bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical features, radiographical findings and outcome evaluation for the treatment of acromioclavicular joint dislocation with lock hook plate
Authors: Tran Khac Duy , Nguyen Thanh Tan 
Published: February 2024

Background: Acromioclavicular joint (ACJ) dislocation is a common shoulder injury. Currently, there is no consensus on conservative treatment and surgical technique options. Reduction and fixation with hook surgery are effective in treating acute ACJ dislocation. However, there are very few studies evaluating the results of this method. Objectives: To describe the clinical characteristics, radiographical findings and evaluate outcomes of acute ACJ dislocation treated by internal fixation with a lock hook plate. Materials and methods: A prospective clinical study on 35 patients diagnosed with ACJ dislocation grade III or higher according to Rockwood classification were assigned surgical treatment with a hook plate, at Can Tho Central General Hospital in 2020- 2022. We documented the general characteristics of patients, clinical features, radiographical findings and treatment outcomes. Results: 35 patients (26 men/9 women, 44.2 y) were included in the study. The ACJ dislocation of grades III and V were almost equal in proportion. The averaged surgery time was approximately 60 minutes. The result of reduction of ACJ was 100%. According to the Constant-Murley Score, the functional results increased from 54.8±4.2 before surgery to 88.5±3.8 after 6 months of surgery, and the Constant-Murley level achieved 100% good to excellent.The satisfaction level of patients was 77.1% very satisfied and 22.9% satisfied. Conclusion: Reduction and fixation surgery with lock hook plate in the treatment of acute ACJ dislocation (<3 weeks) is one of the suitable methods with the ability to reduce and rehabilitate good function of the joint so that the patients can return to activity and work soon.
Exploring the Factors of Anxiety Affecting Students’ Academic performance: A Study of Higher Education Institution of Larkana
Authors: Sumeera  , Khan Muhsin , Muhammad Ilyas  , Abro Paras , Ahmed Naveed 
Published: February 2024

Anxiety has numerous hindering factors that distract students from achieving satisfactory results in their examinations. The current study aimed to explore the factors of anxiety that influenced students’ grades at the higher education institution of Larkana. Qualitative method of research design, specifically case study to explore its factors and their effects on students’ grades in depth, was utilized. Semi-structured interviews were utilized for gathering data in this study. Students of HEI of Larkana were taken into consideration for population in current study, whereas five to fifteen students who are facing with anxiety problem, some researchers’ friends and also some others, were used as sample for it, through purposive sampling. Data was analyzed to draw out the themes. Findings of present study revealed that numerous factors of anxiety i.e. distraction, absent mind, declining motivation, feeling of fatigue, feeling of loneliness, feeling of fear or panic lead towards depression, and negatively affect students’ academic achievement. However, the study suggested few strategies through which students can overcome their anxiety. Study recommended that students should keep themselves busy in productive activities, they should think positively about things and keep themselves focused.
The effectiveness of Omalizumab in the treatment of Hyper-IgE syndrome: A case report
Authors: Nsour Raneem , Alkhatib Aseel , Shannak Rama , Daoud Ammar 
Published: February 2024

BACKGROUND - Hyper-immunoglobulin E (IgE) syndrome (HIES) is a rare primary multisystem immunodeficiency disorder with an incidence of one case per million population. It is characterized by elevated serum IgE levels, dermatitis, recurrent skin and lung infections, skeletal abnormalities such as scoliosis, and distinctive facial features. Moreover, the clinical manifestations may include vascular, dental, joint, and brain abnormalities. Treatment for HIES predominantly targets symptom relief. Omalizumab, a monoclonal antibody, works by inhibiting the binding of free IgE to receptors on effector cells, consequently reducing the release of inflammatory mediators and alleviating some cutaneous and respiratory symptoms of HIES. To date, according to our understanding, no treatment protocol for HIES patients exists in Jordan. To fill this gap, we report our experience using omalizumab and intravenous immunoglobulin (IVIG) in treating the first documented case of HIES in Jordan.
CASE PRESENTATION - We present the case of an 18-year-old male patient who had been diagnosed with HIES since infancy. The patient had been subjected to multiple treatment trials, but none proved effective. In our treatment protocol, 150 mg of omalizumab was administered subcutaneously every 2 weeks, later increasing to 300 mg. Following this treatment, the eczema symptoms and eosinophil count showed a marked reduction. The patient’s IgE level decreased from 21,800 IU/ml in 2011 and 2,039 IU/ml in 2019 to 764 IU/ml in 2022, with treatment commencing in the latter year.
CONCLUSION - The combined use of omalizumab and IVIG therapies demonstrated efficacy in reducing the elevated IgE levels and symptom severity in our patient. There is a need for more case studies to report clinical findings in the management of HIES
A training program for obstetrics point-of-care ultrasound to rural health care providers in Kenya
Authors: Matheka Duncan , Wachira James , Masheti Sheila , Githemo Grace , Shah Sachita , Haldeman Matthew , Ramos Mena , Bergman Kevin 
Published: February 2024

Background: Ultrasound is a crucial and effective diagnostic tool in medicine. Recent advancements in technology have led to the increased use of point-of-care ultrasound (POCUS). Access to ultrasound equipment and training programs in low- and middle-income countries (LMICs) is limited. Despite the World Health Organization’s (WHO) recommendations for universal antenatal ultrasounds, POCUS for reproductive health has not been widely used in LMICs. We describe the implementation of obstetrics POCUS training for high-risk conditions in rural public health care facilities in Kenya.
Methods: As part of the initiation of a large-scale implementation study of obstetrics-POCUS, clinician trainees were recruited from rural Kenyan hospitals to participate in a series of five-day POCUS workshops. Trainers provided brief didactic lessons followed by hands-on training with live models and at regional clinical sites for five obstetrics POCUS applications. Instructor-observed assessments of students’ scanning and image interpretation were performed during the training period. Assessment of knowledge and confidence was performed via an online pretest and posttest and objective structured clinical examinations.
Results: 514 midlevel health care providers were trained over three months, with a trainer: trainee ratio of 1:5. Of the 514 trained HCPs, 468 were from 8 rural counties with poor maternal and neonatal outcomes, while the remaining 46 were from nearby facilities. Obstetrics POCUS topics covered included malpresentation, multiple gestation, fetal cardiac activity, placenta, and amniotic fluid volume. There was a marked improvement in the posttraining test scores.
Conclusion: Our implementation description serves as a guide for the successful rapid dissemination of obstetrics POCUS training for midlevel providers. Our experience demonstrates the feasibility of a short intensive POCUS training to rapidly establish specific POCUS skills in efforts to rapidly scale POCUS access and services. There is a widespread need for expanding access to ultrasound during pregnancy through accessible obstetrics POCUS training programs.
Perception of health care providers on the quality of oxytocin across six E-MOTIVE Trial sites in Kenya
Authors: Oyoo Polycarp , Zahida Qureshi  , Alfred Osoti  , George osoti  , Joan Mwende  , Jennifer Okore  
Published: February 2024

Background: According to the WHO, in 2020, almost 800 women died daily from preventable causes related to pregnancy and childbirth. An estimated 95% of these deaths were in low- and middle-income countries (LMICs). Postpartum hemorrhage (PPH), excessive bleeding after childbirth, is a leading cause of maternal death globally. Of the estimated 95% of maternal deaths in LMIC, an unacceptable 95% were due to PPH. A significant barrier to women receiving PPH treatment is access to quality PPH medicines, which is the basis for reducing maternal mortality. The E-MOTIVE Trial Kenyan hub conducted an online survey on September after the E-MOTIVE trial findings were released. This survey assessed the perception of health care providers’ (HCPs) of the quality of oxytocin in Augmentation of Labour, Active Management of third Third Stage of Labor (AMSTL), including PPH management.
Methods: An online survey was conducted using the Survey Monkey platform in Gatundu level 4 hospital, Makindu subcounty hospital, and Vihiga, Embu, Nyeri, and Kakamega county referral hospitals. The survey targeted HCPs working within the respective maternity units. The results were analyzed in Excel.
Results: 56 HCPs across the 6 health facilities participated in the survey. On augmentation of labor, Oxymed Medisel and Oxytocin Umedical were perceived to be more effective, while a score of 100% with Curtocin and Oxyt Kilitch were perceived to be very ineffective. On AMSTL, Oxymed Medisel, Syntocinin Norvatis, and Oxytocin Laborate were perceived to be very effective, whereas Curtocin and Oxyt Kilitch were perceived to be very ineffective. On PPH management, Oxytocin Umedical, Syntocinon Norvatis, and Oxytocin Laborate were perceived to be very effective, whereas Curtocin and Oxyt Kilitch were perceived to be very ineffective. Oxytocin Laborate was available across the health facilities, with other brands lacking in some facilities.
Conclusion: Access to and availability of quality PPH medicines are key to effectively managing PPH and reducing maternal mortality.
Bridging the gap: Implementation science, knowledge translation, and innovation for advancing maternal health sustainable development goals
Authors: Lubano Kizito 
Published: February 2024

Background: Maternal health remains a critical global concern, with sustainable development goal 3 aiming to reduce the maternal mortality ratio and ensure universal access to reproductive healthcare by 2030. According to a 2023 report, a woman dies from preventable causes related to pregnancy and childbirth every 2 minutes, and almost 70% of maternal deaths occur in sub-Saharan Africa. The reduction of maternal mortality and promotion of maternal health and well-being are complex tasks.
Objective: To understand how a synergistic approach integrating complex interventions’ research, implementation science principles, knowledge translation, and innovative solutions can be leveraged to achieve sustainable improvements in maternal health outcomes in different contexts.
Methods: This study employed sequential and iterative critical interpretive synthesis (CIS), integrative literature (ILR) review with multiscale analysis of extant literature on maternal health starting with the landmark Lancet series on “Maternal Survival” 2006 (5 papers); 2016 “Maternal Health” series (6 papers); the 2023 Series – “Maternal health in Perinatal period and Beyond” (4 papers); and health sector strategic plans.
Results: Despite knowledge that healthcare is a complex adaptive system (CAS), whereas interventions for maternal health are considered complex interventions, the predominant implementation approaches assume a linear cause-effect approach, leading to the observed stagnation in maternal health.
Conclusion: The effectiveness of complex interventions and their success in reaching relevant populations is critically influenced by their implementation in each context. A linear understanding of evidence translation, from ‘bench to bedside’, is naïve. This is because those who deliver, manage, and receive healthcare, negotiate multiple forms and sources of evidence, which complement and compete within a complex system of institutional logics.
Use of maternity open days initiative to increase access to comprehensive maternal and neonatal health services at the Lwala Community Health Centre
Authors: Siele Carren Cheronoh 
Published: February 2024

Background: Maternity open day (MOD) is an event in which a health facility opens its doors to the community and provides a specific opportunity for pregnant women and their birth companions to interact freely with health care providers and receive antenatal care services, including obstetric ultrasound, and tour maternity units.
Objective: To increase access and utilization of MNH services, improve knowledge, promote transparency, familiarize with the environment, procedures, and maternity staff, and increase the client's knowledge and confidence on what to expect during labor and delivery.
Results: It ensured an increase in the number of women seeking comprehensive antenatal care (ANC), including ANC profile care at both first and fourth ANC visits, and skilled birth attendants. The (MODs) provided a platform to expand access to affordable maternity care through client enrollment in Linda Mama services. Over 99% of pregnant women who attended MODs embraced hospital deliveries and 99% skilled births. A total of 1060 women attended MOD, and 3,903 women underwent obstetric ultrasound, with zero maternal deaths and one neonatal death recorded between 2022 and 2023.
Conclusion: Maternity open day provides a platform for increasing access to comprehensive antenatal care and affordable maternity care through Linda Mama. It improved the quality of maternal and child health services, reduced defaulters in the ANC clinics, and increased access to MNH services for continuum care and built trust between women and healthcare providers.
Responding to preventable causes of maternal and perinatal deaths in Homabay County
Authors: Erick Odipo , Nyawanga Hassan , Odila Paul , Ndombi Salome , Deborah Siitrin  
Published: February 2024

Background: The Kenya population and housing census (2019) ranked Homabay County among the 15 counties with the highest maternal mortality rate (MMR) of 516 deaths in 100,000 livebirths and neonatal mortality rate (NMR) of 26 in 1,000 livebirths. Baseline assessment reported gaps including dysfunctional maternal and perinatal death surveillance and response system, and untimely perinatal deaths audited. Other challenges contributing to near misses and mortality include erratic availability of blood/blood products, staff shortages affecting the offering of CEmONC services, interfacility referral challenges, not exploiting partnerships with private and faith-based health facilities in the county, and HCW knowledge and skills deficit, especially in management of common causes of death, such as postpartum hemorrhage and eclampsia
Methods: MCGL’s objective was to work with the County’s leadership to revitalize the MPDSR system and work toward responding to the causes and avoidable factors contributing to the high burden of maternal and perinatal deaths in the County. MCGL trained HCWs on harvesting and handling of blood products, management of PPH and eclampsia, development of county referral strategy, linkage to private and faith-based HFs, capabilities, support weekly MPDSR committee meetings, develop, and roll out MPDSR of weekly monitoring tool, formation of QI teams, and support for social accountability activities.
Results: Improved implementation of MPDSR action points included increased number of CEmONC health facilities, availability and access to blood during PPH emergencies, and point-of-care ultrasound machines in 13 health facilities. There was notable improvement of timely perinatal deaths of audits 47% (70/152).
Conclusions: Deliberate and collective effort by the leadership with close follow-up can improve timely auditing and response , which improves the quality of care for mothers and newborns receiving HFs.
Tingkat Literasi Keuangan Syariah Warga Muhammadiyah Di Kabupaten Sidrap
Authors: Alisa  , Agusdiwana Suarni  , Sahrullah  
Published: February 2024

Penelitian ini merupakan jenis penelitian kuantitatif dengan metode random sampling, analisis data dilakukan dengan statistik deskriptif, yang bertujuan untuk mengetahui lebih lanjut mengenai pemahaman literasi keuangan syariah warga muhammadiyah di kabupaten sidrap tujuan untuk mengetahui dan melnganalisis tingkat kelulangan syariah warga mulhammadiyah di kabulpateln sidrap. Adapun sumber data penelitian ini adalah data primer yang berasal dari penyebaran kuesioner. Data sekunder juga didapatkan dari data yang tidak secara langsung diperoleh penelitian atau berupa dokumen. Berdasarkan hasil penelitian dapat disimpulkan bahwa Tingkat Literasi Keuangan Syariah Warga Muhammadiyah Di Kabupaten Sidrap sudah relatif tinggi. Hal ini dapat dilihat dari rata – rata responden yang menjawab pertanyaan sebesar 99.88% yang tergolong dalam kategori tinggi (75% - 99%).
Terminologija klinične prehrane: Načrt prehranskih ukrepov in organizacija prehranske oskrbe v zdravstvenih in negovalnih ustanovah
Authors: Rotovnik Kozjek Nada , Tonin Gašper , Puzigaća Luka , Veninšek Gregor , Pirkmajer Sergej , Košir Božič Tajda , Mlakar Mastnak Denis , Košir Jurij Aleš , Petrica Laura , Berlec Karla , Kogovšek Katja , Marš Tomaž , Jordan Taja , Lainščak Mitja , Farkaš Lainščak Jerneja , Poličnik Rok , Peklaj Eva , Majdič Neža , Brecelj Erik , Marič Cevzar Alenka , Škoberne Andrej , Korošec Barbara , Franko Rada , Brumen Avramović Brigita , Hribar Renata , Jelovčan Ana , Stubelj Mojca , Bratina Nataša , Sernec Karin , Povhe Jemec Katja , Stražišar Branka , Kozar Sergeja , Jensterle Mojca , Šarc Irena , Strel Jaka , Schara Klemen , Gabrijelčič Mojca , Kerin Povšič Milena , Lipovec Neža , Benedik Evgen , Klen Jasna , Blaž Kovač Milena 
Published: February 2024

Izhodišča: Na podlagi prehranske obravnave in postavljene diagnoze motnja prehranjenosti ali s prehranjenostjo povezane motnje lahko oblikujemo posamezniku prilagojeni načrt prehranskih ukrepov. Ta je nujen, da vzdržujemo ali izboljšamo posameznikovo prehranjenost, pripravijo in izvajajo pa ga bolnik, njegovi bližnji in večstrokovna skupina, ki deluje v okviru različnih organizacijskih oblik ukvarjanja s klinično prehrano.
Metode: Skupina 42 slovenskih strokovnjakov iz 19 slovenskih zdravstvenih ustanov je oblikovala eksplicitni terminološki dogovor. Osnovnim pojmom s področja prehranske oskrbe in organizacijskih oblik klinične prehrane smo določili slovenski termin in ustrezno terminološko definicijo, pri čemer smo izhajali tako iz strokovne literature področja kot iz jezikoslovne literature. Temelj oblikovanja terminologije so terminološke smernice Evropskega združenja za klinično prehrano in presnovo.
Rezultati: V prispevku predstavljamo slovenske termine in terminološke definicije načrta prehranskih ukrepov, prehranske podpore in prehranske terapije. Opredelili smo tudi prehransko okolje, diete, paliativno prehrano in oblike hrane ter hranjenja v klinični prehrani. Opisali smo tudi možnosti za organizacijo prehranske oskrbe v zdravstvenih in negovalnih ustanovah.
Zaključek: Poenoteno razumevanje osnovnih pojmov s področja prehranske terapije, prehranske podpore in organizacijskih oblik klinične prehrane je nujno za uspešno sporazumevanje med strokovnjaki, poenoteno poučevanje in razvoj ter vključitev organizacijskih oblik klinične prehrane v zdravstveni sistem.
ANALYSIS OF IMPLEMENTATION OF DIVERSION AND RESTORATIVE JUSTICE AS A FORM OF PROTECTION OF CHILDREN'S RIGHTS IN CONFLICT WITH THE LAW
Authors: Malagano Tahura , Dainty Andrew R.J. 
Published: February 2024

Background. Restorative justice involves all parties involved in a crime working together to find solutions, focusing on children and the community, with the ultimate goal of creating restorative justice. The use of restorative justice and diversion as a means of defending the rights of minors in legal trouble, as well as the nature of the issue and its impediment, are major concerns in the study's purpose.
Research Method. The normative approach and empirical jurisdiction are the methodological approaches employed in this work. The information used in this study was gathered from both field and library sources.
Findings. The community of research conducted by the Correctional Center that the rights of children in conflict with the law are less protected at lower levels, ranging from examination of the investigation up to the trial, and the application of diversion and restorative justice as a form of protection of those rights. The application of law enforcement efforts to justice restorative running optimally is a solution to these constraints. One impeding factor is the lack of a common application of the law as the foundation and guide for all law enforcement agencies, as well as the inconsistent application of regulations in the field in the handling of children in conflict with the law.
Conclusion. The initiative aims to promote restorative justice in legal cases involving children, transforming law enforcement's perspective from retributive and restitutive justice to a more equitable approach.
Political Conflicts and Global Political Problems as a Factor of Destabilization of Socio-Economic Development of Ukraine: The Role of Political Elites
Authors: Nazarchuk Oleksandr , Komarnytska Hanna , Batrymenko Oleh , Haponenko Vira , Mogyl Vladyslav 
Published: February 2024

The aim of the research is to analyze the impact of the Russian-Ukrainian war (political conflict) and global political problems on the socio-economic development of the state. The Russian-Ukrainian war leads to an economic crisis, a drop in incomes and welfare, and an increase in unemployment. In addition, environmental problems caused by war crimes lead to an increase in the number of diseases and slow down socio-economic development. The study was conducted in Ukraine from the start of a full-scale Russian invasion (February 2022) to April 2023. The following scientific approaches were used: political, conflict, and typological. As well as general scientific methods: analysis and synthesis, systematic method, induction and deduction, generalization. The results emphasize that one of the reasons for the Russian-Ukrainian war is the different political and socio-economic interests that lead to the war. This study's findings underscore the global ramifications of a full-scale conflict within Ukraine's borders. Moreover, it highlights the substantial impact of political conflicts and global political challenges as destabilizing factors, casting a detrimental influence on the socio-economic progress of the nation. The scientific novelty of the study consists in a comprehensive and systematic analysis of the impact of the Russian-Ukrainian war on the socio-economic development of Ukraine.
Allah is the Only True God
Authors: Mussa Mussa Ame 
Published: February 2024

People in this world worship multiple gods, others worship only one God, and others worship no god Polytheism was practiced by ancient Egyptians, and ancient Mesopotamians, ancient Greeks and ancient Romans.(.Kimmerle Heinz,2006). Abrahamic religion replaced polytheism to monotheism belief, which only one deity is worshiped. This paper analyzes the concept of the existence of God, who is the true God, who is Allah. Allah is the true name of God of all Prophets, and Islam is the religion of all Prophets from Adam, Moses to Muhammad, all the Prophets were Muslims and Islam is the only true religion, and Allah is the only true God. ( Quran 3:19)