bluuebunny/crossref_metadata_2025_split huggingface dataset:
An observational study on prescription pattern of drugs and psychiatric disorders occurring in elderly patients in a tertiary care hospital
Authors: Sowmya Akella Krishna , Pandey Sunil Kumar 
Published: July 2024

Abstract

Background:
Elderly age group is the most vulnerable age group for various health-related issues. Psychiatric disorders and their management are quite important, especially in this vulnerable population. With increased availability of newer drugs, rational prescription of drugs is essential.

Objectives:
The objectives of this study were as follows: (1) To assess the prescription pattern of antipsychotic drugs and other psychiatric drugs prescribed to elderly psychiatry patients, (2) to determine the psychiatric illness occurring among the elderly psychiatric patients, and (3) to estimate the polypharmacy and cost burden of drugs prescribed.

Materials and Methods:
It was an observational study conducted over a period of 6 months in “Government Hospital for Mental Care.” The prescriptions were collected from the outpatient medical records and were thoroughly analyzed to assess antipsychotics and other psychiatric drugs being prescribed and the disorders frequently came across in the elderly patients who visited the psychiatry outpatient department.

Results:
Two hundred and fifty prescriptions were analyzed during the study. Male patients outnumbered female patients. The majority of the patients were of age group 50–60 years. Schizophrenia was the most common disorder encountered in the study population followed by psychosis and bipolar. Among the drugs, trihexyphenidyl followed by quetiapine, olanzapine, risperidone, and so on were the most common drugs prescribed.

Conclusion:
In the current study the prescribing pattern of drugs is as per the norms with rational usage of more efficacious drugs. Polypharmacy is limited. Periodic drug utilization studies help to solve the issues related to polypharmacy and improve the quality of treatment given to the patients.
Clinical profile of patients with atrial fibrillation in an outpatient setting of a hospital in India: A cross-sectional study
Authors: Reddy K. Shivaraj , Juvvadi Rithima , Reddy K. Sindhuja 
Published: July 2024

Abstract

Background:
There has been an increasing trend of prevalence of atrial fibrillation (AF) globally. As per estimates, there is a possibility of doubling or tripling of AF cases by 2050. Early diagnosis by common symptom screening can help prevent complications in patients with AF.

Objective:
The objective of this study was to study the causes, symptoms, and complications of AF.

Materials and Methods:
A hospital-based cross-sectional study was carried out among 100 cases of AF who presented to the outpatient department for follow-up. History, thorough clinical examination, and investigations such as electrocardiogram (ECG) and echocardiogram were carried out for all cases. For all cases, 12-lead ECG was recorded. M-mode two-dimension echocardiography was done in all cases.

Results:
As age increased, the proportion of AF increased. The most important and leading cause of AF across all age groups and both sexes was rheumatic heart disease (RHD). There was a slight female preponderance. The most common valvular lesion in RHD was a combination of mitral stenosis and mitral regurgitation in 40%. The most common symptom was dyspnea (92%) followed by palpitations (84%). The most common complication was heart failure (40%) followed by left atrial clots (10%).

Conclusion:
RHD was the most common cause of AF. Mitral valve was affected in almost all cases. Dyspnea and palpitations were the most common presenting symptoms. Heart failure was the most common complication. Screening for AF in all cases with dyspnea and palpitations can help with early diagnosis and prompt treatment of AF and can prevent further complications.
Need and Rationale of the Adult Immunisation in India: A Review
Authors: Gupta Madhu , Bansal Adarsh , Mehta Aprajita , Sharma Nikita 
Published: July 2024

Abstract
A comprehensive literature review of published articles (till October 2023) was done through PubMed, Embase and Google Scholar search engines to delineate the need for adult immunisation, recommended adult vaccines, barriers to adult immunisation, future research areas and way forward in the Indian context. A total of 29,894 articles were screened from PubMed, Embase and Google Scholar. Of these, a full-text review of 53 articles was done. The findings emphasised the need for adult immunisation in India because of the growing vulnerable elderly population with comorbidities, immunosenescence, waning immunity, rising incidence of VPDs leading to higher morbidity and mortality amongst them, rising cost of hospitalisation and the emergence of antimicrobial resistance. The recommended adult vaccines include human papilloma virus vaccine, pneumococcal vaccine, influenza and typhoid vaccine for healthy adults and special population groups, respectively. Challenges include less prioritisation in the National Vaccination Policy, insufficient awareness amongst healthcare providers and vaccine hesitancy.
Quality of Life of the Family Caregivers of Children with the Cerebral Palsy and its Determinants: A Study from India
Authors: Vaidya Manasi S. , Domple Vijay K. 
Published: July 2024

abstractIntroduction:The responsibility of caring for a child with cerebral palsy (CP) at home can be challenging to the caregiver’s and children’s quality of life (QoL). This study was designed to assess the QoL and its determinants amongst family caregivers of children with CP.Materials and Methods:A study was conducted in a Tertiary Care Hospital in Yavatmal, Maharashtra, from March to May 2021, involving 126 participants selected through systematic random sampling. QoL was assessed using the World Health Organization QoL Brief Version scale. The data were analyzed using the statistical software, Epi Info Version 7.2.Results:The mean ± standard deviation of the overall QoL of family caregivers of CP children was 66.7 ± 1.44. The study found a significant association of QoL with the age of the caregiver, residence, education, socio-economic class, total number of children, health insurance and accessibility of services.Conclusion:More than half of the study participants exhibited low overall, physical, social and environmental QoL, influenced by various determinants.
Model Sukses Implementasi Rekam Medis Elektronik di Puskesmas DKI Jakarta
Authors: Muchlis Husni Abdul 
Published: July 2024

AbstractThe implementation of Electronic Medical Records (EMR) in Jakarta's Community Health Centers (Puskesmas) faces various challenges, including limited resources and varying levels of staff acceptance. This study aims to identify the factors influencing the successful implementation of EMR, as well as the factors that most contribute to increasing the adoption and benefits of EMR use. A quantitative cross-sectional approach was used to identify these factors, with multistage random sampling conducted on 125 active healthcare workers using EMR in Jakarta's Puskesmas. Using Structural Equation Modeling (SEM), we analyzed data from various health centers, revealing that training, information quality, system quality, and ongoing support significantly enhance the utilization of EMR. These findings provide practical insights for policymakers and health administrators to improve the adoption of EMR and maximize its benefits.Keyword: electronic medical record, MMUST, public health center AbstrakImplementasi Rekam Medis Elektronik (RME) di Puskesmas di Jakarta menghadapi berbagai tantangan, termasuk keterbatasan sumber daya dan tingkat penerimaan staf yang bervariasi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi keberhasilan implementasi RME, serta faktor-faktor yang paling berkontribusi dalam meningkatkan adopsi dan kebermanfaatan penggunaan RME. Penelitian ini menggunakan pendekatan kuantitatif cross-sectional untuk mengidentifikasi faktor-faktor yang berkontribusi terhadap keberhasilan implementasi RME. Pengambilan sampling dilakukan secara multistage random sampling terhadap 125 tenaga kesehatan aktif menggunakan RME di Puskesmas Jakarta. Dengan menggunakan Structural Equation Model (SEM), kami menganalisis data dari berbagai puskesmas, yang menunjukkan bahwa pelatihan, kualitas informasi, kualitas sistem dan dukungan berkelanjutan secara signifikan meningkatkan pemanfaatan RME. Temuan ini memberikan wawasan praktis bagi pembuat kebijakan dan administrator kesehatan untuk meningkatkan adopsi RME.Kata Kunci: rekam medis elektronik, MMUST, puskesmas.
FAKTOR YANG BERKAITAN DENGAN PENGGUNAAN KONTRASEPSI IUD (INTRAUTERINE DEVICE) PADA WANITA USIA SUBUR
Authors: Nandi Nahdalia , Farida Siti 
Published: July 2024

Permasaalahan di Indonesia adalah pertumbuhan penduduk yang relatif sangat tinggi. Laju pertumbuhan ditentukan oleh kelahiran dan kematian, dengan adanya perbaikan pelayanan kesehatan menyebabkan tingkat kematian rendah, sedangkan tingkat kelahiran tetap tinggi. Hal ini menjadi penyebab utama ledakan jumlah penduduk. Oleh karena itu upaya menekankan jumlah penduduk dengan cara menggalakan program keluarga berencana salah satunya dengan metode kontrasepsi jangka panjang yaitu IUD. Alat kontrasepsi Intra Uterine Device merupakan pilihan alat kontrasepsi yang efektif, aman dan nyaman bagi banyak wanita Dukungan suami dalam KB merupakan bentuk nyata dari kepedulian dan tanggung jawab para pria. Metode : mencari data sumber Pustaka yang relavan terkait dengan KB IUD pada Wanita usia subur dengan menggunakaan google schooler yang memakai kata kunci : KB IUD, Wanita Usia Subur dan pemilihan KB IUD. Dari hasil pencarian terdapat 5 artikel yang terkait dengan ketentuan dan di analisis sesuai metode deskriptif kualitatif. Hasil : kurangnya pengetahuan terkait dengan pemilihan dan penggunaan KB IUD itu sendiri. Kesimpulan : pengetahuan itu penting terkait dengan penggunaan KB IUD dan pemilihan alat kontrasepsi yang sesuai serta perlu adanya dukungan penuh dari suami
Uso de Acanthobothrium spp. (parásitos de batoideos) como posibles bioindicadores de contaminación en México
Authors: Rodríguez-Ibarra Erick , Octavio-Aguilar Pablo , Monks Scott , Violante-González Juan , Pulido-Flores Griselda 
Published: July 2024

Los parásitos son un componente de la biodiversidad, que sufren afectaciones por los cambios en el ambiente y/o sus hospederos. Por esto, se considera que Acanthobothrium spp., pueden ser un biondicador de algunas amenazas en las costas de México. Estos céstodos tienen ciclos de vida indirectos, y son parásitos intestinales de elasmobranquios. Se analizaron datos de 21 años de colecta de Acanthobothrium spp., parásitos del agunas especies de batoideos, en diferentes localidades y fechas del litoral de México. Se calculó la prevalencia, y se realizó un análisis de coordenadas principales, considerando una distancia multimétrica no lineal (estacionalidad de las colectas (lluvias y secas), localidades y años de colectas) para evaluar una probable correlación entre la ausencia o presencia de Acanthobothrium. Durante el periodo evaluado, se registró un decremento en la biodiversidad de Acanthobothrium en el Golfo de México, se registraron bajos valores de prevalencia de las poblaciones de estos parásitos. Esto se interpreta como un efecto de la sensibilidad de Acanthobothrium spp. a los cambios ambientales. Los ciclos de vida de Acanthobothrium spp. pueden afectarse directa o indirectamente por contaminantes, ya sea en las larvas de vida libre, o en larvas parásitas y/o adultos de los hospederos intermediarios o definitivos. Por ello, se concluye que el incremento de contaminación en el Golfo de México afecta los valores de prevalencia de Acanthobothrium spp. Lo que destaca la importancia del uso de los parásitos como bioindicadores de la calidad ambiental.
Effect of Dietary Supplementation of Aloe Vera and Amla Fruit Powder on the Growth Performance of Broiler Chicken
Authors: Gujar Naushali , Arora Rajni , Bais Basant , Jhirwal A K 
Published: July 2024

The study was conducted to observe the effect of Aloe vera (Aloe barbadensis) and Amla fruit (Emblica officinalis) powder supplementation alone and in combination on growth performance of broiler chicken. Un-sexed, apparently healthy, day old broiler chicks (240 in number) were randomly allocated to four groups with four replicates having 15 birds in each. Broilers were fed ration as per BIS (2007) standards. The supplementation of Aloe vera and Amla fruit powder alone and in combination showed highly significant (P<0.01) effect on feed consumption, body weight gain and feed conversion ratio. The study revealed that the inclusion of Aloe vera at 1 per cent and Amla fruit powder at 1 per cent alone and in combination enhanced the overall growth performance of broilers.
Behavioural Pattern as Indicator of Different Stages of Estrus in Sahiwal Cows
Authors: Tiwari Saurabh , Singh Y , Sirohi Rajneesh , Mamta  , Singh D N , Kumar A , Kumar M 
Published: July 2024

The reproductive efficiency of dairy animals is having a direct impact on productivity and profitability of dairy farms. Therefore, reproduction management is a major concern in dairy industry. Communication of the timing of physiological event of ovulation and coordination of sexual behavior are important for successful fertilization. The success rate of artificial insemination in cattle mainly depends on the time of estrus it is inseminated. Inefficient and inaccurate heat detection results in failure of conception during that attempt, which in turn leads to significant economic losses. The efficient and accurate detection of estrus and the timing of AI has remained major challenge to improve reproductive and economic efficiencies of dairy farms. To have a simple and accurate technique for optimizing the time of insemination, present investigation was performed on healthy, cyclic Sahiwal cows which had calved recently and were maintained at DDD farm of LFC, DUVASU, Mathura with an aim to investigate the behaviour of the cows in order to discriminate the various stages of estrus. The behavioral attributes of teaser bull and experimental cows were observed during three different stages i.e. onset of estrus, standing heat and non-estrus stages of same cows. It was observed that frequency of mounting by teaser bulls, frequency of Flehmen reaction by teaser bulls, restlessness of Sahiwal cows, bellowing and frequency of urination were all significantly affected by different stages of estrus i.e onset of estrus, standing heat and non-estrus.
Colostrum Yield and Colostrum Suckled by Neonatal Buffalo Calves
Authors: Awate Suresh , S C Biradar , Waghmare Prashant G , Patil Vivek M , Rathod Prakashkumar , Desai Anant Rao 
Published: July 2024

The colostrum production by buffaloes during 12 h after post birth was measured in three intervals within 2 h after birth, 2 to 6 h after birth, and 12 h after birth, by weigh-suckle-weigh method and hand milked colostrum measured in measuring cylinder. Average colostrum suckled by neonatal calf of having average body weight 27.93 kg in first feeding at 2 h, 2nd feeding at 6 h and 3rd feeding at 12 h after birth were 275.63 mL, 413.13 mL and 656.31mL respectively and average total colostrum suckled by neonatal calves at 6 hours after birth calving and total colostrums suckled in 12 h after birth were 688.76 mL and 1345 mL respectively, with a total yield of 4112 mL of colostrum (suckled plus hand milked) equal to 14.72 % of body weight of the calf. It was found that the total colostrums yield at 6 h and 12 h of after birth (including hand milked and colostrums suckled) were 2252.40 mL and 1867.63 mL, respectively. It was recorded that, average colostrums suckled (per cent of body weight of calf) at 2 hours in first feeding, at 6 hours in 2nd feeding and at12 hours in 3rd feeding of after birth were 1.26, 1.47, and 2.46, respectively and average total colostrums suckled (per cent of body weight of calf) at 6 h after birth (including 1st feeding and 2nd feeding) and at 12 h after birth (includes all three feedings up to 12 h after birth) were, 2.34 and 6.68, respectively.
Study of Adoption Level of Improved Buffalo Husbandry Practices in Peri-Urban Areas of Surat City of Gujarat, India
Authors: Sabapara G P 
Published: July 2024

The present study was conducted in the peri urban areas of Surat city of Gujarat. Total fifty buffalo farm owners were randomly selected and interviewed for the questionnaire prepared about improved buffalo husbandry practices adopted by them. The findings indicated that majority of buffalo farm owners had medium adoption level on different component of improved buffalo husbandry practices viz. 72% for housing, 74% for feeding, 64% for breeding, 68% for healthcare, 74% for milking management and 74% for calf rearing. The overall adoption levels of the respondents in improved buffalo husbandry practices fall under low, medium and high categories are 18%, 66% and 16%, respectively. The adoption index of different aspect of improved buffalo husbandry practices of housing, feeding, breeding, health care, milking and calf rearing were 49.4, 34.3, 67, 52.5, 55.9 and 63.7%, respectively and overall adoption index of improved buffalo husbandry practices was 53.8% which indicated moderate adoption level of buffalo farm owners in the study area.
Breeding Management Practices of Jaffarabadi Buffalo in Junagadh District of Gujarat, India
Authors: Dodiya V A , Sabapara G P , Garg D D , Odedra M  D , Ahlawat A R , Kasondra S M 
Published: July 2024

A field study was conducted in Junagadh district of Gujarat to ascertain the breeding management practices followed by Jaffarabadi buffalo owners and data were collected from randomly selected 320 respondents through personal interview with the help of structured interview schedule. The present study revealed that all the respondents detected heat in their buffaloes by behavioral signs. Majority (55.62%) of the buffalo owners observed mucus discharge as the symptoms of oestrus and bred their buffaloes by artificial insemination (65.62%) between 12-18 hours after heat detection (77.19%). Majority (73.12%) of respondents bred their buffaloes after 3 to 5 months of calving and only 20.93 percent respondents followed the pregnancy diagnosis during the three months of pregnancy. About 97.50 and 96.88 percent of the respondents treated their buffaloes for anestrous/repeaters and ROP/Prolapse, respectively. About 32.81 percent of the respondents kept the breeding records of the buffaloes. Majority (75.62%) of respondents preferred pure breeding of their Jaffarabadi buffaloes.
Salud mental masculina y psicoterapia con hombres: Editorial
Authors: González-Barrientos Marcela , Rivera-Aguilera Guillermo , Urbina Hurtado Carolina , Aguayo Francisco , Beiras Adriano 
Published: July 2024

Los estudios críticos de masculinidades tienen cerca de 30 años de historia en América Latina y se encuentran consolidados en la psicología social, así como y en otras áreas interdisciplinares afines, con importantes diálogos con el movimiento y teorías feministas. La masculinidad cultural es el conjunto de representaciones, valores, ideales y prácticas sociales instituidas a partir de las cuales los hombres enfrentan el desamparo y la adversidad. Se puede observar que el campo de la salud mental de los hombres y las intervenciones clínicas con esta población no ha recibido suficiente atención por parte de la investigación y la academia. Esta Sección Temática de Psicoperspectivas se desarrolla desde la necesidad de investigar y promover el campo de la salud mental masculina. Investigar y reflexionar sobre estos procesos subjetivos de género en aquellos que se identifican como hombres, estén en la heteronorma o en la diversidad de construcciones de masculinidad ofrece insumos para diseñar intervenciones clínicas más implicadas con la igualdad de género y la diversidad. Del mismo modo, es preciso avanzar hacia una clínica comprometida con la crítica y la transformación de género buscando como beneficio secundario que los hombres tengan comportamientos más saludables en sus relaciones y con su entorno, no sólo consigo mismos.
The utility of virtual monochromatic dual-energy computed tomography (DECT) in meniscal imaging: a technical evaluation
Authors: Adams Scott , van Heerden Jacques , Reis Jodie , Mondal Prosanta , Shepel Michael , Obaid Haron 
Published: July 2024

PurposeTo determine the feasibility of meniscal imaging using virtual monochromatic images obtained through dual-energy computed tomography (DECT) technique, and to determine which keV levels optimise contrast resolution.Material and methodsAll DECT exams were performed on a Discovery CT750 HD system from GE Healthcare. Virtual monochromatic images were reconstructed at 40 keV, 73 keV, 106 keV, and 139 keV. Contrast resolution of the medial and lateral menisci using a 5-point Likert scale at each keV level was determined through a consensus agreement by 2 fellowship-trained musculoskeletal radiologists. Friedman’s and Wilcoxon signed rank tests were used to compare visualisation scores across different keV levels.ResultsSeventeen knee exams from 10 patients met criteria for inclusion in the study. All patients included in the study cohort were male. The median age of patients was 46 years (interquartile range, 35-53 years). Virtual monochromatic images at 40 keV demonstrated highest contrast resolution of the menisci, with a statistically significant difference between contrast resolution scores at 40 keV and 76 keV, Friedman test: p < 0.0001.ConclusionsMeniscal imaging is feasible using DECT virtual monochromatic images at low keV levels. Improved contrast resolution at these specified KeV values could pave the way for further research in this field to determine its role in the future as an alternative option for assessment of the menisci in patients with contraindications to MRI or in the setting of a periarticular ferromagnetic foreign body obscuring the field of view.
Morphological evaluation of maxillary arch in unilateral buccally and palatally impacted canines: a cone-beam computed tomography (CBCT)-based study in Northern Iran
Authors: Dadgar Sepideh , Aryana Mehdi , Khorankeh Mehdi , Mollaei Melika , Alizadeh-Navaei Reza , Sobouti Farhad 
Published: July 2024

PurposeThis study investigated the association between the maxillary impacted canines’ position and the maxilla’s morphological features in an Iranian population based on cone-beam computed tomography (CBCT) images.Material and methodsIn this cross-sectional descriptive-analytical study, 47 CBCT images of unilateral buccally impacted maxillary canines and 47 CBCT images of unilateral palatally impacted maxillary canines were examined. Several morphological variables were compared between the impacted and non-impacted sides, and between the buccal and palatal impaction types.ResultsGender and age were not significantly associated with the canine impaction type. The alveolar bone height at the impacted side was significantly greater in the buccally impacted group than in the palatally impacted group (p = 0.016). In a comparison of the impacted and non-impacted sides, all variables of alveolar bone thickness at depth of 2 mm, maxillary arch width, and palatal volume had significantly smaller values in the impacted side in both buccally and palatally impacted groups (p < 0.05). The alveolar bone was significantly thicker at the depth of 10 mm in the impacted side of the buccal group (p = 0.024). The maxillary arch perimeter was significantly smaller in the impacted side of the buccal group (p = 0.008). The palatal depth did not significantly differ between the groups.ConclusionsAmong the studied variables, the alveolar bone thickness showed contrary results at different depths. The palatal volume and maxillary arch width were significantly smaller on the impacted side in both buccal and palatal groups, and the arch perimeter showed the same results only in the buccal group.