bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of screen time and physical activity on sleep quality among adolescents
Authors: Negi Mohit , C. Sulochanadevi Basavantappa 
Published: September 2024

Background: India houses the largest population of adolescents globally, with an estimated 253 million individuals between the ages of 10 to 19 years. Modifiable lifestyle behaviors such as physical activity, screen time use, and sleep patterns are important components of healthy life and have an impact on behavioral outcomes, performance-based outcomes, mental and emotional well-being, and the physical health of adolescents. The purpose of this study was to assess sleep quality and to determine its association with screen time and physical activity among adolescents.
Methods: A cross-sectional study was conducted among 317 study participants in Mysuru city, Karnataka. Convenience sampling technique was used for data collection. Descriptive statistics and association were analyzed using statistical package for the social sciences (SPSS) version 22.
Results: The study found 22.1% prevalence of poor sleep quality among study participants in Mysuru city, Karnataka. The average levels of screen times were higher on weekend than weekday. Moreover, specific types of screen time, such as small screen recreation on weekends and education and social activities on weekdays, were associated with poorer sleep quality. The study also observed physical activity, particularly during leisure time and travel is significantly associated with sleep quality.
Conclusions: The prevalence of poor sleep quality among study participants was significantly higher. Maintaining healthy sleep habits, incorporating yoga, meditation, or physical activity can effectively relax the mind and should be promoted in schools, and limiting the use of electronic devices before bedtime is crucial for improving sleep quality.
A five-year experience of mycetoma in a tertiary health care centre with review of literature
Authors: Ahmed Saqib , Hasan Ruhi 
Published: September 2024

Mycetoma is a tropical disease which is characterised by extensive tissue involvement which if untreated results in localized destruction, deformities and disabilities. Mycetomas are caused by different species of fungi and bacteria which have different diagnostic features and different treatment modalities. This study was a three-year retrospective and two-year prospective study conducted on 34 patients including all their relevant history, clinical details and radiological investigations and results of final diagnosis by FNA, histopathological and Culture. This study was conducted with the primary objective of observing the different clinicopathological, radiological and microbiological features of mycetoma cases with emphasis of different diagnostic methods and their utility in accurate diagnosis. Overall findings revealed a Male: Female Ratio of 2.7:1 with most cases being adults (20,58.8%) and foot being commonly involved (14,41.1%) with a mean duration of &#62; 6 months. 28 cases (82.3%) were of eumycetoma while 6 cases (17.6%) were of Actinomycetoma. 26 cases (76.4%) which on cytology showed mixed inflammatory infiltrate with clumps of fibrillar organisms while histologically, suppurative granulomas surrounding characteristic grains along with inflammatory infiltrates were noted in most cases. Early recognition of clinical features with timely diagnosis followed by initiation of appropriate therapy as well as social awareness, and education of people at risk is equally important to prevent lifelong damage.
DESENVOLVIMENTO E IMPLANTAÇÃO DE UM PROTOCOLO DE ESTIMULAÇÃO ELÉTRICA NEUROMUSCULAR EM PACIENTES CRÍTICOS: UM RELATO DE EXPERIÊNCIA
Authors: Muniz Furtado Phelipe , de Souza Martins Tais , Cecchi Salata Mariana , Roberto de Jesus Guirro Rinaldo , Cagnoni Balestra Andiamira , Tavares Weber Karina 
Published: September 2024

Esse relato de experiência trata-se do desenvolvimento e implementação de um protocolo de eletroestimulação neuromuscular (EENM) em pacientes críticos, em um hospital de urgência e emergência. A escolha do tema foi pela necessidade observada no serviço em realizar a manutenção muscular dos pacientes internados, buscando uma melhora funcional mais rápida conforme a literatura. Portanto, o objetivo do estudo foi desenvolver um protocolo de eletroestimulação para pacientes críticos baseado em evidências científicas e realizar sua implementação. Para o desenvolvimento do protocolo foi realizada uma revisão de literatura utilizando a plataforma Rayyan. A busca envolveu as bases de dados LILACS, SciELO e MedLine, usando os descritores “unidade de terapia intensiva”, “fisioterapia”, “estimulação elétrica nervosa transcutânea” e “ensaio clínico randomizado”. Foram encontrados 81 estudos dos quais foram selecionados apenas 11 artigos para a elaboração do protocolo. O protocolo foi submetido para a avaliação de dois fisioterapeutas experts no assunto, para garantir maior segurança e qualidade aos parâmetros definidos. Para implementação do protocolo foi realizado um treinamento com os fisioterapeutas do serviço, para que a utilização do protocolo fosse de forma correta e segura. Após o treinamento, foi realizado o acompanhamento da aplicação do protocolo em três paci­entes. A percepção que tivemos dos feedbacks dos profissionais de saúde foi que após a elaboração do protocolo de EENM houve um notório aumento na confiança do profissional na tomada de decisões clínicas e melhorou a comunicação entre membros da equipe de fisioterapia, garantindo uma estrutura sólida para a aplicação da técnica em pacientes em cuidados intensivos.
ATUAÇÃO DE PRECEPTORES NA RESIDÊNCIA MULTIPROFISSIONAL DE TERAPIA INTENSIVA EM ADULTOS UTILIZANDO ENSINO CENTRADO NO RESIDENTE EM UM HOSPITAL UNIVERSITÁRIO PÚBLICO – UM RELATO DE EXPERIÊNCIA
Authors: Jocundo Calado Freires Fabricio , Geórgia Aparecida Santos de Araújo Calasans  , Guedes Almeida Hélida , Camacho Antunes Filho Helio , Rodrigues de Góes da Trindade Maria Clara , Fortes Corrêa Camila 
Published: September 2024

Este relato de experiência foi pautado na vivência de cinco profissionais do sistema único de saúde, o SUS. Sendo quatro fisioterapeutas e uma psicóloga, que exercem as funções assistencial e de preceptoria no programa de residência multiprofissional em saúde intitulado “Cuidados Intensivos em Adultos”, vinculado à Universidade Federal de São Paulo (UNIFESP). Este trabalho cita a vivência deste grupo durante sua pós-graduação em ensino para preceptores. Durante a especialização, uma das atividades propostas foi o desenvolvimento de uma atividade onde deveriam mapear qualidades e fragilidades em seu local de atuação, e, posteriormente criar uma estratégia possível para melhorias de seu campo assistencial/ensino. Foram realizadas cinco atividades, respectivamente, onde três eram diretamente ligadas ao ensino, e, duas referentes ao processo de avaliação. Ao final destas, cada um dos profissionais/preceptores, enviou a seus tutores, suas atividades. Quatro obtiveram sucesso na implementação de seus projetos e um não alcançou a realização em sua totalidade. O que explicitou um fato constatado por estes profissionais citados e também pela maioria dos demais pós-graduandos, fato esse relatado em fóruns debatidos ao longo do curso, visto que todos os profissionais que exercem a função de preceptoria também exercem função assistencial prioritariamente, o que por vezes põem a preceptoria em segundo plano. O que notadamente demonstra que o acúmulo de funções limitou o término das atividades propostas pelos cinco profissionais/preceptores, culminando na discussão sobre a necessidade da profissionalização no indivíduo enquanto preceptor.
GUS DUR'S MULTICULTURAL TRACES
Authors: Ni'mah Khoirotun , Putranti Faisa Noor Ika , Miftah Muhammad , Rachmi Naza Amalia Adilfi  
Published: September 2024

This research examines Gus Dur's role as an agent of national unity and integrity in the multicultural context of Indonesia. The research method used is content analysis of Gus Dur's policies and handwriting. The results of the research show that Gus Dur played an important role in promoting social harmony through his deep understanding of minority rights and diversity. He encouraged the protection of minority rights, promotion of interfaith dialogue, and recognition of local cultures as an integral part of Indonesia. The conclusion of this research is that Gus Dur's contribution in strengthening national unity through an inclusive approach to diversity is very important. Recommendations to relevant agencies are to increase understanding of minority rights, support inter-religious dialogue, and involve religious leaders in efforts to build social harmony. Implementing these recommendations will help strengthen national unity and integrity, as well as maintain Indonesia as a country based on diversity and tolerance.
Mortalidad en pacientes con COVID 19 con insuficiencia renal y necesidad de diálisis. Una revisión evaluativa
Authors: Meneses-Liendo Victor Hugo , Valencia Valz Ernesto 
Published: September 2024

Objetivos: Comparar la mortalidad en pacientes con la COVID-19 e insuficiencia renal y necesidad de hemodiálisis de un hospital general en Lima, Perú y los datos en la literatura mundial, y según áreas geográficas en el mundo. Material y métodos: Investigación secundaria: artículo de revisión evaluativa, PubMed fue la base de datos utilizada para la búsqueda bibliográfica. Se emplearon las palabras clave “renal failure”, “COVID 19” y “mortality” y los filtros metaanálisis y revisiones sistemáticas. Se incluyeron trece artículos. Resultados: La frecuencia de insuficiencia renal aguda (IRA) y COVID-19 varió entre 8,4 y 26% y en Lima, Perú fue de 22,6%; las tasas de hemodiálisis (HD) en pacientes con la COVID-19 fue de 2,97%, se reportó terapia de reemplazo renal continua (TRRC) en IRA: Asia 1,4%, Europa 5,7% y Norteamérica 4,0% y en Lima, Perú el 44.1% tenían enfermedad renal crónica (ERC) V en HD y el 12,9% recibió HD por primera vez (IRA el 9,7% y ERC el 3,2%); el OR para mortalidad en pacientes con COVID-19 e IRA fluctuó entre 11,05 y 23,9 y la mortalidad en pacientes con COVID-19 e IRA fue en Asia 33,3%, Europa 29,4%, Norte América 7,4% y en Lima, Perú 81% (66,7% sin HD y 100% con HD); en Lima, Perú 33.3% tenía ERC, con una mortalidad general del 23,7% (15,5% sin HD y 100% con HD), y 44,1% ERC V en HD con una mortalidad del 16,3%. Conclusión: La mortalidad en pacientes con la COVID-19 e insuficiencia renal aguda y hemodiálisis en Lima, Perú fue mayor en relación con los datos en la literatura mundial.
Hipomagnesemia Familiar con Hipercalciuria y Nefrocalcinosis: Mutación del gen CLDN16 (Claudina 16). Reporte de caso
Authors: Loza Munarriz Reyner , Arias Caceres Fernando , Neyra Chagua Victor 
Published: September 2024

Se reporta el caso de una niña con historia de crisis convulsivas asociada a hipomagnesemia severa persistente , hipocalcemia , hipercalciuria, acompañado de alteraciones en la función renal, acidosis metabólica y Nefrocalcinosis con progresión a enfermedad renal crónico estadio 5 (ERCV) con historia familiar de enfermedad renal crónica, cálculos renales y consanguineidad de los padres motivo por el cual se hizo el estudio genético obteniéndose como resultado una mutación patogénica en homocigosis c.446 G>A (p.R149Q) ubicado en el exón 3 del gen CLDN16, lo cual permite la confirmación diagnóstica etiológica de un caso de Hipomagnesemia Familiar con Hipercalciuria y Nefrocalcinosis (HFHNC), sin defectos oculares severos. Así mismo se presenta la evolución postrasplante con buena sobrevida del injerto.
Prevalence of CKIT and PDGFRA Mutation in Gastrointestinal Stromal Tumors among Filipinos
Authors: Arceno-Belardo Jenissa Amor , Lo Raymundo , Li Rubi , Pua Glenda Lyn , Andal Jose Jasper , Cabral Loraine Kay , Belardo Mark Lourence , Uy Irene Joy , Dumasis Arlie Jean Grace , Go Bianca Patrice , Obong Clydien Kirshee , Ang Daphne 
Published: September 2024

Background: Gastrointestinal stromal tumors (GIST) is defined as specific, typically kit (CD117)-positive and CKIT or platelet-derived growth factor receptor alpha (PDGFRA) mutation-driven mesenchymal tumors that can occur anywhere in the GI tract. GIST diagnosis relies heavily on immunohistomorphology. However, with the advent of molecular testing, the classification, diagnosis and targeted-therapy for gastrointestinal mesenchymal tumors have been greatly improved. In the Philippines, molecular testing is not yet readily available as in other countries. The local molecular profile of gastrointestinal stromal tumors is a point of investigation as treatment may be more tailored to the patients’ needs.
Objective: This study aims to determine the prevalence of CKIT and PDGFRA mutations among formalin-fixed and paraffin embedded gastrointestinal stromal tumors and other gastrointestinal mesenchymal tumors in St. Luke’s Medical Center – Quezon City.
Methods: A retrospective cross-sectional study of formalin fixed and paraffin embedded tumor samples diagnosed as Gastrointestinal Stromal Tumor from January 1, 2009 to December 31, 2017 will be analyzed for KIT and PDGFRA mutations.
Result: The epidemiology of GIST remains constant in that mean age group is the 5th to 6th decade, with equal gender distribution, and stomach followed by small bowel are the most common sites.
Mutational analysis of the GISTs showed predominantly KIT Exon 11 (47.83%) followed by CKIT Exon 9 (13.04%) and PDGFRA Exon 18 (10.87%). For KIT Exon 11, deletion is the most common mutations followed by point mutations. No mutation is detected in 47.83% of GISTs.
Conclusion: Mutational analysis for CKIT-PDGFRA is warranted among GIST patients, as it may significantly influence treatment protocol in our patients.
Adolescent and Young Adult-Friendly Primary Health Care Services in Low- and Middle-Income Countries: A Scoping Review
Authors: Werdhani Retno Asti , Wanda Dessie , Surasno Husain Muhammad Fajar , Anindhita Mariska , Koloi Vican Sefiany , Ekawati Fitriana Murriya , Widyahening Indah Suci , Sanci Lena A. 
Published: September 2024

Abstract

Introduction: A comprehensive and innovative adolescent health care programme focusing on adolescent health problems in low- and middle-income countries (LMICs) is lacking. We reviewed the research literature on models for adolescent and young adult (AYA)-friendly primary healthcare services (LMICs).
Methods and Analysis: This scoping review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review. The PubMed, Embase, and Scopus databases were searched. The data were screened with COVIDENCE software® and extracted thematically.
Results: Together, the search generated 1101 articles, 40 of which met the inclusion criteria. The significant domains identified for AYA-friendly healthcare care services in LMICs were health facilities, health literacy, and the environment and empowerment, which were derived from eight themes, namely, appropriate package of services, facility characteristics, data and quality improvement, providers’ competencies, adolescent health literacy, equity and nondiscrimination, community support, and adolescent participation.
Conclusion: The friendly primary health care services model in LMICs should pay attention to health facilities, literacy, and environmental support. The identified domains provide insight for advising and implementing primary healthcare services that provide a trusted, holistic, comprehensive, integrated, and ongoing health service to AYA, thereby closing the gap in healthcare services for AYA.
Perceived Ability and Influencing Factors of the Signage System for Color Vision Deficiency Groups:A Case Study of Metro Travel Processe
Authors: Yang HeBing , Yao MinFeng , Zhang YiKang , Li ZiHan , Li Yueying 
Published: September 2024

Abstract

In the process of wayfinding, people with color vision deficiency (CVD) find it difficult to search and understand the relevant signage and guidance information, which reduces the efficiency of wayfinding decision-making of travellers. The current research on CVD mainly focuses on the digital media interface, and there is a lack of exploration of the signage perception ability of CVD groups in complex environments. In this study, we selected metro travel as the type of behaviour to be studied, chose Xiamen Metro Lvcuo Station and four nodes in the surrounding urban area as the research scope, considered the two pairs of influencing factors of the environment and color vision, and used 360° panoramic view and simulation of CVD to implement the information search experiment, and made a comparative analysis of the relevant eye-movement and visual indexes. The experimental results show that subjects with simulated CVD have a significantly weaker ability to perceive the current signage system than normal color vision (NCV) subjects, and have the ability to be less easily disturbed by the colorful visual environment; changes in the outdoor light environment also significantly affect the ability of the experimental subjects to perceive the signage system. The study explores travel environment enhancement strategies that are friendly to the CVD group based on their unique visual recognition needs. It advocates the analysis of the key points of urban public space design with the concept of inclusiveness, and provides a theoretical basis for the subsequent inclusive construction and optimisation of cities.
Tenencia de cerdos y letrinas como factores de riesgo de parasitosis intestinales en dos comunidades de Guerrero, México
Authors: Villalobos Nelly , León Luna Leticia , Chávez-Guitrón Lorena Elizabeth , Núñez Martínez Guadalupe , Martínez Maya José Juan 
Published: September 2024

Objective: To determine the prevalence of intestinal parasites in humans and its relationship with some risk factors in two communities of Guerrero, Mexico. Material and methods: Diagnosis was made using the Faust technique and copro-ELISA. A survey was conducted in parallel to gain information on aspects that favor parasitosis. Results: 305 individuals were evaluated. Of these, 181 (59.3%) were positive according to Faust. The most frequent parasite was Ascaris sp., with 118 positive cases (38.7%); significant variations were observed between both communities, as 101/184 (54.9%) were identified in Yoloxóchitl, while only 17/121 (14.05%) were found in Zentixtlahuaca. With regard to the assessment of risk due to the ownership of latrines and pigs, the presence of the latter was found to be a risk factor for taeniosis (p = 0.013), while pig ownership showed protection against other parasitosis in the population (p = 0.03); no significance was found between having latrines and not having latrines. Conclusions: The results of coproparasitoscopic examination suggest that, while cohabitation with pigs could be a protective or a risk factor, depending on the situation, they surely also depend on other conditions, such as open defecation and the consumption of meat with metacestodes, so a comprehensive approach should be applied to solve them.
Avatar Intervention in Virtual Reality for Cannabis Use Disorder in Individuals With Severe Mental Disorders: Results From a 1-Year, Single-Arm Clinical Trial
Authors: Giguere Sabrina , Beaudoin Mélissa , Dellazizzo Laura , Phraxayavong Kingsada , Potvin Stéphane , Dumais Alexandre 
Published: September 2024

Abstract

Background
The dual diagnosis of cannabis use disorder (CUD) and severe mental disorder (SMD) results in clinically complex individuals. Cannabis use is known to have negative consequences on psychiatric symptoms, medication compliance, and disease prognosis. Moreover, the effectiveness of currently available psychotherapeutic treatments is limited in this population. In this context, our research team developed avatar intervention, an approach using virtual reality as a therapeutic tool to treat CUD in individuals with SMD.

Objective
This pilot clinical trial aimed to evaluate, until the 1-year follow-up, the efficacy of avatar intervention for CUD among 32 participants with a dual diagnosis of SMD and CUD.

Methods
Over the course of the 8 intervention sessions, participants were given the opportunity to enter a dialogue in virtual reality with an avatar representing a person with a significant role in their consumption, who was animated in real time by a therapist. The primary outcomes were the quantity of cannabis consumed and the frequency of use. Secondary outcomes included severity of problematic cannabis use, motivation for change, protective strategies for cannabis use, consequences of cannabis use, psychiatric symptoms, and quality of life. Changes in reported outcomes during the assessment periods before the intervention; postintervention; and 3, 6, and 12 months after the end of the intervention were assessed using a linear mixed-effects model.

Results
Significant reductions were observed in the quantity of cannabis consumed, and these were maintained until the 12-month follow-up visit (d=0.804; P<.001; confirmed by urine quantification). Frequency of cannabis use showed a small significant reduction at the 3-month follow-up (d=0.384; P=.03). Moreover, improvements were observed in the severity of CUD, cannabis-related negative consequences, the motivation to change cannabis use, and the strategies used to mitigate harms related to cannabis use. Finally, moderate benefits were observed for quality of life and psychiatric symptoms.

Conclusions
Overall, this unique intervention shows promising results that seem to be maintained up to 12 months after the end of the intervention. With the aim of overcoming the methodological limitations of a pilot study, a single-blind randomized controlled trial is currently underway to compare the avatar intervention for CUD with a conventional addiction intervention.