bluuebunny/crossref_metadata_2025_split huggingface dataset:
Determinants of peer education on sexual and reproductive health and rights among in-school adolescents in Ebonyi State, Nigeria
Authors: Mbachu Chinyere O. , Agu Ifunanya C. , Eze Irene I. , Onwujekwe Obinna E. 
Published: July 2024

BACKGROUND:
Peer education has contributed to increased knowledge and preventive behaviors of adolescents toward reproductive health matters with the unique feature of maintaining peer-to-peer learning ability and sustaining intervention gains. This study examined the factors that predict the agency of in-school adolescents as peer educators on the sexual and reproductive health and rights (SRHR) of adolescents.

MATERIALS AND METHODS:
A cross-sectional study was conducted on 257 adolescent boys and girls, purposively selected from six public secondary schools that had received a package of interventions that aimed to improve peer-to-peer education on SRHR in Ebonyi State, Nigeria. Data were collected using a pretested structured interviewer-administered questionnaire. Univariate and multivariate analyses were performed. The level of statistical significance was determined at a P value < 0.05 and a 95% confidence limit.

RESULTS:
Almost all the students (98.05%) believed that adolescents need information on SRHR, which should be provided in the schools; however, 66.93% had ever shared information with their peers on the SRHR. The predictors of the practice of peer education on SRHR include being in senior secondary (adjusted odds ratios (AOR) =2.889, P = 0.026), participation in SRHR campaigns (AOR = 6.139, P = 0.005), receiving information, education and communication materials (AOR = 0.266, P = 0.042), and discussing SRH matter with adult family members (AOR = 2.567, P = 0.026).

CONCLUSION:
The practice of peer education among adolescents was determined by their level in school, availability of support structures such as parent–child communication, and program-related factors. Therefore, public health initiatives should prioritize these factors to strengthen adolescents’ agency as peer educators on the SRHR of young people.
Effect of Dhupana (medicated fumigation) on the microbial concentration in the indoor air in Kumaragara (pediatric OPD and IPD): an experimental study
Authors: Sourabh Dasa Sunil , Pant Champa 
Published: July 2024

Abstract

Introduction:
Bioaerosols causing infectious diseases are a major concern for the environmental safety in hospital indoors. Chemical fumigation used for controlling infectious bioaerosols leads to several health hazards such as allergic reactions, hyperbilirubinemia, carcinogenicity, and toxicity. Corrosion of metal surfaces, bleaching of fabrics, risk of accidental consumption, high cost, unpleasant odor, flammability, and formation of toxic gases are other concerns. In Ayurveda, Dhupana (medicated fumigation) is advocated for controlling invisible agents capable of disease transmission. It can be a safer alternative to chemical fumigation. However, many ingredients of classical Dhupana preparations are rare or impractical to use; hence, a novel “Shodashanga Dhupa” (16-ingredient fumigation preparation) was formulated using easily accessible ingredients of classical Dhupana formulations.

Materials and Methods:
The antimicrobial and antifungal activities of Shodashanga Dhupa were ascertained by enumerating colony-forming units (CFUs) in the passive air samples obtained from hospital rooms before and after 1 h of Dhupana. These samples were collected on suitable agar media, and the settle plate method was carried out.

Results:
There was improvement in the Index of Microbial Air Contamination and a statistically significant reduction in bacterial CFUs in the pediatric outpatient department (P = 0.000218) and in the Panchakarma therapy room (P = 0.000218). There was a statistically significant reduction in fungal CFUs (P = 0.0137) in the pediatric outpatient department and in the Panchakarma therapy room (P = 0.00109) after 1 h of Dhupana.

Conclusion:
The study suggests that fumigation with common herbs and spices is effective in decreasing bacterial and fungal bioaerosol concentration in the indoor air of hospital rooms, and it can be used as an economical, hassle-free, and safe method of disinfection.
A comparative clinical study to evaluate the efficacy of Vrishyamuladi Taila and Shatavari Taila Matra Basti with Vyoshadhya Gutika Guggulu in the management of Asthi-Majja-Kshaya (low bone mineral density): an open-labeled randomized trial
Authors: Narine Avvinish Annant , Upadhyay Abhishek , Mangal Gopesh 
Published: July 2024

Abstract

Background:
Osteopenia and osteoporosis are linked disorders, as their names suggest. Both have different degrees of bone loss as assessed by low bone mineral density (LBMD), which is a metric that indicates how strong a bone is and how likely it is to break. Normal bone mineral density tops the scale, osteopenia somewhere in the middle, and osteoporosis at the bottom. The bone conditions mentioned in Ayurvedic classics, such as Asthi-Kshaya (decrease in bone tissue) and Asthi Saushirya (porous bones), have some clinical resemblance to LBMD or osteoporosis.

Aim:
To compare the efficacy of Vrishyamuladi Taila Matra Basti (VTMB, oil enema) and Shatavari Taila Matra Basti (STMB, oil enema) in the management of Asthi-Majja-Kshaya (osteoporosis or LBMD).

Materials and Methods:
A total of 44 patients were screened, of which 34 suffered from Asthi-Majja-Kshaya, that is, LBMD; they were randomly selected and randomly divided into Group A and Group B, with 17 patients in each group. Group A patients were given VTMB for 16 days, followed by Vyoshadhya Gutika Guggulu (VGG) tablets, with a dose of 1g twice a day orally with lukewarm water for 30 days after Basti was completed. Group B patients were given STMB for 16 days, followed by VGG, with a dose of 1g twice a day orally with lukewarm water for 30 days after Basti (medicated enema) was completed.

Results:
It was observed that both groups showed improvement in parameters of Asthishoola (bone pain), Asthitoda (pricking pain of bones), Nakhabhanga (splitting of nails), Raukshya (dryness of skin), Aswapna (loss of sleep), and Satataruka (continuous pain). There is no significant difference in any of the parameters tested in both Group A and Group B comparisons.

Conclusion:
Both Groups A and B were effective in managing Asthi-Majja-Kshaya (LBMD).
Comparing Four Different Risk Malignancy Indices in Differentiating Benign and Malignant Ovarian Masses
Authors: Mundhra Rajlaxmi , Bahadur Anupama , Kashibhatla Jyotshna , Kishore Sanjeev , Chaturvedi Jaya 
Published: July 2024

ABSTRACT

Background:
Accurate prediction of ovarian masses preoperatively is crucial for optimal management of ovarian cancers.

Objective:
The objective of this study was to identify the risk of malignancy index (RMI) incorporating menopausal status, serum carbohydrate antigen 125 levels, and imaging findings for presurgical differentiation of benign from malignant ovarian masses and to evaluate the diagnostic ability of four different RMIs.

Materials and Methods:
Women presenting with ovarian masses from August 2018 to January 2020 were evaluated preoperatively with detailed history, examination, imaging, and tumor markers. RMI 1–4 was calculated for all patients. Evaluation of the diagnostic utility of four different RMIs for preoperative identification of malignancy was based on the increment of the area under the receiver operating characteristic curve. Histopathological diagnosis was used as the gold standard test.

Results:
One hundred and twenty-one patients fulfilling the eligibility criteria were enrolled in this study. Benign tumors constituted 61 (50.4%) out of 121 cases, followed by malignant tumors and borderline tumors constituting 49 (40.49%) cases and 11 (9.09%) cases, respectively. The sensitivity of RMIs 1, 2, 3, and 4 was 77.0%, 63%, 77.0%, and 77.0%, respectively, and the specificity was 84%, 86%, 77%, and 71%, respectively. The RMI 2 had higher specificity at predicting malignancy than other RMIs while diagnostic accuracy was highest in RMI 1.

Conclusion:
The RMI method is a simple and cost-effective technique in preoperative differentiation of ovarian masses.
Robotic-assisted Versus Conventional Laparoscopic Hysterectomy for Benign Gynecological Conditions: A Systematic Review and Meta-analysis
Authors: Bahadur Anupama , Zaman Rabia , Mundhra Rajlaxmi , Mani Kalaivani 
Published: July 2024

ABSTRACT

Background:
Minimally invasive gynecologic surgery is safe and feasible procedure for benign gynaecological conditions with less morbidity.

Objective:
To determine the best approach in benign gynecology and establish superiority of robotic over conventional laparoscopic hysterectomy in terms of safety and effectiveness.

Methods:
Search strategy: Electronic databases: MEDLINE, Embase, CENTRAL (the Registry of Controlled Clinical Studies of the Cochrane Collaboration), Google scholar, Pubmed and Scopus were searched from 2010-2022. Selection criteria: All randomized controlled trials and quasi-randomised trials which compared robotic versus conventional laparoscopic hysterectomy were included to conduct this systematic review and meta-analysis to investigate compared to traditional approaches.

Results:
Only five RCTs (326 patients in total) comparing robotic and conventional laparoscopic hysterectomy were included after a comprehensive literature search. Results of our analysis showed no clear benefit in any of the two techniques in operating time, estimated blood loss, length of hospital stay and overall complications.

Conclusion:
This systematic review suggests no statistical difference in surgical and patient outcomes between robotic and conventional laparoscopic hysterectomy relating to OT, EBL, LOHS, overall complications, and survival.
Bio-entrepreneurs’ bugbear: Regulatory rigmarole
Authors: Bhatt Arun 
Published: July 2024

Abstract
Indian biotech startup sector – a rapidly growing business segment focused on the development of innovative products has the potential to make significant contributions to the country’s economy. Indian bio-entrepreneurs’ optimistic expectation of rapidly moving product development from bench to bedside faces tremendous challenges of the complex Indian regulatory system, which is shaped by a diversity of regulatory authorities, rules, guidelines, and processes. This brief review discusses specific regulatory issues faced by bio-entrepreneurs investing in a variety of innovative products – new drugs, vaccines, medical devices, cell, and gene therapy and suggests approaches which can ease Indian entrepreneur’s endeavors.
Bilan de deux années de psychiatrie de liaison au Service de Psychiatrie du Centre hospitalier universitaire Yalgado Ouédraogo, Burkina Faso
Authors: Abdou Mahamane Mobarak Salifou , Cisse Almoustapha Ousmane , Bague Boubacar , Hamma Ousmane Issoufou , Sawadogo Konsam Cedric Christel , Zika Oumou Ousseyni , Djibrilla Moussa , Karfo Kapoune 
Published: July 2024

Context and objective: Liaison psychiatry is a relatively recent practice in Africa, but it remains poorly documented. The aim of the present study was to identify requests for psychiatric advice.
Methods: This was a descriptive series of cases, within the framework of the psychiatric liaison consultation, at the Centre Hospitalier Universitaire Yalgado Ouédraogo, carried out from January 1, 2021 to December 31, 2022. Data were collected from the dedicated forms and analyzed using Epi info 7.2 software.
Results: Three hundred and one forms were identified, 185 (61.4 %) of which were included in the study. One hundred and sixteen (38.6 %) other files were not eligible (incomplete file). The Nephrology Department was the main requesting department with 14.59%. Agitation (23.24%) and depressive syndrome (29.73%) were the main reasons. Over half the patients (56.02%) were seen on the same day, and no treatment was prescribed in 17.30% of cases. Systematic reassessment was recorded in 34.05% of cases.
Conclusion: The present study shows that the nephrology department was the most frequently requesting department for depressive and arousal syndromes. The weakness of the liaison psychiatry practice comes from the high number of poorly completed files or patients not seen by the liaison's team.

French title: Assessment of two years of liaison psychiatry at the Psychiatric Department of the Yalgado Ouédraogo University Hospital, Burkina Faso
Context objectif: La psychiatrie de liaison est une pratique relativement récente en Afrique mais elle reste très peu documentée. L’objectif de la présente étude a été de recenser les demandes d’avis psychiatriques.
Méthodes: Il s’est agi d’une série descriptive des cas, dans le cadre de la consultation de liaison psychiatrique, au Centre Hospitalier Universitaire Yalgado Ouédraogo, suivi du 1er janvier 2021 au 31 décembre 2022. Les données ont été recueillies à partir des fiches réservées à cet effet et analysées à l’aide du logiciel Epi info 7.2.
Résultats: Trois-cent-une fiches ont été recensées dont 185 (61,4 %) inclus dans l’étude. Cent seize (37,4 %) autres fiches n'étaient pas éligibles (dossier incomplet). Le service de néphrologie a été le principal service demandeur avec 14,59 %. Le premier motif a été l’agitation (23,24 %) et le syndrome dépressif (29,73 %). Plus de la moitié des patients (56,02 %) étaient consultés le même jour et aucun traitement n’a été prescrit chez 17,30 % des cas. Une réévaluation systématique a été consignée chez 34,05 % des cas.
Conclusion: Il ressort de la présente étude que le service de néphrologie a été le grand demandeur pour syndrome dépressif et d'excitation. La faiblesse de cette pratique a été l'existence des fiches mal renseignées ou des patients non vus par l’équipe de liaison.
Prevalence and Distribution of Viruses Associated with Fig Mosaic Disease in Iraq
Authors: Al-Kaeath Nabeel , Elair Manel , Mahfoudhi Naima 
Published: July 2024

In the frame to study the prevalence and the distribution of viruses associated with fig mosaic disease in Iraq, surveys were carried out in the main fig producing regions Al-Hashemiya, Al-Diwaniyah, AlSamawah and Al-Suwayrah. A total number of one hundred leaf samples were randomly collected from major cultivars Aswed Dyala, Waziri and Sultani. All collected samples were analyzed using molecular tests (RT-PCR) for detection of Fig mosaic virus (FMV), Fig leaf mottle associated virus 1 (FLMaV-1), Fig leaf mottle associated virus 2 (FLMaV-2), Fig mild mottle associated virus (FMMaV), Fig cryptic virus (FCV), Fig fleck associated virus (FFkaV) and Fig latent virus 1 (FLV-1). A wide range of foliar symptoms including mosaic, chlorotic mottling, vein banding, chlorotic ringspots and deformations, were observed on fig trees. Molecular analysis detected the presence of at least one virus in 81% of fig trees tested. FCV was the prevailing virus with an incidence of 45% followed by FLMaV-1 (39%), FMV (37%), FMMaV (28%), FFkaV (16%) and FLMaV-2 (10%). Regarding cultivars, the highest infection rate was recorded for cv. Waziri (100%), followed by cv. Sultani (82.2%) and finally cv. Aswed Diyala (74%). This study represents the first report of the presence of FLMaV-1, FLMaV-2, FMMaV and FFkaV in Iraq.
Assessment on Pesticide Knowledge and Usage by Apple Farmers in Foussana Delegation, Kasserine Governorate, in Center-West of Tunisia
Authors: Soltani Rasmi 
Published: July 2024

Apple farmers in center-west of Tunisia are heavily dependent on pesticides to ensure the phytosanitary protection of their orchards. The present study was carried out among the apple growers of the delegation of Foussana using face-to-face interviews to determine socio- demographic characteristics, status of pest management, their levels of knowledge of pesticide handling, their ability to understand the displayed instructions on product labels and the use of personal protective equipment (PPE). The results showed that farmers used 3 classes of pesticides in their orchards: insecticides (47.76%), fungicides (28.36%) and acaricides (23.88%) among them 96.3% were purchased from local retailers. About 25.61% of farmers declared reading always pesticide labels before application against 35.71% not reading it at all and 38.68% were indifferent. About 57.3% of interviewed farmers applied pesticides in mixture. Among them, 31.7% mix 2 pesticides, 20.7% mixed 1 to 3 products together and 4.9% mixed 3 products in one tank. When mixing pesticides, the majority of farmers do not respect the prescribed dose because of the lack of suitable graduate instrument. Only 3.7% of interviewed disposed and used full PPE during pesticide spraying against 89.9% of them who used partial PPE. Regarding how to dispose empty containers, 89.65% of farmers destroyed them by incineration against 11.2% who discard them in nature. These results indicated the unawareness of farmers about the hazard linked to pesticide use. For that, it is important to implement measures to support and raise farmer’s awareness.
Doença de Dupuytren com ênfase nas abordagens técnicas cirúrgicas
Authors: Albuquerque Jessica Altino Gomes de Almeida , Teixeira Victória Maurício , Silva Tássia Campos de Lima e 
Published: July 2024

A doença de Dupuytren trata-se de uma fibroplasia proliferativa do tecido palmar subcutâneo ocorrendo na forma de nódulos e cordões (nódulos de Dupuytren). Pode resultar em contraturas em flexão progressivas e irreversíveis das articulações dos dedos secundariamente1,2. Inicia-se com aumento da proliferação de fibroblastos seguida de deposição de colágeno tipo 3. Apresenta diversas causas fisiopatológicas, englobando fatores genéticos, ambientais (alcoolismo e tabagismo), e forte relação com pacientes diabéticos, hipertensos e obesos8. A contratura evolui progressivamente e o tratamento varia de acordo com a sintomatologia do paciente, onde a abordagem cirúrgica torna-se a mais indicada por postergar uma possível recidiva. Atualmente, as técnicas cirúrgicas da palma aberta ou McCash modificada, a fasciotomia parcial (FP) e a fasciotomia percutânea (FPC) são utilizadas. Assim, o presente trabalho teve como intuito estabelecer parâmetros comparativos sobre o melhor método de tratamento cirúrgico de fasciectomia seletiva, levando em consideração riscos, indicação de acordo com a gravidade e melhor pós-operatório. O estudo foi realizado por meio de revisão de literatura, análise descritiva qualitativa, e retrospectiva, no período de 10 anos (2013 a 2023), onde foram selecionados onze artigos contendo dados de estudos clínicos de casos de pacientes submetidos aos três tipos de técnicas cirúrgicas, acometidos com moléstia de Dupuytren. Foram utilizados artigos científicos das bases de dados eletrônicas: PubMed, Medline e Scielo. Dos pacientes analisados com a técnica cirúrgica de McCash, todos apresentaram resultados satisfatórios com recuperação pós cirúrgicos entre 17 e 30 dias 2. O método de FPC apresentou vantagem quando comparado a FP3, dado que é minimamente invasivo, possui menor índice de complicações e redução do tempo de recuperação. Por esse motivo, foi a primeira escolha para tratar casos de contratura considerados leves4. Em contrapartida, no período de 12 meses os pacientes submetidos a FP demonstraram menor déficit total de extensão passiva em relação aos submetidos a FPC. A técnica de McCash obteve resultados satisfatórios, principalmente, ao ser aplicada a pacientes com níveis de contratura mais graves. As técnicas de FP e FPC também demostram grande efetividade, porém a FPC leva vantagem por ser minimamente invasiva e de rápida recuperação. No entanto, mais estudos clínicos comparando as 3 abordagens cirúrgicas são necessários, bem como o estabelecimento de protocolos para indicação da técnica mais adequada.
Analisis Kerentanan WordPress dengan WPScan dan Teknik Mitigasi
Authors: Ramadhani Ghani Trie Aqeela , Steyer Muhammad Raihan Ramadhan , Maulidan Muhammad Hafizh , Setiawan Aep 
Published: July 2024

WordPress adalah platform yang dikenal sebagai sistem manajemen konten (CMS). Karena banyaknya kerentanan yang dapat dieksploitasi, meskipun populer di seluruh dunia, sering menjadi sasaran serangan siber. Penelitian ini bertujuan untuk menganalisis kerentanan WordPress menggunakan alat pemindaian keamanan WPScan dan mengevaluasi teknik pertahanan yang efektif untuk memitigasi risiko ini. WPScan digunakan untuk mengidentifikasi kerentanan umum dalam instalasi WordPress, seperti plugin dan tema yang rentan, melalui serangkaian pengujian. Analisis tersebut mengungkapkan sejumlah kerentanan kritis, termasuk kerentanan injeksi SQL, XSS (skrip lintas situs), dan kerentanan otentikasi. Berdasarkan temuan ini, berbagai langkah mitigasi direkomendasikan, termasuk pembaruan sistem secara berkala, pengaturan konfigurasi keamanan yang lebih ketat, dan penggunaan plugin keamanan tambahan. Menerapkan teknik mitigasi ini diharapkan dapat meningkatkan keamanan situs WordPress Anda secara signifikan, mengurangi kemungkinan serangan, dan melindungi data pengguna Anda. Penelitian ini memberikan wawasan yang dapat ditindaklanjuti bagi administrator situs WordPress agar dapat mengidentifikasi dan memulihkan kerentanan keamanan secara lebih efektif.
Pattern of Care for the Bankruptcy Trustee: Is Transplantation to Indonesian Law Possible for SDGs?
Authors: Gaffar Firoz , Sudiro Amad , Gunadi Ariawan 
Published: July 2024

Purpose: The centrality of the bankruptcy trustee in bankruptcy cases requires bankruptcy law to maintain and enforce the trustee's standard of care. In the United States, the formulation of this standard at least includes the form of liability, level of violation, and exceptions to the trustee's liability. In Indonesia, this standard does not yet exist, so the legal certainty is still questionable. Indeed, there is general provision in Article 1365 of the Indonesia Civil Code and special provision in Article 72 of the Indonesia Bankruptcy Act 2004, but they are considered ineffective. Efforts are needed to borrow this standard from the United States. The most appropriate way of convergence is to carry out legal transplant. Therefore, this article discusses this standard in the United States, describes the text and legal context in Indonesia, and ultimately reveals transplant with the concept of path dependence.

Method: The research conducted is normative legal research, so that discussions are carried out on the legal principles of liability, violations, and exceptions; in addition to discussions on comparative laws that exist in the United States. Given that the focus is only on legal materials (secondary data), the research is purely doctrinal research. With document study all results are collected, which are then subjected to quantitative analysis.

Results: Research was conducted on the legal history of bankruptcy, namely the legal system (sources, institutions, and legal procedures) and legal culture (compliance, justice, and dispute resolution). There are indeed similarities in institutions and legal procedures that apply to both countries, although there is differentiation in the sources of law for the application of standard. In addition, there is a fairly high discrepancy between the two countries regarding compliance and justice experienced by the community, in addition to the differences in the main mode of court in the eyes of the community.