bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of traditional methods applied by mothers in infant care: A comparison between Turkish and Lebanese mothers.
Authors: Cambaz Kurt Nevin , Güner Atayoğlu Ayten , Bekraki Wassim , Balsak Habip , Atayoğlu Ali Timuçin 
Published: October 2023

Objective: Traditional practices for infants vary across communities and may sometimes pose risks to infant health. Healthcare professionals must be aware of these practices during infant- child visits. This study aims to investigate the traditional practices of Turkish and Lebanese mothers on infants, explore the relationship between these practices and compare the similarities and differences between the two cultures.
Methods: This study was a cross-sectional survey involving Turkish and Lebanese mothers living in Istanbul. Data was collected through face-to-face interviews using a questionnaire inquiring about sociodemographic information about the family, general information about the baby, and traditional practices performed by the mothers. Statistically, Pearson's chi-square test, Fisher's Exact test, and independent t-test were applied.
Results: The study included 382 mothers, comprising 200 who were Turkish and 182 who were Lebanese. In both groups, the proportion of mothers who received information about infant care was approximately 90%. The most common source of information was the internet in both groups, 35% (63) of Turkish and 53.2% (92) of Lebanese mothers used the internet as a source of information. The second source of data used for baby care were the family elders in the Lebanese mothers (28%), and the health personnel in the Turkish mothers (24%). Turkish mothers practised celebrating the fortieth day, salting, using amber necklaces for teething, and giving pacifiers more frequently than Lebanese mothers. In the case of jaundice, Turkish mothers frequently breastfeed, while Lebanese mothers consult a doctor. The use of potentially risky practices is rare in both groups. No significant relationship was found between maternal education levels and the use of traditional practices.
Conclusion: This study highlights the widespread use of traditional practices among both Turkish and Lebanese mothers during child-rearing. The study's results could inform health strategies to reduce the prevalence of potentially risky traditional practices among mothers and promote adopting safe, evidence-based child-rearing practices.
A review on siddha polyherbal formulation- gowthamar chooranam for the management of swasakasam (bronchial asthma)
Authors: Kalaivani M. Anitha , N Anbu 
Published: October 2023

Background: In the Siddha system of medicine Swasakasam is correlated with bronchial asthma. Bronchial asthma is a common respiratory disorder. It is a chronic inflammatory disease of the airways associated with airway hyper-responsiveness that leads to recurrent episodes of wheezing, breathlessness, chest tightness, and coughing, particularly at night and in the early morning which may subside spontaneously or with treatment. This review shows the potential role of Gowthamar chooranam a Siddha polyherbal formulation from the Siddha literature the pharmacopeia of Siddha research medicine for the treatment of Swasakasam (Bronchial asthma).
Aim and Objective: This review provides information on the uses, chemical components, and pharmacological properties of medicinal herbs. It also identifies research gaps and opens up new possibilities for future study of this polyherbal formulation for the treatment of Swasakasam (Bronchial asthma).
Materials and Methods: The review was conducted from the primary sources called ancient Siddha literature and also the search from electronic sources called databases like Google Scholar, Pubmed, and Science Direct with keywords anti-asthmatic herbs, and pharmacological actions. The information was collected and reviewed.
Result: Most of the herbs included in the Siddha formulation were found to be anti-asthmatic activity
Conclusion: All the ingredients present in Siddha polyherbal formulation gowthamar chooranam are simple, easily available, inexpensive, and easy to prepare. The pharmacological properties of ingredients have a pungent taste, and hot potency and are mostly found as anti-inflammatory, immunomodulatory, anti-allergic, and anti-asthmatic. Hence it is evident that the formulation was very effective in the treatment of Swasakasam (Bronchial asthma). Further preclinical, clinical studies and statistical data analysis help in exploring this polyherbal siddha formulation.
Evaluación de polisacáridos en floculación mediada por complejo polielectrolítico
Authors: Oropeza-Guzmán Mercedes Teresita , Araiza-Verduzco Fernanda 
Published: October 2023

Water is an increasingly valuable resource because its availability, primarily it is limited to precipitation and water storage; for that reason, increasing population density and climate change can interfere with water accessibility. Urban and industrial activities can produce wastewater and pollute waterbodies that could represent a significant water source; however, it needs to be treated prior to its use. Flocculation is an important pollutants removal method to reduce a variety of organic and inorganic molecules from wastewater, using the flocculant’s intrinsic charges to stabilize/precipitate them, by different methods, one of them being via polyelectrolyte complex. Flocculant versatility depends on its capacity to remove pollutants and there are commercial flocculants with remarkable efficiencies. However, their toxicity can limit their use in waterbodies or for former human use. Research shows that polysaccharides are great option as flocculants because of their easily charged conformation and high molecular weight to neutralize pollutants and precipitate flocs, they are biocompatible, biodegradable, and easy to modify to modulate the flocculant interaction due to the functional group’s high density. This review explores the latest research on polysaccharide polyelectrolyte flocculation and derivatives and their pollutant removal capacity, the polysaccharides evaluated were the most commonly researched such as chitosan, cellulose, chitin, alginate, gums, dextran, among others. Recent research tendencies on these polysaccharides flocculation capacity, showed promising results (up to 99% removal efficiencies) with a wide variety of contaminants, making them excellent candidates for their application in green flocculation.
Effects of wind speed and temperature on economics and environmental impact assessment of different solar PV systems in Malaysia
Authors: Alhassan Salami Tijani , Salbiah Ariffin 
Published: October 2023

This study aims to analyse the effect of temperature and wind speed on the performance of different types of photovoltaic (PV) systems at a different state in Malaysia and how it affects the economics and environmental impact assessment in the present year of 2018 as well as future years in 2030 and 2040. Three types of grid-connected solar PV modules namely Mono-Crystalline, Poly-crystalline, and Thin Film were selected to be implemented in different cities of Shah Alam, Chuping, Alor Setar, Ipoh and Kota Kinabalu. A mathematical model was adopted to estimate the performance characteristics of the solar PV modules. Based on the data in the present year, the highest power output produced by the Mc-Si module for Alor Setar city is given by 33.40 MWh/year while the lowest amount of power output provided by this PV panel is about 28.18 MWh/year in Shah Alam. Furthermore, an area of 144 m2 for the Mono-Crystalline PV module can satisfy the total energy requirement by the resident as it was the most profitable to be implemented compared to Poly-crystalline and Thin Film. The findings of this study can serve as important information on the economic viability of installing PV systems in the selected cities in Malaysia.
Les indicateurs de pauvreté monétaire dans les recherches féministes : bilan, état des lieux et perspectives
Authors: Berthonnet Irène 
Published: October 2023

La critique féministe a désormais bien documenté le fait que les indicateurs de pauvreté monétaire officiels que sont l’International Poverty Line (Banque mondiale) et le taux de risque de pauvreté (Eurostat) sous-estiment la pauvreté des femmes. L’article présente deux indicateurs de pauvreté monétaire alternatifs introduits par les recherches féministes. La discussion de ces indicateurs met en évidence leur apport à la réflexion générale sur la façon de quantifier la pauvreté monétaire sans sous-estimer la pauvreté des femmes. En particulier, l’ensemble des recherches féministes sur ces indicateurs montre que pour une juste quantification d’une pauvreté – même définie en termes strictement monétaires –, il est impossible de faire l’économie d’une prise en compte des rapports de force existant au sein des ménages. À partir de ce constat, deux pistes sont proposées pour avancer vers la réalisation d’un nouvel indicateur de pauvreté monétaire.
Acute lymphoblastic leukemia presenting as hepatitis in a young adult: An autopsy presentation
Authors: Rastogi Maj Anukriti , Baveja Puneet 
Published: October 2023

Abstract
Acute lymphoblastic leukemia (ALL) is a disease of children and is rarely found in adults where it is associated with poor prognosis. It typically presents with signs and symptoms of bone marrow failure. Hepatitis is rarely noted as a presenting feature in such cases and may cause delay in diagnosis and treatment if not suspected. A high index of suspicion for hematological malignancies is required if these patients are not responding to conventional management for hepatitis. We report an unusual systemic presentation of ALL in a 21-year-old previously healthy male. He initially presented with jaundice and was being managed conservatively, however, the absence of clinical recovery and the absence of any viral, immune, toxic, or metabolic cause of liver injury along with the presence of lymphocytosis in blood prompted us to consider a hematological malignancy. Hematological workup of the patient revealed a B-cell ALL and the patient was put on preinduction steroid therapy. The patient initially showed signs of improvement; however, 8 days posttherapy, he developed febrile neutropenia and went into septic shock. An autopsy was performed, which revealed infection by Klebsiella and Mucormycosis apart from leukemic infiltrates in multiple organs leading to multiorgan failure.
The assessment of knowledge and awareness about iron deficiency anemia among the population of Riyadh province
Authors: Alsaab Saad , Alhussayn Omar S. , Altokhais Ziyad A. , Alotaibi Abdulmalik I. , Alsahli Fahad A. , Alotaibi Bader A. , Alrawais Naif M. , Arshad Mohammad 
Published: October 2023

ABSTRACT

Background:
Iron deficiency anemia (IDA) is considered the most common micronutrient deficiency and the greatest health concern throughout the globe. The main causes of anemia are iron deficiency, parasitic infestations, viral infections (human immunodeficiency virus), hemorrhage, and renal and hepatic diseases. Therefore, it is mandatory to be equipped with the proper knowledge regarding the causes, signs, symptoms, and diets containing iron, which can be a good initiative for the proper treatment and management of the health hazards; also, it will help primary care physicians to differentiate the degree of the disease and further treatment, planning, and management. The recent study was performed to understand the level of knowledge and awareness about IDA and its causes, prevention, and treatment.

Methods:
The study was carried out through an online survey using Google forms, which were distributed to the population residing in Riyadh Province

Results and Discussion:
The responses received about the knowledge regarding IDA and its symptoms indicated weakness [565 (52.9%)], cold hands and feet [593 (55.5%)], and hair loss [663 (62.1)], and the majority (84.3%) of the participants believed that the major cause for IDA is malnutrition

Conclusion and Recommendations:
Conclusively, it was believed that the presented study will be helpful to primary care physicians, the patients suffering from IDA, and the general population with a better understanding of the causes, additional signs and symptoms, proper treatment, timely management, sources of iron, and how to avoid the worse outcomes and complications of the disease. It will also help the health agencies in the kingdom to set further planning for the treatment and management of the disease through awareness platforms.
Trends and clinico-epidemiological profile of patients with Giardiasis: Five-year experience from a university hospital of northern India
Authors: Tejan Nidhi , Siddiqui Tasneem , Singh Pooja , Ghoshal Uday C. , Ghoshal Ujjala 
Published: October 2023

Background:
Giardiasis is an important cause of diarrheal disease and is associated with morbidity in children and adults worldwide. We aimed to study the prevalence of Giardiasis, its clinical presentations, seasonal trends in detection, and coinfection with other intestinal parasites along with comparison of fecal antigen and microscopy for the detection of Giardiasis.

Materials and Methods:
It is a retrospective study conducted from Jan. 2017 to Dec. 2021 at our university hospital. Iodine and normal saline mounts and enzyme-linked immunosorbent assay (ELISA) were used for the detection of Giardiasis in stool samples. Sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of tests were computed.

Results:
Of 8364 patients, 432 (5.2%) had Giardiasis by microscopy and/or ELISA. Giardiasis was more common in males compared to females (318/5613 [5.6%] vs. 114/2751 [4.1%]; P = 0.003) and among those ≤10 y compared to older individuals (102/560 [18.2%] vs. 330/7804 [4.2%]; P <0.0001). Most cases were detected in the month of May to October. The most common clinical presentation was diarrhea (80.1%) and abdominal pain (72.9%) followed by malnutrition (60.2%) and loss of appetite (46.8%). Using microscopy as gold standard, sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of ELISA were 95%, 91%, 91%, 95%, and 93%, respectively.

Conclusion:
Awareness and knowledge amongst the primary healthcare professionals and family physicians will help in early diagnosis and treatment of Giardiasis. Fecal antigen detection should be done along with microscopy for detection of Giardiasis.
A study on bacteriological profile in suspected cases of neonatal sepsis and its correlation with various biomarkers in the rural population of a university hospital
Authors: Sethi Khilika , Verma Rajesh K. , Yadav Rajesh K. , Singh Dharmendra P. , Singh Sweta 
Published: October 2023

ABSTRACT

Introduction:
Neonatal sepsis is an infection in newborns that may be caused by bacteria, fungi, or viruses and has a high death and morbidity rate. The clinical presentation of sepsis may be rather general, making it challenging to make a diagnosis. While blood culture is the most accurate method to diagnose sepsis, it is also time-consuming. Because of this, it is crucial to locate other biomarkers like C-reactive protein (CRP), high sensitive C-reactive protein (hs-CRP), and procalcitonin (PCT) that may aid in early identification.

Aim:
To learn about the bacterial composition of suspected cases of neonatal sepsis in a tertiary care hospital in western Uttar Pradesh and how that composition relates to the biomarkers CRP, hs-CRP, and PCT

Materials and Methods:
Hundred people who fulfilled the study’s inclusion criteria were included. All neonatal venous blood samples have been obtained after receiving written informed permission from either parent. The conventional method was used to perform the blood culture. The ELISA technique has been used to determine hs-CRP along with serum PCT levels, while the latex agglutination test was utilized for CRP detection.

Result:
A total of 100 cases were enrolled, 78% presented within 3 days of birth. Blood culture was positive in 33 neonates (33%). There were 17 Gram-positive, 15 Gram-negative, and in all 2 cases with poly bacterial culture. CRP positivity rate was significantly higher in culture positive (57.6%) as compared to culture-negative neonates (25.4%). It was shown that a CRP >6 mg/l level was sensitive at 57.6% and specific at 74.6%. hs-CRP has a 100% sensitivity and 47.8% specificity. The PCT’s sensitivity was 69.7%, whereas its specificity was 89.6%.

Conclusion:
PCT is more specific for detecting sepsis, but hs-CRP is more sensitive than CRP. The combination of PCT along with hs-CRP has a negative predictive value and high sensitivity compared to other markers. Thus, the most accurate predictors of neonatal sepsis would be a combination of factors.
Perception of family medicine as the career option among young Indian graduates
Authors: Dasappa Hemavathi , Esthappan Unnimary , Govind Srihari , Anand Arjun , Mohan Joseph , Shri R Amrutha , Ravindran G. D. 
Published: October 2023

Aims and Objectives:
1. To estimate the number of graduates who had exposure to family medicine specialty. 2. To estimate the number of graduates who consider family medicine as the carrier option. 3. To compare the perception of family medicine as career option among the young graduates who had exposure to family medicine during their training or practice with no exposure.

Materials and Methods:
It is a cross-sectional, questionnaire-based study. The doctors graduated 2018 onwards were contacted through SIMSA (South Indian Medical Students Association) and WhatsApp groups (students doing the rural health service and intern WhatsApp). Subjects who consented for the study filled the google form. Filled Google forms were evaluated.

Results:
First choice of among the graduates is general medicine followed by general surgery and paediatrics. Family medicine is 4th in the order. There is overall a very positive perception about the family medicine among the respondents irrespective of exposure to family medicine. Majority of them feel that it gives good financial gain (55.55%), interesting (67.03%), work and family balance (75.55%), which contributes to individual and community health (84.07%) and essential part of healthcare system (83.33%). Graduates feel that career growth (26.66%) and academic growth (33.70%) are less and it is not popular (38.88%). If there is an opportunity, majority would choose family medicine (54.44%).

Conclusions:
Around 5.9% are open to choose family medicine as the career option. Medical graduates perceive family medicine subject to give them good work and family balance and the subject is essential part of healthcare system and contributes to the individual and community health, and at the same time, it may not give them great financial gain, academic and career growth.
Evaluation of dermatoglyphics patterns as predisposition factor for occurrence of oral submucous fibrosis: A hospital-based case–control study
Authors: Malvania-Damani Ekta , Sharma Ashish , Chag Noopur , Parikh Mishri , Trivedi Mahima R. , Mehta Parshad 
Published: October 2023

Background:
One of the key factors in the prevention of the disease is the identification of the risk factors early in life. Based on multifactorial causation of oral submucous fibrosis (OSMF), apart from habit history, the genetical predisposition may be considered as an important risk factor in the occurrence of OSMF disease. The dermatoglyphic pattern may prove a salient genetic marker for the determination of OSMF as both are having similar intrauterine development period.

Objectives:
To find out and compare the association between dermatoglyphics and OSMF.

Materials and Methods:
The present study was conducted on total 108 subjects divided in three groups where Group A was subjects with OSMF, Group B was subjects with tobacco related habits but without OSMF, and Group C was healthy controls. Fingerprint patterns of both hands were recorded and classified into whorls, loops and arches.

Results:
The loop pattern was significantly higher in subjects having OSMF (Group A) as compared Group B and Group C in general as well as for left and right hands. The maximum prominence of loop patterns was noted in the little finger among the subjects with OSMF. Results for subjects with OSMF and without OSMF under five years of having tobacco chewing habits had also clearly demonstrated prominence of loop patterns in the subjects with OSMF.

Conclusion:
The results of our study show that there is a staunch possibility of genetically determined factors in the form of loop finger prints can be responsible for the occurrence of OSMF.
Dysautonomia in ‘long COVID’: Case report
Authors: Banerjee Arijita , Kumar Sumit 
Published: October 2023

Background:
The reason for autonomic dysfunction in COVID-19 is yet to get clear, though we tend to notice a few dysautonomia cases during post-COVID-19 manifested most commonly in the form of postural orthostatic tachycardia syndrome (POTS).

Case Presentation:
A case of autonomic dysregulation is presented in a COVID-19 patient as a post-COVID-19 sequelae. On doing an active stand test and two basic autonomic function tests, dysautonomia was diagnosed in the patient, after going through all routine investigations for six months. Cardiac parasympathetic integrity was assessed by measuring the heart rate response to standing by continuous electrocardiographic tracing. The management of these patients is usually conservative.

Conclusion:
Family physicians must be aware of such cases in future for early diagnosis and management of the patients.
Injury pattern of road traffic accident cases attending trauma centre of tertiary care hospital of North India
Authors: Singh Ranjana , Sachdeva Mandeep K. , Koushal Vipin , Aggarwal Sameer , Kaman Lileswar , Singh Apinderpreet , Kumar Ashok , Bala Neetu , Ranjan Priyadarshi 
Published: October 2023

Introduction:
Injury is a significant global health burden and can result in mortality if not attended to on time. Trauma system refers to a collection of services provided by various super-specialties. According to the WHO-World Bank Report, RTA will rise from ninth place to the third biggest cause of mortality.

Materials and Methods:
The study was done at Advanced Trauma Centre (ATC) at PGIMER, a teaching hospital of north India. Study included area from most of the patient come for treatment (rural/urban) and injury patterns seen in these patients, which included mode of injury, type of injury, type of road accidents and location of injury.

Results and Observations:
In maximum cases, 60.2% (245) of the mode of injury was RTA. It was seen that the maximum number of patients, 44.4%, (115) had motorbike/scooter collisions with vehicles. In most patients, the type of injury seen was 35.9% (147) head, neck and back injuries, and in maximum cases, the location of the accident site was road/street 63.2%.

Discussion:
In our country, where the trauma delivery system is poorly developed, teaching hospitals have to bear the burden of treating many patients. No concept of emergency medicine or trauma care is in use, even in urban areas. As a result, teaching hospitals’ emergency departments receive many referrals for emergency conditions.