bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors affecting stroke prevention behavior in elderly people with high blood pressure
Authors: Phuchongchai Thanyarat , Glangkarn Sumattana , Namyota Chaloemporn 
Published: November 2024

BACKGROUND:
Preventing stroke in senior citizens with high blood pressure will reduce disability and mortality rates. The study examined the behaviors and factors influencing stroke prevention behavior in older people.

MATERIAL AND METHOD:
This cross-sectional study consisted of a sample group of 460 elderly individuals diagnosed with high blood pressure in the Mueang District, Chaiyaphum Province. Data were collected using a questionnaire on stroke knowledge, perception of self-efficacy, including perceived self-efficacy and expected outcome, social support, and stroke prevention behavior. Descriptive statistics and stepwise multiple linear regression analysis were also employed.

RESULTS:
The overall stroke prevention behavior in older people with high blood pressure was moderate, with a mean score of 3.64 (S.D. = 0.29). Factors influencing stroke prevention behavior in this population sector were high blood pressure, self-efficacy, expected outcomes, and social support from public health personnel, friends, and media. These five factors accounted for 54.2% of the variance in stroke prevention behavior.

CONCLUSION:
Public health personnel should organize activities or programs to promote behavior change, emphasizing increasing self-efficacy. It is also important to encourage positive expectations for behavior outcomes and foster social support from both media and friends when caring for older people with high blood pressure.
Challenges in the food supply chain following the great earthquake disaster in Turkey: A study of the regions of Malatya, Adıyaman and Kahramanmaraş
Authors: Alataş Hacer , Arslan Nurgül 
Published: November 2024

BACKGROUND:
The consequences of natural disasters, such as damage to food systems, destruction of transport infrastructure, and organizational issues, can threaten the food security of people. Hence, food security measures are among the most important responses in the management of natural disasters. This study was conducted to identify the challenges in food security response following a great earthquake in Turkey.

MATERIALS AND METHODS:
This study used a qualitative approach. Within the scope of this study, 37 food cooking and preparation points were examined in the Malatya, Adıyaman, and Kahramanmaraş-Pazarcık regions. Forty-five authorized individuals working at KIZILAY, who were responsible for all aspects of nutrition, were interviewed. Data were collected through semi-structured interviews, with 27 inquiries selected using purposive sampling. Qualitative content analysis was performed to analyze the data. The data analysis process utilized inductive qualitative content analysis to produce themes and categories.

RESULTS:
Most participants (%80.00) stated that there was no food variety. Menus generally consists of foods with a low nutritional value such as refined grains, legumes, sweets, spices, seasonings, oils, and sugary drinks (particularly soft drinks). The majority of the participants stated that they could not give milk group (%91.11), vegetables (%93.33), fruits (%97.78), and eggs (%100.00). The participants stated that organizational problems (%77.77), transportation problems (%64.44), cold weather conditions (%84.44), and a lack of stock (%64.44) prevent food safety.

CONCLUSION:
According to the findings of this study, underlying challenges such as geographical and weather conditions, organizational problems, and vulnerability of part of the population threatened food security. The lack of nutritional diversity can cause health problems such as obesity, malnutrition, and anemia, especially in vulnerable people.
The social support, healthy lifestyle, subjective well-being, and health-related quality of life among university students
Authors: Ifroh Riza Hayati , Gai Xiaosong , Rabiautsani Muhamad Aziz , Han Xue 
Published: November 2024

BACKGROUND:
The health-related quality of life and subjective well-being of young people need to be confirmed at the population level by identifying protective factors such as social support and their current healthy lifestyle. This study aims to examine a healthy lifestyle as a mediator of the associations between perceived social support to subjective well-being and health-related quality of life and also to analyze the associations between all these variables.

METHODS AND MATERIALS:
This study was conducted by cross-sectional survey of university students (N = 348) derived from ten cities/municipalities in East Kalimantan, Indonesia. Recruitment of respondents was performed through convenience sampling and by sharing open questionnaire links on integrated social media. The data were collected between April and June 2023 and taken from an online self-administered questionnaire. Instruments used consisted of demographics, the multidimensional scale of perceived social support, overall healthy lifestyle, BBC subjective well-being scale, and EQ-5D-5L (EuroQol) for health-related quality of life. Data have been analyzed using descriptive statistics, T-test and ANOVA, Pearson’s correlation, and multiple linear regression.

RESULTS:
The results showed a significant association between the domain of perceived social support, healthy lifestyle, subjective well-being, and health-related quality of life. This research also proves that a healthy lifestyle can be a mediator of the association between perceived social support and health-related quality of life and also subjective well-being among university students.

CONCLUSIONS:
These findings suggest that youth lifestyle indicators are one of the domains that can be considered for use in research on subjective well-being and health-related quality of life, which are supported by perceived social support at the population level.
Health educational intervention by school nurses to prevent children’s helminthic infection in Bangladesh: A cluster non-randomized controlled trial
Authors: Aivey Sadia Alam , Rahman Md Moshiur , Fukushima Yasuko , Ahmed Ashir , Prihanto Junaidi Budi , Hawlader Mohammad Delwer Hossain , Moriyama Michiko 
Published: November 2024

BACKGROUND:
Helminthic infections are a major health burden worsened by inadequate health education and awareness among schoolchildren. This study aims to reduce helminthic infection by increasing awareness and knowledge through school nurse-led health education among primary schoolchildren in Bangladesh.

MATERIALS AND METHODS:
This was a prospective, open-label, parallel-group (1:1), cluster non-randomized controlled trial conducted on 5- to 12-year-old school-going children from September 2021 to September 2022 in rural Bangladesh. Trained school nurses provided evidence-based health education to the children from the intervention group (IG) for 9 months to improve awareness and knowledge regarding helminthic infection, whereas another group did not receive any health education during intervention periods, except for usual care. Data were analyzed by the Chi-square test and regression analysis.

RESULTS:
Overall, 455 children (control group (CG), n = 220; IG, n = 235) completed the entire study. Changes in the prevalence of helminthic infection—the primary outcome—were significant (P < 0.001). Concerning the secondary outcome, the adjusted endline data with baseline and sociodemographic data, the children’s health-related hygiene behavior (P < 0.001) and awareness and knowledge regarding helminthic infection (P < 0.001) were improved significantly in the IG than the CG.

CONCLUSION:
The school nurse-led health education program encouragingly reduced helminthic infection and improved primary schoolchildren’s awareness and knowledge of helminthic infection according to the World Health Organization (WHO) health policy. In the future, health policymakers may take initiatives to recruit school nurses to sustainably establish child health education programs.
Arrhythmogenic Right Ventricular Cardiomyopathy Diagnosed with 2020 International Criteria
Authors: Damor Neelesh , Modi Nitin , Karande Atul , Mishra Ashish , Sharma Sunil 
Published: November 2024

Abstract
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a rare cardiomyopathy. Early diagnosis is important to prevent mortality. They have a high risk of sudden cardiac death due to ventricular arrhythmia, which requires the implantation of a cardioverter-defibrillator. We describe the case of a cardiac arrest survivor with background electrocardiography (ECG) findings suggestive of ventricular tachycardia. The new 2020 international criteria for ARVC made it possible to easily detect such cases. We suspected right ventricular cardiomyopathy based on the patient’s history, ECG, and echocardiography findings, who later underwent cardiac magnetic resonance imaging. This was a “Definitive ARVC” case based on 2020 International criteria for ARVC. Clinicians should be aware of these criteria to detect such cases easily.
Laparoscopic management of variant ductal and vascular anatomy in children with choledochal cysts
Authors: Mandelia Ankur , Kapoor Rohit , Verma Anju , Kanneganti Pujana , Yadav Rajanikant R. , Sarma Moinak Sen , Agarwal Nishant , Kumar Tarun , Nair Biju , Buan Amit 
Published: November 2024

Abstract

Introduction:
Variations in biliary ductal and hepatic vascular anatomy increase the complexity of surgery for choledochal cysts (CDC). The laparoscopic approach for the management of paediatric CDCs with variant anatomy is underreported. This study aimed to describe anatomical variations, operative techniques and early outcomes of laparoscopic hepaticojejunostomy (HJ) in children with CDCs and variant anatomy.

Patients and Methods:
We conducted a retrospective review of 40 children who underwent laparoscopic CDC excision with HJ between 2019 and 2024 in a single surgical unit. Patients were divided into Group I (with anatomical variations, n = 20) and Group II (without variations, n = 20). Data on demographic details, clinical presentation, imaging findings, pre-operative interventions, ductal and vascular anatomical variations, surgical techniques, intraoperative variables, post-operative complications and outcomes were collected and analysed.

Results:
Ductal variations were found in 10 patients, with aberrant right posterior sectoral duct being the most common. Vascular variations were identified in 12 patients, with anteriorly crossing the right hepatic artery (RHA) being the most frequent. Group I had a higher mean age (7.32 vs. 3.57 years, P = 0.014) and longer operative times (415 vs. 364 min, P < 0.0001). Conversion to laparotomy was necessary in 10% of Group I and 15% of Group II patients (P = 0.634). Post-operative complications, primarily minor (Clavien–Dindo Grade I or II), occurred in 40% of Group I and 30% of Group II (P = 0.495). Group I had a significantly shorter time to full feeds (72 vs. 80 h, P = 0.015). Both groups had similar post-operative hospital stays and follow-up durations. At the last follow-up, all patients, except one with liver failure in Group II, were asymptomatic with no significant biliary dilatation or liver function abnormalities.

Conclusion:
Laparoscopic management of CDCs with variant ductal and vascular anatomy in children is feasible, safe and effective. Detailed pre-operative imaging, meticulous intraoperative assessment and tailored surgical techniques are crucial for successful outcomes.
Computed tomography roadmap for post-operative fundoplication imaging with a novel structured reporting checklist
Authors: Kamat Ritesh , Patankar Roy , Supe Avinash , Dubey Pallavi , Thapar Ravi , Kalikar Vishakha 
Published: November 2024

Abstract

Introduction:
With increasing numbers and acceptability of laparoscopic anti-reflux surgery (LARS) procedures over long-term medical treatment in the past decade, it follows that the complications of fundoplication wrap are seen intermittently with recurrent symptoms of heartburn and dysphagia. Endoscopy and barium swallow are the initial investigations performed for suspected fundoplication wrap failures. However, with easy availability of multislice computed tomography (CT) and the multiplanar reconstructions along with reduction in familiarity with barium examinations, it would be prudent for the surgeons to familiarise themselves with various appearances of wrap failure. Currently, there is no accepted standard to report a fundoplication wrap failure. We did a thorough literature review on the use of CT scans for fundoplication wrap failure, created a multidisciplinary hernia team with prominent radiologists and surgeons and discussed the role of CT scans in the management of suspected wrap failure. After completing a pilot study with around 43 patients of wrap failure, we created a standard CT reporting format which helped us in the management of even the most complex cases. This standard reporting format can be used by trainees and surgeons worldwide. This would lead to uniformity in reporting, would help in decision-making and would also help create national and international primary wrap failure and redo fundoplication registry.

Patients and Methods:
A total of 43 patients of wrap failure of multislice CT evaluation were analysed for type of failure along with factors responsible for the maintenance of integrity of the wrap. A novel checklist with structured reporting was used for the description of the post-operative imaging findings.

Results:
The demographic characteristics, post-operative imaging and intraoperative findings were described. The different types of wrap failure – Hinder types and associated pathologies were analysed for relative frequency in wrap failures. The novel structured reporting included wrap integrity and failure complications in post-operative patients of LARS.

Conclusion:
Fundoplication wrap failure is not an uncommon complication seen after LARS. A novel structured report with checklist will help the surgeons to evaluate the post-operative patient with recurrent symptoms. Multislice CT is the ideal modality for imaging suspected wrap failures after primary endoscopic evaluation. Multiplanar imaging with coronal and sagittal reconstructions is useful for understanding the integrity of the wrap and its ability to detect failure/migration.
The effects of sympathectomy ganglion levels on late complications in the treatment of hyperhidrosis
Authors: Ersin Osman Emre , Yanik Fazli , Karamustafaoglu Yekta Altemur , Yoruk Yener 
Published: November 2024

Abstract

Introduction:
Pathologically excessive sweating in areas such as the palmar, axillary and/or plantar together with sympathetic hyperactivity that occurs independently of systemic causes is called primary hyperhidrosis. Although primary idiopathic hyperhidrosis can be seen at any age, the disease is most commonly seen in adolescents and young adults. The frequency of male and female genders is usually equal. Some medical and minimally invasive methods can be used in the treatment of primary hyperhidrosis. However, the known curative gold standard treatment method for the disease is thoracoscopic thoracic sympathectomy operation.

Patients and Methods:
In this study, a total of 150 patients who applied to Trakya University Health Practice and Research Center, Department of Thoracic Surgery, between 15 October 2008 and 15 June 2021 and underwent thoracoscopic thoracic sympathectomy due to the diagnosis of hyperhidrosis were evaluated retrospectively. The patients were separated into two groups. Thoracoscopic thoracic sympathectomy was performed on the T2–T4 in the first group (Group I – n: 88) and on the T3–T5 sympathetic ganglions in the second group (Group II – n: 62).

Results:
The median age of patients included in the study was found to be 24 (20.75–28) years. Group I and Group II were similar in terms of gender characteristics, but Group II was older. Our success rate was found to be 92% (n = 138). There was no mortality, major complication such as bleeding requiring open thoracotomy, chylothorax or Horner’s syndrome in any of the patients. Minor complications were seen in the early and late period of the operation at a low rate. Our overall compensatory hyperhidrosis rate was 52% (n = 78). Compensatory hyperhidrosis was detected more in Group I, although this was not statistically significant. We determined the overall satisfaction rate of our patients as 87.3% (n = 133). The satisfaction rates of the patients in Group I and Group II were found to be similar.

Conclusions:
Thoracoscopic thoracic sympathectomy is a fast, safe and minimally invasive treatment method with a low complication rate. More than 90% success and a significant increase in psychosocial condition and professional quality of life can be achieved with this procedure. Future studies are needed to reveal the relationship between operated ganglion levels and the development of compensatory hyperhidrosis.
Pyeloplasty for pelviureteric junction obstruction in anomalous kidneys: A long-term follow-up experience at a tertiary care centre
Authors: Kumar Lalit , Nayyar Rishi , Nayak Brusabhanu , Singh Prabhjot , Kumar Rajeev , Seth Amlesh 
Published: November 2024

Abstract

Introduction:
To evaluate the feasibility, safety, and effectiveness of different pyeloplasty procedure approaches for pelvicureteric junction (PUJ) obstruction in kidney anomalies. The presence of difficult, unfamiliar and anomalous anatomy makes pyeloplasty challenging in these conditions.

Patients and Methods:
We conducted a retrospective review of pyeloplasty in patients with congenital anomalous kidneys at our national tertiary referral centre. Seventeen patients who had pyeloplasty for PUJ obstruction from December 2013 to July 2019 were included.

Results:
Seventeen cases had anomalous kidneys consisting of horseshoe kidneys in nine patients, ectopic non-fused kidneys in four patients, ectopic fused kidneys in three patients and duplex kidneys in one patient. The mean follow-up duration was 34 months (4–70 months). The robotic approach was most commonly used in nine patients followed by a laparoscopic and open approach, each in four patients, respectively. Only one patient had an intraoperative complication. One patient required conversion to an open approach. The mean operative duration in open, laparoscopic and robotic approaches was 102 min, 105 min and 140 min, whereas the mean hospital stay was 6.50 days, 3.25 days and 4.22 days, respectively. Post-operative complications occurred in 29.41% of patients with Clavien grade ≥3 complications in one case only (5.88%). Success was 94.12% without any salvage intervention.

Conclusion:
Pyeloplasty is a feasible, effective and safe procedure even in complex cases of renal anatomic anomalies with PUJ obstruction. With increasing experience, minimally invasive techniques though technically demanding provide equivalent success rates with better cosmetic outcomes and faster convalescence.
Nanoformulations: Microscopic Soliders Targeting Biofilms and Defeating Bacterial Resistance
Authors: Abualsunun Walaa A. 
Published: November 2024

Abstract
Biofilms are organized colonies of bacteria surrounded by a self-generated polymeric matrix that sticks to surfaces. They are involved in a wide range of infections, especially chronic and device-related diseases, due to their resistance to traditional medicines and the human immune system. Nanoformulations have emerged as a viable technique for combating biofilms due to their distinct physicochemical features, which improve antimicrobial drug penetration, stability, and targeted administration. This review focuses on the most recent breakthroughs in nanoformulation techniques specifically developed to inhibit and disrupt biofilms.
Concurrent Presence of Ruptured Ectopic Pregnancy, Acute Appendicitis, and Meckel’s Diverticulum: A Rare Case Report
Authors: Khan Maria Niaz , Waqar Momina , Humayun Talha , Sadiq Abdullah 
Published: November 2024

Abstract
Acute abdomen presents as a diagnostic and therapeutic challenge to a surgeon. Acute appendicitis, Meckel’s diverticulum (MD), and ruptured ectopic pregnancy are commonly encountered causes; however, their concurrent presence is a rare event. We present a rare case of concurrence of these pathologies in a young female. This instance emphasizes the imperative for surgeons to consider the possibility of multiple pathologies during surgical interventions. A meticulous assessment of the appendix and ileum is crucial during the management of ruptured ectopic pregnancies to prevent missed diagnoses. This case report serves as a reminder of the significance of thorough evaluation in navigating the intricacies of acute abdomen scenarios, ultimately enhancing patient care and outcomes.
Epidemiology and Gender Variation in Thyroid Malignancies: A Retrospective Study of a Tertiary Care Center
Authors: Refai Fahd A. , Alalawi Hassan , Alotibi Fahad A. , Bahowarth Sarah Y. , Alyazidi Anas S. , Asali Feras W. , Abd El-Azi Gamal Said 
Published: November 2024

Abstract

Background:
Thyroid malignancies are among the most common endocrine cancers, ranking ninth in incidence. In Saudi Arabia, thyroid cancer rates have significantly increased in both genders. Despite the rising incidence, mortality rates have declined. The evolving epidemiology of thyroid malignancies in Saudi Arabia reflects changes in demographics, culture, and clinical practices. This study aims to update the epidemiological data and examine gender variations in thyroid malignancies.

Materials and Methods:
This retrospective study included cases admitted to an academic tertiary care center from January 2023 to June 2024. Data on demographic variables (gender, age, and nationality) and clinical diagnosis categories (ranging from nondiagnostic to malignant) were collected. Histopathological details of thyroid lesions were also recorded. Clinical, cytological, and histopathological data were as per the Bethesda system, and they were analyzed accordingly.

Results:
The average age of 300 patients in our study cohort was 45.56 years, with 81.3% of them being female. The majority of patients were Saudi nationals (87.7%). According to the Bethesda system, the most common findings for lesions were benign (category II), followed by malignant (category VI) and atypia of undetermined significance (AUS; category III). Histopathologically, 52.7% showed benign features, with hyperplastic thyroid lesions (20.7%) and follicular adenomas (14.3%) being the most common. The most common malignancy was papillary carcinoma (42.7%). Age-specific analysis revealed differences, with younger patients more likely to have follicular neoplasm/suspicious for follicular neoplasm (category IV) and older patients having a higher risk of malignancy. Other variables including colloid cyst, subacute granulomatous thyroiditis, follicular carcinoma, Hürthle cell type, and medullary carcinoma were not statistically associated with any age group.

Conclusion:
Our findings are consistent with global trends indicating a significant increase in thyroid cancers, particularly among women. In our cohort, female patients were diagnosed with thyroid cancer nearly four times more frequently than male patients, which is double the commonly reported gender gap. There were statistically significant differences between genders in age groups, malignancies, and histopathological findings, with hyperplastic thyroid lesions and papillary carcinoma being more common in women. We also observed age-related differences in thyroid findings, with younger patients having more follicular neoplasms and older patients having more AUS.