bluuebunny/crossref_metadata_2025_split huggingface dataset:
Correlation between allergic rhinitis or hay fever and lung cancer: A systematic review and meta-analysis
Authors: Khan Qudsia Umaira , Rehman Muneeb Ur , Abbasi Mohammad Ali Arshad , Shiekh Rubina Rafique , Nazir Munazza , Raja Sohail Khan , Akbar Amna , Tasneem Sabahat , Jadoon Sarosh Khan , Alvi Sarosh 
Published: May 2024

Background:
The association between allergies and cancer is contradictory, whereas some forms of cancer have inverse associations with allergies. Allergic rhinitis (AR) is the most prevalent form of allergy, and lung cancer is one of the most prevalent forms of cancer with the highest mortality rate. Recent studies have reported a positive association between asthma and lung cancer; however, this association is inconclusive. Furthermore, AR is positively associated with asthma; therefore, our research question was to explore whether there is any correlation between AR and lung cancer epidemiologically.

Methods:
After a rigorous search of PubMed, Google Scholar, and ScienceDirect, 7 eligible articles were included in this systematic review and meta-analysis, including 4724 cases and 9059 controls, 5 from the USA, and one each from Canada and Germany.

Results:
Pooled analysis (OR, 0.55; 95% CI: 0.45–0.68; P value < .00001) showed a strong inverse relationship between AR and lung cancer.

Conclusion:
The current meta-analysis suggests an inverse relationship between AR and lung cancer; however, new epidemiological studies are required to observe the current scenario more comprehensively.
Acute non peurperal uterine inversion caused by leiomyma associated with precancerous lesions: a case report
Authors: Barghash Huda O. , Basaleh Dania , Shahada Haya , Abbas Maya , Ali Hiba Al , Abbassi Haitham 
Published: May 2024

Introduction and importance:
Acute nonpuerperal uterine inversion (Acute NPUI) is a rare clinical entity that is usually associated with a polypoid uterine tumor, usually a leiomyoma, but its occurrence due to combined leiomyoma with precancerous lesions is quite exceptional.

Case presentation:
Here, the authors present the case of a 65-year-old woman who was diagnosed with acute NPUI as an unusual complication of prolapsed fibroid.

Clinical discussion:
On abdominal examination, palpation of the lower abdomen was very painful. On pelvic examination, a huge hemorrhagic mass was noticed, with necrotic areas protruding at a level 10 cm above the introitus. The cervix could not be palpated or visualized, and the uterus was difficult to appreciate on a bimanual examination due to tenderness. By transabdominal sonography, the uterus could not be clearly identified. Routine blood tests were completely normal, including hemoglobin concentrations. First of all, the authors manually replaced the inverted uterus in its normal position and then performed a total hysterectomy and a bilateral adnexectomy. Pathological findings demonstrated a leiomyoma with areas of complex hyperplasia with atypia!

Conclusion:
When the authors encounter a case of nonpuerperal uterine inversion, the authors must consider fibroids as the most common cause, and the authors must act quickly so that the patient does not go into neurogenic shock and die. Although leiomyoma is the most common cause of NPUI, a pathological study should be performed in all cases.
A case report of female vaginal myiasis
Authors: He Zhonghui , Wei Xiaoning , Xu Wensheng , Wang Xinghong 
Published: May 2024

Introduction and importance:
Myiasis, a rare affliction, is distinguished by the infestation of human organs by larvae of the Diptera species. Although myiasis is commonly observed in the skin, eyes, ears, and nasopharynx, the occurrence of human genital myiasis is infrequent. Instances of vulvar and prolapsed uterus myiasis have been previously documented.

Case presentation:
In this study, the authors present a case of vaginal myiasis in a young female residing in the warm and humid climate of south China. The treatment approach involved manual extraction of the maggots and vaginal irrigation with a 0.01% potassium permanganate solution for 7 days. As 1 month followed up, she was cured and then changed residence, and the vaginal myiasis was not recurrence.

Clinical discussion:
In reported myiasis cases, mechanical extraction of maggots, debridement of necrotic tissue, and irrigation with antiseptic solutions, such as 1% ivermectin solution in propylene glycol were the treatment of myiasis. In this case, a low-concentration solution of potassium permanganate, serving as an oxidizing agent, was utilized as a vaginal douching agent, and had a good effect.

Conclusion:
Vaginal infestation of maggots likely occurred due to unsanitary intercourse in a suitable environment, removal of maggots and vaginal irrigation with low-concentration solution of potassium permanganate may be an effective therapy.
Delayed infected hematoma in retrosternal area following total thyroidectomy: a case report
Authors: Zhao Hao , Chen Xi-yuan , Wang Jing , Li Tian-Xiong , Huang Pu-Xi-Dan , Du De-Xiao , A-Min Bu-He 
Published: May 2024

Introduction and Importance:
Postoperative neck hematoma (PNH), a rare complication following thyroidectomy, occurs in only 1.1–3.15% of cases and can lead to life-threatening outcomes. More rarely, delayed PNHs with atypical clinical manifestations and positions have not yet been reported. Early identification and immediate medical intervention are of utmost importance in such cases.

Case Presentation:
The authors represented a patient with thyroid cancer adherent to the trachea, who underwent post-thyroidectomy, experienced delayed PNH in the retrosternal region and was infected by respiratory pathogens. Meanwhile, the patient developed recurrent laryngeal nerve (RLN) paralysis after surgery. PNH was not identified in the clinical manifestations; instead, it was detected only through successive cervical ultrasound examinations.

Clinical Discussion:
Although rare, PNH can lead to serious complications, especially delayed complications or those in atypical positions, without neck swelling. When simultaneously with RLN paralysis, the hematoma may be neglected. Therefore, early diagnosis and treatment are crucial.

Conclusion:
Clinicians should be vigilant of atypical PNH because neck swelling may be absent. Cervical ultrasonography is essential for diagnosis and can be performed multiple times. Cervical CT scans should be part of the routine procedure, while contrast-enhanced ultrasound can help detect active bleeding. Early postoperative antibiotics are recommended if the tumor is closely attached to the trachea.
A cross-sectional study measuring injury mortality and its associated factors among adult patients in comprehensive specialized hospitals in Amhara National Regional State, Ethiopia
Authors: Mulugeta Wondwossen , Tilahun Ambaye Dejen , Mershsa Lielt , Bekele Zenebe 
Published: May 2024

Background:
Injury has become a life-threatening community health problem related to vital morbidity and mortality worldwide. Approximately 90% of injury-related deaths occurred in low-income and middle-income countries. There are limited data that address the outcomes of injuries in adult trauma patients at the time of discharge to improve the outcome of trauma care in developing countries, including Ethiopia. Therefore, this study aimed to determine the mortality following injury and its associated factors among adult patients in comprehensive specialized hospitals in Amhara’s national regional state.

Methods:
An institution-based cross-sectional study was conducted among 596 adult trauma patients admitted between 1 January 2018 and 30 December 2020. A systematic random sampling technique was employed to select the study participants. Data were collected from patient charts and registry books by using a data extraction tool. Data were entered into Epi-data version 4.6, and analysis was done using Stata version 16. The binary logistic regression model was fitted, and both bi-variable and multi-variable logistic regression analyses were employed.

Result:
A total of 581 adult trauma patient charts with a recorded rate of 97.5% were included in the final analysis. The overall mortality outcome of injury at discharge was found to be 8.3% (95% CI: 6–10.5%). Age 26–40 years [adjusted odds ratio (AOR): 3.35 (95% CI: 1.35–8.33)], revised trauma score 10 [AOR: 3.11, (95% CI: 1.39–6.99)], duration of time before arrival in hospital more than 24 h [AOR: 3.61 (95% CI: 1.18–11.02)], and surgical management in hospital [AOR: 0.25 (95% CI: 0.12–0.54)] were predictors of mortality in patients with injuries.

Conclusion:
In this study, the mortality outcome of injury is considerably high, and the middle age group, late presentation to the hospital, lower revised trauma score, and surgical management were significantly associated with the mortality outcome of injury on discharge from the hospital. Therefore, it is better if clinicians emphasize traumatically injured patients, especially for middle age groups, and lower revised trauma scores.
Association of the systemic immune-inflammation index (SII) and severity of diabetic ketoacidosis in patients with type 1 diabetes mellitus: a retrospective cohort study
Authors: Aon Mohamed , Aoun Ahmed H. , Alshami Ahmad , Alharbi Abdulrahman , Alshammari Fahed , Alnajjar Mohamad , Almutawtah Ahmad , Bin Naji Bader , Alsaeed Abdullateef , Abdelwahab Omar A. 
Published: May 2024

Background:
Diabetic ketoacidosis (DKA) is the most serious metabolic complication of type 1 diabetes mellitus (T1DM). Insulin deficiency and inflammation play a role in the pathogenesis of DKA. The authors aimed to assess the systemic immune-inflammation index (SII) as a marker of severity among T1DM patients with DKA and without infection.

Methods:
The authors included T1DM patients older than or equal to 12 years hospitalized because of DKA. The authors excluded patients with infection or any condition that can change SII parameters or cause metabolic acidosis. The authors compared SII, neutrophil-lymphocyte ratio (NLR), and platelet-lymphocyte ratio (PLR) between severe and non-severe DKA groups. The authors also assessed the need for an ICU, length of stay, and 90-day readmission rate between the groups.

Results:
The study included 241 patients with a median age of 17 (14, 24) years, and 44.8% were males. More patients with severe DKA (45%) required ICU admission (P<0.001). Median SII increased with DKA severity, and the difference was significant (P=0.033). No significant difference was observed as regards median NLR or PLR (P=0.380 and 0.852, respectively). SII, but not NLR or PLR, had a significant negative correlation with PH (r=−0.197, P=0.002) and HCO3 level (r=−0.144, P=0.026). Also, being in the highest SII quartile was an independent risk factor for DKA severity (OR, 2.522; 95% CI, 1.063–6.08; P=0.037). The authors estimated an SII cut-off value of 2524.24 to predict DKA severity with high specificity.

Conclusion:
Elevated SII is a risk factor for DKA severity in T1DM. It is better than NLR and PLR in prognosticating DKA patients. These findings highlight the role of inflammation in DKA. SII can help as a valuable and simple tool to assess DKA severity.
ARISCAT and LAS VEGAS risk scores for predicting postoperative pulmonary complications after cardiac surgery: a cohort study
Authors: Siddiqui Khalid M. , Farooqui Muhammad H. , Yousuf Muhammad S. , Ali Muhammad A. 
Published: May 2024

Background:
Postoperative pulmonary complications (PPCs) could lead to morbidity, mortality, and prolonged hospital stay. Different risk-scoring systems are used to predict the identification of patients at risk of developing PPCs. The diagnostic accuracies of the Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) and Local Assessment of Ventilatory Management During General Anaesthesia for Surgery (LAS VEGAS) risk scores are compared in prediction of PPCs taking pulmonary complication as the gold standard in cardiac surgery.

Materials and methods:
A prospective cohort study with consecutive sampling technique. A total of 181 patients were included. Quantitative data is presented as simple descriptive statistics giving mean and standard deviation, and qualitative variables are presented as frequency and percentages. Sensitivity, specificity, positive and negative predictive values, and diagnostic accuracies are also calculated.

Results:
Total 181 post-cardiac surgery patients were analyzed. The median [interquartile range] of age, height, weight, and BMI were 60.0 [52.0–67.0] years, 163.0 [156.0–168.0] cm, 71.0 [65.0–80.0] kg and 27.3 [24.2–30.4] kg/m2. 127 (70.2%) were male, and 54 (29.8%) were female. Sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of ARISCAT for the prediction of PPCs were (94.9%, 4.65%, 76.1%, 22.9% and 73.4%), whereas LAS VEGAS were (97.1%, 4.65%, 76.5%, 33.3% and 75.1%), respectively.

Conclusion:
Both the ARISCAT and LAS VEGAS risk scores are of limited value in cardiac surgery patients for the prediction of postoperative pulmonary complications, based on the predicted scores in this study.
Gastric carcinoma of the fundic gland type developed 32 years after Helicobacter pylori eradication for duodenal ulcer: a case report
Authors: Suto Daisuke , Sato Kiichi , Yoshida Masashi , Ota Hiroyoshi , Otake Takaaki , Osawa Yosuke , Nakazato Yoshimasa , Ohdaira Hironori , Suzuki Yutaka , Kohgo Yutaka 
Published: May 2024

Introduction:
Gastric cancer has been reported to occur with mild to moderate mucosal atrophy, particularly after the eradication of Helicobacter pylori (HP) more than 10 years previously. However, no conclusion has been reached on how many years of esophagogastroduodenoscopy should be performed after HP eradication.

Presentation of case:
This was a case of gastric carcinoma of the fundic gland type (GCFGT) 32 years after the eradication of HP, which is the longest posteradication period reported. A 62-year-old male patient was diagnosed with GCFGT after HP eradication and regular esophagogastroduodenoscopy, which revealed a white raised lesion on the anterior wall of the upper part of the body. Endoscopic submucosal dissection was performed for GCFGT, and the vertical and horizontal margins were negative.

Clinical discussion:
In this case, HP was eradicated in 1990, and GCFGT developed 32 years later. To the best of our knowledge, this is the longest case in which gastric cancer appeared after HP eradication. HP eradication therapy for a duodenal ulcer was first reported in 1990, supporting that this is the longest case.

Conclusions:
This is the first case of gastric cancer more than 20 years after the eradication of HP. The endoscopic findings of this case are typical of GCFGT and may be useful when encountering such cases in the future. Therefore, the risk of gastric cancer should be considered for an extended period even after the eradication of HP, and regular esophagogastroduodenoscopy is recommended even after the eradication of HP.
An unusual initiation of an ocular form of MuSK-positive myasthenia gravis after magnesium administration: a rare case report
Authors: Almohamed Ahmad , Karaja Saja , Qatza Ayham , Halloum Mai , hamsho Ghina , Katmeh Wisal , Kazkz Waddah 
Published: May 2024

Introduction and importance:
The primary clinical symptom in people with myasthenia gravis (MG) is muscle weakness that gets worse with activity and gets better with rest; often, the first symptoms are ocular ones, such as ptosis and double vision. On the other hand, individuals with anti-muscle-specific tyrosine kinase may present with unusual symptoms. Nonetheless, it is hypothesized that muscle-specific tyrosine kinase antibodies may be present when no antibodies are present, along with bulbar and respiratory symptoms.

Case presentation:
A 26-year-old pregnant patient was referred to the Neurology Department after experiencing tongue enlargement. A neuro-ophthalmic assessment revealed ptosis with lateral diplopia in the right eye, bulbar palsy, facial weakness, weakness in the palate and pharyngeal reflex, dizziness, and hearing loss in her right ear. The patient was given magnesium sulfate for 2 days since pre-eclampsia was suspected; however, this treatment exacerbated the development of symptoms and was discontinued. Her MG symptoms gradually improved after starting medication. Nonetheless, bilateral weakness in the neck and limb flexion persisted. Following a few days of therapy, there were no indications of diplopia, swallowing was normal, and the muscular weakness was somewhat improved.

Clinical discussion:
The patient was put on drug treatment for MG (predlon 60 mg daily, amioran 50 mg twice daily, and mistenon).

Conclusion:
Treating severe MG patients with a customized approach aims to manage their symptoms and improve their quality of life. Reduce muscle weakness, eradicate circulating antibodies, and suppress the abnormal immunological response. Minimizing side effects while attaining ideal symptom control is the ultimate objective.
Guillain–Barre syndrome following Pfizer-BioNTech (BNT162b2) vaccination: a case report
Authors: Chaudhary Aashutosh , Khadka Shrekshya , Dulal Aliza , Adhikari Rojeena , Bhardwaj Sushant , Pandey Abhishek , Chaudhary Ashlesha , Bhusal Suzit , Acharya Smriti 
Published: May 2024

Introduction
Pfizer-BioNTech (BNT162b2) is one of the mRNA vaccines currently approved by the WHO and the Food and Drug Administration (FDA) against COVID-19.

Case presentation:
Here, the authors report a case of an 8-year-old female with Guillain–Barré syndrome following the second dose of Pfizer-BioNTech (BNT162b2) vaccination requiring respiratory support who was managed with intravenous immunoglobulin.

Discussion:
There have been reports of Guillain–Barré syndrome following the Pfizer-BioNTech vaccination. In the authors’ case, as the symptoms of Guillain–Barré syndrome occurred right after the vaccination, there could be an association, and this report can add to the existing literature and raise awareness about the possible adverse effects of the Pfizer-BioNTech vaccination.

Conclusion:
Although most adverse effects following Pfizer-BioNTech (BNT162b2) vaccination have been reported as non-serious, clinicians must be aware of serious adverse effects that, although rare, can follow the administration of Pfizer-BioNTech vaccination and require prompt recognition and management.
Spleen autotransplantation on liver versus greater omentum for simultaneous injuries of liver and spleen: an experimental study
Authors: Eslamian Mohammad , Sheikhbahaei Erfan , Sanei Behnam , Rahmati Alireza , Moslehi Masoud , Zefreh Hamidreza , Ghaedi Arshin , Firouzfar Alireza 
Published: May 2024

Purpose:
In a simulated situation of simultaneous spleen and liver trauma, we aimed to compare the outcomes of treating both injuries with spleen autotransplantation on the omentum (SAO) alongside hepatorrhaphy versus spleen autotransplantation as a patch on the liver parenchyma.

Methods:
A total of 24 rats were separated into two groups: the SAO and the spleen autotransplantation on the liver. They underwent a uniform and simultaneous procedure involving full-thickness injuries to the left lobe of the liver and grade 4 spleen injuries. We measured hemoglobin, white blood cell (WBC), complement (C3 and C4), and immunoglobulin G, M, and A (IgG, IgM, IgA) levels before and 4 weeks after the surgery. We utilized Technetium-99m scintigraphy to evaluate the posttransplant splenic graft functions 4 weeks after the surgery.

Results:
The two groups had no significant difference in the hematologic and immunologic factors before surgery. However, both procedures significantly reduced hemoglobin, C3, IgG, and IgA levels (all P<0.05). WBC counts significantly increased in the SAO group, whereas the IgM level decreased after the intervention (P<0.05). WBC was increased in the SAO group, while IgM and IgA were decreased in the SAO group. The Technetium uptake was similar between the two groups (P=0.3).

Conclusions:
In simultaneous spleen and liver injuries, the autotransplantation of splenic into the liver parenchyma appears to be a promising surgical approach for preserving spleen function and hepatorrhaphy at the same time instead of doing them separately.
Technology and communal culture of sharing and giving: implications on household savings behavior in Fiji
Authors: Reddy Mahendra 
Published: May 2024

PurposeThis study examines how the introduction of mobile money transfers, while making it efficient and convenient to access funds, has affected rural households’ savings behavior and the banking sector.Design/methodology/approachThis study utilizes Fiji’s most recent agricultural census data to model the agricultural household’s saving decision. The study estimates an probit model to examine rural households' savings behavior. Furthermore, it utilizes time series secondary data to examine how funds transfer has been channeled to rural households in Fiji.FindingsFirstly, the results demonstrate that with the mobile money transfer platform launch, the banking sector has lost substantial money previously used to pass through its system, thus losing service fees and interest income. Furthermore, the findings demonstrate that those using mobile wallet platforms to receive money are more likely not to have a savings account with the bank. Noting the cultural systems and social settings of the native households and the ease of payments via the mobile platform, they tend to spend more on consumption rather than saving, thus making these households more vulnerable during shocks such as natural disasters.Originality/valueWhile mobile money transfer is hailed as a revolution, no research has yet picked up the downside to it, that of undermining the very effort by policymakers to get low-income rural households to save. Secondly, this study also highlights how mobile money transfer deprives the banking system of a significant transfer fee income and a source of funds to pool and lend to earn interest income. Furthermore, this study brings to the forefront a dichotomy about how a rural indigenous community sees the welfare and prosperity of their community much differently than what economics textbooks portray.
Stemming the tide: linking AI technology with workers retention
Authors: Moin Muhammad Farrukh , Zhang Justin Zuopeng 
Published: May 2024

PurposeThe objective of this research is to examine the association of artificial intelligence (AI) awareness on workers' retention and the boundary conditions in the context of project organizations.Design/methodology/approachWe collected time-lagged data from project organizations in China.FindingsThe results showed that AI awareness predicted workers' turnover intention. Moreover, this association was moderated via supervisor support.Practical implicationsThis research provides several practical implications aimed at timely communication, training and automation guide for helping firms to foster healthy workplace climate, support and workers’ retention.Originality/valueThe rise of AI and its potential impact on manpower is a popular topic. Yet, the evidence of project workers’ awareness of such potential effects on their retention is scant. Therefore, this study broadens our understanding of the association of AI awareness on turnover intention and boundary conditions in the context of project organizations.