bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychological Impact of COVID-19 Pandemic on University Students and Staffs in Saudi Arabia
Authors: Alam Mohammad Mahtab 
Published: August 2024

Abstract

Background:
The COVID-19 pandemic is likely to increase the anxiety levels of university stakeholders. In view of COVID-19 fast transmission nature, life-threatening consequences and to follow preventive guidelines academic institutions have transformed their traditional classroom teaching into online mode. Directives of online teaching, learning, and evaluation with COVID-19 preventive guidelines create havoc among university students and teaching and nonteaching employees (staffs). These two factors together generate unendurable psychological pressure on university students and staffs.

Aims and Objectives:
The study aims to examine and quantify the psychological impact of COVID-19 pandemic among university students and staffs in Saudi Arabia.

Materials and Methods:
Data were collected from five Public universities in the southern region of Saudi Arabia using cluster sampling. A close-ended structured questionnaire was drafted using the Generalized Anxiety Disorder-7 instruments. A total of 1134 responses were received, and 1005 were included.

Results:
The results of the study indicated that one-fourth (25.2%) of participants experienced a mild level of anxiety followed by a moderate level of anxiety (18.7%) and a severe level of anxiety (6.4%). The anxiety levels were statistically insignificant from age, gender, universities, area of study or courses, and friends or relatives with COVID-19 symptoms. Moreover, significant protective factors against experienced anxiety included being married (odds ratio [OR]=0.444, 95% confidence interval [CI] =0.315–0.624), staying with parents or family (OR = 0.195, 95% CI = 0.213–0.595), and spending more time in exercise (OR = 0.987, 95% CI = 0.674–1.579) were significant protective factors against experienced anxiety while suspected cases in neighbor (OR = 0.145, 95% CI = 0.070–0.300) and smoking (OR = 0.654, 95% CI = 0.070–0.300) were statistically insignificant protective factors against experienced anxiety.

Conclusions:
Economic influence, restricted lifestyle, and annoying academic pressure were significantly linked with anxiety while social support was insignificant with the level of anxiety. The psychological health of university students and staffs should be supervised during the COVID-19 pandemic.
Prevalence and Risk Factors of Postpartum Urinary Incontinence in Southern Saudi Arabia: A Cross-sectional Study
Authors: Alamri Abdulaziz , Alqahtani Mohammed , Asiri Khalid , Albagami Saad , Hassan Bahaeldin Ahmed , Alhumaid Rawa M. , Alharbi Amer , Safar Omar , Khan Muhammad Abid 
Published: August 2024

Abstract

Background:
Besides knowing the prevalence of urinary incontinence (UI), it is also vital to know its risk factors and how many patients will seek treatment. UI affects women’s quality of life considerably, but the severity and impact on quality of life differ significantly. Postpartum urinary incontinence (p-UI) reported a wide range ranging from 3% to 40%. It is essential to estimate the prevalence of postpartum incontinence accurately.

Methods:
We conducted a cross-sectional study of consented females of childbearing age with previous delivery and complaints of p-UI from August to December 2022. Experts developed a questionnaire form after a literature review of similar articles. Data have been collected from attendants of obstetrics and gynecology departments at three leading hospitals in the region after obtaining consent for direct interviews and answering the questionnaire.

Results:
One hundred and seventy-six females with UI agreed to be included in the study. Participants age ranged from 18 to 50 years old, with a mean of 32.1 ± 6.8 years. Of 103 (58.5%) had previous 1–3 deliveries and 33 (18.8%) had previous deliveries of 6 times or more. The most reported type of delivery was normal vaginal delivery (NVD) among 115 (65.3%), whereas 24 (13.6%) had both NVD and cesarean section. Exact 44.3% of the females complained of urinary frequency. Furthermore, 37.5% felt an urgent need to empty the bladder, and 35.2% had frequent lower abdomen pain. Urgency was reported by 34.1% of the females, and 26.7% complained of experiencing a minimal amount of urinary incontinence (urine drops).

Conclusions:
The prevalence of p-UI about one-third of the participants in southern Saudi Arabia with mixed UI was the most common type. Moreover, old age, multiparity, and high BMI were significant risk factors.
Microsurgical Management of Nonsurgical Endodontically Treated Fiasco in Natural Permanent Upper Molar Tooth – A Clinical Case Report
Authors: Sindi Abdulelah Sameer 
Published: August 2024

Abstract
The maxillary first permanent molar presents wide anatomical alterations for root number and their respective canal system. The medial root (mesiobuccal) specifically has been invariably associated to treatment failures when nonsurgical endodontic procedures have been solely carried out. In endodontic treatments, the decision to retreat the failed endodontic treatment with a surgical procedure depends on multiple factors. Evidence about the enduring prognosis of conventional retreatment (nonsurgical) comparative to invasive surgery (root end) remains questionable which requires additional scrutiny. The present case report presents a case of a patient (female, age 53 years) who presented with agony in relation to the maxillary first molar (left-sided) abutment of a four-unit fixed partial denture. Routine endodontic treatment was performed for the affected tooth which showed evidence of failure at 6-month follow-up intervals. Surgical intervention as part of the desired treatment was undertaken with the sealing of the canals done by Portland cement-based repair material. A pursual (6 months) after apicoectomy showed a complete rebuilding of the lateral apical region with freshly laid bone and a complete symptom-free patient. This clinical case report is directed to highlight the prospect of nonconservative clinical procedures once a noninvasive approach produces less anticipated results.
Assessment of Parental Awareness and Knowledge Regarding Testicular Torsion in the Aseer Region of Saudi Arabia: A Cross-sectional Study
Authors: Alamri Abdulaziz , Al-Hunaif Aljohrah M. , Asiri Nouf A. , Al-Ghanim Ahmed Gubran , Al-Kasi Lujain Yahya S. , Khan Muhammad Abid , Mallick Ayaz Khurram 
Published: August 2024

Abstract

Background:
Testicular torsion (TT) is a medical emergency that requires immediate attention to prevent testicular injury. It is crucial for parents to be aware of this condition, as early recognition and timely medical attention can significantly improve the outcome for affected individuals. This study aimed to assess the level of awareness and knowledge of TT among parents in the Aseer region of Saudi Arabia using a survey-based approach.

Methods:
The survey included questions about the participants’ awareness of TT, its symptoms, risk factors, and recommended management. The findings of the study revealed a significant lack of parental awareness and knowledge regarding TT in the Aseer Region of Saudi Arabia.

Results:
The survey showed that 62.9% of parents were unsure and unable to differentiate a normal testicle. However, the majority (82.0%) believed that society needs to be more aware of TT and 75.6% expressed concern about the possibility of their child experiencing TT.

Conclusion:
Efforts should be made to educate parents about the condition, its symptoms, and the importance of timely intervention to prevent testicular damage. Increasing awareness can lead to early recognition and appropriate medical care, reducing the risk of complications associated with TT.
Antifungal and Antibiofilm Activities of Myrtus communis Leaf Extract and Its Effect in Association with Antifungal Drugs against Trichosporon mucoides and Cryptococcus humicola
Authors: Mir Mushtaq Ahmad 
Published: August 2024

Abstract

Background:
Since the past decade, there has been a significant rise in invasive infections by Trichosporon and nonneoformans cryptococcus species, especially in immunocompromised patients having hematological malignancies. These infections, usually associated with the use of indwelling devices, are difficult to cure because of the resistance to standard antifungal agents and the formation of biofilms on indwelling devices. The long-term use of antimicrobials adds to the severity of the disease.

Objective:
The objective of this study was to investigate the antifungal and antibiofilm properties of ethanolic leaf extract of Myrtus communis against Trichosporon mucoides and Cryptococcus humicola and evaluate the impact of the extract on the efficacy of the common antifungal medications such as fluconazole and nystatin.

Materials and Methods:
Agar well diffusion method and microplate dilution methods were used to determine the zone of inhibition and minimum inhibitory concentrations (MIC). Crystal violet and microplate alamarBlue methods were used to investigate the biofilm formation and growth kinetics of the fungi. A checkboard assay was used to determine the combined effect of M. communis extract and standard antifungal agents against these fungal strains.

Results:
The M. communis leaf extract inhibited the planktonic and biofilm growth of both the fungal strains T. mucoides and C. humicola with MIC of 78 μg/ml and MFIC of 19.5 μg/ml. The zone of inhibition for T. mucoides and C. humicola was found to be 22 mm and 23 mm, respectively. The growth inhibition in both the strains was dose dependent, with more growth inhibition at 2 × MIC than at MIC. The extract showed synergistic activity in association with fluconazole, while in association with nystatin its activity was indifferent for both the strains tested.

Conclusion:
The bioactives of ethanolic M. communis leaf extract possess a strong antifungal activity and could inhibit the growth of fungal cells entrenched in biofilm matrix. Purification and evaluation of compounds for antifungal activity need to be explored.
Second-Trimester Uterine Rupture Following Medical Termination of Pregnancy Using Misoprostol: A Case from Abha, Saudi Arabia
Authors: Almanie Norah I. 
Published: August 2024

Abstract
Spontaneous uterine rupture is an uncommon complication of pregnancy that can result in the extrusion of the amniotic sac and fetal parts through the uterine defect, placental abruption, and major bleeding in the mother. Medical termination using misoprostol and mifepristone has become a common practice in inducing abortion, which may lead to uterine rupture, having serious repercussions for both the mother and the fetus. Here, we report the case of a young grand multiparous woman who suffered uterine rupture consequent to the medical termination of the malformed fetus in the second trimester. This case underlines the importance of detailed obstetric history and a high degree of suspicion toward any atypical presentation or response to drugs. Where clear management guidelines are not available, for example, in cases of grand multiparity, multiple CS or scarred uterus, lower doses of misoprostol, or surgical intervention should be considered for termination of pregnancy. This case served as a deflection point in revising the hospital policy on second-trimester abortion. Another important takeaway message is the lack of awareness about reproductive health and family planning which begs the attention of policymakers in the region.
CONHECIMENTO DE ENFERMEIROS DA ATENÇÃO PRIMÁRIA À SAÚDE ACERCA DO MÉTODO CANGURU
Authors: Alves de Souza DAIANE , DULLY DE ANDRADE Raquel , DE PAULA FONSECA CAMILA , DA CUNHA JANUÁRIO GABRIELA 
Published: August 2024

RESUMO: Objetivo: avaliar o conhecimento dos enfermeiros que atuam na Atenção Primária à Saúde, acerca do Método Canguru. Métodos: Estudo qualitativo e descritivo. Para coleta de dados foi elaborado um formulário contendo perguntas relacionadas ao método canguru, que posteriormente foi submetido à validação por especialistas. Os dados foram coletados através de entrevistas com os enfermeiros, sendo essas gravadas, transcritas e analisadas. Resultados: a amostra foi constituída por 18 participantes, a maioria mulheres, com idade entre 32 e 53 anos. Após análise das entrevistas, foi os resultados foram sepadados em duas categorias: I) conhecimentos dos enfermeiros acerca do MC; e II) obstáculos que limitam a inserção e desenvolvimento do método canguru na Estratégia Saúde da Família. Considerações finais: O conhecimento dos enfermeiros apresentou- se limitado e superficial, existindo obstáculos que impedem a inserção do método canguru nas unidades de saúde. Faz-se necessário que estes profissionais sejam capacitados a respeito do assunto.
Analysis of the Quality of the River Kualuh in the Review of the Physical-Chemical
Authors: Rosenta Ika , Lihardo Hulu Irwan , Harahap Arman , Maini Hasibuan Kiki , Nwazonobi Patrricia , Mustika Piliang Fenny 
Published: August 2024

The purpose of this study is to analyze the water quality of the river and the status of water quality of watersheds Kualuh Kabupaten Labuhanbatu. Sampling was done at 3 monitoring points along the flow of the river Kualuh Kabupaten Labuhanbatu. The determination of the sampling points in the field using the purposive sampling method, with the determination of the sampling points based on the differences in the characteristics found in the study area.Some of the parameters measured were temperature, conductivity, COD, BOD, and oil/ fat are then compared with the criteria of the Raw water Quality of the river class II according to PP R. I. No. 82 Year 2001.On Water Quality Management.Based on the results of the analysis of the obtained results that in the area of monitoring point 1, is the most polluted areas.This is because, in this area there is the activity of a diverse community.Household produces waste that comes from the activity of the bathroom, toilet, kitchen, washing clothes and washing of household appliances.
ANALISIS PERSEPSI KAMPUS TERHADAP KEPUTUSAN CALON MAHASISWA DALAM MENENTUKAN PENDIDIKAN DI UNIVERSITAS RAHARJA
Authors: Rasyiddin Ahmad , Permana Handy Januar , Kamela Hurian 
Published: August 2024

Pendidikan pada perguruan tinggi tentunya akan memberikan banyak manfaat untuk masa depan baik itu dari segi finansial maupun ekonomi. Dalam memilih tempat untuk kuliah, mahasiswa/i memiliki kriteria evaluasi diantaranya adalah faktor kualitas produk, lokasi, harga, promosi, kenyamanan, kelengkapan sarana dan prasarana dan pelayanan. Universita Raharja adalah salah satu perguruan tinggi di KotaTangerang dan dapat dijadikan salah satu pilihan tempat kuliah mahasiswa/i. Penelitian ini menggunakan pendekatan kuantitatif. Penelitian ini juga menggunakan metode analisis deskriptif dengan menyebarkan survei untuk menggali informasi dari para responden, yaitu mahasiswaUniversitas Raharja. Program Pendidikan, 53,3% (16 orang) dari responden juga memilih Universitas Raharja karena. Biaya yang terjangkau dibanding kompetitor, yaitu dilakukan oleh 40% responden. Begitu pula dengan jarak 6,7% responden. Program Pendidikan yang ada di Universitas Raharja adalah Program Pendidikan Favorit di kalangan Mahasiswa/i baru TA.2022/2023.
OʻZBEKISTONDA QISHLOQ XOʻJALIGINI RIVOJLANISH BOSQICHLARI
Authors: Xoʻjamuratov Umarjon 
Published: August 2024

Maqolada Oʻzbekistonda mustaqillik davrida qishloq xoʻjaligidagi islohotlarning bosqichma-bosqich amalga oshirilib borishi haqida soʻz yuritiladi. Shuningdek, qishloq xoʻjalik mahsulotlarini yetishtirishda dehqon xoʻjaliklari, shirkat xoʻjaliklari va fermer xoʻjaliklarining tutgan oʻrni tarixiy nuqtaiy nazardan ochib berilgan.
MAHMUDXOʻJA BEHBUDIY UY MUZEYI TARIXI
Authors: Mirhakimova Feruza 
Published: August 2024

Ushbu maqolada Mahmudxoʻja Behbudiy uy-muzeyining ekspozitsion zallari va undagi ekspozitsiyalarida namoyish etilayitgan eksponatlar haqida va mintaqadagi ma’rifatparvarlar haqida fikr yuritilgan. Xususan, muallif tomonidan Samarqandda jadidchilik harakati namoyandalarining ma’rifiy, siyosiy va ijtimoiy faoliyati haqida batafsil ma’lumot berilgan.
Psychosocial Determinants of Healthy Ageing in Cameroon: Implications for Developing a Model for Resilience in Late Adulthood
Authors: Muki Asangha 
Published: August 2024

Purpose: In Cameroon, like in other African Countries, ageing is an emerging issue due to the erosion of the traditional family and cultural system that used to be very supportive to the old. More so, the presence of threats such as; disease outbreaks (infectious diseases, epidemics, endemics and pandemics), wars and violent occurrences, has placed persons in late adulthood to be more vulnerable. Prior research has established that social relationships and a sense of life satisfaction are not only predictive of longevity, but are also important for determining health-related quality of life among persons in late adulthood. This study investigated the psychosocial determinants of healthy ageing in Cameroon, the challenges faced by old people and its implications for developing a model for resilience in late adulthood.
Material and Methods: Both quantitative and qualitative research paradigms were taken into consideration to conduct this study (concurrent mixed method research design) to identify and explore the psychosocial determinants of healthy ageing in Cameroon, the challenges faced by persons in late adulthood and its implications for developing a model of resilience in late adulthood.
Findings: Based on data analysis, the variability explained by the model was significant (Omnibus Tests of Model Coefficient: Likelihood Ratio Tests: Chi-Square=79.221; df=5; P<0.001; N=300). The explanatory power of the model was 31.0% (Nagelkerke R Square =0.310). Though this predictive power was moderate, the predictive effect of all the indicators was significant, therefore indicating that, psychosocial determinants of healthy aging are important in the development of resilience among elderly persons.
Implications to Theory, Practice and Policy: It was therefore recommended that, since a significant number of older persons are not employed and, consequently, do not receive retirement benefits, policy focus should consider supporting the aged technically and financially, to engage in income generating activities.
Autonomy, belonging and competence: a qualitative analysis of the core workplace needs of the frontline physicians working during the COVID-19 pandemic in Bangladesh
Authors: Sultana Faojia , Anqur Md Enayetullah , Amanullah Ashik Mohammad , Imtiaz Md Sazid , Arshadullah Asif Muhammad , Mondal Prasenjit 
Published: August 2024

Background Healthcare institutions around the world have been going through extensive reorganisation as a result of the COVID-19 pandemic. Being on the front line of the COVID-19 battle, doctors worldwide had to adapt to these changing workplace dynamics and expectations of the patients. Accordingly, the aim of this qualitative study was to explore the experience of the Bangladeshi physicians on these sudden changes in their workplaces and identify the core workplace needs of the Bangladeshi front-line doctors using the ABC (autonomy, belonging and competence) model of the doctors’ workplace needs framework designed by the General Medical Council, UK. Methods Front-line physicians from Bangladesh who were working during the COVID-19 pandemic were recruited through convenience sampling for this qualitative study. In total, 29 in-depth telephone interviews were conducted with the participant doctors and transcribed interviews were analysed using template analysis. Results Most participants reported a lack of preparedness, safety measures, basic amenities, and essential hospital equipment at their workplaces. The increased workload, altered work schedule, and redistribution of team members were pointed out as crucial workplace challenges, along with the lack of professional recognition and reward mechanisms for their services during the pandemic. The majority of participants also reported leadership and managerial weaknesses. Furthermore, their usual learning and training process was hampered following the emergence of the COVID-19 pandemic. Conclusions This study has revealed how the front-line physicians perceived the drastic changes resulting from the emergence of the COVID-19 pandemic and the key challenges they experienced at the workplace. These findings signify the ardent need for the government and policymakers in the health sector of Bangladesh to undertake a holistic approach toward ensuring a workplace capable of providing adequate support and protection to their doctors, particularly during a catastrophic event like this pandemic in the future.
Readmission rate and early complications in patients undergoing total knee arthroplasty: A retrospective study
Authors: Jethi Tushar , Jain Deepak , Garg Rajnish , Selhi Harpal Singh 
Published: August 2024

BACKGROUND
Total knee arthroplasty (TKA) can improve pain, quality of life, and functional outcomes. Although uncommon, postoperative complications are extremely consequential and thus must be carefully tracked and communicated to patients to assist their decision-making before surgery. Identification of the risk factors for complications and readmissions after TKA, taking into account common causes, temporal trends, and risk variables that can be changed or left unmodified, will benefit this process.
AIM
To assess readmission rates, early complications and their causes after TKA at 30 days and 90 days post-surgery.
METHODS
This was a prospective and retrospective study of 633 patients who underwent TKA at our hospital between January 1, 2017, and February 28, 2022. Of the 633 patients, 28 were not contactable, leaving 609 who met the inclusion criteria. Both inpatient and outpatient hospital records were retrieved, and observations were noted in the data collection forms.
RESULTS
Following TKA, the 30-day and 90-day readmission rates were determined to be 1.1% (n = 7) and 1.8% (n = 11), respectively. The unplanned visit rate at 30 days following TKA was 2.6% (n = 16) and at 90 days was 4.6% (n = 28). At 90 days, the unplanned readmission rate was 1.4% (n = 9). Reasons for readmissions included medical (27.2%, n = 3) and surgical (72.7%, n = 8). Unplanned readmissions and visits within 90 days of follow-up did not substantially differ by age group (P = 0.922), body mass index (BMI) (P = 0.633), unilateral vs bilateral TKA (P = 0.696), or patient comorbidity status (30-day P = 0.171 and 90-day P = 0.813). Reoperation rates after TKA were 0.66% (n = 4) at 30 days and 1.15% (n = 8) at 90 days. The average length of stay was 6.53 days.
CONCLUSION
In this study, there was a low readmission rate following TKA. There was no significant correlation between readmission rate and patient factors such as age, BMI, and co-morbidity status.