic Nose, and HS-SPME-GC-MS, Based on Chinese National Standards

Tea standard samples are the benchmark for tea product quality control. Understanding the inherent differences in Chinese national standards for Lapsang Souchong black tea of different grades is crucial for the scientific development of tea standardization work. In this study, Lapsang Souchong black tea of different grades that meet Chinese national standards was selected as the research object. The aroma characteristics were comprehensively analyzed through sensory evaluation, electronic nose, and HS-SPME-GC-MS (headspace solid-phase microextraction gas chromatography–mass spectrometry). The findings indicate that the higher-grade Lapsang Souchong has a higher evaluation score. The results of electronic nose analysis indicate that the volatiles with differences in tea of different grades were mainly terpenoids and nitrogen oxides. The results of HS-SPME-GC-MS analysis show that the odor characteristics of the super-grade samples are mainly floral and fruity, and these substances mainly include D-Limonene, 3,7-dimethyl-1,6-octadien-3-ol and 3-Hydroxymandelic acid, and ethyl ester. The primary aroma characteristics of the first-grade samples are floral, sweet, woody, and green, with key contributing compounds including 2-Furanmethanol, 1-Octen-3-ol, and 5-ethenyltetrahydro-α,α,5-trimethyl-cis-, 4,5-di-epi-aristolochene. The main aroma characteristics of the second-grade samples are green, herbal scent, and fruity, and the main substances include 3,7-dimethyl-1,6-octadien-3-ol, 2,3-dimethylthiophene, Dihydroactinidiolide, and Naphthalene-1-methyl-7-(1-methylethyl)-. It is worth noting that the second-grade samples contain a large amount of phenolic substances, which are related to the smoking process during processing. This study lays a solid foundation for the preparation of tea standard samples and the construction of the tea standard system.

Recognition of Street Landscape Patterns in Kunming City Based on Intelligent Decision Algorithm and Regional Cultural Expression

The integration of intelligent decision-making algorithms with urban cultural expression is becoming a hot topic in both academic and practical fields for exploring urban street landscapes. Exploring the application strategies of intelligent decision-making algorithms and regional cultural expression in street landscape pattern recognition and innovative design is a key step. The single layout of urban street construction, cultural deficiency, ecological imbalance, and low resident participation seriously constrain the overall quality improvement of the city. To address this dilemma, this study delved into Kunming City and selected the ten “most beautiful streets”, such as Dianchi Road, for research. By using the Analytic Hierarchy Process, a comprehensive evaluation system covering multiple dimensions, such as the street layout, plant landscape, and historical culture, was constructed to analyze the street landscape of Kunming. The research results indicate that the top four roads in terms of weight evaluation scores are Cuihu Ring Road, Jiaochang Middle Road, Qingnian Road, and Beijing Road, with values of 0.2076, 0.1531, 0.1274, and 0.1173. The weight reveals that each street has its unique landscape factors, such as the profound cultural heritage of Cuihu Ring Road and the beautiful plant landscape of Jiaochang Middle Road. Further analysis also reveals the close relationship between various factors in the evaluation model, emphasizing the importance of supplementing material and cultural elements in street landscape design. The significance of this study goes beyond a single analysis of the street landscape in Kunming City. Drawing a regional street landscape pattern map sets an example for other cities to build distinctive, eco-friendly, culturally rich, and highly humanized street spaces, providing reference and inspiration. More importantly, this study promotes the application and development of intelligent decision-making algorithms in the field of urban landscapes. Future research will further optimize algorithms to improve their adaptability and accuracy in complex environments.

Preoperative mortality risk evaluation in abdominal surgical emergencies: development and internal validation of the NDAR score from a national multicenter audit in Senegal

IntroductionAbdominal surgical emergencies have a high mortality rate. Effective management primarily relies on the early identification of patients at high risk of postoperative complications. The objective of our study was to determine the prognostic factors associated with poor outcomes from abdominal surgical emergencies in Senegal and to establish a predictive score for mortality for preoperative risk evaluation (NDAR (New Death Assessment Risk) score).MethodologyThis was a retrospective national cross-sectional study conducted over one year in 14 regions of Senegal. Adult patients (aged > 15 years) who presented with a traumatic or non-traumatic abdominal surgical emergency were included. The studied variables included clinical and paraclinical data. The variable of interest was death within 30 days of the surgery. Logistic regression was used to identify the factors independently associated with mortality. Risk factors identified after logistic regression analysis were weighted using odds ratio (OR) values rounded to the nearest whole number. The predictive capacity of the score was evaluated by analyzing the ROC (Receiver Operating Characteristic) curve based on the area under the curve (AUC).ResultsA total of 1114 patient records were included, with a mortality rate of 4.4%. Diagnoses were observed in patients included appendicitis in 39.8% of cases (n = 444), followed by peritonitis in 22.3% (n = 249), intestinal obstruction in 18.5% (n = 205), strangulated hernias in 10.5% (n = 117), and abdominal trauma in 6.1%. Logistic regression, established the following scores: age > 40 years (score 2), ASA status grade 2 or higher (score 1), presence of a positive QSIRS score (score 2), diagnosis of peritonitis (score 2), diagnosis of intestinal obstruction (score 1), and the presence of intestinal necrosis (score 3). The score is positive if the total is strictly greater than 5, indicating a 17.7% risk of mortality. This score had a high predictive capacity with an AUC of 0.7397.ConclusionThis study enabled the establishment of a score that allows for the early identification of at-risk patients, even in constrained resource settings, facilitating appropriate perioperative management and timely surgical intervention to reduce the risk of complications. This approach, focused on early recognition of high-risk patients, is crucial for improving clinical outcomes in abdominal surgical emergencies.

Long-term functional outcomes of BIFOLD osteosynthesis in distal femoral fractures with metaphyseal comminution: A retrospective analysis

BackgroundThis retrospective study aimed to evaluate the long-term functional outcomes of BIFOLD osteosynthesis, employing retrograde nailing and distal femoral locked plating, in patients with distal femoral fractures and metaphyseal comminution. MethodsA retrospective analysis was conducted on patients treated for distal femur fractures with metaphyseal comminution between 2012 and 2022, with a minimum follow-up of 2 years. Inclusion criteria encompassed distal femur fractures with metaphyseal comminution, excluding specific conditions. BIFOLD osteosynthesis was employed in all 33 cases, utilizing retrograde SIGN (Surgical Implant Generation Network Nail) and distal femoral locking plates. Primary outcome measures included radiographic and functional outcomes assessed through the Sanders functional evaluation score, with secondary outcomes focusing on perioperative or postoperative complications. ResultsA total of 33 patients (21 male, 12 female) were included, with an average age of 51.4 years. BIFOLD osteosynthesis exhibited an average radiographic fracture healing time of 6.2 ± 2.5 months. The procedure's average operative time was 100 ± 15 min, and blood loss averaged 420 ± 50 ml. According to Sanders criteria, 28 patients (84.84 %) demonstrated well-to-excellent functional outcomes, while 3 patients (9.09 %) reported fair outcomes, and 2 patients (6.06 %) reported poor outcomes. No significant shortening or implant failure occurred, and all patients achieved over 90 degrees of knee range of motion within 8 weeks. One patient experienced superficial infection, and two patients exhibited insignificant coronal plane deformity. ConclusionBIFOLD osteosynthesis, combining intra and extra medullary fixation principles, offers a stable construct for distal femoral fractures with metaphyseal comminution. This approach facilitates faster ambulation, pain relief, early knee joint mobilization, and significant early union, resulting in improved functional outcomes. Additionally, BIFOLD osteosynthesis helps prevent collapse, translational and rotational deformities, as well as shortening.

Generative adversarial networks for whispered to voiced speech conversion: a comparative study

AbstractGenerative Adversarial Networks (GANs) have demonstrated promising results as end-to-end models for whispered to voiced speech conversion. Leveraging non-autoregressive systems like GANs capable of performing conditional waveform generation eliminates the need for separate models to estimate voiced speech features, and leads to faster inference compared to autoregressive methods. This study aims to identify the optimal GAN architecture for the whispered to voiced speech conversion task by comparing six state-of-the-art models. Furthermore, we present a method for evaluating the preservation of speaker identity and local accent, using embeddings obtained from speaker- and language identification systems. Our experimental results show that building the speech conversion system based on the HiFi-GAN architecture yields the best objective evaluation scores, outperforming the baseline by $$\sim$$ ∼ 9% relative using frequency-weighted Signal-to-Noise Ratio and Log Likelihood Ratio, as well as by $$\sim$$ ∼ 29% relative using Root Mean Squared Error. In subjective tests, HiFi-GAN yielded a mean opinion score of 2.9, significantly outperforming the baseline with a score of 1.4. Furthermore, HiFi-GAN enhanced ASR performance and preserved speaker identity and accent, with correct language detection rates of up to $$\sim$$ ∼ 98%.

Sound Quality Prediction Method of Dual-Phase Hy-Vo Chain Transmission System Based on MFCC-CNN and Fuzzy Generation

redict the sound quality of dual-phase Hy-Vo chain transmission system noise using a small sample size. Noise acquisition tests are conducted under various working conditions, followed by subjective evaluations using the equal interval direct one-dimensional method. Objective evaluations are performed using the Mel-frequency cepstral coefficient (MFCC). To understand the impact of the MFCC order and the frame number on prediction accuracy, MFCC feature maps of different specifications are analyzed. The dataset is expanded threefold using fuzzy generation with an appropriate membership degree. The convolutional neural network (CNN) is developed, utilizing MFCC feature maps as inputs and evaluation scores as outputs. Results indicate a positive correlation between the frame number and prediction accuracy, whereas higher MFCC orders introduce redundancy, reducing accuracy. The proposed CNN method outperforms three traditional machine learning approaches, demonstrating superior accuracy and resistance to overfitting.

The clinical value of serum creatinine to bilirubin ratio in predicting the severity and prognosis of acute pancreatitis.

Bilirubin (BIL) and creatinine (Cr) have been used as potential early predictors of the severity of many diseases. A recent study found that the Cr to BIL ratio (CTR) was more sensitive and specific than either serum Cr or BIL alone. Our research focused on the clinical significance of CTR in evaluating the severity and prognosticating outcomes of acute pancreatitis (AP) in patients. Patients diagnosed with AP at the First Affiliated Hospital of Guangdong Pharmaceutical University between July 1, 2016, and December 31, 2020 were included. The analysis then focused on examining the relationship between CTR levels and the severity of the illness, the occurrence of complications, and the prognosticating outcomes for individuals diagnosed with AP. A total of 286 AP patients were enrolled. Multivariate regression analyses showed that patients with AP with increased CTR levels had a poorer disease (easier to develop severe AP); higher Ranson, and Acute Physiology and Chronic Health Evaluation (APACHE-II) scores; higher incidence of organ failure (acute heart failure, acute kidney injury and acute myocardial infarction ); and leading to a worse prognosis characterized more by frequent use of vasoactive and diuretic agents. When CTR >14.05, AP patients had increased occurrence of AHF and AKI, higher 30-day all-cause mortality rates, more frequently using vasoactive agent and diuretic agent. Besides, the disease severity scores and hospital stays were markedly increased. Patients with AP who exhibit higher CTR levels tend to experience escalating disease severity, more complications, and a poorer outcome compared with those with lower CTR levels.

Effect of Y-shaped Nasal Columella Made of Autologous Cartilage in Secondary Nasal Deformity after Cleft Lip Surgery.

Due to the diversity and complexity of tissues involved in secondary nasal deformities following unilateral cleft lip, secondary nasal deformity correction surgeries are challenging and often yield unsatisfactory results, posing a difficult problem for plastic surgeons. Autologous cartilage, with its low sculpting difficulty, minimal absorption, and stable tissue compatibility, is considered the optimal material for reconstructing the columella, nasal tip, and alar. This study analyzed the clinical outcomes of using autologous cartilage to create a Y-shaped columella to correct secondary nasal deformities after cleft lip surgery. In this retrospective study, 75 patients with secondary nasal deformity after unilateral cleft lip surgery were treated from January 2018 to December 2023. Appropriate costal cartilage, auricular cartilage, and iliac crest cartilage were fashioned into Y-shaped stents and implanted into the nasal columella of the patients to strengthen the tip cartilage. The free alar cartilage was sutured and fixed with a Y-shaped bracket. The wound healing rate, subjective satisfaction evaluation, and complications were analyzed. The nasal appearance, nasal deformity classification, and objective indices of healthy and affected nasal sides, function, and quality of life were compared before and after the operation. All patients healed well during the first stage without related complications, and the average incision healing time was 5.16 ± 1.37 days. The scores of nasal tip position, nasal tip shape, nostril shape, nasal dorsum shape, and nasal floor shape at 6 months post-operation were significantly lower compared to pre-operation (p < 0.001). The grade of nasal deformity at 6 months post-operation was lower than the pre-operation (p < 0.001). Pre-operation, the nasal base and nasal width of the affected side were higher than those of the healthy side, while the nasal columellar and nostril height were lower (p < 0.001). At 6 months post-operation, the nasal base and nasal width decreased, and the nasal columellar and nostril height increased (p < 0.001), with no significant difference between the two sides (p > 0.05). The nasal obstruction symptom evaluation (NOSE) and Functional Rhinoplasty Outcome Inventory-17 (FROI-17) scores at 6 months post-operation were significantly lower than pre-operation, while the rhinoplasty outcome evaluation (ROE) score was higher (p < 0.001). The total patient satisfaction was 97.33% (73/75). Y-shaped nasal columella made of autologous cartilage can effectively correct secondary nasal deformity after cleft lip surgery, improve nasal alar collapse, lengthen nasal columella, elevate nasal end, enhance the quality of life, nasal appearance, and nasal ventilation function of patients, with high satisfaction and few complications.

A 360-degree evaluation of the professionalism and communication skills of technologists working in the radiology department of a public sector tertiary care hospital in Karachi, Pakistan

BackgroundRadiologic technologists (RTs) are at the forefront of radiology departments and require optimal skills to demonstrate professionalism and effective provider–patient communication. Hence, the objective of this study was to determine the reliability of 360-degree evaluation as a feedback tool to improve competencies in this crucial workforce.MethodsA planned 360-degree evaluation was conducted using a 10-item tool to evaluate communication skills and professionalism among radiological technologists working at Dow University Hospital, Karachi. In total, 311 evaluations of fifteen radiological technologists were conducted while performing various diagnostic radiology procedures at the radiology department of Dow University Hospital. The data were analysed using SPSS version 26 to compute the evaluation scores and the reliability of 360-degree evaluation.ResultsA total of 311 RT-patient interactions were recorded over 48 days, with scores from all three raters. The evaluation tool was found to have good internal consistency for patients, faculty, and RT, with Cronbach’s alpha values of 0.89, 087, and 0.74, respectively. The study found an intraclass correlation of 0.66 (95% CI; 0.58–0.72), showing moderate reliability of the 360-degree evaluation across different raters.ConclusionWe conclude that 360-degree evaluation is a valid and reliable tool for determining the professionalism and communication skills of radiologic technologists and should be incorporated into training programs for formative and summative assessments. However, large-scale multicenter studies are crucial for generalizing these findings and incorporating 360 evaluations in radiological technologist training programs for formative and summative assessments.

Research on the Coupled and Coordinated Development of Tourism Informatization and Regional Tourism Economy in Jilin Province

This study is focused on developing an integrated coordination model designed to conduct an empirical assessment of the evaluation metrics and their respective weights concerning the tourism sector and regional economic growth in Jilin Province. By analyzing the level of coupling and coordination between these two domains, the findings indicate that, although the coordination level currently falls within the expected range, it remains suboptimal. This is primarily due to the relatively modest comprehensive evaluation scores of both the tourism informatization framework and the regional tourism economic system. To improve the level of coordination, this paper suggests several strategic measures. These include enhancing investments in information technology infrastructure and fostering the development of specialized talent. Such measures aim to effectively advance the synchronized development of the tourism sector and regional economic progress in Jilin Province.

To Evaluate Structured Competency-Based Curriculum for Health Programs among Community Medicine Postgraduates: Mixed Method Approach

Background: The postgraduate curriculum needs to be given a definite shape so as to make health programs more intensive and integrative. In the present scenario, most of the information is unclear and infrequent. A structured public health competency-based education is an important aspect to consider for integrative health care. Evaluate the structured competency-based curriculum (SCBC) prepared on health program matters. Methods: Mixed method model involving postgraduate students, faculties in community medicine departments of selected medical colleges and stakeholders from district administration. The SCBC was piloted and validated for use. The evaluation was then done based on pre- and posttest performance analysis, satisfaction survey, and questionnaires for reaction and learning components. Results: For a complete understanding of the program, students had to invest 52 hours of stipulated time. CBC assessment mean scores for a) problems in PHC and programmatic evaluation (78.9%) and b) identification of success and failure of programs (78.2%) were more than 75% mean score; whereas, assessment scores for topics on a) resource allocation and b) evaluation of program as write-up was 65% and 52%, respectively. As compared to the conventional method, the SCBC showed a critical evaluation score of 70% with a 0.001 significance level. Discussion and Conclusion: Students’ narratives were that they could understand as well as integrate them better on the field. There was enhanced satisfaction and encouragement. Structured curriculum will also help in making learning more student-centric and go a long way in boosting their creativity.

HybridEval: An Improved Novel Hybrid Metric for Evaluation of Text Summarization

The present work re-evaluates the evaluation method for text summarization tasks. Two state-of-the-art assessment measures e.g., Recall-Oriented Understudy for Gisting Evaluation (ROUGE) and Bilingual Evaluation Understudy (BLEU) are discussed along with their limitations before presenting a novel evaluation metric. The evaluation scores are significantly different because of the length and vocabulary of the sentences, this suggests that the primary restriction is its inability to preserve the semantics and meaning of the sentences and consistent weight distribution over the whole sentence. To address this, the present work organizes the phrases into six different groups and to evaluate “text summarization” problems, a new hybrid approach (HybridEval) is proposed. Our approach uses a weighted sum of cosine scores from InferSent’s SentEval algorithms combined with original scores, achieving high accuracy. HybridEval outperforms existing state-of-the-art models by 10-15% in evaluation scores.

The Effect of Mindfulness-Based Stress Reduction on Pediatric Oncology Nurses' Stress Level, and Pediatric Oncology Patients' Psychosocial Symptoms and Care Satisfaction: A Prospective Non-Randomized Trial.

Studies investigating the effects of relaxation practices on nurses and patient outcomes are limited. This study aimed to evaluate the impact of Mindfulness-Based Stress Reduction (MBSR) on pediatric oncology nurses' stress levels, as well as the psychosocial symptoms and care satisfaction of pediatric oncology patients. A non-randomized prospective study with a pretest-posttest design was conducted, involving 112 children and 8 pediatric oncology nurses between November 2021 and August 2022. The study was conducted in 3 stages. First, the children's nursing care satisfaction and psychosocial symptoms were evaluated during the first 3 months before the MBSR intervention. Second, the nurses participated in the MBSR program for 2 months. Third, the children's nursing care satisfaction and psychosocial symptoms were assessed again 3 months after the MBSR intervention. The results showed that children who received nursing care post-MBSR had lower scores in the Psychosocial, Hopelessness, and Communication Difficulty subscales compared to those who received care pre-MBSR. Additionally, these children had higher scores in Evaluation of Quality of Care from the Children's Point of View, Psychosocial, Physical, and Information subscales. There was a significant reduction in the stress levels of nurses between the pre-MBSR and post-MBSR assessments. MBSR is an effective method for reducing pediatric oncology nurses' perceived stress levels and should be utilized to support both pediatric oncology nurses and patients in enhancing their psychosocial functioning.

Histomorphological scoring of murine colitis models: A practical guide for the evaluation of colitis and colitis-associated cancer

Background and aimsHistomorphology is a powerful and cost-efficient tool for evaluating inflammatory and neoplastic conditions. Inflammatory bowel disease (IBD) is a widespread condition with globally rising incidences, and a lot of research is done to better understand the pathogenesis of IBD and to identify potential therapeutic approaches. However, standardized and reproducible scores for the histomorphological evaluation of murine IBD models are lacking. Therefore, we aimed to develop an easy-to-use and reproducible score for standardized assessment of colitis and associated cancer models. MethodsIn this study, samples from three different colitis models with and without associated cancer formation were analyzed to develop a universal, robust, and reproducible score for the grading of murine colitis models using the following three parameters: 1. Extent of leucocyte infiltration, 2. Tissue damage, 3. Architectural disruption of the mucosa. ResultsA scoring system was established for different kinds of colitis models (genetically induced enterocolitis, genetically induced metabolic injury, and chemically induced colitis-associated cancer) and all stages of the disease, from mild inflammatory changes to severe inflammation with neoplastic changes as the extreme extent of IBD. The scoring scheme is easy to use, can easily be learned, and proves to have a high interrater reliability. ConclusionsWe propose a robust histological scoring system for the assessment of murine colitis and colitis-associated cancer models, giving more researchers access to conclusive and reliable histological assessment.

Midterm Outcomes After Osteochondral Allograft Transplantation in the Knee Using High-Chondrocyte Viability Grafts.

Osteochondral allograft transplantation (OCAT) has become a standard-of-care treatment option for patients with large symptomatic articular defects. Recent advances in allograft science and OCAT protocols have been reported to result in consistently robust outcomes after OCAT in the knee. However, only short-term comparisons have been reported, and analyses are lacking for treatment failure risk factors that account for confounding variables. Midterm functional graft survival rate would exceed 80% for all OCATs combined, with consideration of risk factors for lower survivorship including older patient age, higher body mass index (BMI), tibiofemoral bipolar OCAT, and nonadherence to prescribed postoperative rehabilitation protocols. Case series; Level of evidence, 4. Patients with outcome data available at ≥5 years after primary OCAT using high chondrocyte-viability (HCV) osteochondral allografts were analyzed according to 2 clinically relevant definitions: (1) initial treatment failure, defined by revision or arthroplasty surgery performed for the primary OCAT at any time point during the study period; and (2) functional graft failure, defined by documented conversion to arthroplasty after primary or revision OCAT at any time point during the study period. Analyses were used to assess outcomes for each definition, separately for age group, sex, obesity status, tobacco use, type of OCAT surgery, osteotomy status, concurrent ligament surgery status, and adherence to postoperative protocols. Kaplan-Meier analyses were used to assess differences in survival rates, and Cox proportional hazards models were used to assess risk factors and multivariable relationships with survival. Patient-reported outcome measures for pain, function, mobility, and satisfaction were also analyzed. Analysis included 137 primary knee OCATs performed in 134 patients with a mean follow-up of 66 months (59 female, 75 male; mean age, 37.8 years; mean BMI, 28.5). The midterm (5- to 8-year) functional graft survival rate for patients undergoing primary OCAT in the knee using HCV grafts was 82% for all cases combined, ranging from 69% for tibiofemoral bipolar HCV OCATs to 89% for patellofemoral bipolar, 94% for multisurface unipolar, and 97% for single-surface unipolar. Initial treatment failure rates (revision or arthroplasty after primary OCAT) and OCAT nonsurvival rates (arthroplasty after primary or revision OCAT) were greater for older patient age, concurrent ligament reconstruction, tibiofemoral bipolar OCAT, and nonadherence to the prescribed postoperative rehabilitation protocols. When adjusted for patients' age, BMI, and tobacco use status, different surgery types did not demonstrate an increased risk for failure, while concurrent ligament reconstruction and nonadherence did. Patients who experienced functional graft survival after primary OCAT reported significantly greater improvements in PROMIS Physical Function and Mobility (Patient-Reported Outcomes Measurement Information System), International Knee Documentation Committee questionnaire, and Single Assessment Numeric Evaluation scores such that they were significantly higher at final follow-up as compared with patients who required arthroplasty. Patient-reported improvements in pain, function, and mobility exceeded minimal clinically important differences for ≥5 years after primary OCAT. When asked if they were satisfied with primary OCAT surgery, 76.2% of patients were very satisfied or satisfied with their results, while 8.5% were neutral and 15.4% were unsatisfied or very unsatisfied. With use of HCV osteochondral allografts, midterm (5- to 8-year) functional graft survival rates for patients undergoing primary OCAT in the knee were notably higher than previously reported midterm rates for traditional OCATs. When adjusted for patient characteristics, risk factors for nonsurvival included concurrent ligament reconstruction for knee instability and nonadherence to the prescribed postoperative rehabilitation protocols. Patients who experienced functional graft survival for ≥5 years after primary OCAT reported statistically significant and clinically meaningful improvements in pain, function, and mobility.

Proximal avulsion of the hamstring in young athlete patients: a case series and review of literature.

Hamstring injuries are a frequent occurrence of athletes, leading to a stop in practice and long-term alterations in sports performance. About 12% of these lesions involve avulsion at the level of the proximal insertion that can be complete (about 6%) or partial. Starting from an epidemiological and treatment evaluation of these lesions in literature, the aim of this study was to examine the functional outcomes and the rate of "return to play" in a population composed of athletes of various levels who have undergone surgery to reinsert the hamstring muscles at the ischial insertion, for a complete detachment of one or more tendon heads. Therefore, a retrospective study was carried out where 18 patients treated at the Orthopedics and Traumatology Unit of the I.R.C.C.S. San Matteo in Pavia (Italy) were identified in a time span ranging from March 2012 to August 2020. The sample was analysed taking into account age, sex and risk factors, as well as the pathophysiology and anatomy of the injury using the Wood classification, the time elapsed before surgery, the duration of the rehabilitation protocol and the possible return to sports activity, comparing the level of sports performance in the pre- and post-operative period using the Tegner Activity Score (TAS). Different post-operative outcome evaluation scores (Perth Hamstring Assessment Tool PHAT and Lower Extremity Functional ScaleLEFS) were also compared with each other in order to find a correlation with the real level of return to sporting activity. The mean age at surgery was 26.4 11.6 years. The population is composed of 14 males (77.8%) and 4 females (22.2%). All 18 patients returned to sports following surgery (100%). Of these patients, 17 (94%) maintained a level of sports performance equal to that before the injury. 100% of patients rated the outcome of the surgery as satisfactory. This study has shown that Hamstring reinsertion surgery is a correct indication in all athletes, allowing them a satisfactory return to sports practice.

Evaluation of TikTok social media posts on side effect information for popular weight loss medications

AbstractIntroductionThe prevalence of overweight and obesity is increasing in America, contributing to various health risks. Glucagon‐like peptide‐1 (GLP‐1) and gastric inhibitory peptide (GIP) receptor agonists have bloomed in popularity due to their efficacy and United States Food and Drug Administration (FDA) approval for weight loss, igniting popularity on social media. This study focuses on the role of TikTok™ (ByteDance, Haidian, Beijing, China), a popular social media platform, in disseminating understandable and actionable information about the side effects of weight loss medications.MethodsThe study analyzed the top 50 TikTok videos for each of the following hashtags: #ozempicsideeffects, #semaglutidesideeffects, #mounjarosideeffects, and #wegovysideeffects. Videos were evaluated based on their understandability and actionability using the Patient Education Materials Assessment Tool (PEMAT) for audio‐visual (AV) products. PEMAT‐AV scores and popularity of videos were compared between hashtags utilizing one‐way analysis of variance (ANOVA). An alpha of 0.05 was used, with Bonferroni correction.ResultsA total of 165 videos were reviewed for PEMAT‐AV understandability and actionability scores. The total visibility of the videos reached over 19.4 million views. A majority of the videos were personal experiences (89%), with only 5% being health care education videos. The average understandability and actionability scores for all videos were 43% and 20%, respectfully. The data presented a difference between searched hashtags for both evaluation scores, p‐values of &lt;0.001 and 0.093, respectively.ConclusionTikTok videos covering weight loss medication side effects have poor understandability and actionability scores. This study highlights the opportunity for more educational videos produced by health care professionals on TikTok, and a potential need for health care organizations and/or colleges of pharmacy to provide education to health care providers on how to create quality content for medication education on social media‐based platforms. Further research is needed to evaluate the credibility of content.

IMPLEMENTATION OF K-MEANS AND FUZZY C-MEANS CLUSTERING FOR MAPPING TODDLER STUNTING CASES IN GUNUNGKIDUL DISTRICT

Gunungkidul Regency has the highest prevalence of stunted toddlers in the Special Region of Yogyakarta. This study aims to describe the optimal clustering results of toddler stunting cases using the k-means and fuzzy c-means methods and to describe the characteristic of the mapping results of stunting-prone areas for toddlers in Gunungkidul Regency for the years 2020 – 2022. This study maps stunting-prone areas for toddlers across 30 community health centers in Gunungkidul Regency from 2020 to 2022, with variables including the percentage of babies with low birth weight, babies born stunted, babies receiving health services, stunted toddlers, toddlers receiving health services, babies given exclusive breastfeeding, poor couples of reproductive ages, and families with adequate drinking water. The k-means clustering method determines cluster membership using the distance between objects and centroids, while the fuzzy c-means method uses the degree of membership. Cluster evaluation uses the silhouette coefficient, Calinski-Harabasz index, Davies-Bouldin index, and Dunn index to obtain optimal clustering results. The mapping results are presented as a stunting vulnerability map. The findings indicate that the optimal number of clusters is two, with the fuzzy c-means method proving more optimal than the k-means method based on evaluation scores. In 2020, there were 23 community health centers in cluster 0 and 7 in cluster 1. In 2021, there were 21 community health centers in cluster 0 and 9 in cluster 1. In 2022, there were 18 community health centers in cluster 0 and 12 in cluster 1. Generally, community health centers in cluster 0 are less optimal in specific nutrition interventions, such as for infants and toddlers. In contrast, those in cluster 1 are less optimal in sensitive nutrition interventions, such as poverty and water adequacy.