bluuebunny/crossref_metadata_2025_split huggingface dataset:
Awareness and compliance of urologists in the Middle East with minimally invasive surgical devices for the management of benign prostate hyperplasia
Authors: Azhar Raed A. , Elkoushy Mohamed , Subahi Mohnna , Faisal Mahmoud , Bakhsh Abdulaziz , Sejiny Majed , Bagasi Salim , Tayeb Waseem 
Published: April 2024

Objectives:
The objective is to assess urologists’ awareness of and compliance with available minimally invasive devices (MIDs) for the management of benign prostate hyperplasia (BPH).

Methods:
An online Internet-based survey was sent to urologists through E-mail. Baseline characteristics included age, location and duration of practice, and number of prostatectomies performed in the previous 12 months. Awareness is based on the surgeons’ opinions about their advantages and drawbacks.

Results:
A total of 308 participants responded to the survey; 87.0% were most aware of Rezūm, followed by Urolift (59.1%), Aquablation (33.1%), and combined temporary implantable nitinol device (iTIND), and Zenflow (17%). In the past 12 months, 84.1% used MIDs in their practice. A total of 47.1% of respondents believe that these devices have comparable outcomes with the traditional interventions, 52.9% are unsure of their long-term benefits, and 71% feel that it is too early to judge. Forty-three percent believe that these devices are reserved only for high-risk patients, and 52% recommend that they should be available in their centers. Most respondents (90.9%) prefer Rezūm, Urolift (28.2%), and Aquablation (12.6%) because they are less invasive, less time-consuming, and have few complications. Interestingly, 59% recommend MIDs to their family members.

Conclusions:
Most respondents are more aware of Rezūm, Urolift, and Aquablation than iTIND and Zenflow. In addition, most respondents agree that these MIDs and traditional prostate interventions have comparable outcomes despite the former lacking long-term outcome assessment. High cost and no long-term data may influence the widespread acceptance of these MIDs.
Optimal Control Analysis for a Lymphatic Filariasis Model
Authors: Abdullahi Yahaya A. , Momo Abdulfatai A. , Garba Usman , Oyewusi Ademola M. , Hussaini Abdulmumini 
Published: April 2024

In this paper, a mathematical model for the transmission dynamics of lymphatic filariasis is presented. Human and mosquito populations are divided based on their lymphatic filariasis status. The human population is subdivided into six (6) compartments, while the mosquito population is subdivided into three (3) compartments. The disease-free equilibrium (DFE) and the endemic equilibrium states are proven to be the model's two equilibrium states. In terms of the model's demographic and epidemiological characteristics, an explicit formula for the effective reproduction number was found. The disease-free equilibrium state was discovered to be locally asymptotically stable using the Routh-Hurwitz criterion if the basic reproduction number is less than one. By using Castillo-Chavez, the disease-free equilibrium state was found to be globally asymptotically stable. This means that lymphatic filariasis could be put under control in a population when the reproduction number is less than one. Sensitivity analysis was carried out on the basic reproduction number to ascertain the parameters that have an impact on the reproduction number The results show that some parameters that appeared in the reproduction number have an impact on the reproduction number. An optimal control problem was formulated and analyzed using Pontryagin’s Maximum Principle to determine the optimality system. The system was solved numerically using the forward and backward sweep method and results show that the combination of treated bed nets, antibiotics, and indoor residual spray is the most effective way to prevent the spread of filariasis in a community.
Unique triage methods in the paediatric emergency roomof a low resource setting
Authors: Chizoma Owobu Adaugo , Chukwuemeka Ugadu , Henrietta Ugbeni , Precious Akhaine Jesu-Oboh 
Published: April 2024

Introduction: Despite its importance in emergency medicine, the practice of triage in low- and middle-income countries remains rudimentary, due to dearth of human and material resources, among other reasons.
Subjects and methods: In the Children Emergency Room of a teaching hospital, some nonclinical staff were intermittently deployed to coordinate patient traffic and provide brief first- contact triage on arrival. For this, they were internally trained in triage. The present study was aimed at assessing the value and accuracy of first-contact triage provided by nonclinical staff in a children emergency department of a tertiary hospital.
Results: Data of 45 patients seen during the period were obtained from the records of the triage officers and included their age, gender, presenting complaints and the findings of the paediatric assessment triangle. There was a statistically significant relationship between the triage ratings of the nonCC –BY 4.0 clinical staff and the qSOFA / L- qSOFA scores obtained by the emergency room doctors, the time spent in CHER and the total duration of admission (R2= 0.36 - 0.44; p = 0.003), (R2= 0.23 - 0.28; p = 0.018) and (R2= 0.33 - 0.40; p = 0.007) respectively.
Conclusion: This study shows that to a high degree, the nonclinical staff correctly categorized the severity of illness in the Paediatric Emergency Department of a tertiary level hospital, thus limiting undue tertiary delay in treatment and potential harm from such delays. Hence, the study exposes a potential source of human resources for paediatric emergency triage in LMICs where there is a dearth of professional medical personnel.
Paediatric Association of Nigeria Guidelines on the Management of Acute Chest Syndrome in Children with Sickle Cell Disease (2023)
Authors: Adegoke Samuel , Adeola Stephen , Ahmad Hafsat , Ambe Jose , Dawodu Osagie , Diaku-Akinwumi Ijeoma , Ekure Ekanem , Garba Maria , Ibrahim Umma , Israel-Aina Yetunde , James Esther , Mohammed-Nafi'u Ramatu , Nnebe-Agumadu Uche , Odunvbun Magdalene , Ofakunrin Akinyemi O. , Ogundeyi Morufat , Ogunrinde Olufemi G. , Okechukwu Chioma , Okpe Edache , Olasinde Yetunde , Oniyangi Oluseyi , Oyesakin Adewunmi , Udechukwu Ngozi 
Published: April 2024

Acute Chest Syndrome (ACS) is a major cause of hospitalisation, a potentially life-threatening complication and a leading cause of mortality in children with Sickle Cell Disease (SCD). The affected child commonly presents with respiratory symptoms such as cough, breathlessness, chest pain, jitteriness, and confusion, with or without fever. The cause of this condition is multifactorial and sometimes unidentified, but the majority are due to infection, infarction, and fat embolism. ACS and its related complications may be minimised by prompt intervention and appropriate therapy, including the use of incentive spirometry and blood transfusion.

Objective
The development of a national guideline on the management of ACS in children with SCD under 18 years in Nigeria is meant to enhance early diagnosis and prompt treatment of ACS to improve the quality of care and clinical outcome and prevent death from ACS. It is intended to enhance the clinician's diagnostic capability and ensure that children with ACS receive the best available care.

Methods
This evidence-based guideline was adapted from the British Society of Haematology (BSH) and the American Society of Hematology (ASH) guidelines using the ADAPTE (Resource tool kit version 2.1) and AGREE II methods.

Results
The PAN Guideline Panel reached a consensus on 25 recommendations, three of which were modified and adapted for local use. The recommendations reflect a broad definition of ACS and a management approach, including blood transfusion and incentive spirometry, such as blowing latex balloons in the absence of a spirometer.

Conclusions
Most recommendations are conditional because of low-certainty evidence and closely balanced benefits and harms (benefits of therapy to patients and availability of such therapy). Patient preferences should drive clinical decisions. Randomised controlled trials and comparative-effectiveness studies are needed for optimal management of blood transfusion, fluid therapy, and use of oxygen.
Subject specific Journals in Ayurveda: Time to Update?
Authors: Joshi Vd Foram 
Published: April 2024

Being one of the oldest traditional medicine systems, Ayurveda has long legacy to share and spread. In Vedic era, knowledge was embedded in Shruti (knowledge which is learnt) and Smriti (knowledge which is experienced) traditions. Later, with the evolution of tools and technology, it started being documented in forms of manuscripts. Gurukul were the knowledge resources and books were written and stored in those universities in manuscript formats. Due to some political and religious incidents, Ayurveda literature got damaged and destroyed by invaders. In middle era many scientists, Vaidyas and researchers developed their contemporary documentation.
INFERNO-peat v1.0.0: a representation of northern high-latitude peat fires in the JULES-INFERNO global fire model
Authors: Blackford Katie R. , Kasoar Matthew , Burton Chantelle , Burke Eleanor , Prentice Iain Colin , Voulgarakis Apostolos 
Published: April 2024

Abstract. Peat fires in the northern high latitudes have the potential to burn vast amounts of carbon-rich organic soil, releasing large quantities of long-term stored carbon to the atmosphere. Due to anthropogenic activities and climate change, peat fires are increasing in frequency and intensity across the high latitudes. However, at present they are not explicitly included in most fire models. Here we detail the development of INFERNO-peat, the first parameterization of peat fires in the JULES-INFERNO (Joint UK Land Environment Simulator INteractive Fire and Emission algoRithm for Natural envirOnments) fire model. INFERNO-peat utilizes knowledge from lab and field-based studies on peat fire ignition and spread to be able to model peat burnt area, burn depth, and carbon emissions, based on data of the moisture content, inorganic content, bulk density, soil temperature, and water table depth of peat. INFERNO-peat improves the representation of burnt area in the high latitudes, with peat fires simulating on average an additional 0.305×106 km2 of burn area each year, emitting 224.10 Tg of carbon. Compared to Global Fire Emissions Database version 5 (GFED5), INFERNO-peat captures ∼ 20 % more burnt area, whereas INFERNO underestimated burning by 50 %. Additionally, INFERNO-peat substantially improves the representation of interannual variability in burnt area and subsequent carbon emissions across the high latitudes. The coefficient of variation in carbon emissions is increased from 0.071 in INFERNO to 0.127 in INFERNO-peat, an almost 80 % increase. Therefore, explicitly modelling peat fires shows a substantial improvement in the fire modelling capabilities of JULES-INFERNO, highlighting the importance of representing peatland systems in fire models.
Flood impact assessment in urban settings with porous buildings – insights from a fine-scale hydraulic-economic model
Authors: Nortes Martinez David , Grelot Frédéric , Choley Cécile , Finaud-Guyot Pascal 
Published: April 2024

Abstract. Classical hydraulic approaches of urban floods consider buildings as obstructions to water flow, without considering the flow exchanges between streets and buildings. Since the hydraulic behavior within the building is not considered, there exists a gap on the available information regarding the fine characterization of material damage and human exposure within buildings. Because of this gap, damage estimation usually assumes that the floodwater depths inside and outside the buildings are the same. However, as flood damage functions are very elastic with respect to floodwater depth, especially in the lower values, relatively small differences in water depth can lead to large differences in the assessment of material damage. Not considering street-building flow exchanges might be introducing a bias in the estimation of property damage. In this paper, we propose to analyse how fine-scale hydraulic and economic modelling approaches considering street-building flows can influence the characterization of material damage at a larger scale (district). To do so, we couple a hydraulic model with an economic model to simulate water depths and to estimate flood damage under: (i) a classical approach using non-porous buildings and (ii) an alternative approach explicitly considering street-building flow exchanges. The results obtained show rather notable differences in floodwater depth and economic damage at both building and district level.
AI-Driven Energy Management Systems for Smart Buildings.
Authors: Shailesh Kulkarni, Ramswaroop Reddy Yellu, Nidhi Chauhan Balakumar Muniandi, Purushottam Kumar Maurya, CH Bhavani, 
Published: April 2024

The advent of Artificial Intelligence (AI) has revolutionized the energy management landscape for smart buildings, offering unparalleled opportunities for optimizing energy consumption, enhancing operational efficiency, and advancing sustainability goals. This paper provides a comprehensive review of AI-driven energy management systems tailored for smart buildings, exploring their multifaceted functionalities, benefits, challenges, and future prospects. [1],[4] By synthesizing existing literature and case studies, this research aims to elucidate the transformative potential of AI in reshaping the way energy is managed and utilized in the built environment. AI-driven energy management systems leverage advanced algorithms, machine learning techniques, and data analytics to intelligently monitor, analyze, and optimize energy usage within smart buildings. These systems integrate diverse components such as sensing devices, data preprocessing modules, optimization algorithms, and control systems to achieve optimal performance. Key functionalities include predictive analytics for energy demand forecasting, adaptive control of heating, ventilation, and air conditioning (HVAC) systems, dynamic lighting management based on occupancy patterns, and integration with renewable energy sources to enhance sustainability. AI enables smart buildings to participate in demand response programs, dynamically adjusting energy consumption in response to grid conditions and pricing signals. This flexibility not only reduces operational costs but also contributes to grid stability and resilience. However, the widespread adoption of AI-driven energy management systems faces several challenges, including data privacy concerns, interoperability issues, and the need for skilled personnel to operate and maintain these sophisticated systems.The paper underscores the importance of AI-driven energy management systems as transformative tools for optimizing energy utilization, improving building performance, and advancing sustainability objectives in the era of smart buildings.
DOI: https://doi.org/10.52783/pst.280
Meningkatnya angka kematian ibu (MMRatio): apakah betul?
Authors: Wirawan Dewa Nyoman 
Published: April 2024

Dengan demikian, perlu amat hati-hati bila memakai data SDKI tahun 2012 untuk menentukan pencapaian target MDGs di Indonesia. Penelitian lain yang juga mengukur kematian ibu secara nasional adalah Sensus Penduduk 2010 yang sampai saat ini belum dipublikasikan hasilnya. Ada baiknya MMRatio dari hasil Sensus Penduduk 2010 juga dipublikasikan secara transparan disertai ulasan tentang kelemahan-kelemahannya sehingga bisa dikaji oleh berbagai pihak yang pakar di bidangnya.
Willingness of private general practitioners to refer suspected tuberculosis patients in Badung District
Authors: Dewi Ni Putu Eka Purnama , Sawitri Anak Agung Sagung , Utami Ni Wayan Arya 
Published: April 2024

Background and purpose: The national tuberculosis (TB) prevalence study showed that between 2013 and 2014 there was significant proportion of pulmonary TB patients received treatment from private healthcare facilities. Data from Bali Province and Badung District Health Offices revealed that of all suspected TB patients only a few were referred by their private general practitioner. A reward system was created in 2012 by providing credit points to every referral made by the private general practitioner. This study aims to examine association between the reward system, national health insurance scheme and willingness to refer suspected TB patients.
Methods: A cross-sectional study was conducted from February to April 2017. A total of 111 private general practitioners who practice at Badung District were interviewed. In addition, medical record from these private general practitioners were also examined.
Results: Our study found that as many as 55 (45.95%) of private general practitioners had ever referred suspected TB patients over the last year. The total suspected TB patient being reffered in the last year was 132 cases. A cross checking with the laboratory data revealed that only 47 cases (35.61%) presented at referral laboratory facilities. Multivariate analysis showed that the willingness of private general practitioners to refer suspected TB patient was associated to reward system (AOR=4.62; 95%CI: 1.23-17.32) and supervision from TB officials (AOR=13.07; 95%CI: 3.78-45.13). The enrollment of private general practitioners as a primary healthcare facility under the national insurance scheme was not associated with the willingness to refer suspected TB patients.
Conclusions: About half of the private general practitioners have ever referred a suspected TB patient. Supervision from TB officials and a reward system in terms of credit points were associated with the willingness to refer suspected TB patients. Ongoing supervision, providing credit points, and improving referral systems are required to improve case findings and referral of suspected TB patients by private general practitioners
Reasons Behind Non-Exclusive Breastfeeding by Working Women in Mataram City West Nusa Tenggara
Authors: Haryani  , Wulandari Luh Putu Lila , Karmaya I Nyoman Mangku 
Published: April 2024

Background and purpose: The purpose of this study was to determine why working mothers choose to not exclusively breast feed their infants in Mataram, West Nusa Tenggara.
Methods: The study used a qualitative design with a phenomenological approach. Data collection in this study involved focus group discussions and in-depth interviews. In-depth interviews with 9 working women not exclusively breastfeeding. Focus group discussions two comprising of 21 respondents were husbands, in-laws, mother’s family, healthcare provider, workplace representatives, religious and community leaders.
Result: Study findings indicated that the primary reason for working women to not exclusively breastfeed, because of a lack of individual motivation, pressures of a high workload, lack of permitted time off, lack of infrastructure and concerns about losing employment due to time off. Obstacles included fear of losing employment, maternal physical factors (low/no milk production), psychological factors (stress/anxiety/frustration), lack of facilities and supporting infrastructure.
Conclusion: The predominant reasons behind non-exclusive breastfeeding were lack of personal motivation, high workload, lack of permitted time off, lack of supporting infrastructure and fear of losing employment. The external obstacles for providing exclusive breastfeeding were economic factors, the mother’s ability to produce milk, psychological factors, lack of supporting infrastructure.
Ukrainian refugee women’s experiences of settlement and navigating health and social services in Canada
Authors: Al-Hamad Areej , Meterskey Kateryna , Yoon Rosanra , McLane-Davison Denise , Yasin Yasin M. , Gare Caitlin , Hingorani Molly 
Published: April 2024

This qualitative descriptive study explores Ukrainian refugee women’s settlement experiences and how they negotiate the social and health care services to support their mental health and well-being in Canada. Utilizing an intersectional lens data from the lived experience of 16 Ukrainian refugee women was thematically analyzed. Four prominent themes emerge from the women’s narratives of their migration and settlement journey – a) confluence of oppressions; b) multifaceted and interwoven paths to cultural integration and adaptation, c) convergence of identity in professional development; and d) navigating settlement. Research findings reveal the complexities of self-reconstruction and socialization as experienced by refugee women. We are of the opinion that hosting refugee women in a new country and providing hope for a new life mean offering them meaningful choices built on forms of affordable and accessible culturally appropriate health and social services and ensuring that their settlement and integration in their new country is successful.
O advento da desindustrialização no Paraná
Authors: Alves Alex de Almeida , Pancera Aline de Queiroz Assis Andreotti , Monteiro da Silva Rodrigo 
Published: April 2024

Resumo: O processo de desindustrialização na economia brasileira tem sido tema recente de debates, tanto acadêmico como público, dado a crescente percepção o da decomposição prematura no setor industrial. Inserido nesse contexto, o presente estudo tem como objetivo avaliar a existência desse processo no estado do Paraná entre os anos de 1989 e 2019. A metodologia utilizada foi a Análise Exploratória de Dados Espaciais e estimações econometricas espaciais. Os resultados mostram sintomas de desindustrialização, tanto no estado como também em grande parcela dos municípios que o compõe, dada a redução na representatividade do emprego industrial em relação ao emprego total da economia.
The Role of Teacher’s Feedback on Students’ English Language Learning Outcomes at College of Nursing Bhakkar: Descriptive Cross-Sectional Study
Authors: Bibi Sumayya , Khurshid Saba , Parveen Shagufta , Parveen Zareena , Dildar Umbreen 
Published: April 2024

Feedback in English language learning can help teachers to provide more meaningful feedback that can help students to achieve their learning objectives. Therefore, the study was carried out to examine the role of teacher feedback on students’ English language learning outcomes. Objective: To assess the role of teacher feedback on nursing students’ English Language learning outcomes at the College of Nursing, Bhakkar, Pakistan. Methods: A cross-sectional study designed to achieve the aims of the study. Duration of study was from January 2024 till March 2024. A total of undergraduate nursing students 150 samples were recruited from Nursing College, Bhakkar using a universal sampling technique. Data were collected with the help of an adapted questionnaire which consisted of two sections. In one section 7 items were related to teacher feedback and 8 items were related to student learning outcome. SPSS version 24.0 was used for data entry and data analysis. Descriptive and inferential statistics were applied to study variables. Results: The study results showed a significant positive role of teacher feedback on nursing student English language learning outcomes. 84.7% of participants strongly agreed that it is beneficial for teachers to underline their mistakes. Similarly, 80.7% acknowledged that teacher feedback aided in their comprehension of their strengths and weaknesses in English Conclusions: Teacher feedback is imperative for academic success and professional development. Teacher feedback great impact on nursing students’ English language learning.