bluuebunny/crossref_metadata_2025_split huggingface dataset:
An evaluation of lower urinary tract symptoms among patients with hypertension: A cross-sectional study
Authors: Hamshari Suha , Sholi Sara , Jamous Mais Abu , Taha Ahmad , Aghbar Amir , Alwafa Rola Abu , Abushamma Faris 
Published: July 2024

ABSTRACT

Background:
Hypertension (HTN) is a prevalent and impactful health concern associated with cardiovascular morbidity and mortality. This research delves into the intricate relationship between HTN and lower urinary tract symptoms (LUTS), acknowledging the multifaceted nature of these conditions and their potential impact on individuals’ quality of life.

Materials and Methods:
This cross-sectional study, conducted in Nablus, Palestine, employed convenient sampling to recruit hypertensive patients from the Ministry of Health clinics between September and December 2023. The inclusion criterion involved confirmed hypertensive patients, while the exclusion criterion included individuals with specific health conditions. The collected data included demographic, comorbidity, and lifestyle factor data. The study utilized the urogenital distress inventory 6 (UDI-6) and Incontinence Impact Questionnaire (IIQ)-7 short forms to assess urinary distress symptoms and the impact of urinary incontinence on quality of life. All the statistical analyses, including Pearson, Chi-square, Fisher’s exact, Kruskal-Wallis, and Mann-Whitney tests, were performed with various tests for significance, and the significance level was set at P < 0.05.

Results:
Among the 351 participants meeting the inclusion criteria, females (62.1%) and married individuals (83.5%) were the predominant participants. The majority were aged 58–67 (42.5%), had a high school education (39.0%), and had a body mass index (BMI) of 30–34.9 (30.2%). Significant correlations were found between UDI-6 scores and sex, age, marital status, education level, employment status, and comorbidities. The IIQ-7 score was significantly correlated with female sex, marital status, age, comorbidities, duration of HTN, employment status, and education level. Both the UDI-6 and IIQ-7 scores revealed considerable impacts on urinary symptoms and quality of life. A significant negative correlation (r = −0.579) between the IIQ-7 score and UDI-6 score emphasized the interconnectedness of urinary distress symptoms and their impact on quality of life (P < 0.001). These findings underscore the multifaceted nature of LUTS and their profound effects on hypertensive patients’ well-being.

Conclusion:
Our study revealed a significant association between HTN and LUTS, especially among females and specific demographic groups. This emphasizes the need for comprehensive management. The observed negative impact on quality of life emphasizes the significance of adopting holistic approaches to address both conditions.
Assessment of treatment outcomes of daily fixed-dose combination therapy among drug-sensitive pulmonary tuberculosis patients: A prospective study from Bengaluru, India
Authors: Sumana M , Saraswathi S , Mukhopadhyay Amita , Debata Ipsita , Ranganath TS 
Published: July 2024

ABSTRACT

Context:
The annual incidence cases report depicts India as having the highest tuberculosis (TB) burden globally. Following a programmatic change, the daily fixed-dose combination (FDC) anti-TB treatment regimens were introduced by the Indian government’s National Tuberculosis Elimination Program (NTEP).

Aims:
The aim of the study was to assess the treatment outcomes among drug-sensitive pulmonary TB patients receiving daily FDC drugs and the associated factors influencing the treatment outcomes.

Settings and Design:
A prospective study was conducted among 300 drug-sensitive pulmonary TB cases in the Bruhat Bengaluru Mahanagara Palike (BBMP) area.

Materials and Methods:
The TB units and designated microscopic centers (DMCs) were selected by multistage random sampling. Data were collected through a pre-tested and semi-structured questionnaire. Patients were followed up until treatment completion.

Statistical Analysis Used:
Data were compiled and analyzed using IBM Statistical Package for Social Sciences (SPSS) statistics version 20.0. Descriptive statistics and the Chi-square test were used for interpretation. A P-value less than 0.05 was considered statistically significant.

Results:
Around 86.33% of patients were cured, 4% had completed treatment, and 1% had treatment failure. Older age, human immunodeficiency virus (HIV) reactive status, alcohol intake, tobacco use, and migrants were associated with poor outcomes.

Conclusions:
The daily FDC regimen had better outcomes than intermittent regimens. Smokers, alcoholics, migrants, and patients with co-morbidity need to be given priority in management as they are prone to poorer outcomes.
Rhinocerebral mucormycosis: A clinicopathological analysis of COVID-19-associated mucormycosis
Authors: Bahal Neelima , Piyush AR , Kala Pooja Sharma , Dogra Shruti , Thapliyal Naveen 
Published: July 2024

ABSTRACT

Background:
During the coronavirus disease 2019 (COVD-19) pandemic, the incidence of mucormycosis also increased, especially affecting individuals who have had the COVID-19 infection in the past.

Aims:
The aim of the study is to assess risk factors and clinical and histopathological features of mucormycosis in post-COVID-19 cases.

Methods:
This is a retrospective study conducted in a tertiary care COVID-19-dedicated hospital, Dehradun, Uttarakhand, India, over a period of 2 months during the COVID-19 pandemic. All surgical specimens submitted for histopathology with a suspected diagnosis of mucormycosis were included. Histopathology was considered the gold standard. All histopathologically confirmed cases were studied in detail with respect to histopathology, clinico-radiological features, and microbiological results

Results:
Of 25 cases with clinical diagnosis of mucormycosis, nine were histopathologically confirmed as mucormycosis. Seven patients had diabetes, while two did not have any co-morbidity. The fungal load was heavy in 50% cases, and the proportion of necrosis was higher with diabetes mellitus, as compared to non-diabetic and non-co-morbidity patients. Angioinvasion (33.3% cases), soft-tissue invasion (44.4%), Splendor–Hoeppli phenomenon (44.4%), and neural invasion (11.1%) were also present. Mixed infection (Mucormycosis and Aspergillus species) was present in three of the cases who also had diabetes. The microbiological investigations were positive in only 55.5% cases.

Conclusion:
Post-COVID Mucormycosis has fatal outcomes. Early diagnosis and treatment are the key to successful treatment. Early and reliable diagnosis can be offered by histopathological examination.
Prevalence of metabolic syndrome and its risk factors among newly diagnosed type 2 diabetes mellitus patients – A hospital-based cross-sectional study
Authors: Krishna S Teja Rama , Bahurupi Yogesh , Kant Ravi , Aggarwal Pradeep , Ajith Athulya V. 
Published: July 2024

ABSTRACT

Context:
Metabolic syndrome (MetS) raises the chance of cerebrovascular accidents and cardiovascular illness in type 2 diabetes mellitus (T2DM) individuals. Early identification of MetS allows for suitable prophylactic and treatment strategies to reduce the risks.

Aim:
To estimate the prevalence of MetS and its risk factors in T2DM individuals.

Settings and Design:
This cross-sectional study investigated MetS and its component’s prevalence among newly diagnosed T2DM at the tertiary care hospital.

Methods and Material:
The study was conducted from January 2022 to December 2022 and included 300 participants above 18 years, with most being men (55%, 165), and using the World Health Organization (WHO) STEPS questionnaire for assessing selected risk factors. Along with blood glucose, different components of MetS were assessed, that is serum triglyceride (TG) level, serum high-density lipoprotein (HDL) level, blood pressure (BP) and waist circumference (WC), as per the National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III) criteria.

Statistical Analysis Used:
Data analysis includes mean and standard deviation (SD) for numerical variables with an unpaired t-test to compare means and percentage and proportions for categorical variables with the Chi-square test for the associations. Multivariate logistic regression was used for assessing the predictors of MetS

Results:
The prevalence of components of MetS, that is obesity, hypertension (HTN), TG and HDL components, was 64.0% (192), 45.7% (137), 46.0% (138) and 30% (90), respectively. Overall, MetS was 57% (170). Moderate activity of 150 min/week, sitting/reclining, WC, diastolic BP, TG and HDL had a significant association with MetS

Conclusions:
MetS was highly associated with newly diagnosed T2DM with obesity being the most common component.
Effectiveness of “SAFAL MATRUTV GATS” (Stunting alleviation by facilitation of antenatal-postnatal-interventions for low birth weight reduction) – A peer-led self-empowerment group at rural villages in Eastern Maharashtra: Protocol for a pragmatic cluster randomized controlled trial
Authors: Pusdekar Yamini , Hajare Shilpa , Dani Akanksha , Saoji Ajeet 
Published: July 2024

ABSTRACT

Background:
Stunting or chronic malnutrition has been one of the major challenges to mankind for ages. The trends from the National Family Health surveys are more or less stagnant with a huge failure of the public health systems to tackle the problem of malnutrition. Innovative approaches are needed to tackle malnutrition.

Objective:
This pragmatic cluster randomized controlled trial (CTRI registration no. Trial REF/2023/08/071521) is planned to assess the effectiveness of a multifaceted antenatal and postnatal health educational intervention package implemented from the first trimester of pregnancy up to one year of infant age in reducing the rates of Low Birth Weight and improving the maternal-infant growth and developmental indicators in a cohort of rural pregnant women as compared to existing standards of care. Implication - The study emphasizes the importance of an ongoing continuum of care during the first 1000 days for effective birth weight, preventing malnutrition, and fostering infant growth and development as its programmatic pathway to impact.

Results:
We anticipate that the intervention will complement the existing health programs and will be implemented through the grassroot-level workers along with a community peer named “Safalta Tai” enabling community ownership of the intervention.

Discussion:
It also has a robust inbuilt monitoring and evaluation system through participatory action research for making it scalable and sustainable beyond the implementation period.

Conclusion:
The program leverages on the existing goverment programs like the poshan abhiyaan and the digital health mission. It has the potential to be incorporated in the exsiting health infrastructure without any additional resources and scaled up if found effective in reduction of low birth weight which is an important determinant of stunting in under five children.
Comparison of isometric handgrip test among pregnant offspring of hypertensive parents and pregnant offspring of non-hypertensive parents
Authors: Shankari CS Siva , Raju Aruna , Vadakaluru Uthpala , Niveatha S 
Published: July 2024

ABSTRACT

Context:
A family history of hypertension is one of the important risk factors for the development of pregnancy-induced hypertension (PIH). Offspring of hypertensive parents should be screened for PIH. The isometric handgrip (IHG) test is used to assess autonomic function among them. Autonomic function dysregulation can indicate their predisposition to develop PIH later in the course of pregnancy.

Aim and Objectives:
To compare the IHG among pregnant offspring of hypertensive parents (Group 1) and non-hypertensive parents (Group 2).

Methods and Materials:
This is a cross-sectional study done among 100 pregnant women in the second trimester (50 participants in each group). Blood pressure responses to sustained hand grip for 2 minutes of maximum voluntary contraction (MVC) were recorded, immediately at the end of the IHG test and after 5 minutes of the IHG test.

Statistical Analysis:
Independent t-test and Mann–Whitney U test were used to compare the responses in two groups.

Results:
There is no statistical difference in basal blood pressure and heart rate between the two groups. Group 1 exhibited a significant increase in systolic blood pressure (SBP) and diastolic blood pressure (DBP) compared to Group 2 immediately after 2 minutes of the IHG test. There is a significant increase in SBP after 5 minutes of the IHG in Group 2.

Conclusions:
Offspring of hypertensive parents have increased sympathetic reactivity and restoration of the blood pressure is significantly less compared to offspring of normotensive parents, which may predispose them for PIH. IHG can be applied as a convenient tool to screen the population who are at risk of PIH in places like primary health centres or field screenings where IHG is one possible option.
Історія виникнення і сучасний стан грузино-південноосетинського конфлікту
Authors: Отрош М.І. 
Published: July 2024

У статті досліджуються причини виникнення грузино-південноосетинського конфлікту, показано фази його розвитку та сучасний стан. Грузино-південноосетинське протистояння розпочалося ще в період існування СРСР. Воно переросло у збройний конфлікт 1991-1992 рр., який закінчився поразкою грузинських військ і встановленням Південною Осетією за допомогою військової підтримки Росії контролю над територією цієї автономної області. З того часу Південна Осетія стала де-факто незалежною державою, яка практично опинилася поза владою грузинського уряду.
Після цього розпочався багаторічний переговорний процес, який, на жаль, не приніс бажаних результатів у врегулюванні грузино-південноосетинського конфлікту. Зважаючи на це, Грузія зробила у серпні 2008 р. невдалу спробу силового відновлення контролю над Південною Осетією. Це призвело до п’ятиденного російсько-грузинського збройного конфлікту, під час якого Південна Осетія за допомогою росіян встановила повний контроль над усією своєю територією. Невдовзі по тому Південна Осетія була визнана незалежною державою з боку РФ та деяких її сателітів, а російські військовослужбовці стали дислокуватися фактично по всій території цієї колишньої Південно-Осетинської автономної області.
Незважаючи на такий розвиток подій, Грузія по праву вважає Південну Осетію своєю територією, окупованою Росією. Абсолютна більшість держав світу, зокрема Україна, підтримують територіальну цілісність Республіки Грузія, складовою частиною якої є колишня Південно-Осетинська автономна область. Враховуючи високий рівень російської присутності у Південній Осетії, можна прогнозувати, що в недалекому майбутньому Росія повністю поглине цю грузинську територіюта включить її «на прохання осетинців» до свого складу в якості ще одного суб’єкта федерації.
The Leadership Role of The Madrasah Head In Developing Teacher Professionalism
Authors: Arifin Samsul 
Published: July 2024

This research aims to explain the leadership role of the madrasa head as a leader and manager in developing teacher professionalism at Madrasah Aliyah Negeri 1 Situbondo. This research uses a qualitative approach, a case study type, a technique for determining research subjects with purpose, and data collection techniques using (1) semi-participant observation, (2) semi-structured interviews, and (3) documentation. Meanwhile, data analysis uses Miles Huberman and Saldana's interactive model with the following steps: (1) data collection, (2) data condensation, (3) data presentation, and (4) concluding. Triangulation and member checks are used to measure data validity. Three types of triangulations are used, namely source and method triangulation. Research results are 1). The leadership role of the madrasah head as a leader in developing teacher professionalism at Madrasah Aliyah Negeri 1 Situbondo: The madrasah head makes planning, implementation, and evaluation as well as work programs, such as drafting and creating semester programs together with teachers. Implementing teacher delegation in workshop or training activities periodically requires every teacher to update learning tools (content, methods, media, teaching materials in the lesson plan), provide advice, motivation, and suggestions, and solve problems in dealing with issues in madrasas related to teaching and learning, and provide leeway and flexibility for teachers who wish to pursue higher education or a master's degree. 2). The leadership role of the madrasa head as a manager in developing teacher professionalism at Madrasah Aliyah Negeri 1 Situbondo: The madrasa head provides opportunities for students to develop their talents and interests to improve the quality of the madrasa, creating an atmosphere that builds teacher discipline, class supervision and teacher performance assessment and provide evaluation of the results of class supervision by providing input on errors/discrepancies found and providing solutions to teachers at Madrasah Aliyah Negeri 1 Situbondo.
Desarrollo de un modelo de plan de beneficio definido voluntario empresarial con una metodología actuarial
Authors: Rodríguez Ana Mercedes , Martínez Luis , Bula Magallón Roberto 
Published: July 2024

La transición demográfica en el país ha llevado a un envejecimiento de la población. Este cambio, junto al incremento de la población económicamente activa, ha facilitado la rotación laboral y, en consecuencia, el retiro laboral. Sin embargo, en 2020 la pandemia de COVID-19 reveló la fragilidad de la situación económica y financiera de las organizaciones, tanto públicas como privadas, resultando en un considerable número de despidos. Además, el aumento del costo de la canasta básica familiar, junto con otros factores como el costo de la salud asociado al envejecimiento, subraya la necesidad de proponer estrategias de ahorro para mitigar el impacto de una cesantía inesperada. El propósito de este estudio se centró en la elaboración de una propuesta de un modelo de plan de retiro voluntario empresarial. Se empleó el método de valoración actuarial de Unidad de Crédito Proyectada según la Norma Internacional de Contabilidad 19 Beneficios a Empleados (NIC 19). Los datos utilizados fueron obtenidos de una población de 822 colaboradores de una empresa aseguradora en Panamá. Como resultado principal, se desarrolló un modelo de plan de beneficio definido no contributivo, viable para su implementación en la empresa, que proporcionaría a los colaboradores un beneficio económico en su retiro laboral voluntario.
Resignificación del espacio público por la interrelación de arte y arquitectura
Authors: Artero Mut Lidón 
Published: July 2024

En esta investigación se aborda las distintas estrategias de comunicación entre la producción artística y la arquitectura, aportando una tipología de relaciones a través de referentes destacados con el objetivo de visualizar los distintos niveles de resignificación del espacio público por la acción de ambas presencias. Los artistas contemporáneos utilizan la arquitectura como soporte de la obra artística utilizando diferentes recursos conceptuales: para significar y enfatizar su discurso como en las proyecciones de Jenny Holzer en su serie Truisms, y en un sentido opuesto, cubrir esas arquitecturas para que paradójicamente se hagan más presentes y notorias como en las intervenciones de los artistas Christo y Jean Claude, o destruyendo esos inmuebles y mostrando el interior en un acto disruptivo como en la obra de Gordon Matta Clark. Esta interacción entre arte y arquitectura puede tener en ocasiones solo un componente de descontextualización y extrañamiento tan propio de las artes plásticas, pero se ofrece también como espacio para la reflexión sobre temas tan acuciantes como la crisis climática, en la obra de Olafur Eliasson Ice watch, el artista busca generar una advertencia sobre el cambio climático enfatizando la cuestión del tiempo en este proceso, también ocurre así en el trabajo de Pekka Niittyvirta y Timo Ah.La arquitectura también puede actuar a modo de referencia para la memoria, como en el caso de las intervenciones del artista DoHo Shu o las complejas instalaciones de Chiharo Shiota en una muestra de nostalgia y de evocación, pero también puede implicar un relato de cuestionamiento social y político, en el cual la arquitectura se concibe como un componente más de la obra, resignificándola, así podemos verlo en las intervenciones de Amanda Williams y también de Ian Strange, en las que se cuestionan los mecanismos de poder en torno a la especulación inmobiliaria.
Denkraum y estética zen. En torno al concepto de Equilibrio en Aby Warburg y Morihei Ueshiba
Authors: Fernandez arias Jorge Luis osiris 
Published: July 2024

En esta conferencia reflexionamos sobre el concepto Denkraum como una búsqueda por restablecer el equilibrio entre imagen, experiencia y cuerpo. Para ello, recurrimos a la fenomenología del cuerpo presente en el Aikido, y al concepto Warburgiano de Denkraum, entendido como espacio para el pensamiento. La investigación se desarrolla desde el punto de vista de la búsqueda del equilibrio como autodescubrimiento y autocomprensión de la subjetividad y las imágenes que ella suscita.El psicohistoriador de las imágenes Aby Warburg identificó una dislocación en el pensamiento de occidente ocasionado por la destrucción de la distancias humano-imagen-mundo; así, la tecnología ocasionó la pérdida de nuestra conexión respecto al mundo. De manera invertida, el mismo autor reconocía que la orientación animal del humano respecto al humano le llevaba un estado donde la razón quedaba en segundo plano y nos exponía a los infortunios del mundo. Es de esta manera como el pensamiento Warburgiano en torno al Denkraum nos lleva a reconocer a la tecnología, magia y religión como los tres espacios fundamentales para la existencia en torno seres simbólicos creadores de imágenes. De la pérdida del equilibrio en estos tres espacios nos dejaría solos ante el mundo. De manera análoga a Warburg, el fundador del aikido Morihei Ueshiba ve en éste arte marcial una meditación en movimiento para restablecer el equilibrio en el cuerpo, basándose en principios del budismo zen y técnicas de combate Budo orientadas a la no-violencia. Así, tanto en un autor como en otro, vemos una lucha por restablecer el equilibrio en el espacio para el pensamiento; en Warburg, como autoconciencia-comprensión de nuestras relaciones con las imágenes y del entendimiento de las fuerzas-latencias vivas en ellas; en Morihei Ueshiba, como una lucha del cuerpo contra su imagen, una especie de combate contra la propia sombra. Al final, es el cuerpo contra su propia imagen buscando una orientación crítica que le permita restablecer el orden en el pensamiento entendido como organización epistémica del ser en el mundo.
El artista, los enfrentamientos y el terreno baldío: una ocupación
Authors: Junior Antonio José dos Santos , Correa Helga 
Published: July 2024

Esta investigación, aún en curso, está siendo desarrollada en poéticas visuales con énfasis en Artes y transversalidad, así, establezco relaciones en arte y ecología para comprender relaciones recíprocas entre el hombre y su entorno. Para ello, la investigación es sostenida a partir de René Passeron (1978); (1992) en un acercamiento práctico-teórico en el cual lo que está delante de mi en mis caminadas de cada día, o durante el tiempo que estoy inmerso en la realización de las pinturas, todo lo que está delante de mis ojos en estos sitios se convierte material para la realización de esta investigación: el material artístico que utilizo; las reflexiones en las caminadas que realizo; las problemáticas ambientales que emergen en las noticias y culminan en pistas para desdoblamientos de la investigación. Para ello tomo como referencia teórica Félix Gattari (1990); (1992) e Gilles Clément (2018) para cruzar este escrito através de las reflexiones y la relación con la producción artística desarrollada que orbita entre la pintura y la fotografía. Por lo tanto, las obras creadas en transcurso de esta ruta construyen el pensamiento poético delante de las novedades que se presenten. Sobre todo, se valoran la investigación científica y la transversalidad entres dos áreas de conocimiento.