bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical profile and outcomes of neovascular glaucoma in the era of anti-vascular endothelial growth factor
Authors: Malgi Vishwesh Sirish , Gawas Lisika , Iyer Archana Suresh , Rao Aparna 
Published: October 2021

Purpose:
To report the clinical profile and visual impairment in various stages of neovascular glaucoma (NVG) at a tertiary eye center in East India.

Methods:
The electronic medical records of the hospital database of patients with neovascular glaucoma seen between 2013 and 2020 were reviewed. Gonioscopic details were used to stratify patients into nonspecified NVG (Group 1), open-angle NVG (Group 2), and closed-angle NVG (Group 3). The clinical profile, angle features, cause of NVG, systemic associations, visual impairment, and blindness (defined as logarithm of the minimum angle of resolution, LogMar >1.3 at baseline and at final follow-up), and outcomes of medical/surgical interventions were compared between the three groups.

Results:
Of 846 eyes of 810 patients with NVG (Group 1, n = 564 eyes, Group 2, n = 61 eyes, and Group 3, n = 220 eyes), at baseline, the blindness rates in Groups 3 and 2 were 90 and 75%, respectively. The time from a previous intervention to the onset of NVG ranged from 3 to 5 months, while the median duration of NVG was about 4–4.5 months (0.03–120 months). Multivariate regression identified a longer duration of NVG as the only variable associated with poor final visual acuity.

Conclusion:
Visual morbidity by NVG remains as high as 75–90% in developing countries, even with the availability of anti-VEGFs and after improved management/investigative at all stages.
Identification of glaucoma from fundus images using deep learning techniques
Authors: Ajitha S , Akkara John D , Judy M V 
Published: October 2021

Purpose:
Glaucoma is one of the preeminent causes of incurable visual disability and blindness across the world due to elevated intraocular pressure within the eyes. Accurate and timely diagnosis is essential for preventing visual disability. Manual detection of glaucoma is a challenging task that needs expertise and years of experience.

Methods:
In this paper, we suggest a powerful and accurate algorithm using a convolutional neural network (CNN) for the automatic diagnosis of glaucoma. In this work, 1113 fundus images consisting of 660 normal and 453 glaucomatous images from four databases have been used for the diagnosis of glaucoma. A 13-layer CNN is potently trained from this dataset to mine vital features, and these features are classified into either glaucomatous or normal class during testing. The proposed algorithm is implemented in Google Colab, which made the task straightforward without spending hours installing the environment and supporting libraries. To evaluate the effectiveness of our algorithm, the dataset is divided into 70% for training, 20% for validation, and the remaining 10% utilized for testing. The training images are augmented to 12012 fundus images.

Results:
Our model with SoftMax classifier achieved an accuracy of 93.86%, sensitivity of 85.42%, specificity of 100%, and precision of 100%. In contrast, the model with the SVM classifier achieved accuracy, sensitivity, specificity, and precision of 95.61, 89.58, 100, and 100%, respectively.

Conclusion:
These results demonstrate the ability of the deep learning model to identify glaucoma from fundus images and suggest that the proposed system can help ophthalmologists in a fast, accurate, and reliable diagnosis of glaucoma.
A cross-sectional study on health-seeking behavior in relation to reproductive tract infection among ever-married rural women in Kancheepuram district, Tamil Nadu
Authors: Surya B , Shivasakthimani R , Muthathal S , Prakash B , Loganathan S , Ravivarman G 
Published: October 2021

Introduction:
Reproductive tract infection (RTI) is the infection of the reproductive tract. Due to the hesitation in reporting the symptoms and receiving the treatment from the health centers, there is a significant dropout. The health care-seeking actions of the women reflects the attentiveness of the disease in that community and the inadequacy of the health care facility. Since the women from the rural area belongs to high-risk group for RTI, this study was conducted with the objective to assess the health care-seeking behavior about reproductive tract infection among rural women in the reproductive age group in Kancheepuram district, Tamil Nadu. Primary care physicians play a vital role in improving health care system, assessing the health-seeking practice helps in improvement and decision making and implementing.

Methods and Material:
A community-based cross-sectional study was conducted in the rural field practice area of Chettinad hospital. A sample size of 330 was arrived by multi-stage random sampling and population proportion to size method. Data was collected using a standardized questionnaire of DLHS- 4 on RTI/STI. Data entered in MS-EXCEL and analyzed using SPSS version 21 and results interpreted.

Results:
The prevalence of RTI was found to be 50.3%. 60.8% of the affected females received treatment with majority of them in the group following home remedies. Significant association was noted between treatment seeking behavior, age, and the socioeconomic status (P- < 0.05).

Conclusions:
The women in the reproductive age group in the rural areas should be provided with regular health education regarding the symptoms of the RTI and also motivate them to seek appropriate treatment.
Assessment of Health-promoting Lifestyle Profile in Undergraduate Medical Students of a Medical College
Authors: Tapare Vinay Shridhar , Borle P. S. , Parande Malangori Abdulgani , Sakore Deepika , Ingole Sandhya , Salunke Jayshree , Gajbhiye Sandhya 
Published: October 2021

Introduction:
According to the available statistics, 53% of deaths are related to lifestyle. The aim of this study was to evaluate health-promoting lifestyles in medical students of a medical college of Western Maharashtra, India. Objectives: To determine the health-promoting lifestyle behaviours among undergraduate medical students and to find out sociodemographic determinants of HPLP.

Material and Methods:
This cross-sectional study was performed on 307 undergraduate medical students. Health Promotion Lifestyle Profile Proforma (HPLP)was prepared which consists of two parts, Part I deals with the sociodemographic characteristics of the participants and Part II of the proforma deals with Health-promoting lifestyle information which was a modified version of HPLP II. It consists of 46 items divided into 7 subscales. Permission of Institute Ethical Committee was taken. Data was analyzed by using analysis of variance (ANOVA) and Mann Whitney test and predictors were determined by multiple linear regression analysis.

Results:
Medical students of this Institute showed good level of health-promoting lifestyle in total HPLP II score. The overall HPLP-II mean score and all subscales of HPLP except interpersonal relations were significantly more among the first and third year students than 2nd year students. Female students practiced significantly better food practices while Male students showed a significantly higher level of physical activity and self-concept. Income was the significant predictor of overall HPLP; age was the significant predictor of Health responsibility, sex and income were the significant predictor of physical activity, sex, living with family and income were significant predictor for food practices; sex, living with family were predictors of spiritual growth; BMI and income as a predictors for Interpersonal relations; and age was a predictor for stress management.

Conclusion:
The study results showed that Medical college students in Pune had reasonably good orientation towards health promoting practices.
Bone Marrow Failure Disease and Head-and-Neck Squamous Cell Carcinoma in King Faisal Specialist Hospital and Research Center in Riyadh
Authors: Jebreel Alaeddin , Alayed Rawan Salem , Al-Soufi Rahaf M. Bashar , Farahat Rana Hani 
Published: October 2021

Objective:
This study aims to look at bone marrow failure disease patients who presented to our center, as to analyze the presentation and possible ways to improve the survival outcome in these cases.

Methods:
This was a retrospective chart review study.

Results:
In our series, most of the head-and-neck squamous cell carcinomas (HNSCCs) were found in Fanconi anemia (FA) patients, and most are located within the oral cavity, most frequently at the tongue margins and the gingival areas. These tumors arise in both male and female bone marrow failure disease patients without a prior history of excessive tobacco and alcohol use. Even if a patient presents at an early stage, there are frequent relapses. The highly aggressive nature of the tumors is reflected by poor survival, amounting to <2 years. FA is a rare but well-studied inherited disorder that is clinically characterized by progressive bone marrow failure, congenital malformations, and increased incidence of malignancies, especially acute myeloid leukemia and squamous cell carcinomas (SSCs) of the head and neck. Greatly improved protocols for stem cell transplantation increasingly save the lives of these young patients. However, in both transplanted and not transplanted patients, the emergence of aggressive SSC represents a major medical challenge. Noninvasive screening options, including frequent self-examination and inspection by a medical team, should lead to early detection and treatment. Standard platinum-based chemotherapy in combination with radiotherapy cannot be used in FA patients due to therapy-associated toxicities and mortalities even with reduced dosing. Therefore, surgery is the most important treatment option for HNSCC in bone marrow failure disease patients and requires an early and efficient detection of malignant lesions.

Conclusion:
So far, no uniform treatment protocol for the management of HNSCCs in FA patients exists. Therefore, we propose that the information on affected FA patients should be collected worldwide, practical therapeutic guidelines developed and national treatment centers established.
Retrospective Review of Outcomes of Thyroid Surgeries Performed Over 4 Years at a Single Center
Authors: Alghamdi Thamer , Alabidi Abdulaziz , Aly Mohammed Gamal 
Published: October 2021

Context:
Thyroid surgery may have severe postoperative complications; however, there is a lack of national data on its outcomes in Saudi Arabia.

Aims:
The aim of this study was to improve practice and develop efficient pre- and postoperative data.

Settings and Design:
A retrospective review of the medical files of 277 patients undergoing thyroidectomy, including total thyroidectomy, hemithyroidectomy, and completion thyroidectomy, for various indications at a single center from January 2016 to December 2019 was performed.

Materials and Methods:
The demographic and histopathological data and surgical outcomes were recorded.

Statistical Analysis:
Only descriptive statistics were used.

Results:
A total of 198 (71.4%) patients were female and 79 (28.5%) were male. Benign lesions were observed in 65.6% of the patients, while 34.4% of the patients had malignant lesions. Papillary thyroid carcinoma was the most common malignant pathology, followed by follicular thyroid carcinoma, medullary carcinoma, and mucosa-associated lymphoid tissue lymphoma. The total complication rate was 17.3%, and 81.2% of the complications occurred in females. Temporary hypocalcemia developed in 9% of the patients and permanent hypocalcemia in 2.9%. A postoperative hematoma occurred in 1.1%. Temporary and permanent recurrent laryngeal nerve injuries were recorded in 2.9% and 1.4% of the patients, respectively.

Conclusions:
Thyroidectomy is a safe and effective surgical procedure, and the results obtained in this study were similar to data in the literature. Auditing and reporting of the surgical outcomes of thyroidectomy at our institute and other national centers could help establish national guidelines that will improve these outcomes and ensure patient safety.
Clinical Profile of Polycystic Ovarian Syndrome Patients In Tertiary Care Hospital
Authors: Gavali Dr. Urmila , Pawar Dr. Mayuri , Aher Dr. Gautam , Shinde Dr. Suhas 
Published: October 2021

ABSTRACT:
Background: Polycystic ovarian syndrome (PCOS)is common gynecological endocrinopathy characterized by chronic anovulation and hyperandrogenism affecting 5-10% of women worldwide. It is a heterogenous, multifactorial, complex genetic disorder with uncertain etiology and is one of the most common treatable cause of infertility.
AIM: To study the various clinical presentations in polycystic ovarian syndrome.
MATERIALS AND METHODS: Present study is cross sectional observational study carried out in tertiary care centre. This study was performed in the Out Patient Department of Obstetrics and Gynecology.
RESULTS: The mean age of 41 patients in the study was 23.6 years. Most common presenting symptom in patients is menstrual irregularities (89%) followed by infertility and hirsutism. USG (abdo+pelvis) showing polycystic ovarian syndrome ovaries. Around 39% patients with PCOS developed insulin resistance.
KEYWORDS: - Amenorrhea, Infertility, Oligomenorrhea, Polycystic Ovarian Syndrome.
Primary Autoimmune Hemolytic Anemia Due To Warm Reactive Autoantibodies: A Rare Case Report
Authors: Shinde Dr. Abhijit , Shinde Dr. Sonal , Dr. Sushrut Kumar  , Kothari Dr. Ramesh , Mhaske Dr. Sneha 
Published: October 2021

Autoimmune hemolytic anemia (AIHA) is an acquired form of hemolytic anemia in which autoantibodies target red blood cell (RBC) membrane antigens, inducing cell rupture (lysis). It affects both pediatric and adult populations, although its presentation in childhood is relatively rare, with the annual incidence estimated to be approximately 0.8 per 100,000 individuals under 18 years old [3]. Here we report one such a rare case of autoimmune hemolytic anemia due to primary warm reactive autoantibodies in a 3 year old female child. As there was presence of hemolysis in peripheral blood smear & other investigations also, Direct coomb’s test was done & it came out to be positive which was suggestive of autoimmune hemolytic anemia, as following lab reports are suggestive of continuous destruction of RBC & after introduction of steroids parameters of hemolysis came out to be normal suggestive of warm reactive autoantibodies type of AIHA. Clinically also patient improved & her urine colour also became normal after when prednisolone started. Patient also did not have any features of secondary causes of warm autoantibody like Systemic lupus erythematous, immunodeficiency disorders, ulcerative colitis & lymphoproliferative disorders so it was considered primary or idiopathic. W-AIHA tends to have a chronic course and is not expected to subside without treatment. It can be a fatal disease, with a mortality rate of up to 4% in children, either because of the acuity of the presentation or because of being refractory to treatment and requiring multiple lines of therapy with frequently associated toxicity [14]. Fortunately our patient responded to steroid therapy.
Measurement of noise in a service center of the automotive sector
Authors: Solarte Andersson Alexander Diaz , Holguin Jhon Hamilton Urrego , Alzate Diego Alejandro Ruiz , Lopez Fernando García , Zapata Julian Andres Estrada 
Published: October 2021

In this article, the apprentices of the IDAMA Research Seedbed (Research in Automotive Development and the Environment) of the SENA Automotive Mechatronics Maintenance Technology training program of the Advanced Manufacturing Technology Center of the Antioquia Region, intend to outline the project of noise measurement in a service center of the automotive sector with the purpose of qualifying the operating environment of the technicians involved in the corrective and preventive maintenance processes of vehicles of all types.

En este artículo, los aprendices integrantes del semillero de investigación IDAMA (Investigación en Desarrollo Automotriz y Medio Ambiente) del programa de formación de Tecnología en Mantenimiento Mecatrónico de Automotores del SENA del Centro de Tecnología de la Manufactura Avanzada de la Regional Antioquia, pretenden esbozar el proyecto de medición de ruido en un centro de servicios del sector automotriz con el propósito de cualificar el ambiente de operaciones de los técnicos involucrados en los procesos de mantenimiento correctivo y preventivo de vehículos de todo tipo.
Tackling the silent epidemic of Type-I Diabetes Mellitus (Type-1 DM) through National Health Programmes- A narrative review of available evidence
Authors: Bera Om Prakash , Shah Vandana , Bhattacharya Sudip , Saleem Sheikh Mohd 
Published: October 2021

Type 1 diabetes mellitus (T1DM) is an autoimmune ?-cell destruction, usually leading to absolute insulin deficiency, insulin resistance, or by a combination of both. Both the incidence and prevalence of diabetes T1DM is suspected to be high in India, but in the absence of nation-wide registry, the possibility of exact numbers is unsure. Till date, studies done among the population have seen prevalence more than the incidence of the disease, which has led to late screening and diagnosis of the disease within the community settings. India is already suffering from the burden of type 2 DM, in the process of screening those, patients with T1DM are somewhat getting ignored. Furthermore, cost associated with the treatment expenditure and social status of the people suffering from the disease too have a role to consider which has been totally side-lined in national programmes like National Program for Control of Diabetes, Cardiovascular disease, and Stroke (NPCDCS). There is also scarcity of data on the incidence of T1DM which could aid in formulating better policy avenues for the patients suffering from the disease. Reports on trends in T1DM are more commonly available from countries with better established public health surveillance systems and diabetes research infrastructure. From India, due to scarcity of data on T1DM, we had to rely on published literature of some major centers across the country. Results from the Indian Council of Medical Research (ICMR) first phase, till July 2011 which included 5546 patients found T1DM among 63.9% cases and predominately among children; at registration 11.1% had already developed chronic complication of T1DM. As India is already suffering from the burden of type 2 DM, during current management and treatment, the problem lies at various levels which needs to be addressed. We propose a setting based, life course approach for T1DM where every age group will have access to the health care system either directly or indirectly from intra-natal life till elderly age group through health approach based on scientific methods delivered through health system. In this regard a central registry having enumeration and provisioning of mandatory Insulin to all through a national policy being implemented by NPCDCS is what policy makers must take up at urgent bases if we want to bend the curve of rising T1DM and prevalence of overall diabetes in India.
Peer Pressure of Publishing or Perishing (PPPP)
Authors: Gupta Divya 
Published: October 2021

Researchers create or improvise knowledge by innovating concepts, methods and/or interpretations. Scientific research and scientific writing seem to be inseparable in this modern world for professional existence. Publications are important to give a thrust and positive boost up in your career. Since last decade, research has taken a new horizon. Medical schools and universities frequently use the quantification of publication as the measure of a scholar’s academic competency. Publications are an essential and sometimes the sole criteria considered during recruitments. The numerical value of the published work is taking a leap step ahead of the quality of research. Scholars, who do not have the aptitude of publishing frequently or who focus more on their clinical work and teaching activities to shape up the undergraduates’ and postgraduates’ future, may find themselves out of this professional race. Each individual faculty of the medical institutions is unique research scholar. There is an upcoming trend that unless they pen down their research, they will be undervalued in the academic workplace. This undue “Peer Pressure of Publishing or Perishing” is floating as the new “Catch Phrase” of the professional era.
O PAPEL DA ENFERMAGEM NOS CUIDADOS PALIATIVOS A PACIENTES ONCOLOGICOS: UMA BREVE REVISÃO
Authors: Silva Soares Mateus , Pereira da Silva Marques Victor Guilherme , Alves de Sousa Santos Allan Bruno , Cordeiro Mikaelly , Sousa Almeida Antonia Mylene , Conceição de Souza Anna Beatriz , Dos Santos Sousa Francisco Wagner , Cerqueira de Albuquerque Gabriela , De Siqueira Santos Mariana 
Published: October 2021

Resumo
Os cuidados paliativos é uma assistência prestada em pacientes sem opção terapêutica que lhe proporcione a cura, prever como principal alvo a qualidade de vida, bem-estar para esse público e a enfermagem tem papel fundamental nessa parte esclarecendo duvidas e apoiando a família e o paciente em sua tomada de decisão estudo visa destacar a importância dos cuidados de enfermagem em atendimento ao cliente terminal. A presente pesquisa, trata-se de uma revisão do tipo integrativa de caráter qualitativo. A assistência integral a saúde em cuidados paliativos vai muito além do cuidado assistências, focando somente no paciente ou na doença que lhe comprometeu, mas no geral, principalmente os que estão domiciliados existe um envolvimento maior da família, a assistência prestada no seu recinto deve pensar no bem-estar do paciente e de uma forma indireta na família. Concluímos que os enfermeiros prestam cuidados paliativos são algumas das formas mais complexas do atendimento dos profissionais, pois seu cuidado deve ser acima de tudo ético e humanizado, com respeito, seguindo ao máximo os princípios dignidade para preservação do paciente e da família nessa fase crítica que estão passando os envolvidos.
Risk Management Application in an Oil and Gas Company for Projects
Authors: AlNoaimi Fatema Abdulla , Mazzuchi Thomas  A. 
Published: October 2021

Oil and gas projects are at high risk and the reasons can be the adoption of complex technology, participation of different parties, etc. Oil and gas industries are often vulnerable to risks and hazards, but they overcome these problems by following tools and techniques of risk management, which results in employee and organizations safety. Based on the facts, this research report aims to evaluate and identify the risk management strategies and procedures and assess the efficiency of risk management tools in the Oil and Gas Company in the Kingdom of Bahrain. The survey was conducted among two groups using quantitative as well as qualitative methods. One hundred twenty-four participants comprising of Engineers, Superintendents, Fire and Safety Officers, HR Managers, Health and Safety Environment Officers were among the respondents of the Survey Questionnaire. For the semi-structured interview, managers from supply and marine, Operation Specialist, Acting Manager of Health, Safety and Environment (HSE), Managers of Operational Plant Department were selected. The data collected through the survey question was analyzed using statistical analysis. The data collected through the survey questions were later imported to IBM SPSS (Statistical Package for Social Science) version 23.0 and performed descriptive analysis to explain the participants’ characteristics, discrete variables expressed as frequencies and percentages and continuous variables expressed as mean and SD. The reliability of the instrument was assessed using Cronbach’s alpha. This research indicated that around 56 % of the engineers and majority of the participating managers agree and strongly agree that the company has the Oil and Gas Company in the Kingdom of Bahrain have has implemented several safety precautions, training, and appropriate risk management tools to ensure the safety of the employees and work to eliminate any risk which could be hazardous to life and property.