bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of Post-operative Single-dose Anticoagulant with Compression Therapy in Preventing Deep Vein Thrombosis after Thermal Ablation of Varicose Veins
Authors: Safeer B. , Khan S. L. Shafy Ali , Safwan Mohamad , Irfan K. P. C. Muhammed 
Published: February 2024

Abstract

Introduction:
Deep vein thrombosis (DVT) and pulmonary embolism are relatively common diseases and are amenable to therapy but with a potentially fatal outcome if untreated. It is not clear whether patients undergoing varicose vein surgeries should receive a thromboprophylaxis. Furthermore, there is no consensus amongst surgeons with regard to the prevention of venous thromboembolism in patients undergoing surgical treatment for varicose veins. The objective of our study was to assess the effectiveness of post-operative single-dose anticoagulant with 48 h of compression therapy in preventing DVT after thermal ablation for varicose veins under spinal anaesthesia.

Materials and Methods:
A prospective observational study was conducted amongst 115 patients undergoing endovenous thermal ablation procedure for varicose veins in the Department of General Surgery, Trivandrum. After obtaining detailed history, all patients were assessed clinically for symptoms and signs of varicose veins and graded according to CEAP grading. The patients underwent pre-operative ultrasound Doppler study as per hospital protocol. Thermal ablation (radiofrequency/laser) was done in all selected patients after getting informed consent. Endovenous thermal ablation of veins was done using radiofrequency probe/laser catheter inserted inside the vein under ultrasound guidance after giving tumescence around the vein with normal saline. Phlebectomy of superficial varicosities was done. After thermal ablation of veins and phlebectomy, compression bandaging was given for the limb and continued for 48 h. Single-dose injection enoxaparin 0.4 ml subcutaneous was given after 8 h of procedure. The patient was encouraged for ambulation after recovery from anaesthesia. The patient was examined for swelling, pain, difference in circumference of limb, haematoma formation and appearance of skin and if indicated Doppler study to detect any presence of DVT at post-operative day (POD) 3, 2nd week and 6th week. Then, the proportion of patients developing DVT was taken as a primary outcome.

Results:
None of the patients in the study group was detected to have DVT of the lower limb during pre-operative venous Doppler study and none of the patients enrolled showed symptoms or signs of DVT during the clinical assessment at POD 3, 2nd week and 6th week after the procedure and a low incidence of DVT is found after thermal ablation procedures.

Conclusion:
Our study concludes that the use of post-operative single-dose anticoagulant and 48 h of compression therapy and early ambulation as prophylaxis measures prevents DVT.
Structured Teaching Programme and Its Relevance in Preventing Recurrent Urinary Infection in Perimenopausal Women: A Community-based Study
Authors: Thulasi P. , Jamadarakhani Siddappa , Rajani KR , Sujatha M. 
Published: February 2024

AbstractIntroduction:Urinary tract infection (UTI) is one of the most common acquired bacterial infections in individuals producing an array of symptoms, complications and recurrence. Perimenopausal women are particularly vulnerable to UTI due to specific anatomical and physiological changes occurring during this transition period. Recurrent UTI (RUTI) can be prevented to a great extent by adopting non-antibacterial measures including lifestyle modifications.Aim of the Study:The aim of this study was to evaluate the knowledge regarding the prevention of UTI in the target community and the effectiveness of structured teaching programme on lifestyle modification to prevent RUTI and to find out the association between the post-test scores with selected demographic variables.Methodology:The study was conducted at selected hospitals in Bengaluru involving 60 perimenopausal women with RUTI. A structured knowledge questionnaire comprising three parts was developed to conduct the data collection. The data were collected and the results were analysed using descriptive and inferential statistics.Results:Only 18% of patients in the perimenopausal group had knowledge on urinary system and its function, 8.45% had knowledge on UTI and 7.45% had knowledge on preventive measures of UTI. Eighty per cent of patients had inadequate knowledge on the urinary system, UTI and preventive measures, while 16.67% had moderate knowledge and only a meagre 3.34% had overall adequate knowledge on the questionnaire. Using a structured teaching programme, 71.75% of patients attained knowledge on urinary system and its function, 43.2% attained knowledge on UTI and 62.3% attained knowledge on preventive measures of UTI. The improvement levels in knowledge by the structured teaching programme were maximum in the age group over 46 years and educated (undergraduate and graduate) groups compared to the younger aged and those who had only basic education.Conclusions:By adopting a structured teaching programme to improve the knowledge, we could significantly reduce the incidence of RUTI in perimenopausal women.
Predictive Accuracy of Alvarado and Tzanakis Scores in Diagnosing Acute Appendicitis
Authors: Wasim K. Anjum , Kaushal Anshuman 
Published: February 2024

Abstract

Background:
Acute appendicitis is a common surgical emergency worldwide. Diagnosing acute appendicitis can be done with the help of various scores, out of which Alvardo and Tzanakis scores is commonly used.

Aim:
The aim of this study was to assess the predictive accuracy of Alvardo and Tzanakis scores in the diagnosis of acute appendicitis

Materials and Methods:
It was a hospital-based cross-sectional study conducted over a period of 12 months from January 2021 to January 2022 on all the patients above 10 years admitted to general surgery departments with clinical diagnosis of acute appendicitis who underwent emergency appendectomy after applying inclusion and exclusion criteria.

Results:
The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and area under the curve (AUC) of Alvarado scores were 59.6%, 100%, 100%, 18.75% and 0.874, respectively, sensitivity, specificity, PPV, NPV and AUC of Tzanakis score was 87.71%, 66.66%, 98%, 22% and 0.860, respectively.

Conclusion:
Alvarado score is found to have better diagnostic accuracy than the Tzanakis score.
All about the New Timeline in Organ Transplantation
Authors: Thulasi P. , Upendran Binu , Albert Shyama 
Published: February 2024

Abstract
Transplantation of Human Organs and Tissues (THOT) Act was enacted in 1994 by the Parliament of India to provide regulation of removal, storage and THOT for therapeutic purposes and for the prevention of commercial dealings in human organs and tissues. Under Section 9 of the 1994 Act, there is a mandate for the formation of Authorisation Committee, whose primary responsibility is to oversee and approve organ transplant procedures involving donors and recipients who are not near relatives. Although this approval is crucial and plays a critical role in the transplantation process to prevent illegal practices, the timeframe within which the Authorisation Committee should conduct interviews and make decisions is not prescribed in the Act. This has been causing significant delays in the transplant process and there have even been some cases where the recipients have in fact passed away, awaiting the decision of the Authorisation Committee. The Honourable High Court of Delhi has recently made a significant judgement and fixed the timeline for living donor organ transplantation on considering the petition filed by a patient and his donor for an order directing the Authorisation Committee to grant approval for kidney transplantation. This literature covers the analysis of the aforesaid judgement, an overview of the THO Act 1994 and the THO Rules 2014, the new timelines to be followed in the transplantation of organs and its implications.
A Comparative Study on Post-operative Outcomes of Stapled Haemorrhoidopexy versus Milligan–Morgan Haemorrhoidectomy in Patients above 60 Years
Authors: Anitha Lekshmi , Nair C. S. Krishnan , Edwin John Sajit 
Published: February 2024

Abstract

Background:
Haemorrhoidal disease is one of the most common benign anorectal pathologies worldwide. Plethora of treatment options available for haemorrhoids. Stapled haemorrhoidopexy and Milligan–Morgan haemorrhoidectomy were commonly done surgeries.

Aim:
we compared the short-term post-operative outcomes of stapled haemorrhoidopexy with Milligan–Morgan haemorrhoidectomy in patients aged above 60 years.

Materials and Methods:
It was a prospective, observational, comparative study from August 2020 to May 2022 on 100 patients above 60 years admitted to the general surgery departments with a diagnosis of third- and fourth-degree haemorrhoids and underwent stapled haemorrhoidopexy and Milligan–Morgan haemorrhoidectomy were included in the study after applying inclusion and exclusion criteria.

Results:
In stapled haemorrhoidopexy, mild pain is experienced in 44 (88%) patients and moderate pain in only 6 (12%) patients compared to 38 (76%) patients in Milligan–Morgan haemorrhoidectomy experience mild pain and 12 patients (24%) had moderate pain in 1st post-operative day. Anal incontinence is present in 12 (24%) patients of Milligan–Morgan surgical candidates and 3 (6%) patients of stapled haemorrhoidectomy patients on 1st post-operative day. First post-operative day 11 patients (22%) of Milligan–Morgan surgery developed urinary retention, whereas 6 patients (12%) of stapled surgery showed urinary retention. Forty-five (90%) patients resumed to normal activities within 1 week following Milligan–Morgan haemorrhoidectomy. Forty-six (92%) patients resumed to normal activities within 1 week following stapled haemorrhoidopexy. The average operating time for stapled haemorrhoidopexy was 33.0 min and Milligan–Morgan haemorrhoidectomy was 45.6 min. Thirty-nine (78%) patients were discharged 2 days after Milligan–Morgan haemorrhoidectomy and 3 (6%) patients were discharged 2 days after stapled haemorrhiodopexy. Eleven (22%) patients were discharged 2 days after Milligan–Morgan haemorrhoidectomy and 47 (94%) patients were discharged 2 days after stapled haemorrhiodopexy.

Conclusion:
We found that stapled haemorrhoidopexy is a better alternative compared to Milligan–Morgan haemorrhoidectomy as it outweighs the latter in terms of short-term post-operative outcomes included in the study.
Role of Foam Sclerotherapy in the Management of Varicose Vein
Authors: Benny P. B. , Edward Alex Arthur 
Published: February 2024

Abstract

Background:
Attempts of minimally invasive obliteration of the Great Saphenous Vein (GSV) using sclerosants for the management of venous diseases slowly evolved. The efficacy of foam sclerotherapy (FST) is varied as per the different studies across the institutions. Whether it will be an equal alternative to surgery is a question that requires answering.

Aim:
To assess the role of FST in the management of varicose veins.

Materials and Methods:
It was a prospective, observational, comparative study conducted on 50 patients attended by outpatients and inpatients of the general surgery department for 18 months.

Results:
The mean age of patients enrolled was 47.04 and most of them were males. Duplex scanning confirmed 93% full success with 7% partial success. The complication rate was less which improved with constant guidance and expertise. Ninety-four percent of patients enrolled returned to work within 48 h. There was no need for analgesics for more than 95% of patients. Ninety percent of patients were asymptomatic after 1 month of follow-up which gradually improved.

Conclusion:
We recommend FST to be the first line of treatment for multiple small varicosities, isolated perforator and remnant varicosities.
An Unusual Case of Abdominal Wall Recurrence in a Case of Carcinoma Rectum Following Low Anterior Resection
Authors: Krishnamoorthy Ashwin , Muralee Madhu , Chandramohan K. , Wagh Mira 
Published: February 2024

Abstract
Port site metastasis (PSM) following laparoscopic surgery for gastrointestinal cancers is a poorly understood phenomenon and the incidence is rare. This is a case report of a patient who had recurrence in the port site 4 years following a laparoscopic anterior resection. The incidence of PSM, although rare at present, is likely to increase in the following years due to the increase in the number of minimally invasive surgeries.
Comparison of causes and circumstances of intrauterine death in term and preterm pregnancies at a tertiary care center
Authors: Shankar Priya , Dmello Annie Jesline , Roopa A. K. 
Published: February 2024

Abstract

Background:
It is of extreme importance to identify the causes of fetal deaths, so that preventive strategies can be framed and more vigilant monitoring and prenatal surveillance can be undertaken.

Objective:
To determine the causes and circumstances of intrauterine death in term and preterm pregnancies and compare these causes.

Materials and Methods:
A cross-sectional observational study was undertaken. All the mothers underwent basic and targeted investigations as per the hospital protocol to identify the causes of intrauterine death (IUD). Basic investigations included complete hemogram, infective serology, and liver and renal function tests.

Results:
The stillbirth rate was 17.83%. It was comparable in males and females. Most cases were second gravida. Birth weight was significantly lower in preterm pregnancies compared to term pregnancies. Other characteristics were comparable. The most common risk factor was pregnancy-induced hypertension 49 cases (40.49%). The presence of pregnancy-induced hypertension was comparable in two groups. Unexplained IUD was significantly more in preterm pregnancy cases compared to the term pregnancy cases.

Conclusion:
The main causes of fetal mortality identified from this study include pregnancy-induced hypertension, severe anemia, abruptio placenta, and Rh isoimmunization.
Amblyogenic risk factors and validity of vision screening using spot-screener among kindergarten children in Qassim region, Saudi Arabia
Authors: AlHarkan Dora H. 
Published: February 2024

PURPOSE:
The purpose of the study was to present the outcomes of vision and amblyogenic risk factor (ARF) screening in kindergarten children in the Qassim region, Saudi Arabia.

METHODS:
In this cross-sectional study, an optometrist conducted first-level screening in a kindergarten using a spot screener (Welch Allyn) in 2023. Refractive status and ocular alignment were evaluated. The visual acuity of each eye was measured. Those who failed the first screening or had impaired vision were re-evaluated at the second level of screening by an optometrist and pediatric ophthalmologist. Those who failed the screening in Kindergarten were referred to a pediatric ophthalmology clinic for confirmation and management (third level of screening).

RESULTS:
We screened 222 children (mean age: 5.9 ± 0.4 years, 111 boys). A total of 59 (26.6%) children failed the spot vision screening test. A vision screening test by an optometrist identified 58 (26.1%) children with impaired vision. Refractive errors (REs) for children who failed the spot screener included hyperopia in 4 (6.7%) children, high myopia (>6.00 D) in 2 (3.4%) children, and astigmatism in 53 (89.83%) children. Compared to the evaluation by optometrists and pediatric ophthalmologists at KGs, spot screening had 0.845 sensitivity and 0.939 specificity. Validity parameters differed for RE, vision impairment, amblyopia, and strabismus. Seventy-one (31.98%) children were referred for third-level screening, but only 32 (44.4%) children attended, and among them, the prevalence of amblyopia was 25%.

CONCLUSION:
The high prevalence of amblyopia and undetected ARFs necessitate establishing annual vision screening among 3- to 5-year-old children in the study area.
Efektivitas Penggunaan Alat Peraga Dan Lembar Kerja Siswa (LKS) Terhadap Ketuntasan Belajar Materi Pecahan
Authors: Mustika Yasi Ratna , Fita Lestari Riska , Mirza Rachmaniah 
Published: February 2024

Implementasi metode pembelajaran yang menuntut siswa aktif dalam kegiatan belajar mengajar yaitu pembelajaran dengan menggunakan alat peraga dan lembar kerja siswa (LKS) merupakan inovasi dalam pembelajaran. Penelitian ini bertujuan untuk mengetahui keefektifan pembelajaran dengan menggunakan alat peraga dan lembar kerja siswa (LKS) terhadap ketuntasan belajar siswa materi pecahan di kelas VII SMP Muhammadiyah 7 Sempu. Penelitian ini menggunakan jenis penelitian kuantitatif, metode pengumpulan data yang digunakan adalah metode validasi alat peraga dan lembar kerja siswa, metode observasi, tes, wawancara dan dokumentasi. Pengambilan responden dengan menggunakan teknik random sampling yaitu penentuan sampel secara acak. Responden pada penelitian ini yaitu siswa kelas VIIB dengan jumlah responden sebanyak 35 siswa.
Hasil penelitian ini dapat dilihat dari hasil perolehan observasi dari keefektifan pembelajaran untuk skor rata-rata pengelolaan kelas dengan menggunakan alat peraga dan lembar kerja siswa (LKS) pada materi pecahan dari 35 siswa mendapatkan kategori baik. Dengan data tes siswa yang memenuhi nilai KKM sebanyak 83% dan nilai yang tidak tuntas sebanyak 17%. Sehingga dapat disimpulkan bahwa tingkat ketercapaian dari keefektifan pembelajaran dengan menggunakan alat peraga dan lembar kerja siswa (LKS) pada materi pecahan diatas 75%. Jadi pembelajaran dengan menggunakan alat peraga dan lembar kerja siswa ini dikatakan efektif karena memenuhi kriteria keefektifan yang ditetapkan. Berdasarkan hasil penelitian di atas, dapat disimpulkan bahwa pembelajaran dengan menggunakan alat peraga dan lembar kerja siswa efektif terhadap ketuntasan belajar materi pecahan di kelas VIIB SMP Muhammadiyah 7 Sempu.
Breast Self-Examination Practice and Associated Factors among Rural Women in Hai Duong Province, Viet Nam: A Cross-Sectional Study
Authors: Nguyen Hang Thi , Thanh Tung Le , Van Viet Tran , Thu Huong Truong Thi , Van Hung Pham 
Published: February 2024

Purpose: The purpose of this study was to identify the practice level of breast self-examination among rural women, and some factors related to this level of research participants.
Methodology: A cross-sectional descriptive study was conducted on 309 women living in some rural areas of Hai Duong province, Vietnam from January to June 2022. Data were analyzed by SPSS 20.0 software, and a Chi-square test was used to determine factors related to some demographic characteristics and breast self-examination practices of rural women.
Findings: The study results show that 70.6% of rural women have never performed breast self-examination, in addition, 15.9% practiced every once a month. For evaluation of breast self-examination practice through direct observation shows that only 17.5% of women practice at level with passed. Family history of breast cancer and monthly income of rural women were related to the level of breast self-examination practice (p<0.05).
Unique Contribution to Theory, Policy, and Practice: The percentage of rural women practicing breast self-examination following steps by steps correctly was low. Therefore, conducting an educational program to guide breast self-examination practice is necessary for rural women to help them proactively screen and early detect breast-related diseases, especially breast cancer.
The Impact of Work-Life Balance on Employee Performance: An Evaluative Study of Health and Safety Industry in Nigeria
Authors: Ihwughwavwe Sadat Itohan , Shewakramani Rekha 
Published: February 2024

Purpose: The purpose of this research is to explore the impacts of work-life balance on the performance of employees in the Nigerian health and safety industry using interviews and quantitative based online questionnaire involving one hundred participants from ten different companies.
Methodology: Eighty three fully completed and returned questionnaires were utilized for the purpose of the research. The questionnaire encompasses the demographic survey of participants, well-being, job satisfaction and job performance-oriented questions. Statistical Package for Social Sciences (SPSS) was used in developing a linear statistical relationship between employee performance and productivity as the dependent variable and employment factors - extent of work-life balance and impact of work-life balance as the independent variables respectively.
Findings: 2.6295, 3.1325 and 2.8554 mean values were recorded for data generated from Work-Life Balance; Company Policies and Performance and Company Support Policy on Work-Life Balance respectively. Based on the mean values obtained, normality of the variables under study is statistically attainable. Findings from the study depict positive relationship for the variables under study. It also implies less stress in the work environments under study. Similarly, findings in terms of work environment, team support, area of specialization, workload, flexibility, supervisors’ commitment to employee’s personal lives, work force and discipline have indicated that the teaming population of health and safety employees have, to a reasonable degree, a control over their time and personal lives. Additionally, the company’s support and policies for work-life balance are said to be reasonable enough as they pave ways for sound employees’ performance.
Unique contribution to theory, practice and policy: companies should improve on support and policies/programs that have direct impact on work-life balance - telecommuting, compression of work week; strict adherence to the work hours stipulated by law and any extra hour(s) spent by an employee should be adequately compensated; develop and implement a business continuity plan and carry out manpower audits to determine areas of under manning with a view of providing the qualified manpower to man the company operations. These will pave ways for the employees to develop themselves educationally, create time for families and friends, thereby, aiding the concept of meaningful work-life balance.
Por entre feras, escutas e encantos: práticas de formar perspectivadas pela invenção
Authors: De Oliveira Dias Rosimeri , Secron Pinto Liliana , Gonçalves Dias Mello Ana Luiza 
Published: February 2024

O artigo parte do encanto e encontro com o livro Escute as feras, de Nastassja Martin, para colocar em análise os usos dos diários de campo nas pesquisas em educação e os devires que neles ganham forma. É escrito por meio do encontro de três professoras, atentas aos efeitos e problematizações de uma outredade constituída nas micropolíticas de uma formação inventiva de professores. O texto se organiza pelas estações do ano para explicitar o que temos feito de nós no encontro entre universidade e escola básica. No outono, coloca-se atenção na escuta; no inverno, o foco se localiza na outredade e na heterotopia; na primavera, a dimensão autogestionária do uso do diário é analisada como dispositivo e, no verão, a escrita se encerra com uma posição ético-estética-política do trabalho com a formação inventiva e a sua posição metodológica com os diários de campo.