bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Profiles and Surgical Outcomes of Strabismus Following Orbital Wall Fractures: A Large Cohort From a Tertiary Eye Care Center
Authors: Bhate Manjushree , Deshmukh Ajinkya , Bothra Nandini , Kekunnaya Ramesh , Badakere Akshay , Sharma Abhimanyu 
Published: December 2021

Purpose:
To evaluate the demographic details, clinical presentation, and surgical outcomes in patients presenting with strabismus following orbital wall fractures.

Methods:
A retrospective review was conducted over a 6-year period on 347 consecutive patients with strabismus who presented after orbital wall fractures. The patients were evaluated for their demographic data, clinical presentation, and profiles, management, complications, and outcomes of strabismus.

Results:
Strabismus following orbital wall fractures was noted in 347 patients: 87.03% were men (n = 302) and 12.97% were women (n = 45). Fracture of the orbital floor in isolation or in combination with other walls was more frequently noted in 72.3% of patients (n = 251). The resultant strabismus included paralytic, restrictive, or both etiologies. Exotropia was noted most frequently in 25.65% of patients (n = 89), followed by exotropia with hypotropia in 20.75% of patients (n = 72). Ten percent of patients with strabismus (n = 34), who were observed for at least 6 months after injury, underwent surgical correction for strabismus. Preoperative diplopia was observed in 79.41% of patients (n = 27) and persisted after strabismus surgery in 15% of patients (n = 6). A successful outcome regarding the postoperative angle of deviation of 10 prism diopters or less horizontal and/or 5 prism diopters or less of vertical deviation with elimination of diplopia was observed in 41.17% of patients.

Conclusions:
Strabismus following orbital wall fractures is complex and requires a tailored strategy. The current study found the orbital floor to be more frequently involved in orbital wall fractures. However, the resultant strabismus was a combination of paralytic and restrictive etiologies.

[
J Pediatr Ophthalmol Strabismus
. 2022;59(3):172–179.]
Is YouTube a Useful Tool for Trainees in Pediatric Cataract Surgery?
Authors: Fouzdar Jain Samiksha , Eggleston Connor , Larson Scott A. , Suh Donny W. 
Published: December 2021

Purpose:
To determine the utility of surgical videos published on YouTube (Google) as resources for trainee education in pediatric ophthalmology, the authors assessed the surgical proficiency, patient care, and video quality displayed in the published YouTube content.

Methods:
The 10 most highly viewed pediatric and congenital cataract procedural videos published within the past 10 years were independently reviewed by three separate board-certified, fellowship-trained, practicing pediatric ophthalmologists. Videos were assessed for surgical competency on a 5-point Likert scale in six key areas as outlined in the American Academy of Ophthalmology's congenital cataract surgery guidelines. The teaching quality of the videos was also subjectively assessed based on multiple measures.

Results:
The mean overall score was 3.93 ± 0.94 (range: 2.67 to 4.67). Only one video failed to receive an overall score of greater than 3, indicating incompetent overall surgical performance. No other video failed to have a mean competent score for any single individual technique. One video demonstrated potential patient safety concerns. Eighty percent of videos had adequate or better picture quality.

Conclusions:
Of the 10 most popular pediatric cataract surgical videos published on YouTube, all but one displayed competent overall surgical technique. Although viewers must always be wary because unvetted and potentially harmful videos may be published on the platform at any time, if used correctly, surgical content published on YouTube can be a helpful tool for ophthalmologic trainees.

[
J Pediatr Ophthalmol Strabismus
. 2022;59(3):200–203.]
Conhecimento de gestores e profissionais da rede de atenção psicossocial sobre matriciamento em saúde mental
Authors: Vasconcelos Marilena Silva de , Barbosa Valquiria Farias Bezerra 
Published: December 2021

Objetivo: Identificar o conhecimento dos gestores e profissionais de saúde de um município do sertão pernambucano sobre o apoio matricial em saúde mental. Métodos:Trata-se de um estudo descritivo,de abordagem qualitativa, realizado no período de outubro de 2017 a janeiro de 2018. Foram entrevistados dez profissionais da Rede de Atenção Psicossocial municipal, por meio de um roteiro semiestruturado. A análise do conteúdo das entrevistas foi desenvolvida segundo o método de análise textual discursiva. Resultados: Evidenciaram-se lacunas de conhecimento sobre matriciamento e dificuldades para reconhecer as ações de saúde mental que devem ser desenvolvidas na Atenção Primária à Saúde. A formação acadêmica deficitária de gestores e profissionais de saúde influencia negativamente o seu conhecimento conceitual e a sua habilidade de implementar ferramentas de matriciamento em saúde mental. As principais dificuldades para matriciar foram a falta de participação dos profissionais, o estigma da pessoa portadora de transtorno mental, assim como limitações no dimensionamento de recursos humanos, carga horária de trabalho e infraestrutura dos serviços de saúde. Considerações finais:As ações de educação permanente são importantes recursos de superação dessas problemáticas, potencializando a expansão das práticas matriciais.
Spirituality as intrinsic motivational factor and health related quality of life among hospitalized male patients practicing Hinduism in India
Authors: Nandika Suhasini Reddy , Nagalakshmi K. 
Published: December 2021

Introduction:
Intrinsic motivation denotes doing an activity for itself and deriving pleasure and satisfaction from involvement. Intrinsic spirituality as the most important motive or driving factor in a person's life has a significant influence on the perception of one's own physical and psychological health, social relationships, and environmental health.

Aim:
The study aims to investigate the influence of intrinsic spirituality as a motivational factor on the dimensions of health-related quality of life (HRQoL) among hospitalized patients.

Materials and Methods:
Three hundred and sixty-seven patients admitted to a tertiary hospital were selected by stratified random sampling from different medical and surgical wards. Patients comprised Hindu male patients, mean age 36 (standard deviation = 13.2) years suffering from either medical or surgical disorders of minor-to-moderate intensity. Measures of Intrinsic Spirituality Scale and WHOQOL-BREF were administered to assess their intrinsic spirituality and the four dimensions of HRQoL, namely physical and psychological health, social relationships, and environmental quality of life. Data of 325 patients (42 participants eliminated in data cleaning process) were analyzed using SPSS version 25 for Pearson's correlation, and regression analysis.

Results:
Higher scores on intrinsic spirituality were found to be positively impact overall quality of life and general health (r = 0.169, P = 0.002; ß =0.180, P = 0.001), psychological health (r = 0.149, P = 0.007; ß =0.151, P = 0.006), social relationships (r = 0.123, P = 0.026; ß =0.133, P = 0.016), and environmental health perception (r = 0.211, P = 0.000; ß =0.22, P = 0.000) and were not significantly correlated with physical health perception (r = 0.091, P = 0.10; ß =0.093, P = 0.094).

Conclusion:
Spiritual motivation significantly predicts better psychological, social, and environmental health perception among hospitalized male Hindu patients. Realistic perception with respect to physical health is also reflected in this study.
Students’ perceptions on newly designed foundation course at MBBS entry level
Authors: Bhatnagar Kavita R , Oberoi Aroma 
Published: December 2021

Background:
Selection of students to medical colleges is based on merit of candidate at written entrance examination which does not take care of nonscholastic abilities of the students. Medicine is a profession that requires not only mastery of large body of knowledge and clinical skills but also high standards of professionalism and appropriate attitudes.

Methodology:
A 1-month long foundation course was conducted for the fresh students admitted to MBBS course at Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, India. Seventy-four students had joined the course. The course was planned, arranged, and executed by the department of Medical Education Unit. It included six modules. Retrospective pre- and postevaluation was done for knowledge, skill, and attitude. Wilcoxon signed-rank test was used for all pair-wise comparisons. Participants also completed a questionnaire (Likert scale and some open-ended items) about educational quality of sessions and utility of the course. Descriptive statistics and qualitative methods were used for data analysis.

Results and Conclusion:
Response rate was 100%. Students perceived foundation course as an excellent opportunity to acquire basic knowledge, attitude, and skills required for subsequent phases in MBBS course. This Foundation Course enhanced their orientation to the curriculum and campus, boosted confidence to cope up with the challenging syllabus, helped them develop time and stress management skills, and also sensitized them to achieve the highest standards of morale required to ensure ethical practice.
Efficacy of Computed Tomography-Guided Biopsy in Vertebral Lesions
Authors: Kumar Virender , Beniwal Rajpal , Kundu Zile Singh , Kundu Ankush , Naqvi Muhammad , Arora Kunal , Sihag Ravi 
Published: December 2021

Background:
A wide variety of lesions involve spine, spectrum including vascular lesions, metabolic diseases, infections, and tumors. Magnetic resonance imaging with its multiplanar capabilities, high soft tissue, and contrast resolution plays a pivotal role in the characterization, diagnosis, and differentiation of these lesions. However, a definitive diagnosis based solely on radiological and laboratory investigations is not always possible, particularly in differentiating primary and metastatic tumors, specific and nonspecific infections, and metabolic diseases. Accurate diagnosis of spine lesions is important for its successful management. Therefore, a biopsy is generally necessary for accurate diagnosis.

Materials and Methods:
The present study was conducted in the Department of Orthopaedics in collaboration with the Department of Radiodiagnosis and Pathology, Pt. B. D. Sharma PGIMS, Rohtak. Eighty-seven patients of clinically and radiologically undiagnosed vertebral lesions will be underwent computed tomography scan-guided core-needle biopsy between July 2016 to May 2018.

Results:
Patients were of the age group from 38 to 90 years with the mean age of 56.69 ± 12.93 years with significant male preponderance. Posterolateral approach was most commonly used at dorsal and lumbar sites, whereas lateral approach was only used at sacral site. The most common approach used was posterolateral approach (51 patients), followed by transpedicular approach (33 patients), while lateral approach (3 patient) was least preferred. Transpedicular approach was found to be most accurate in our study irrespective of the spinal site ([dorsal – 83.33%], [lumbar – 100%]). Out of 87 biopsies, 66 were diagnostic and 21 were nondiagnostic (dorsal spine was the most common site to be involved). Out of 66 diagnostic cases, 18 were tuberculosis, 18 were metastasis, 9 were malignant (adenocarcinoma), and 6 were benign lesion (hemangioma), while chronic osteomyelitis, lymphoplasmocytic disorder, plasma cell dyscrasia, and nonspecific granuloma were three each. Twelve patients had the complication of local hematoma, whereas none of the patients had any kind of partial paresis and infection. Conclusion: For spinal lesions, CT guided core needle biopsy is an effective, economical, safe and minimally invasive procedure.
Comparison of Clinical and Functional Outcomes Between Intramedullary Nailing and Minimally Invasive Locking Plates for Closed Extra-Articular Distal Tibial Fractures
Authors: Thadiparthi Vijaya Kumari , Kunche Alekhya , Mecharla Soma Sekhar , Paka Varun Kumar , Shaik Jameer , Eleshwaram Naresh 
Published: December 2021

Background:
Tibia is the main weight-bearing bone of the leg and accounts for 8-10% of lower limb fractures. Distal tibia fractures are prone to complications due to their subcutaneous nature. It is essential to preserve soft tissue and blood supply in this region to achieve good healing. Controversy exists with regard to use of intramedullary nailing (IMN) or minimal invasive locking plate for management.

Aim:
This study aims to evaluate and compare clinical and functional outcome of IMN and MIPO in the management of extra-articular distal tibial fractures.

Methods:
A total of 56 patients with extra-articular distal tibia fracture (OA type 43A1, A2, and A3) admitted to the orthopedic department of our institute between October 2017 and September 2020 were included in the study. One group was treated with intramedullary nail and the second group was treated with minimally invasive locking compression plate. Clinical and functional outcomes in the two groups were evaluated and comparisons were made.

Results:
The results were interpreted using the Olerud–Molander score according to which excellent outcome was noted in eight patients, good outcome in 45 patients, and fair outcome in 2 patients. One patient in the plating group recorded poor result.

Conclusions:
Intramedullary interlocking nailing can be considered a very effective modality of treatment indicated for closed extra-articular distal tibial fractures, but is technically demanding. Plating on the other hand can deliver satisfactory results when local soft tissue status is good.
The Surgical Treatment of Recalcitrant External Coxa Saltans by Ellipsoid-Shaped Segment Excision of the Iliotibial Band
Authors: Choudhary Rakesh , Ranjan Priya , Anand Rajeev 
Published: December 2021

Introduction:
Snapping hip (coxa saltans) is an audible and sometimes painful disorder of the hip that occurs during activities that require repetitive flexion, extension, and abduction of the hip. Depending upon anatomic location of the offending structure, it may be external, internal, and intra-articular. The most common type is an external type in which structures external to the hip joint are primarily involved. This is usually the iliotibial band as it slides over the greater trochanter during repeated flexion and extension. Conservative therapy is the mainstay of treatment. For those cases who are refractory to conservative means, surgery can be considered.

Materials and Methods:
Only those patients undergoing operative intervention for symptoms refractory to conservative measures (>6 months) were included. Patients were excluded if they had concomitant diagnosis, prior fractures, childhood hip pathology, or prior surgical procedures. Ober test was performed to determine tightness of the iliotibial band. All patients underwent excision of an ellipsoid-shaped segment of iliotibial band over greater trochanter and removal of trochanteric bursae followed by Ober test.

Results:
Preoperative examination yielded an average hip flexion of 115.7°, extension of 7.14°, abduction of 43.6°, internal rotation of 16.4°, and external rotation of 34.3°. All seven hips demonstrated a palpable painful snap directly over the greater trochanter with flexion and extension with positive Ober test. Postoperative examination yielded an average flexion of 125.7°, extension of 13.6°, abduction of 52.1°, and internal and external rotation of 25° and 41.4°, respectively. The snap completely resolved and Ober tests were negative in all seven cases.

Conclusion:
We concluded that excision of an ellipsoid-shaped segment of iliotibial band over greater trochanter and removal of underlying trochanteric bursae as the primary surgical modality for relief in the refractory yet symptomatic snapping hip due to a tight iliotibial band.
Impacto do zoneamento no desenvolvimento do uso solo do entorno de estações de transporte selecionadas no município de São Paulo
Authors: Marins Karin Regina de Castro , Tadeu Bertolini Bendilati Thales , Xavier Clementino Mariê , Cruz Rafael Barreto Castelo da , Lima Vinicius Alves de , Canhos Montmorency Silva Thiago , Maggio de Moraes Gabriel , Bertholdo Neto Emílio , Hitomi de Oliveira Okamoto Carollina , Batista Sena Filipe , De Nazareth Teixeira Christian 
Published: December 2021

O zoneamento se destaca dentre os instrumentos de planejamento urbano, pois permite direcionar, condicionar e controlar o desenvolvimento urbano, especialmente em áreas de desenvolvimento orientado ao transporte. Este é o caso do município de São Paulo, que estabeleceu em seu Plano Diretor de 2014 e Lei de Zoneamento de 2016, as Zonas Eixo de Estruturação e Transformação Urbana (ZEU) e Eixo de Estruturação e Transformação Urbana Previsto (ZEUP), para adensar e qualificar os entornos das estações de transporte de massa. O objetivo desse trabalho é analisar a distribuição das zonas de uso e ocupação do solo em áreas de influência de um quilômetro de estações de transporte selecionadas no município de São Paulo – Tatuapé, Tucuruvi, Vila Prudente e Lapa. Foram processadas bases georreferenciadas da Prefeitura no software QGIS, relativamente ao zoneamento vigente e às outorgas onerosas concedidas entre 2000 e 2019. O trabalho é produto de pesquisa desenvolvida por docente, pós-doutorando, pós-graduandos e graduandos. Os resultados mostram que há grande heterogeneidade no zoneamento constante do raio de abrangência analisado, sendo, em média, apenas 1/3 do território classificado como ZEU/ZEUP e que a ausência dessas zonas, como no caso da Lapa, pode ter afetado a atratividade da região por novos empreendimentos.
Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan đến cặp vợ chồng vô sinh nguyên phát
Authors: Nguyễn Đắc Nguyên , Trần Thị Thu , Trần Đức Thịnh , Lê Minh Tâm 
Published: December 2021

Mục tiêu: Nghiên cứu nhắm đánh giá đặc điểm lâm sàng, cận lâm sàng và nguyên nhân vô sinh của các cặp vợ chồng vô sinh nguyên phát. Đồng thời, tìm hiểu một số yếu tố liên quan đến tình trạng vô sinh nguyên phát.
Đối tượng phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang 91 cặp vợ chồng trong độ tuổi sinh sản được chẩn đoán vô sinh nguyên phát, đến khám và điều trị tại Trung tâm Nội tiết sinh sản và Vô sinh, Bệnh viện Trường Đại học Y dược Huế từ tháng 5/2020 đến tháng 4/2021.
Kết quả: Nguyên nhân vô sinh do cả 2 vợ chồng là 54,9%, trong đó vô sinh nam chiếm 21,3% và vô sinh nữ chiếm 18,7%. Nguyên nhân vô sinh nữ chủ yếu là rối loạn phóng noãn (62,6%) mà phần lớn là nguyên nhân PCOS (Polycystic Ovary Syndrome-hội chứng buồng trứng đa nang) (40,6%). Tỷ lệ vô sinh nguyên phát ở nhóm có chu kỳ kinh nguyệt không đều cao hơn so với nhóm có chu kỳ kinh nguyệt đều, tỷ lệ tương ứng là 82% so với 63,4% (OR= 2,6; 95% CI: 1,02 – 6,81; p=0,04). Nguyên nhân vô sinh nam chủ yếu là bất thường tinh trùng (78%). Ngoài ra, có 9,9% trường hợp có giãn tĩnh mạch thừng tinh. Tỷ lệ bất thường tinh dịch đồ ở nhóm đứt gãy DNA tinh trùng cao và trung bình cao hơn nhiều so với nhóm DFI (DNA fragmentation index - chỉ số phân mảnh DNA tinh trùng) thấp (tỷ lệ tương ứng là 82,1% và 81,5% so với 54,5%) với p=0,048. Không có mối liên quan giữa độ tuổi, BMI (Body mass index- chỉ số khối cơ thể) với tỷ lệ vô sinh nguyên phát ở 2 giới.
Kết luận: Vô sinh nguyên phát có nguyên nhân đồng thời cả nam giới và nữ giới chiếm tỷ lệ cao nhất, trong đó nguyên nhân phổ biến nhất bao gồm rối loạn phóng noãn và tinh dịch đồ bất thường. Đặc điểm chu kỳ kinh nguyệt và kết quả phân mảnh DNA tinh trùng là những yếu tố ảnh hưởng đến chức năng sinh sản ở nữ giới và nam giới.
THE RELATION BETWEEN THE CYCLE OF ADMINISTRATION OF CHEMOTHERAPY TO PSYCHOSOCIAL PROBLEMS IN BREAST CANCER PATIENTS
Authors: Handayani Sri , Karim Ulfah Nuraini , Wiratmo Puji Astuti 
Published: December 2021

Introduction: Breast cancer is the most common malignant neoplasm that affects women. One of the treatments for breast cancer is chemotherapy which is carried out according to a particular schedule with a specified length of therapy to increase the patient's recovery rate. In addition to the physiological effects, chemotherapy also has a psychological impact on the patient. Fulfillment of psychosocial needs is important to improve the quality of life of patients caused by changes in physical, social, cognitive, spiritual, emotional and role functions. The purpose of this study was to determine the relationship between the cycle of chemoteraphy with psychosocial problems in breast cancer patients.
Method: This study is a quantitative correlational study using 54 breast cancer patients as samples by purposive sampling. Data collection was carried out during April 2020 to June 2020 in the chemotherapy room at Koja Hospital, North Jakarta. The Depression Anxiety Stress Scale (DASS 21) questionnaire was used to identify psychosocial problems in breast cancer patients. Statistical analysis of the Spearman rank test was carried out to analyze the relationship between chemotherapy cycles and psychosocial problems.
Results: The results showed that there was a relationship between chemotherapy cycles and psychosocial problems (p value 0.001) although it showed a weak relationship between those two variables (r 0.257). Psychosocial problems identified included anxiety (53%), depression (9.3%), low self-esteem (16.7%) and stress (20.4%).
Conclusion: Nurses need to provide comprehensive nursing care for patients undergoing chemotherapy including identifying problems related to physical complaints and psychosocial needs so that nursing interventions can be given comprehensively to breast cancer patients undergoing chemotherapy.
THE EFFECT OF GROUP EDUCATION USING ONLINE MEDIA ON SELF CARE ON OBESITY STUDENTS AT THE FACULTY OF NURSING MUHAMMADIYAH UNIVERSITY JAKARTA 2021
Authors: Rayasari Fitrian , Afifah Dhea Ananda Nur 
Published: December 2021

Introduction: Obesity in young adults can cause various health problems, including in the long term it will cause complications of diseases such as hypertension, diabetes mellitus and death at a young age. Self care in obesity is a management consisting of diet processing, physical activity, modification of life attitude (behavior therapy) and medical therapy. Peer group education is a method that helps increase understanding and self-care for obese students. The purpose of this study was to determine the peer group education method to increase self-care of obese students.
Method: The research design used was a quasi-experimental pre and post test, with a dependent t-test. Collecting data using the Diabetes Self Management Questionnaire (DMSQ). Sample of 30 respondents.
Results: The results of this study obtained that there was an effect of peer group education on increasing the self-care value of obese students (p-value = 0.00).
Conclusion: Suggestions from this study are self-care is one of the efforts that can be used to overcome the problem of obesity at a young age. Educational institutions can implement self-care through healthy exercise programs every morning or health education programs in health services.