bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hypertension guideline implementation and blood pressure control in Matlosana, South Africa
Authors: Ditlhabolo Keolebile I. , Lion-Cachet Carien , Variava Ebrahim 
Published: October 2024

Background: High systolic blood pressure remains a leading modifiable risk factor for cardiovascular diseases worldwide and in South Africa (SA). Information about the extent of guideline implementation and blood pressure (BP) control is lacking in Matlosana Sub-district, North West province, SA. The study aimed to assess the implementation of the South African Hypertension Practice Guideline (SAHPG) and BP control in adults attending primary care facilities in Matlosana.Methods: Cross-sectional study was conducted, using 523 randomly sampled medical records. Data collected included demographic information, recorded BP readings, anthropometry, screening for target organ damage (TOD), hypertension complications, comorbidities, lifestyle advice and drug therapy.Results: According to the reviewed records the mean age of the participants was 56.77 years with a standard deviation of 12.4 years and 376 (71.9%) records belonged to females. Blood pressure control was documented in 229 (43.8%) of the medical records, with better control recorded in a group with comorbid human immunodeficiency virus (HIV) than in groups with other comorbidities.Conclusion: The study found poor documentation of the SAHPG recommendations among patients with hypertension. According to the patient records BP control was suboptimal, the most common documented comorbid illness was HIV, and screening for TOD was generally poorly documented.Contribution: Programmes that audit and improve the quality of hypertension guideline implementation and BP control in primary care require ongoing support and research.
Community-based infant hearing screening: Outcomes of a rural pilot programme
Authors: Kgare Khomotjo S. , Joubert Karin 
Published: October 2024

Background: Community-based universal newborn hearing screening (UNHS) has not been fully realised in South Africa despite the availability of contextually relevant early hearing detection and intervention guidelines. Research has confirmed the feasibility of implementing UNHS programmes in urban contexts; however, limited information exists for rural contexts.Objectives: The aim of the study was to describe the outcomes in terms of coverage rate, referral rate and follow-up rate of a 1-year UNHS pilot programme implemented at three primary health care (PHC) clinics in the Limpopo province.Method: A descriptive retrospective review of 2 302 audiological records of infants who underwent NHS between July 2014 to June 2015 was conducted.Results: The mean age at first-stage screen was 112 days (16 weeks). The coverage rate was 87% for the infants screened at 3- and 10- days clinic visits and 27% for infants screened at the 6-week immunisation visit. The first-stage referral rate was 33.9% and 8.3% for the overall second stage referral for diagnostic audiology services. The follow-up rate for rescreens at the clinical level was 77%, while for initial diagnostic assessments, it was 26%.Conclusion: Although not all benchmarks were met within the first year of implementation, the high coverage- and low referral rates, especially in the last 6 months, are the first steps in improving the outcomes of the screening programme.Contribution: The findings confirm the feasibility of implementing community-based UNHS programmes in rural areas in South Africa. Regular monitoring and evaluation contribute to the success of screening programmes.
The role of Ondofolo to maintain religious harmony: A study in a Christian perspective
Authors: Warwer Fredrik 
Published: October 2024

Local wisdom refers to the cultural heritage of a community, which is derived from its cultural origins and includes a wide range of values, rituals and traditions. Ondofolo is the current paramount chief of the Sentani community in Papua province, a position that remains in effect at the moment. The local community holds Ondofolo’s leadership in high esteem and places substantial trust in it. The research aims to investigate the function of Ondofolo within religious congregations using a qualitative phenomenological design approach. Data were gathered via participatory observations, interviews with Ondofolo, leaders of prayer rooms and Islamic boarding schools and a review of literature and research conducted in the indigenous area of Sentani. The local knowledge of Sentani ‘Ondofolo’ plays a crucial role in fostering the religious community by embodying the fundamental qualities of leadership, peace, love and brotherhood found in the Bible. The preservation of wisdom in all its manifestations is imperative, as it represents an irreplaceable cultural legacy.Intradisciplinary and/or interdisciplinary implications: This study applies the interdisciplinary characteristics of contextual theology to Ondofolo’s leadership of the religious congregation in Papua, drawing on Christian wisdom. The findings positively impact the formation of religious communities in Sentani, Papua. They also present a viable leadership model specific to the local context and can be used as an option for guiding the faithful community in Indonesia.
Workup of residual incontinence after artificial urinary sphincter placement
Authors: Tzeng Michael , Lang Jacob , Wang Shu , Anand Diya , Davuluri Meenakshi 
Published: October 2024

ABSTRACT
Artificial urinary sphincter (AUS) is the gold standard for treatment of male stress urinary incontinence. Despite high success rates, some men continue to experience incontinence after AUS placement. The workup of residual incontinence is based on its potential etiologies, including improper use, underlying physiologic bladder dysfunction, mechanical failure such as device malfunction or system leak, technical failure such as poor sizing of the cuff or balloon, tissue atrophy, or cuff erosion. Here, we offer a framework to evaluate these potential causes.
Infection of the artificial urinary sphincter: Prevention, diagnosis, and management
Authors: Loh-Doyle Jeffrey C. , Markarian Emily , Simhan Jay 
Published: October 2024

ABSTRACT
Male stress urinary incontinence, often following treatment for prostate conditions or genitourinary malignancies, can profoundly affect quality of life. The artificial urinary sphincter (AUS) stands as a cornerstone therapy for moderate to severe cases, boasting high patient satisfaction and efficacy. Despite these merits, the AUS, like any mechanical device, has its vulnerabilities—including the potential for infection. Infections are comparatively less documented than mechanical failures or erosions but present a serious clinical challenge. This review aims to delve into the lesser-known territory of AUS infections, examining the intricate pathophysiology, pinpointing risk factors, and appraising both literature and rich anecdotal evidence to outline best practices for identification, prevention, and intervention. By the review’s conclusion, readers will be equipped with comprehensive insights into managing AUS infections, ultimately enhancing patient outcomes within this clinical context.
Artificial urinary sphincter erosion: Risk factors, recognition, and surgical management
Authors: Saltman Anna J. , Kasabwala Khushabu Dinesh 
Published: October 2024

ABSTRACT
The artificial urinary sphincter (AUS) is the gold standard for the treatment of men with moderate-to-severe stress urinary incontinence. However, despite excellent functional outcomes, the AUS is associated with a 26% reintervention rate, with 8.7% explanted due to cuff erosion. Cuff erosion is associated with significant morbidity, including infection, urinary obstruction, irritative lower urinary tract symptoms, and possible urethral stricture development. In this literature review, AUS erosion risk factors, their clinical presentation, as well as best practices in surgical and postoperative management of explantation were investigated.
Penile implant infection: Risk factors, prevention, and management
Authors: Alkassis Marwan , Lee Adrianna , Iwuala Rosemary , Kocjancic Ervin 
Published: October 2024

ABSTRACT
Penile implants are indicated for the treatment of erectile dysfunction (ED) in patients who have failed medical treatment. They consist in either a malleable device or an inflatable device. Inflatable penile implants were first introduced in 1973 and have become a reliable mainstay in the treatment of ED. They are associated with a high rate of patients’ reported satisfaction; however, they can be subject to multiple complications, such as bleeding, infections, and mechanical failure. The incidence of penile implant infection varies between 1% and 3% and is associated with patient-related and surgery-related factors. Based on these risk factors, multiple strategies have been adopted by the urology community to reduce the infection rate. While some strategies such as smoking cessation 4 weeks before surgery and alcohol-based skin preparation are well established and accepted strategies, other strategies need more evaluation. Penile implant infection can have devastating consequences such as severe pain, mechanical failure, and sepsis. Management of penile implant infection depends on the severity of the infection and consists in conservative management and explantation with early or delayed replacement.
Historical perspective on the artificial urinary sphincter
Authors: Smith Loren J. , Bose Sanchita M. 
Published: October 2024

ABSTRACT
Urinary incontinence imposes significant social and psychological distress. The artificial urinary sphincter (AUS) is the most effective device presently available for treating severe stress urinary incontinence (SUI). The principal reason for AUS placement worldwide is to correct postprostatectomy urinary incontinence in males. The concept of an implantable prosthetic device to address SUI dates back to the 1940s. The history of AUS development is marked by trial and error in an era of more permissible latitude for experimentation. Numerous technological innovations, modifications, setbacks, and lucky happenstance paved the path for the emergence of the current Boston Scientific American Medical Systems (AMS) AUS 800 device we use today. This review article emerges from a systematic examination of archival repositories, scholarly databases, primary source materials, and subsequent qualitative assessments, with the aim of delving into the techno-historical evolution of the AUS.
Extracorporeal robotic-assisted anastomotic urethroplasty in a case of complex traumatic bulbar urethral stricture
Authors: Priyadarshi Shivam 
Published: October 2024

ABSTRACT
Robotic-assisted surgery is usually done intracorporeally by placing the robotic arms through the preplaced ports. There have been publications of microsurgery done with the assistance of robotic systems by extracorporeal route. We are presenting here a case of extracorporeal robotic assisted anastomotic urethroplasty in a case of complex traumatic bulbar urethral stricture by air docking of the robotic arms of the Davinci XI system. To our knowledge, this is the first case of urethral stricture done by this technique.
The future of male stress urinary incontinence surgery
Authors: Gonzalez-Jauregui Rebeca , Nigro Noah N. , Doersch Karen , Bhalla Rohan G. , Flynn Brian J. 
Published: October 2024

ABSTRACT
Male stress urinary incontinence (SUI) is a life-altering condition. It occurs more commonly secondary to prostate surgery, pelvic trauma, radiation, or neurological disorders. Men with SUI are at an increased risk of anxiety and depression, occupational limitations, weight gain, impaired libido, and social isolation. Both operative and non-operative management options exist. Surgical options must continue to become safer, faster, more successful, and less invasive to meet the population’s demands. We conducted a literature review utilizing a Population, Intervention, Comparison, Outcomes, and Study framework. Studies included focused on adult male patients undergoing surgical intervention for SUI with a particular focus on pre and postoperative outcomes, complications, and follow-up data. We excluded non-human studies in languages other than English, conference abstracts, commentaries, and editorials. We broke surgical management options into endoscopic treatment (urethral bulking agents), passive devices, and active devices. Passive devices, such as AdVance, Virtue, ARGUS, Adjustable Trans-obturator Male System, Readjustment Mechanical External, and ProACT (Adjustable Continence Therapy), are broken into adjustable and non-adjustable suburethral devices giving the urethra additional support. Active devices, including the AMS 800 artificial urinary sphincter (AUS), Conti® AUS systems, ARTUS, and VICTO, allow patients to control their urinary stream while treating varying degrees of incontinence. While passive devices provide minimally invasive options with respectable outcomes, active devices remain the gold standard in managing male SUI. Emerging technologies excite the future of male SUI by promising reduced morbidity and simplicity of the medical device. Shared decision-making, patient-specific considerations, and appropriate postoperative monitoring remain critical to optimizing outcomes and patient satisfaction.
Patient-reported subjective outcome after electromotive drug administration for Peyronie’s disease
Authors: Herroelen Siemen , Brits Tim , De Win Gunter 
Published: October 2024

ABSTRACT

Introduction:
Peyronie’s disease (PD) is a condition with subjective (pain, burden) and objective (curvature) symptoms.

Objective:
The study aims to analyze the efficacy of electromotive drug administration (EMDA) on PD, with a focus on subjective complaints such as pain and burden via patient-reported subjective outcomes.

Materials and Methods:
A total of 32 patients, in either the acute or chronic phase, were treated with EMDA in an uncontrolled retrospective cohort study. About 23 patients (72%) agreed to participate in a post-treatment questionnaire allowing us to evaluate the burden of PD and the effect of EMDA on objective and subjective symptomatology.

Results:
Patients report a high psychological burden, sexual difficulties, and other subjective symptoms like pain. Among patients in the acute and chronic phases, 75% and 60%, respectively, reported that the pain reduced to a noticeable extent, and 50% and 28%, respectively, reported a positive effect on curvature. Up to 68.8% (acute) and 42.9% (chronic) said they would choose EMDA again, and up to 62.5% (acute) and 57.1% (chronic) would recommend it to friends or family.

Conclusion:
The high patient satisfaction rates and positive effects on subjective symptoms show that EMDA can be used for the treatment of PD. Furthermore, data are needed to support this.
Relationship Between Dental Anxiety, Dental Utilization, and Oral Health-Related Quality of Life: A Systematic Review
Authors: Ab Malek Azizi , Mohd Radzi Nawwal Alwani , Che Musa Muhd Firdaus , Luai Amirul Faiz 
Published: October 2024

Abstract

Aim:
No comprehensive synthesis of dental anxiety (DA), dental utilization (DU), oral health-related quality of life (OHRQoL), and their relationships have been examined despite various systematic investigations being done on their prevalence and interventions individually. Therefore, this review aims to systematically review the status and relationship between DA, DU, and OHRQoL among adult groups.

Materials and Methods:
Data collection spanned 6 months, from 1 July to 31 December 2023, involving eight databases. Only cross-sectional (CS) studies with adult participants aged 15–64 years, conducted globally, published in English, and available as full-text articles by December 31, 2023, were included. Two reviewers screened the titles and abstracts and assessed the full-text articles. All studies were CS. The risk of bias was evaluated using the Joanna Briggs Institute’s Critical Appraisal Checklist for Analytical CS studies. The quality of evidence for each measured factor was assessed using the Grading of Recommendations Assessment, Development, and Evaluation methodology.

Results:
The initial search yielded 3333 studies. The 22 final studies included 13 high-quality studies with over 80% and nine fair studies with 50% and 79% scored. None of the studies scored below 50%. A negative link between DA and DU was identified in 15 of 16 studies with 35,846 participants aged 22.19–50.21 years. Six studies on DA, DU, and OHRQoL included 22,845 participants aged 15–55 years, mostly in their late and mid-fifties. Four of six verified Berggren and Meynert’s (1984) vicious cycle theory’s high association between DA, DU, and OHRQoL.

Conclusions:
A 22-study review reveals a strong association between DA, DU, and OHRQoL. Most moderate to high-quality studies emphasized a negative correlation between DA and DU, which affected OHRQoL. PROSPERO registration number CRD42023455219.
Scenario Modeling for Dentistry in Malaysia: Utilization, Privatization, and Specialization
Authors: Che Musa Muhd Firdaus , Morgan Jennifer , Harper Paul , Bernabé Eduardo , Gallagher Jennifer E. 
Published: October 2024

Abstract

Aim:
To study to model future clinical dental workforce scenarios in Malaysia, in relation to population need–demand, to inform future change.

Materials and Methods:
A system dynamics (SD) model was developed in Vensim-software to model the need/demand and supply for dental care across public–private sectors over 3 decades (2010–2040). This model included two sub-models relating to “need/demand” and “supply,” drawing on national evidence from two previous studies (student career surveys and interviews of key stakeholders nationally), together with relevant available data. This SD model provided the baseline model (S1) for Malaysia and four-distinctive-scenarios (S2–5), involving enhancing generalists–specialists across public–private sectors. An additional scenario (S6) was run to optimize workforce utilization, informed by career expectations of emerging graduates drawing on earlier scenarios (S2–5).

Results:
Modeling future five-scenarios highlighted the gap in dental workforce nationally across both sectors could range from a surplus of a total of 3739 dentists and 817 therapists in the baseline scenario to a total shortfall of 1249 dentists and surplus of 817 therapists by the year 2040, influenced by dentist working patterns, specialization, and privatization. Increasing the potential for specialist training and permitting emerging graduates’ to working part-time, while optimizing public sector primary care, and responding to the career expectations of emerging graduates, has the potential to absorb potential oversupply, and, thus, utilize the entire clinician dental workforce in Malaysia in the medium term.

Conclusion:
The findings of this model demonstrate the short-term requirement to expand the Malaysian dental workforce to meet dental needs of the population, highlighting that continued production at the current rate will result in oversupply, unless action is taken to maximize primary care, enhance specialization, and embrace flexible working to meet career expectations of graduates.
Emerging Patterns, Collaboration, and Impact of Scientific Production on Hyaluronic Acid in Dentistry: A Bibliometric Analysis
Authors: Quinteros-Quispe Carla , Jimenez-Obregón Fiorella , Tinedo-López Pedro Luis , Espinoza-Carhuancho Fran , Pacheco-Mendoza Josmel , Mayta-Tovalino Frank 
Published: October 2024

Abstract

Aim:
This observational, descriptive, retrospective presentation aimed to analyze the emerging patterns, collaboration, and impact of scientific production on hyaluronic acid (HA) in dentistry.

Materials and Methods:
A bibliometric analysis of research indexed in Scopus from January 2018 to May 2024 was performed. Emerging patterns, collaboration, impact, Bradford’s law, and Lotka’s law were applied. In addition, thematic maps were designed to visualize the connections between authors and countries.

Results:
A total of 767 documents from 176 diverse sources were analyzed, identifying 3437 authors. Articles were the most common type of document. The author of the highest scientific output was Sculean Anton of the University of Bern, Switzerland. Most of the articles were published in first-quartile journals, with Clinical Oral Investigation and Journal of Thermal Analysis and Calorimetry having the highest number of publications. The University of Bern in Switzerland was the institution with the highest research output.

Conclusion:
This study provides a comprehensive overview of the academic production of HA in dentistry. The results highlight the importance of international collaboration and the concentration of scientific production in certain institutions and journals. These findings may be useful to researchers and institutions seeking to understand and navigate the field of HA in dentistry.
Comparative Antimicrobial Efficacy of Garlic and Guava Extracts on Oral Pathogens Using a Time Kill Assay: An In Vitro Study
Authors: Rashik Kader Mohideen Mohamed , Potluri Leela Ravishankar , Varatharajan Kalaivani , Raja Sindhujaa , Dolly Sheryl , Geddam Soury 
Published: October 2024

Abstract

Background:
Periodontal disease is characterized by inflammation mediated by the host and related microbes, which leads to the loss of periodontal attachment and tooth loss. Due to an increase in bacterial resistance to antibiotics, there is a shift toward use of herbal medicines.

Aim:
The aim of the study is to compare the antimicrobial effect of aqueous garlic extract (AGE) and ethanolic guava extract (EGuE) on Tanerella forsythia and Porphyromonas gingivalis using the time kill assay

Materials and Methods:
AGE and EGuE are prepared. Ciprofloxacin was taken as the control. The MIC was performed for garlic, guava extract, and ciprofloxacin. P. gingivalis and T. forsythia were cultured, and the time kill assay was performed at 0 h, 5 min, 30 min, 1 h, and 2 h. Colonies were counted after 48–72 h for growth.

Results:
The minimal inhibitory concentration (MIC) results indicated that both EGuE and AGE exhibited superior antibacterial activity compared to ciprofloxacin, suggesting their potential as alternative or complementary antimicrobial agents. In a time kill assay, EGuE demonstrated a significant reduction in colony forming units (CFUs) at 30 min, 1 h, and 2 h, outperforming AGE and ciprofloxacin. Intragroup comparisons revealed that EGuE significantly reduced CFUs at 0 h and 5 min, while AGE showed no notable reduction over time.

Conclusion:
Overall, the study demonstrates the antimicrobial efficacy of EGuE and AGE against T. forsythia and P. gingivalis at higher concentrations. Hence, these extracts may serve as alternative antimicrobial agents against periodontal pathogens.