bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Case Study of Modern Medical Practice and Islamic Complementary Therapy on a Patient with Over 2000 Embedded Nails
Authors: Ab Rahman Nor Azian , Sukardi Sagiran , Husin Supyan 
Published: November 2019

<p>In South East Asia, patients often resort to various forms of complementary therapy apart from utilizing mainstream modern medicine in Hospitals. Islamic-based complementary therapy employs various forms of bio-physical, psychological, social, cultural, and spiritual interventional methods based on the prevailing belief and cultural system to provide a holistic <em>Syariah</em> compliant approach in patient management. The concept of diseases caused by sorcery and paranormal means using intermediaries like Jinn and evil spirits that have been in existence since time immemorial across religions, cultures and societies around the world, for example, Homer in Ancient Greece, the legendary Medea, and Witch of Endor in the Bible. Currently, the practice of black magic and the belief in the paranormal still widely exist in the midst of modern civilization in this region. Modern medical practice has no definitive answer for a person with an unusual medical illness who is believed to have been afflicted by black magic because of its non-specific clinical presentation and non-response to conventional management paradigm which defies medical logic. In this paper, we describe a true case of a lady, 25 years-of-age, who suffered from more than 2000 nails embedded inside her body for one and a half years. Upon admission to a Hospital in Indonesia, she underwent a surgical procedure to remove all of the nails but to no avail; the nails re-appeared at other parts of her body. The surgical team later decided to conduct an Islamic complementary therapy on the patient, and subsequently, managed to extract all of the remaining nails without further bleeding. In conclusion, unusual or mysterious medical illness, sometimes referred to as idiopathic in etiology, not responding to conventional medical or surgical intervention, may potentially benefit from the use of Islamic complementary therapy.</p>
Barriers to Males Involvement in Family Planning Services in Arba Minch Town, Southern Ethiopia: Qualitative Case Study
Authors: Tamiso Alemu , Tassew Admasu , Bekele Henok , Zemede Zale , Dulla Admasu 
Published: November 2019

Effective utilization of family planning services are major contributors of improved maternal health. This, in turn, needs adequate involvement of male partners through direct uptake the services and approval of the spouses’ usage. Yet the family planning method utilization as well as male involvement is indicated to be low in Ethiopia. Qualitative case study was conducted in August 2015 in Arba Minch town to identify barriers to male involvement in uptake of family planning services. Open ended, semi-structured questionnaire was used to interview the participants. Four men and four women are purposively selected. Interviews were conducted in audibly private location after verbal consent was obtained from the recruited individuals. All interviews were recorded and transcribed verbatim. The narratives were then translated to English and the responses are aggregated in to nine concepts. The final aggregated data were analyzed using OpenCode 3.4 software based on thematic framework analysis. Total of eight participants (four men and four women) were interviewed where seven are married and one is single. Participants identified that, Perception (or opinion) towards family planning as women’s issue, Sex preference for inheritance and considering children as measure of blessing of and Fear of partner sexual promiscuity and to reduce women’s attractiveness were barriers for male involvement in modern family planning method. Future interventions aimed at improving family planning services and methods utilization in Arba Minch town and similar settings need to consider these bottlenecks for male involvement.
Differences in Physical Activity and Built Environment Perceptions between Younger and Older Adults Living in The Same Rural
Authors: Papadopoulos Charilaos , Twaddle Brent J 
Published: November 2019

<p>This study examined associations between perceptions and physical activity of younger and older adults residing in the same rural/small town community. Thirty-two adults completed interviews about their community and their physical activity. Both groups perceived their neighborhood as pleasant and safe to be active. Fewer older adults perceived their neighborhood as having sidewalks. Younger adults reported being more vigorously active and they were more often utilizing private membership clubs for physical activity. Older adults utilized more public recreational facilities. These results suggest that higher perceived quality of the neighborhood built environment can enhance participation in moderate exercise in older adults.</p>
Model of Empowerment to Improve Autonomy Directly Observed Treatment (DOT) Tuberculosis Patients
Authors: Khariroh Syamilatul , Soedirham Oedojo , Hamidah Hamidah , Abdullah Endang 
Published: November 2019

<p>Empowerment as not yet optimal health promotion efforts done to enhance the autonomy of Directly Observed Treatment (DOT), which affect the success of the recovery of patients with pulmonary tuberculosis. The purpose of research was to develop a model empowerment based on Health Promotion and Health Literacy with approach to nursing intervention in an effort enhance the autonomy of the DOT - pulmonary TB patients. The method was an observational analytic with cross sectional approach. Multistage random sampling was DOT-pulmonary TB patients to decide the district and simple random sampling was assigned to choose the participants, a total of 253 DOT- pulmonary TB patients new case with acid resistant bacilli positive on the advanced phase in this study. The study conducted in five districts in Surabaya City (center, north, south, east and west). Data were collected by questionnaire on variables namely personal, cognitive and affective, nursing intervention, commitment, family supports, health literacy and DOT- autonomy. Structural Equation Modeling (SEM) with LISREL is used for constructing predictive model. Result : This study found a new model which was developed based on combination of Health Promotion Model (HPM) and Health Literacy (HL). Statistical result confirm that personal, cognitive and affective, health literacy and family support considered as important factors in improving DOT-autonomy. Conclusion : DOT- autonomy will improve by considering four main factors, personal, cognitive and affective, health literacy, family support. This model can be adapted by District Health Office Surabaya City as the main actor regional health development. In addition, this model may become a reference for other district in improving their nursing intervention in community setting.</p>
Acute and Chronic Toxicity of Mercury Exposure in Seafood and Human Populations near a Small-Scale Gold Mining Area
Authors: Sofia Sofia , Husodo Adi Heru , Sugiharto Eko 
Published: November 2019

<p>Gold amalgamation processes using mercury were practiced in small scale gold mining activities in Krueng Sabee, Aceh Province. Seafood (fish, mollusc, shrimp) and human hair samples were collected to assess mercury concentrations. Acute and chronic toxicity symptoms which arise among the populations were observed as well as personal protective equipment used by gold miners. The range of mercury concentrations varied among fish, shrimp, and molluscs. The highest mercury levels were recorded in fish <em>Puntius latristriga</em> (172.299 ± 10.626 µg/g wet wt.), followed by mollusc, <em>Polymesoda caroliniana </em> (160,032 ± 0,522 µg/g wet wt.), fish <em>R.kanagurta</em> (149 ±2,000 µg/g wet wt.), shrimp <em>Penaeus monodon</em> (116.975 ± 4.807 µg/g wet wt.). The variation of mercury concentrations in hair samples of 72 respondents were detected from 5.7 µg/g to 88.1 µg/g. The most frequent acute and chronic intoxication symptoms documented were headache, muscle cramps, cough, and aphthous ulcers. Personal protective equipment which has correlation with high mercury levels in gold miners were respirator/mask, gloves, and apparel (p &lt; 0.05). All seafood samples exceeded 0.5 µg Hg/g MoH Food and Drug Administrasion threshold level and hair samples over 10 µg/g as set by WHO tolerance limit.</p>
Determinants Levels of Urinary 8-Hydroxydeoxyguanosine among Chromium Electroplating Workers
Authors: Setyaningsih Yuliani , Astuti Indwiani , Husodo Adi Heru 
Published: November 2019

Electroplating workers were exposed by particulate and fog of chromium from electrolysis process during work. Chromium is highly carcinogenic when inhaled. Chromium can be reduced in the cells in the body. This process may generate Reactive Oxygen Species (ROS) causing lipid peroxidation and oxidative DNA damage. This research was aimed to analyse the influence of chromium to the levels of urinary 8-OHdG as an indicator to support early diagnosis of occupational disease. 66 electroplating workers in Tegal District were taken purposively as samples for this research. There were association between chromium level in urine, malondialdehyde (MDA) level, Body Mass Index, smoking habit, alcohol and supplement drink consumption and urinary 8-OHdG (p&lt;0.05). There was not association between BMI and urinary 8-OHdG (p&gt;0.05). Multivariate analysis using logistic regression showed the alcohol consumption had the most powerful influence to the level of urinary 8-OHdG. The levels of urinary 8-OHdG could be used as an indicator of oxidative DNA damage and early diagnosis of occupational disease among electroplating workers who were exposed by chromium.
Arsenic Exposure to Fish and Shellfish Consumption among Community in Makassar, Indonesia
Authors: Musfirah Musfirah , Damayanty Sri 
Published: November 2019

Fish and shellfish contaminated by Arsenic (As) heavy metals from people activity discharge into the coast. Coastal community was exposure risk by As due to consumption of marine products. This study aimed to determine of human health risks level who consume fish and shellfish that contain As in Kaluku Bodoa and Untia coastal, Makassar. This research designed by observational and Environmental Health Risk Analysis (EHRA) approach. Human sample were 49 people and 8 environmental samples that selected based on certain criteria. Data collected through environmental assestment, interview and anthropometric data measurement. Data analyzed with EHRA methods. The results showed that the highest mean As levels found in<em> Leiognatus equulus</em> fish i.e. 1.589 mg/kg and <em>Gafrarium tumidum</em> shellfish i.e. 4.244 mg/kg of Untia coastal. The mean level of the carcinogenic risk for fish and shellfish consumption were unacceptable because they contain As that demonstrated value of more than exponent 4 (ECR &gt; E-4) and non-carcinogenic risk mean level was value of more than 1 (RQ &gt; 1). Fish and shellfish consumption considered unsafe and will impact health problems for the community. Community should be restrict the frequency and amount of fish and shellfish consumption.
The Level of Malondialdehyde in People Exposed to Air Pollution
Authors: Aguscik Aguscik , Ikob Ridwan , Putra Sumitro Adi 
Published: November 2019

Air pollution cannot be avoided by people especially those living in big cities. Rubber factories and landfill sites are two examples of activities that can trigger air pollution. H<sub>2</sub>S gas produced from rubber factories and landfill sites can create unpleasant smells and air contamination and increase free radicals in environment. This study was to assess the level of oxidative stress in people living near rubber factories and landfill sites. This was cross-sectional study involving 60 people as the study sample. The level of H<sub>2</sub>S gas was measured to determine the presence of air pollution. Blood collected from vena mediana cubiti was drawn to determine the level of malondialdehyde (MDA) as a marker of oxidative stress. Data obtained from this study were analyzed using independent t-test. The levels of H<sub>2</sub>S gas from landfill site were higher than those from rubber factory (0.482 ppm vs. 0.332 ppm). On the other hand, the average level of MDA in people living near the rubber factory was higher than that living near the landfill site (0.847 ± 0.269 nmol/mL vs 0.748 ± 0.253 nmol/mL). It was found no significant difference (p &lt;0.05) in the average levels of MDA between people living near the rubber factory and those living near the landfill site. There was no significant difference in the average levels of oxidative stress between people living near rubber factory and those living near landfill site.
Comparison of blood pressure and blood glucose level among elderly with non-communicable disease
Authors: Sari Ni Putu Wulan Purnama , Artsanthia Jintana 
Published: November 2019

<p>Due to increasing age, elderly are prone to non-communicable diseases (NCD), such as hypertension (HT) and diabetes mellitus (DM). Easy physical condition monitoring of people with HT and/or DM is by measuring their blood pressure (BP) and/or blood glucose level (BGL) periodically. This study aimed to compare and analyze the differences of BP and BGL among elderly with HT and/or DM in Bangkok and Surabaya. This cross-sectional study involved 100 and 96 elderly with HT and/or DM in communities of Bangkok and Surabaya respectively (n=196). There were three groups of samples which consisted of 60 DM, 68 HT, and 68 DM&amp;HT cases. Instruments used were demography questionnaire, sphygmomanometer, and glucometer. Test of one-way ANOVA, Least Significant Difference (LSD), Kruskal-Wallis, and Mann-Whitney U were used for data analysis (α&lt;.05). There was a significant difference of systolic and diastolic BP found between groups (p=.000 and p=.011 respectively), but no difference found between the groups of HT and DM&amp;HT (p=.657 and p=.330 respectively). There was a significant difference of BGL found between groups (p=.002), but no difference found between the groups of HT and DM (p=.075) and between the groups of DM and DM&amp;HT (p=.066). BP is significantly different between the group of HT and DM in term of systole and diastole, especially in elderly, but BGL is similar. The risk of being HT for elderly with DM is very high. Elderly with DM&amp;HT have high BP and BGL similarly to those with single disease of HT or DM. </p>
Pregnant mothers’ knowledge, attitude and practice towards preventions of iron deficiency anemia in Harar town, Ethiopia
Authors: Abdu Abdu Oumer , Hussein Arif H. 
Published: November 2019

<span>Low maternal risk perception, poor dietary practice and low adherence to iron and folate tablets among pregnant women are major contributors for higher burden of anemia. Iron deficiency anemia contribute to more than half of Anemia among pregnant women. Thus the level of maternal awareness and attitude towards dietary and other prevention practices of anemia are not well established in the study area. This study was to assess knowledge, attitude and practice of pregnant mothers towards the prevention of iron deficiency anemia in Ethiopia, 2018. Hospital based cross sectionals study was conducted on randomly selected, 128 pregnant mothers attending antenatal care service in Harar town. Data were collected by health professionals using pre tested questionnaire containing socio demographic, knowledge, attitude and practice related questions. Attitude questions were organized in five </span><span lang="IN">L</span><span>ikert scale from strongly disagree to strongly agree using positive statements. Similarly, practices were assessed in yes/no (appropriate practices were scored as yes or no otherwise). Data was analyzed using SPSS version 20 using frequency, tables, graphs and means. Pearson correlation with r was used to assess the relationship between knowledge, attitude and practice. Analysis of Variance was used to compare the mean practice by different factors. Knowledge, attitude and practice of pregnant women on preventions of IDA are not satisfactory. Thus poor practice towards prevention of IDA is the main contributing factor for high burden of anemia. </span>
Prognostic Implications of Global Longitudinal Strain by Feature-Tracking Cardiac Magnetic Resonance in ST-Elevation Myocardial Infarction
Authors: Reindl Martin , Tiller Christina , Holzknecht Magdalena , Lechner Ivan , Beck Alexander , Plappert David , Gorzala Michelle , Pamminger Mathias , Mayr Agnes , Klug Gert , Bauer Axel , Metzler Bernhard , Reinstadler Sebastian J. 
Published: November 2019

Background:
The high accuracy of feature-tracking cardiac magnetic resonance (CMR) imaging qualifies this novel modality as potential gold standard for myocardial strain analyses in ST-elevation myocardial infarction patients; however, the incremental prognostic validity of feature-tracking-CMR over left ventricular ejection fraction (LVEF) and myocardial damage remains unclear. This study therefore aimed to determine the value of myocardial strain measured by feature-tracking-CMR for the prediction of clinical outcome following ST-elevation myocardial infarction.

Methods:
This prospective observational study enrolled 451 revascularized ST-elevation myocardial infarction patients. Comprehensive CMR investigations were performed 3 (interquartile range, 2–4) days after infarction to determine LVEF, global longitudinal strain (GLS), global radial strain, and global circumferential strain as well as myocardial damage. Primary end point was a composite of death, re-infarction, and congestive heart failure (major adverse cardiac events [MACE]).

Results:

During a follow-up of 24 (interquartile range, 11–48) months, 46 patients (10%) experienced a MACE event. All 3 strain indices were impaired in patients with MACE (all
P
<0.001). However, GLS emerged as the strongest MACE prognosticator among strain parameters (area under the curve, 0.73 [95% CI, 0.69–0.77]) and was significantly better (
P
=0.005) than LVEF (area under the curve, 0.64 [95% CI, 0.59–0.68]). The association between GLS and MACE remained significant (
P
<0.001) after adjustment for global radial strain, global circumferential strain, and LVEF as well as for infarct size and microvascular obstruction. The addition of GLS to a risk model comprising LVEF, infarct size, and microvascular obstruction led to a net reclassification improvement (0.35 [95% CI, 0.14–0.55];
P
<0.001).

Conclusions:
GLS by feature-tracking-CMR strongly and independently predicted the occurrence of medium-term MACE in contemporary revascularized ST-elevation myocardial infarction patients. Importantly, the prognostic value of GLS was superior and incremental to LVEF and CMR markers of infarct severity.
Short-Term Prognostic Impact of Arterial Stiffness in Older Adults Without Prevalent Cardiovascular Disease
Authors: Kim Esther D. , Ballew Shoshana H. , Tanaka Hirofumi , Heiss Gerardo , Coresh Josef , Matsushita Kunihiro 
Published: November 2019

Arterial stiffness, represented as carotid-femoral pulse wave velocity (cfPWV), predicts cardiovascular disease (CVD). In older populations, however, this association seems attenuated. Moreover, the prognostic values of pulse wave velocity at different arterial segments and newer parameters like cardio-ankle vascular index (CAVI) remain unclear, especially in US older adults.
In 3034 Atherosclerosis Risk in Communities (ARIC) study participants (66–90 years) without CVD, we examined the associations of 4 pulse wave velocity measures (cfPWV, heart-femoral, brachial-ankle, heart-ankle) and 2 new measures of arterial stiffness (CAVI and cardio-femoral vascular index derived from heart-ankle and heart-femoral, respectively) with incident CVD (coronary disease, stroke, and heart failure) and all-cause mortality.
Over a median follow-up of 4.4 years, there were 168 incident CVD events and 244 deaths. Overall, stiffness measures did not show strong associations with CVD, except cfPWV, which demonstrated a J-shaped association even after adjusting for potential confounders (hazard ratio, 1.83 [95% CI, 1.08–3.09] in top quartile and 1.97 [1.14–3.39] in bottom quartile versus second bottom quartile). When each CVD was examined separately, heart failure was most robustly associated with higher cfPWV, and stroke was strongly associated with lower cfPWV. There were no significant associations with all-cause mortality.
Among different measures of pulse wave velocity, cfPWV showed the strongest associations with CVD, especially heart failure, in older adults without CVD. Other pulse wave velocity measures had no strong associations. Our findings further support cfPWV as the index measure of arterial stiffness and the link of arterial stiffness to heart failure development but also suggest somewhat limited prognostic value of arterial stiffness in older adults overall.
Change in Blood Pressure Variability Among Treated Elderly Hypertensive Patients and Its Association With Mortality
Authors: Chowdhury Enayet K. , Nelson Mark R. , Wing Lindon M. H. , Jennings Garry L. R. , Beilin Lawrence J. , Reid Christopher M. , Bruce A. , Beckinsale P. , Thompson J. , McMurchie M. , Fraser G. , Gleave D. , Cope V. , DeLooze F. , Moore S. , Dibben C. , Newbury J. , McDermott B. , Willson K. , Bear C. , Harrap S. , Johnston C. , Ryan P. , Brown M. , Ryan P. , Fletcher P. , Feneley M. , Dewar E. , Marley J. , Marley J. , Moss J. , Webb P. , Glasziou P. , Boyle F. , Primrose J. , Piterman L. , De Looze F. , Dickinson J. , Gambrill J. , Joseph P. , Donnan G. , Morgan T. , Whitworth J. , MacMahon S. , Silagy C. 
Published: November 2019

Background

Information is scarce regarding effects of antihypertensive medication on blood pressure variability (
BPV
) and associated clinical outcomes. We examined whether antihypertensive treatment changes
BPV
over time and whether such change (decline or increase) has any association with long‐term mortality in an elderly hypertensive population.

Methods and Results

We used data from a subset of participants in the Second Australian National Blood Pressure study (n=496) aged ≥65 years who had 24‐hour ambulatory blood pressure recordings at study entry (baseline) and then after a median of 2 years while on treatment (follow‐up). Weighted day‐night systolic
BPV
was calculated for both baseline and follow‐up as a weighted mean of daytime and nighttime blood pressure standard deviations. The annual rate of change in
BPV
over time was calculated from these
BPV
estimates. Furthermore, we classified both
BPV
estimates as
high
and
low
based on the baseline median
BPV
value and then classified
BPV
changes into

stable: low
BPV

,

stable: high
BPV

,
decline: high to low
, and
increase: low to high
. We observed an annual decline (mean±
SD
: −0.37±1.95; 95% CI, −0.54 to −0.19;
P
<0.001) in weighted day‐night systolic
BPV
between baseline and follow‐up. Having constant stable: high
BPV
was associated with an increase in all‐cause mortality (hazard ratio: 3.03; 95% CI, 1.67–5.52) and cardiovascular mortality (hazard ratio: 3.70; 95% CI, 1.62–8.47) in relation to the stable: low
BPV
group over a median 8.6 years after the follow‐up ambulatory blood pressure monitoring. Similarly, higher risk was observed in the decline: high to low group.

Conclusions

Our results demonstrate that in elderly hypertensive patients, average
BPV
declined over 2 years of follow‐up after initiation of antihypertensive therapy, and having higher
BPV
(regardless of any change) was associated with increased long‐term mortality.