bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sosialisasi Peningkatan Kualitas Pelayanan Pada Usaha UMKM Rumah Makan Nasi Padang Etek Yet di Dempo Raya
Authors: Sari Yetri Oktiva , Effendi Yanto 
Published: March 2024

This study aims to analyze the role of socialization in improving the service quality of Micro, Small, and Medium Enterprises UMKM at "Rumah Makan Nasi Padang Etek Yet" in Dempo Raya. A qualitative approach was employed, collecting data through observation, interviews, and documentary analysis. The results of the study indicate that socialization has a positive impact on creating an understanding of service standards and strengthening the positive interaction between employees and customers. Effective socialization contributes to an increase in customer satisfaction and supports the growth of UMKM.
Sosialisasi Strategi Umkm Dalam Meningkatkan Nilai Ekonomi Melalui Diversifikasi Pangan Lempuk Durian Di Anggut Bengkulu
Authors: Irwanto Tito , Putra Iswidana Utama , Wahyuni Amalia , Wagini Wagini , Gayatri Ida Ayu Made Er Meytha 
Published: March 2024

MSMEs have a very important role to improve the economy of a country. With the existence of MSMEs, it is able to facilitate the government in pursuing economic growth. In Indonesia, the number of MSMEs continues to increase every year, people who have an interest in business and business will establish MSMEs that are able to increase economic growth in their area. Bengkulu is a province that has also experienced an increase in MSMEs, there is a lot of potential in Bengkulu province so that it can be used as a business or business activity by the community, one of which is the management of durian fruit into durian lempuk in the Angut area of Bengkulu. In improving the efforts that have been made by the community, it is also necessary for people who are creative and innovative in developing their business so that they are able to compete globally so that durian lempuk can become an icon as a typical food of the Bengkulu province. the purpose of this service is to socialize to the community and motivate them to continue to increase the potential of the region so that they are able to create quality and growing MSMEs.
Surgical intervention and results of diaphyseal fractures in the lower limb long bones among pediatric patients treated using the titanium elastic nailing system
Authors: Nayak Arun Keshava , Chandrahas Adappa , Kotireddy Pichapati , Nagaraj Madhusudhan Chikkahasala 
Published: March 2024

Abstract

Background:
The recent surge in popularity of elastic stable intramedullary nailing is attributed to its stability, reduced complications, and the possibility of early mobilization. This study assesses the efficacy and outcomes of using titanium elastic intramedullary nailing in managing diaphyseal femoral bone fractures in pediatric patients.

Materials and Methods:
A prospective randomized study involved 30 children, comprising 20 males and 10 females, aged between 5 and 15 years. Closed diaphyseal fractures were stabilized using titanium nails of suitable diameter and length. Outcomes were evaluated using the FLYNN scoring system and Anthony scale grading to assess callus formation.

Results:
The research revealed that most fractures were oblique (66.7%) and spiral (23.3%), primarily occurring at the middle third level. The average duration of hospitalization was 8.16 ± 3.5 days. Limb length discrepancy was not significantly observed in 90% of patients. The average time for radiological union in fractures with grade 3 callus formation was 9.86 ± 1.56 weeks. FLYNN score outcomes were excellent in 90% of instances, with only one patient necessitating additional surgery.

Conclusion:
Titanium elastic intramedullary nailing demonstrated effective treatment of diaphyseal femoral fractures in pediatric cases.
Comparative trends in the usage of nonsteroidal anti-inflammatory drugs: Self-administration versus prescription
Authors: Regi Jennie K , Lalwani Kajol , Pawar Sunita 
Published: March 2024

Abstract

Background:
Nonsteroidal anti-inflammatory drugs (NSAIDs) stand as a fundamental element in global pain management and rank among the most frequently utilized pharmaceuticals. These drugs, prevalent in both prescription and over-the-counter (OTC) forms, make up around 5% of the total prescribed medications worldwide. Their prolonged use can lead to complications, underscoring the crucial role of pharmacists in guiding their limited and time-bound usage.

Objectives:
A cross-sectional study was conducted to assess and contrast the usage trends of NSAIDs through self-administration versus prescription-based consumption.

Materials and Methods:
In the Katraj district of Pune, Maharashtra, a cross-sectional study was conducted at two community pharmacies within the local area. Upon meeting specific criteria and securing consent, information was gathered through a standardized self-filled questionnaire in the language preferred by the participants. The questionnaire encompassed four segments: gathering sociodemographic information, assessing participants’ knowledge regarding NSAID usage, understanding the reasons behind their drug purchase, and an observational assessment of pharmacists’ practices in dispensing medications.

Results:
Out of the 294 respondents, the female participants constituted 55.78%. A majority of individuals, around 66.66%, chose self-medication. The primary motive behind purchasing NSAIDs was predominantly for alleviating pain, representing 36.73% of respondents. Nearly half of the participants, approximately 48.97%, possessed knowledge about the risks and benefits of NSAID consumption. Surprisingly, an overwhelming 95.57% of participants reported inadequate guidance from their local pharmacist when purchasing NSAIDs.

Conclusion:
The prevalence of self-medication surpassed the usage of prescribed medications due to insufficient participation of pharmacists in dispensing. There is a crucial need to prioritize the role of community pharmacists by imparting information on proper medication administration and advocating for their active clinical engagement in patients’ lives.
Physiotherapy for Guillain–Barré syndrome: A case report
Authors: Jha Jyoti , Khan Huma , Gupta Sachin 
Published: March 2024

Abstract
This study aimed to showcase the clinical outcomes of a patient who underwent a combination of inpatient and outpatient physiotherapy for Guillain–Barré syndrome (GBS), evaluating various therapeutic options and the effectiveness of rehabilitation. GBS manifests as acute inflammatory demyelinating polyneuropathy, leading to limb weakness and diminished reflexes, with diverse initial symptoms. Progressive weakness, tingling, reduced reflexes, and sensory loss may occur, implicating demyelination of spinal nerve roots, though the exact causes remain uncertain. While fatal cases are uncommon, severe instances involve respiratory and cardiovascular complications, necessitating swift diagnosis and referral. This case highlights the physiotherapy undertaken by an 18-year-old male, emphasizing the importance of accurate diagnosis and effective physiotherapeutic management. An 18-year-old male diagnosed with GBS (acute inflammatory demyelinating polyneuropathy variant) underwent 16 weeks of physiotherapy, initially as an inpatient and later as an outpatient. The case underscores the significance of precise diagnosis and effective physiotherapeutic management. Various physiotherapeutic approaches improved the patient’s overall functional capability, enhancing muscle strength, endurance, balance, and daily autonomy.
Psychosocial distress patterns among key populations living with HIV in Nigeria
Authors: Mwoltu Nanribet , Abang Roger , Amechi Paul , Emmanue Godwin , Umoh Paul , Ochonye Bartholomew , Sanni Felix Olaniyi , Kalaiwo Abiye , Katbi Moses 
Published: March 2024

Abstract

Background:
The human immunodeficiency virus (HIV) continues to pose a substantial public health challenge in Nigeria, particularly affecting key populations due to various factors such as diminished risk perception, engaging in risky sexual and behavioral practices, stigma, discrimination, and legal barriers. Recognizing and addressing the mental health and psychosocial needs (MHPN) of HIV-positive key populations are essential for implementing tailored interventions and ensuring comprehensive care, aligning with the Joint United Nations Program on HIV and AIDS (UNAIDS) goal of ending acquired immune deficiency syndrome (AIDS) by 2030.

Materials and Methods:
This retrospective observational study was conducted among key populations (KPs) living with HIV who were enrolled in care at 17 one-stop shop (OSS) facilities operated by Heartland Alliance LTD/GTE across six states in Nigeria. The assessment tool used was the HALG Mental Health Screening Form III (MHSF-III). The study population consisted of diverse KPs enrolled in OSS facilities across six Nigerian states. Data analysis was performed using IBM-SPSS version 28.

Results:
The study revealed varying levels of MHPN among HIV-positive vital populations, with sex partners (8.9%), prisoners (7.1%), and female sex workers (6.1%) showing the highest prevalence. Among participants aged below 20, the need was most pronounced (10.7%). Female participants had increased odds (AOR = 2.072) of experiencing MHPN, as did individuals with sexual partners (AOR = 1.591), a history of drug/alcohol use (AOR = 10.458), and exposure to gender-based violence (AOR = 7.733). All respondents received brief interventions, with 69.3% being referred for further psychosocial support and 47.6% ultimately receiving specialized mental health intervention. The majority of participants preferred in-person counseling (72.7%) and a single session (74.0%), and most displayed mild confirmation outcomes (86.8%).

Conclusion:
The results highlight the importance of tackling the mental health obstacles encountered by these vulnerable groups to prevent HIV transmission and ensure comprehensive care. To enhance the well-being of these populations in Nigeria, policymakers and healthcare providers should prioritize integrated care and support services. Lastly, future research in this domain should concentrate on conducting long-term studies to monitor the mental health trajectories of HIV-positive key populations thoroughly.
A research investigation into the micronuclei assay within urothelial cells as an innovative biomarker for the carcinogenesis of cervical cancer conducted at a tertiary care facility
Authors: Mary Vincy T , Vengatesan Ramya , Rajasekaran Vallabi 
Published: March 2024

Abstract

Background:
Cervical carcinoma ranks as the fourth most prevalent cancer in women worldwide, following breast, colorectal, and lung cancers. Screening is a crucial secondary prevention strategy, particularly in developing nations such as India, ensuring effective prevention and treatment. This study investigates the micronuclei assay in urothelial cells as a potential biomarker for cervical carcinoma screening, focusing on its correlation with colposcopic and histopathological observations.

Materials and Methods:
The prospective study was conducted from September 2016 to September 2017 at the Department of Pathology, Institute of Obstetrics and Gynecology, Madras Medical College, Chennai, Tamil Nadu, India. It involved 108 women who visited the colposcopic clinic. Urine samples were collected from 50 women with normal colposcopic findings and 58 with abnormal colposcopy results. Micronuclei scoring was performed on 1000 epithelial cells from the smears. Additionally, cervical biopsies were conducted for the 58 cases with abnormal colposcopic findings, and the resulting histopathological data were juxtaposed with the findings of the micronuclei assay.

Results:
The study’s findings demonstrated a sensitivity of 82.76% and a specificity of 90%, with positive predictive values of 90.75% and negative predictive values of 81.82%. Additionally, a statistically significant linear correlation was observed between the micronuclei assay and histopathological diagnosis, with a P value of less than 0.001.

Conclusion:
Therefore, the micronuclei assay offers a means to detect genotoxicity, monitor cervical carcinogenesis, and identify high-risk groups using simple, reliable, and cost-effective techniques suitable for large-scale screening programs.
Knowledge, perception, and practices of teaching and nonteaching staff members regarding tobacco use surveillance before and after implementing the Tobacco-Free School Program: A serial cross-sectional study
Authors: Deshmukh Kunal , Shetiya Sahana Hegde , Mathur Anmol 
Published: March 2024

Abstract

Aims and Objectives:
The present study assessed the knowledge, perceptions, and behaviors related to tobacco use surveillance among both teaching and nonteaching staff members before and after implementing the “Tobacco Free School” intervention. This initiative targeted establishing tobacco-free environments, specifically in Marathi medium-high schools within the Pimpri-Chinchwad Municipal Corporation, Pune District, Maharashtra, India.

Materials and Methods:
Data for the serial cross-sectional study were gathered using a validated questionnaire administered to teaching and nonteaching staff members at these schools at baseline and follow-up. The intervention was conducted in three schools between June 2019 and September 2020. The number and percentage for each question concerning knowledge, perception, and practice were calculated with a confidence interval of 95% and a P value of <0.05 considered significant. The McNemar test was employed to assess whether there was a significant difference between pre- and post-study results.

Results and Discussion:
Ninety percent of teachers demonstrated awareness of the law. Familiarity with two specific sections of Cigarettes and Other Tobacco Products Act 2003: Sections 4 and 6 showed a 39% difference in knowledge acquired between pre- and post-study results. Staff members were better aware of the tobacco vendors setting up shop outside the educational institution post-survey (P = 0.03).

Conclusion:
Staff members learned about tobacco products’ content, ill effects, and better-perceived tobacco control. Based on the respondent’s reply (61%) on the presence of tobacco vendors within 100 yards, the offending vendor’s picture was uploaded on the “Tobacco Monitor App” so that prompt action could be initiated by the State Tobacco Control Cell.
Factors influencing the performance of rising from the floor among healthy Indian elderly
Authors: Borse Manasi , Mullerpatan Rajani , Tawade Shubham , Agarwal Bela 
Published: March 2024

Abstract

Background:
Sitting and rising from the floor significantly predict all-cause mortality. The increasing life span of older people and the need to maintain physical fitness and independent functioning necessitate engaging in different forms of habitual physical activity. This study explored the influence of chronic exposure to floor sitting on spatial-temporal variables of sitting from the floor and factors influencing older people’s ability to rise.

Materials and Methods:
Following approval from the Institutional Ethical Committee, spatial-temporal variables of sitting from the floor were measured in 120 community-dwelling healthy elderly (age 60–85 years, male-to-female ratio—1:1 and urban-to-rural ratio—1:1) Exposure to floor-level activities was recorded using MGM Ground Level Activity Exposure questionnaire. The International Physical Activity Questionnaire was used to measure health-related physical activity. The sitting-rising test was captured using a digital camera. Ascent and descent times were computed, and the motor strategy used to act was recorded. Muscle strength of the lower extremity (Chair Raise Test), cardio-respiratory endurance (Six-Minute Walk Test), and balance (Berg Balance Test and Floor Square Step Test) were evaluated.

Results:
Urban people reported lower exposure to floor sitting [12.6 (16.2)] min/day (P = 0.000) compared with rural people [211.0 (76.9)] min/day (P = 0.000). Ascent time and descent time were more significant in urban people [42.6 (36.3)] min/day (P = 0.000) and 42.2 (30.7) min/day (P = 0.000) compared with rural people [20.0(10.4)] min/day and [21.3(13.7)] min/day (P < 0.05). Males required shorter activity time than females (P < 0.05). There was a moderate negative correlation between chronic daily exposure to cross-leg sitting and ascent time (Spearman’s rho = -0.407; P = 0.000) and descent time (Spearman’s rho = -0.409; P = 0.000), and moderate positive co-relation between daily cross-leg sitting exposure and cardio-respiratory exposure (Spearman’s rho = 528; P = 0.000), balance (Spearman’s rho = 371; P = 0.000), and muscle strength of lower extremity (Spearman’s rho = 632; P = 0.000).

Discussion:
Increases in the use of lower limb crossing during commencement, decreases in the use of hand support, and falls in the use of trunk rotations with lateral flexion throughout descent and ascent were all observed in those who had more daily habitual exposure to rising from the floor. People with less frequent exposure to rising from the floor in their daily routines showed the opposite tendency.

Conclusion:
Daily physical activity, including chronic exposure to rising from the floor, was observed to positively influence spatiotemporal variables, muscle strength of lower extremities, cardio-respiratory endurance, and balance. Factors influencing rising from the bottom need to be addressed by therapeutic interventions for maintaining the satisfactory functioning of older adults.
Biomechanical comparison of hip and ankle kinematics among national and university-level field hockey players: An observational study
Authors: Sharma Monika , Singh Amrinder , Shenoy Shweta 
Published: March 2024

Abstract

Background:
The penalty corner stands out as a crucial scoring method in field hockey, with the Drag flick (DF) being the most frequently employed shot during this situation. The DF is more effective than the hit or push techniques.

Purpose:
This study aimed to explore variations in hip and ankle kinematics during different stages of the DF among field hockey players at national and university levels.

Materials and Methods:
The study adopted a cross-sectional design involving participation from professional male drag flickers, as well as national and university-level (UL) players, with reported mean ± SD values for height (172 ± 1.41 cm), weight (72.5 ± 2.12 kg), and BMI (24.4 ± 0.35 kg/m2). Following a specific warm-up, each player underwent the random recording of 10 trials on the hockey ground. XSENS inertial measuring unit was employed to acquire and analyze kinematics data. Thirty frames were extracted, spanning the DF technique’s initial phase to the final phase for subsequent analysis.

Results:
The findings revealed distinct variations in joint angle (XZY) range of motion (ROM) during different phases of the DF among national and UL players. Notably, significant (P < 0.05) and diverse changes were identified in various parameters of lower limb kinematics when comparing DF shots.

Conclusion:
The study’s conclusion emphasizes that comprehending the ROM variations in hockey players is crucial for sports scientists and coaches. NL and UL players showed different movement patterns in the same DF technique but at different extents. This knowledge enables them to understand the biomechanical responses necessary to attain optimal movement, mainly when aiming for the goal. It allows for a focused analysis of individual player movement patterns.
An observational study on the functional outcomes of 100 robotic total knee replacements performed by an Indian surgeon: Early experiences
Authors: Bhor Pramod , Pawar Sawankumar H , Kutumbe Dnyanada , Vatkar Arvind J , Kale Sachin , Jagtap Rahul 
Published: March 2024

Abstract

Background:
We aim to share our preliminary encounter with robotic knee replacements in Indian patients, focusing on the initial 100 cases. This report will delve into our observations regarding the learning curve and provide insights from a short-term follow-up at 6 months.

Materials and Methods:
Following institutional ethical clearance, we conducted an observational study involving 100 robotic-assisted total knee replacement cases performed from March 2022 to November 2022. These patients underwent a 6-month follow-up to evaluate functional outcomes. Our primary objective was to investigate the learning curve associated with robotic-assisted total knee arthroplasty (RATKA), specifically emphasizing operative time. Furthermore, we examined preoperative and postoperative alignment parameters as part of our analysis.

Results:
In our investigation, participants had a mean age of 64.68 years, with a female-to-male ratio of 43:22 and an average body mass index of 30.71 ± 4.88. Intraoperative blood loss was recorded at an average of 91.81 ± 21.63 mL. The mean surgical duration for the initial 25 cases was 102.5 ± 11.08 min, which improved to 65.65 ± 13.07 min for the subsequent 75 cases. The average hospital stay length was 2.88 ± 0.88 days. Notably, there was a significant enhancement in the Knee Society Score (KSS), with a preoperative mean of 38.90 ± 12.72 improving to a postoperative mean of 84.89 ± 4.10 (P = 0.001), as well as in the Oxford Knee Score (OKS), which saw a rise from 16.62 ± 16.42 preoperatively to 45.58 ± 4.97 postoperatively (P = 0.001). The accuracy of preoperative determination for femoral component sizes was 100%, while for tibial component sizing, it was 97%.

Conclusion:
The key finding from this observational study suggests that around 25 procedures are required to reach a learning plateau. During this process, an average decrease of 36.1 min in surgical time was observed from the initial to proficient stages. Notably, no learning curve was observed for lower limb alignment and implant placement, and no significant complication rates were documented.
Comparative study of sickling test, solubility test, and hemoglobin electrophoresis in sickle cell anemia
Authors: Nigam Rashi , Sharda Bela , Varma Amit V 
Published: March 2024

Abstract

Background:
Madhya Pradesh, a state in India, bears the highest number of sickle cell anemia (SCA) cases, particularly among its tribal communities. The diagnosis of suspected SCA cases involves utilizing several methods. The sickling test operates on the principle of hemoglobin S (HbS) polymerization upon deoxygenation. By contrast, the solubility test involves the reduction of HbS using sodium hydrosulfite, followed by precipitation of lysed red blood cells. Hemoglobin (Hb) electrophoresis identifies Hb variants based on their migration in an electric field. Our objective was to assess the efficacy of sickling and solubility tests as screening tools for detecting SCA, comparing them against capillary Hb electrophoresis, which is considered the gold standard.

Materials and Methods:
All individuals suspected of having SCA between 2022 and 2023 were enrolled in the study. Clinical information, peripheral blood smear analysis, sickling test, solubility test, and capillary Hb electrophoresis were conducted, and the results were compared.

Results:
Of 250 cases assessed, Hb electrophoresis identified 225 cases of SCA, resulting in a sickle cell disease to sickle cell trait (SCT) ratio of 1:1.36 and a male-to-female ratio of 1:1.33. The highest number of cases were observed in the age group from 21 to 30 years. Generalized weakness (77%) and abdominal pain (52%) were the most frequently reported symptoms. The sickling test demonstrated a sensitivity, specificity, and diagnostic accuracy of 91.5%, 72%, and 89%, respectively, compared with Hb electrophoresis. The solubility test yielded values of 76.5%, 68%, and 75% for sensitivity, specificity, and diagnostic accuracy, while peripheral smear analysis showed 36%, 25%, and 42%, respectively.

Conclusion:
The sickling test displayed superior sensitivity and diagnostic accuracy compared with the solubility test, with no significant disparity in specificity between these two methods. Notably, the solubility test exhibited a higher incidence of false-negative results for SCT. Therefore, the sickling test is the preferred screening method for SCA.