bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence and factors associated with cyberbullying among adolescents (15–19 years) in Gurugram District – A community based cross-sectional study
Authors: Pathak Vineet Kumar , Tripathi Saparya , Kumar Mohan , Panigrahi Sunil Kumar , Sohkey Rohit , Kadian Apila , Bhattacharya Madhulekha , Jha Namrta 
Published: May 2024

Background:
Digitalization in the form of increased Internet use through screen media has also shown its ramification like cyberbullying. They are aggressive acts with the intention or motivation to harm another person through technology. The aim is to study the prevalence of cyberbullying and its association with mental illness in the adolescent age group (15–19 years).

Methods:
This community-based cross-sectional study was rolled out among adolescents aged 15–19 years. A total of 387 were given a semistructured interviewer-administered questionnaire consisting of general details, cyberbullying victimization, and offending questions, PHQ-9 and GAD-7.

Results:
The mean (SD) age was 16.8 (1.3) years. More than half (53.2%) were males, and nearly three-fourths (74.4%) were school-going. Around 28.2% reported being cyberbullied at least once in their lifetime. About 7.0% of adolescents were cyberbullied more than once, and 0.8% more than five times in the past 30 days. The most common ways were posting a mean or hurtful picture (31.9%) and the concerned person’s comments (24.2%) online. Multivariable logistic regression analysis found that adolescents attending colleges (AOR 1.9, 95% CI 1.1 to 3.4), using tobacco (AOR 2.5, 95% CI 1.4 to 4.5), and depressed (of any severity, AOR 2.0, 95% CI 1.1 to 4.3) were at significantly increased risk of being cyberbullied (P < 0.05).

Conclusion:
The prevalence of cyberbullying among adolescents aged 15–19 is notable, with significant associations found between cyberbullying and attending college, tobacco use, and depression. Understanding the correlates of cyberbullying can inform targeted interventions to support mental health and well-being among adolescents.
Role of oral melatonin in prevention of postoperative delirium in patients undergoing elective surgery under general anesthesia: A Randomized controlled trial
Authors: Thakur Tanuja , Saini Vikas , Grover Sandeep , Samra Tanvir 
Published: May 2024

Background:
Postoperative delirium is a common complication in patients undergoing elective surgery under general anesthesia. We aimed to minimize the incidence with an oral dose of 3 mg of melatonin administered the night before surgery.

Methods:
Hundred and sixty-two patients aged 40–80 years posted for various urological and gastrointestinal surgeries under general anesthesia with no preoperative cognitive deficits were randomly distributed equally to melatonin or control groups. In the control group, routine premedication was done with tablet alprazolam (0.25 mg) and ranitidine (150 mg), but in the melatonin group, the patients were given 3 mg melatonin orally the night before surgery along with routine premedication. The CAM scale was used for diagnosis of postoperative delirium.

Results:
Incidence of delirium was significantly lower in the melatonin group, 23.5%, 8.6%, and 2.5% at 6, 24, and 48 hours, respectively, and the corresponding mean (SD) values of CAM scores were 1.37 (1.30), 1.07 (1.03), and 0.69 (0.80). In contrast, the incidence of delirium was 46.9%, 30.9%, and 16% at 6, 24, and 48 hours, respectively, in the control group. There was a significant reduction in anxiety, a lower incidence of cognitive dysfunction (i.e., MoCA score <26), and improvement in sleep quality in the melatonin group at 6, 24, 48, and 72 hours after the surgical intervention. The generalized estimating equations model (GEE) model was used to study change in MoCA and CAM scores over time between the two groups, and it showed a significant interaction between time and treatment groups (P < 0.001).

Conclusions:
Melatonin premedication reduced incidence of postoperative delirium and cognitive dysfunction and was associated with better sleep quality and anxiolysis.
Deep anterior lamellar keratoplasty in advanced keratoconus in children: A 4-year study
Authors: Preethi B. , Kumar K. Kiran , Malepati Nikhila 
Published: May 2024

Purpose:
The purpose of the study was to evaluate the outcomes of deep anterior lamellar keratoplasty (DALK) in children and adolescents with advanced keratoconus (KC) at a tertiary eye care center in India.

Design:
This was a retrospective cross-sectional study.

Methods:
All cases of KC under the age group of 18 years, operated for DALK at a tertiary eye care center in South India, were evaluated from January 2018 to January 2022; outcome measures were best-corrected visual acuity (BCVA), graft clarity at final follow-up, and complications.

Results:
Of 27 eyes of 25 cases, 16 were male and 9 were female, with a mean age of presentation at 14.9 years. In stromal dissection technique, big bubble was attempted in 23 eyes and achieved in 20 eyes; manual dissection was done for the rest of the cases. Final BCVA varied from 0.1 to 0.6 logMAR units. Twenty-three eyes had excellent graft clarity at final follow-up. Complications noted in the study were intraoperative microperforation in four cases, postoperatively suture-related complications in three cases, and corneal graft rejection in one case.

Conclusion:
DALK in pediatric age group for advanced KC is an effective treatment option.
Psychological distress among low-vision patients
Authors: Khurana Ashi , Singh Mahendra , Malik Anuprakshi , Agarwal Pradeep , Chauhan Lokesh 
Published: May 2024

Purpose:
The purpose of the study was to measure the mental well-being of patients suffering from low vision using the Depression, Anxiety, and Stress Scale (DASS).

Methods:
Low-vision patients who visited the low-vision clinic of CL Gupta Eye Institute were studied using the DASS. Patients were excluded if they were <18 years old or could not understand the questionnaire due to an intellectual disability. Sociodemographic characters (such as age, gender, marital status, and education) were recorded before the administration of the study questionnaire.

Results:
In this study of 60 low-vision patients, high rates of psychological distress were observed, with 85% experiencing depression, 81.7% anxiety, and 75% stress. Demographic variables such as age, gender, marital status, and education did not significantly affect these rates. However, individuals with severe visual impairment (VI) or blindness had significantly higher prevalence rates for depression (P = 0.003), anxiety (P = 0.001), and stress (P = 0.013).

Conclusion:
This study reveals a high prevalence of depression, anxiety, and stress among low-vision patients, with the most pronounced impact seen in individuals with severe VI or blindness. These findings underscore the urgent need for targeted mental health interventions to improve the well-being of low-vision patients, especially those with severe VI. Tailored support can significantly enhance their overall quality of life and psychological health.
Assessing knowledge, attitude, and practice regarding conjunctivitis among patients
Authors: Silva Maxwell , Bhailume Prajakta Vijay , Pargaonkar Nachiket , Silva Malcolm 
Published: May 2024

Aims and Objectives:
(1) To assess the knowledge, attitude, and practice about conjunctivitis among patients. (2) To educate society regarding preventive and therapeutic measures.

Methodology:
A cross-sectional study, in which 500 patients were selected as participants, knowledge, attitude, and practice were assessed regarding conjunctivitis using prevalidate questionnaire, which contains 20 questions. Descriptive statistics were used to elaborate patients’ demographic characteristics. Categorical variable was percentage while the continuous variable was conveyed as mean ± standard deviation. A significance P < 0.05 was used for comparison. All analyses were performed using the Statistical Package for the Social Science Version 20.

Results:
Out of 500 distributed questionnaires, 328 were male, 172 were female, majority having age range between 25-60 years. It was seen that 370 participants (74%) have adequate knowledge regarding conjunctivitis.

Conclusion:
Patients have sufficient knowledge and awareness about conjunctivitis, yet effort should be made to bring change about conjunctivitis. Proper eye health facilities and teaching should be involved in institute health services, and early presentation to eye care centers for its treatment should be encouraged.
Keratoconus presentation with respect to age, gender, and severity in Western India
Authors: Shah Zalak A. , Purohit Dipali M. , Danayak Parul M. , Patel Jayadatt D. , Purohit Sena M. 
Published: May 2024

Purpose:
To study the demographic profile of keratoconus (KC) patients visiting a tertiary eye care hospital in Western India.

Materials and Methods:
This cross-sectional, observational study included newly diagnosed KC patients visiting our hospital between January 2018 and October 2022. Patient’s demographic details (self-reported age at first presentation, age at diagnosis, and sex) and mean maximum curvature (K Max) were collected. The patients were divided into age band of 5-year groups. A subanalysis of gender and severity was performed among groups. Spearman’s correlation coefficient was used to evaluate the relationship between KC severity and age.

Results:
A total of 536 patients with clinical KC were included. A self-reported age at first presentation was 19.4 ± 6.2 years. The mean age of diagnosis was 20.5 ± 6.0 years (range: 4–43 years). There were 61.6% (330) of males and 38.4% (206) of females (P < 0.01). The mean K Max value was 59.2 ± 13.3 diopter (D). The mean K Max was not significantly different between the sexes, with the exception of the age range of 24–28 years, where females had more severe KC than males (P = 0.02). Among the included patients, 38.6% (207) of patients were pediatrics (≤18 years), while 61.4% (329) were adults (>18 years). The mean K Max in pediatric KC (62.3 ± 15.1 D) was significantly higher than adult KC (57.3 ± 11.5), P < 0.01. Severity of KC did not correlate with the age of the patients (r = −0.20, P = 0.04).

Conclusion:
KC presented at a younger age with moderate-to-severe stage of the disease, indicating the need for early KC detection in our population.
Corneal morphology following use of Malyugin versus B-hex pupil expansion rings in small pupil phacoemulsification
Authors: Gupta Simple , Agrawal Mohini , Pushkar Kumar , Tripathi Abhishek , Bhanot Rohit , Singh Manish 
Published: May 2024

Aim:
The aim of the study is to evaluate changes in corneal parameters following the use of the Malyugin ring (MR) and B-Hex ring (BhR) in small pupil phacoemulsification.

Methods:
A prospective cross-sectional study. 51 eyes with small pupil underwent phacoemulsification with the use of MR and BhR as pupil expansion techniques. Best-corrected visual acuity (BCVA), endothelial cell counts density (ECD), coefficient-of-variation (CV), hexagonality, central corneal thickness (CCT), and intraocular pressure (IOP) were recorded on preoperative day and postoperative day 1 and day 30.

Results:
Mean age at presentation was 70.9 ± 4.1 years. The most common cause for small pupils was alpha-blockers used in benign prostate hypertrophy, followed by diabetes mellitus and pseudo-exfoliation syndrome. Mean preoperative BCVA (3/60–6/12), IOP (17.12 ± 2.81 mmHg), CCT (530.96 ± 44.47 μ), ECD (2347.96 ± 298.09 cells/mm2), 6A (48.92% ± 6.34%) and CV (39.50 ± 3.49) changed to BCVA (6/9–6/6), IOP (18.69 ± 1.91 mm of Hg), CCT (536.04 ± 37.61 μ), endothelial cell count (2201.15 ± 276.75 cells/mm2), 6A (45.12% ±4.99%), and CV (37.57 ± 3.37) at day 30 postoperatively after use of MR. Similarly, mean preoperative BCVA (3/60–6/12), IOP (16.40 ± 2.42 mmHg), CCT (532.40 ± 36.14 μ), ECD (2433.68 ± 162.01 cells/mm2), 6A (48.84% ± 3.73%), and CV (39.36 ± 3.915) changed to BCVA (6/9–6/6), IOP (17.68 ± 2.75 mmHg), CCT (546.88 ± 31.25 μ), ECD (2322.08 ± 167.97 cells/mm2), 6A (46.36% ± 3.25%) and CV (38.96 ± 4.43) at day 30 post-operatively after use of BhR. The average change was clinically insignificant at day 30.

Conclusion:
MR and BhRs are safe pupil expansion devices and the corneal parameters are in the acceptable range of any routine phacoemulsification for senile cataracts. Nevertheless, B-hR shows relatively less alteration in corneal parameters, when compared to MR.
Ocular manifestations in patients with autoimmune bullous dermatoses: A hospital-based retrospective study
Authors: Sharma Surinder K. , Sharma Anju Lath , Mahajan Vikram K. 
Published: May 2024

Background:
Ocular involvement in autoimmune bullous dermatoses (AIBD) remains underappreciated.

Objectives:
The objective was to study the prevalence and characteristics of ocular involvement in patients with AIBD.

Methods:
The medical records of 25 patients (males: females 11:14) aged between 27 and 85 years (mean ± standard deviation = 44.9 ± 15.6 years) with AIBD were analyzed retrospectively for clinico-epidemiological attributes and the presence of ocular abnormalities.

Results:
There were 20 (80%) pemphigus patients, of which most were pemphigus vulgaris (PV, n = 14) and pemphigus foliaceus (PF, n = 6). Other 5 (20%) patients included bullous pemphigoid (BP, n = 4) and cicatricial pemphigoid (CP, n = 1). Seventeen (68%) patients comprising 11 (78.6%) of PV, 3 (50%) of PF, 2 (50%) of BP, and 1 (100%) of CP had 27 ocular abnormalities. Erosions of lid margins (n = 3, 27.3%), blepharitis with meibomitis (n = 1, 9.1%), chalazion (n = 1, 9.1%), and conjunctival vesicles over bulbar conjunctivae (n = 2, 18.2%), conjunctivitis (PV = 5, 45.5%, PF = 1, 33.3%), and symblepharon and keratoconjunctivitis sicca in one (9.1%) patient each, respectively, were major ocular manifestations in pemphigus. Entropion with trichiasis, shallow fornices, and corneal opacities were major abnormalities in patients with BP (n = 2, 100%) and CP (n = 1, 100%).

Conclusion:
Ocular comorbidities vary in prevalence and severity between subtypes of AIBD. These are mainly from complications of ocular surface disease predominantly affecting the anterior segment of the eye. They are more severe in patients with CP compared to others. The study is limited by a single-center, retrospective-study design, a small number of patients in each group for stratification, and long-term follow-up.
Ocular trauma study in rural indian population – clinical features and visual outcomes based on ocular trauma score
Authors: Bhat Ketaki , Gupta Kanav , Khandelwal Rekha 
Published: May 2024

Aim:
The study was aimed to assess the clinical features of ocular trauma and to classify and compare mechanical ocular injuries.

Materials and Methods:
This retrospective study was done on 299 patients with ocular injuries from January 2018 to May 2019. We reviewed case record forms for visual acuity (VA) and anterior segment findings. Fundus findings and intraocular pressure values were also noted. When indicated, radiological examinations such as computed tomography, magnetic resonance imaging, B-scan, and X-ray orbit were performed. The SPSS 11.0 package was used for data analysis.

Results:
Of the 299 instances in this study, 104 (34.78%) were in the 30–45 age group. The impact on males was 4.8 times greater than that on females. The most frequent cause among the 102 participants (34.11%) was industrial work. Out of 216 cases of closed-globe injuries, more than half, i.e., 113 cases (52.31%), were in zone I.

Conclusion:
Ocular trauma is more common among young males, with industrial work being the most common cause. A unilateral, closed-globe injury was more common compared to bilateral and open injuries. In open-globe injuries, zone II was more commonly affected, while in closed injuries, zone I was more common. Visual impairment was more severe in open-globe injuries. With regard to the prediction of final VA, our results were comparable to the ocular trauma score study, thus affirming its utility.
To study visual evoked potential in patients with optic nerve diseases
Authors: Poonia Kavita , Tuli Rajeev , Sharma Gaurav , Bhardwaj Amit 
Published: May 2024

Background:
To study Visual Evoked Potential in patients with Optic Nerve diseases. Study design and settings: Cross – Sectional study.

Material and Methods:
72 patients were included in our study, aged 12 years and above, diagnosed as optic nerve diseases like optic neuritis, Nonarteritc ischemic optic neuropathy (NAION), hereditary, nutritional and compressive optic neuropathy etc. Flash and Pattern VEPs were used. VEP amplitude and latency were noted.

Results:
Out of total 144 eyes, 107 eyes were affected. Ethambutol induced Toxic optic neuropathy was the most common etiology, followed by secondary optic neuropathy, idiopathic, traumatic optic neuropathy, optic neuritis, NAION, compressive and post CRAO (Central Retinal Artery Occlusion) optic neuropathy. Mean latency of all affected eyes was 132±22.5 msec. mean amplitude of the all affected eyes was 6.36±2.1 microvolt. Latency was moderately delayed (110-140 msec) in 45.8%, while severely delayed (>140 msec) in 40.3% of total eyes. Amplitude was reduced in 36.5% of total eyes. Prolonged latency with normal amplitude was found in most of the eyes with optic neuritis while latency was also prolonged in fellow eyes of optic neuritis. In case of NAION prolonged latency and reduced amplitude was found in all eyes.

Conclusion:
Flash or pattern VEP can be used as an important tool for diagnosis of optic neuropathies or revealing of recurrence of disease and for follow up. VEP can also be used to detect subclinical damage in the fellow eyes of optic neuritis and also useful in differentiating the optic neuritis from ischemic optic neuropathy.
Health sciences educator's simulation debriefing practice needs: A mixed methods study
Authors: Nyoni Champion N. , van der Merwe Anke , Botha Benjamin S. , Fourie Cecille , Botma Yvonne , Labuschagne Mathys J. , van Wyk Riaan 
Published: May 2024

BACKGROUND:
Simulation debriefing influences learning from healthcare simulation activities. Health sciences educators must be competent in conducting simulation debriefing for healthcare students. A structured faculty development intervention for health sciences educators must be informed by educator needs to enhance its utility. This paper describes the needs of health sciences educators regarding simulation debriefing at a faculty of health sciences.

MATERIALS AND METHODS:
A parallel convergent mixed methods study design was applied on a selected population of 30 health sciences educators at the University (x) who integrate immersive simulation for first- to final-year students in their undergraduate programs. The Objective Structured Assessment of Debriefing tool underpinned observations which informed the quantitative strand of the study, while semi-structured interviews were conducted as part of the qualitative strand. Descriptive statistics and thematic analysis were used to analyze the data.

RESULTS:
Health sciences educators struggled to establish the learning environment for simulation (median 1), facilitate learning (median 3), and evaluate their debriefing activities. However, they were able to apply an appropriate approach toward simulation (median 4). They identified the need to be educated on the fundamentals of simulation-based education.

CONCLUSION:
A continuing professional development program must be developed aimed at transforming approaches toward facilitating learning, explaining the fundamentals of simulation-based education, modeling of best-practices related to debriefing, and applying appropriate strategies for evaluating debriefing activities.
The effect of comprehensive individual motivational-educational program on medication adherence in elderly patients with bipolar disorders: An experimental study
Authors: Tahghighi Hossein , Mortazavi Hamed , Manteghi Ali Akhondpour , Armat Mohammad Reza 
Published: May 2024

BACKGROUND:
The number of older adults with bipolar disorder is increasing and medication non-adherence is a major problem that negatively impacts the course of bipolar disorder. This study aimed to determine the effect of a comprehensive individual motivational-educational program on medication adherence in elderly patients with bipolar disorder.

MATERIALS AND METHOD:
An experimental study with pretest-posttest repeated measures with a control group was conducted on two groups of 62 elderly people with bipolar disorders hospitalized at Ibn Sina Hospital in Mashhad, Northeast Iran, 2019. For the elderly in the intervention group, a comprehensive motivational-educational program was administered for one month (four 30–45 minute sessions), and for the elderly in the control group, routine clinical care was performed. Medication adherence in both elderly groups was measured before, immediately after, one and two months after the intervention. Data were analyzed by SPSS statistical software (version 16) using descriptive statistics and independent t-test, Mann-Whitney, paired t-test, repeated measures analysis of variance (ANOVA), and Chi-square tests.

RESULTS:
The mean age of elderlies in the intervention and control groups were 69.03 ± 5.75 and 68.50 ± 6.73 years, respectively. Regardless of the groups to which the patients were assigned, a significant difference in medication adherence scores was observed during the study period (time effect; P < 0.001). Also, the medication adherence score was significantly lower in the intervention group, compared to the control group (group effect; P < 0.001). Also, there was a group time interaction between the medication adherence score and the time of evaluation (P < 0.001).

CONCLUSION:
The results of the present study confirm the positive effect of a comprehensive educational-motivational program on improving medication adherence in elderly patients with bipolar disorder.
The effect of the health belief model education for cervical cancer prevention, screening promotion among rural women in Chengalpattu district, Tamil Nadu (HBMECC)
Authors: Thahirabanuibrahim  , Logaraj Muthunarayanan 
Published: May 2024

BACKGROUND:
The objective of this interventional study is to investigate the efficacy of health belief model-based health education in screening promotion and improving awareness about cervical cancer prevention.

MATERIALS AND METHODS:
A total of 370 rural married respondents were selected using a multistage random sampling method. To gather information from study participants before and after the six-month intervention period, the standard questionnaire instrument paired with a health belief model and cervical cancer knowledge assessments was employed. This quasi-experimental study incorporated health belief model-based education for 45 minutes, supplemented by audio-visual, flipchart, and interactive sessions, and regular motivation was given once every three days until the call for mass screening camps, which were held every 15 days. The data was imported into Excel and analyzed using SPSS 21. A paired test for pre- and post-intervention significance and a cross-tab test for association was utilized. At the end of the study, the percentage of all women screened was estimated.

RESULTS:
The findings revealed that 37.8% of participants were between the ages of 30 and 40, 32.7% had no formal education, and 42% were housewives. The pre-and post-test mean scores for knowledge about cervical cancer and prevention differed, with a mean value difference of 4 for signs of cervical cancer, 24.32 for risk factors, 1.31 for the cervical cancer screening (Pap) test, 1.07 for vaccination, and 0.48 for attitude toward self-assessment of cervical cancer symptoms and attitude toward screening. By the end of the study, 39% of the women had been screened in a mass screening camp and from outside sources.

CONCLUSION:
The health belief model, therefore, assisted in increasing the required information and addressed the perception regarding screening obstacles, consequently increasing the screening rate, and can thus be implemented as an appropriate strategy for instructing women about cervical cancer screening and prevention.