bluuebunny/crossref_metadata_2025_split huggingface dataset:
Emotional Intelligence from Gender Perspective during Mid to Late Adolescence in an Indian Context
Authors: Kulkarni Priya Yogesh , Velhal Gajanan 
Published: April 2023

Background:
Emotional Intelligence (EI) contributes to overall success in life. Our objectives are to explore EI among adolescents and its gender differences as per some parameters of social environments.

Material and Methods:
Present cross-sectional study was conducted in secondary schools in one of municipal corporations in western Maharashtra EI of adolescents studying in tenth standard in randomly selected secondary schools, was assessed by Schutte’s Self-Reported Emotional Intelligence Test with collection of relevant sociodemographic information maintaining confidentiality. Data were analyzed by SPSS 20 software.

Results:
Total 1060 adolescents in 14-16 years of age participated in the study. Socio-economic status affected EI of adolescent girls more adversely than adolescent boys (P = 0.003, P = 0.036 respectively). Co-educational type of school favored lower EI than gender specific schools (P < 0.001). After gender wise stratification, EI did not differ significantly among boys (P = 0.154) with respect to type of schooling, but differed significantly (P = 0.001) among girls.

Conclusion:
Apart from continued efforts directed to for improvement in SES, mental health component of school health services needs to take a step forward for assessment and improvement of towards mental health parameters including EI of adolescents. EI training programs commenced in school activities based on gender, socio-economic status and other issues relevant to the situation shall prove beneficial in long run.
Prevalence and Complications of Subclinical and Overt Hypothyroidism in Pregnancy at North Indian Tertiary Care Center
Authors: Prabhat  , Jain Anju , Ahirwar Ashok , Dwivedi Shailendra , Rath Rama S. 
Published: April 2023

Background:
Thyroid disorders are one of the commonest endocrine problems among pregnant women. It is often argued that it is not only overt, but subclinical thyroid dysfunction also has similar adverse effects on maternal and fetal outcomes. There is a huge deficiency of data from the Indian population to assess the prevalence of thyroid dysfunction in pregnancy. This study aimed to determine the prevalence of thyroid disorders in pregnancy and their impact on obstetrical outcomes in the Indian population. The study also had the objective of finding a correlation between maternal and fetal thyroid-stimulating hormone (TSH) levels in hypothyroid pregnancies.

Materials and Methods:
Around 1055 pregnant women in the first and second trimesters were enrolled in the study. A detailed history was noted and general examinations were done. Apart from routine obstetrical investigations, TSH level estimation was done. If the TSH level was deranged, then free T4 (fT4) and free T3 (fT3) levels were also estimated. Furthermore, 50 hypothyroid and euthyroid pregnant women from the same cohort were followed till delivery. Their obstetrical and perinatal outcomes were noted.

Results:
The prevalence of thyroid dysfunction was 36.5% in this study, which was quite high in the population. Moreover, hypothyroid groups were prone to have pregnancy-induced hypertension (P = 0.03), intrauterine growth restriction (P = 0.05), and preterm delivery (P = 0.04) as compared to control. Cesarean section rate for fetal distress was significantly higher among pregnant hypothyroid women (P = 0.05). Neonatal respiratory distress and low appearance, pulse, grimace, activity, and respiration (APGAR) () scores were significantly more in the hyperthyroidism group (P = 0.04 and P = 0.02, respectively). Maternal TSH was significantly correlated with hemoglobin levels, HbA1c, and systolic blood pressure.

Conclusions:
Significant adverse effects on maternal and fetal outcomes were seen emphasizing the importance of routine antenatal thyroid screening.
Implementation of Pediatric Allergic Rhinitis Module as a Part of AETCOM among First-Year Medical Undergraduates: Mixed Methods Evaluation
Authors: Mishra Nihar Ranjan , Peralam Prakash Y. , Dongre Amol R. , Singh Ramji , Goswami Kalyan , Ray Biswabina , Nagaraju Late Major Kuravi , Ghosh Debangshu , Patra Jayasri , Vivekprana Prabrajika 
Published: April 2023

Background:
Children suffering from allergic rhinitis (AR) in their earlier days of life, not receiving proper treatment, subsequently develop asthma. To sensitize the first-year medical undergraduates about AR by implementing pediatric allergic rhinitis (PAR) module as a part of their attitude, ethics, and communication (AETCOM) curriculum.

Materials and Methods:
Triangulation type of mixed method study was conducted from January 2021 to June 2021 among 125 first-year medical undergraduate students. The PAR module communication checklist was developed and validated by an interprofessional (IP) team. Twenty multiple-choice questions (MCQs) were framed for both pretest and posttest cognitive assessment of the students. The pretest assessment was done (first 15 min) followed by the teaching of the PAR module (30 min), and lastly the posttest assessment along with open-ended feedback (last 15 min). Objective Structured Clinical Examination (OSCE) communication checklist along with the guidelines was given to the observer during the student-patient encounter to score the learner and to assess the communication skill. Apart from descriptive analysis, paired t-test and content analysis were done.

Results:
A statistically significant difference in the mean scores before and after the PAR module and communication checklist (P < 0.001). Majority (78/81, 96%) of the students favored this module, while (28/81) 34.6% suggested modifications. Most of the parent’s feedback was good about the student’s communication skill in terms of empathy (118), behavior (107), and greet (125); however, 33 parents were about the opinion of difficulties in closing the session, 17 parents commented about student’s language problem and 27 about feedback.

Conclusion:
The PAR module should be taught in the current medical curriculum as a part of AETCOM in the foundation course as early clinical exposure with some modifications in the existing module.
Unmarried Women and Unintended Pregnancy: An Indonesian Cross-Sectional Study
Authors: Laksono Agung D. , Wulandari Ratna D. , Rohmah Nikmatur , Matahari Ratu 
Published: April 2023

Background:
Indonesia has moral norms consider pregnancy among unmarried women a disgrace. The study analyzes the factors influencing unintended pregnancies among unmarried women in Indonesia.

Material and Methods:
The study examined 1,050 women. The author analyzed unintended pregnancy and six other variables (residence, age, education, employment, wealth, and parity). Multivariate analysis used binary logistic regression.

Results:
15.5% of unmarried women in Indonesia have experienced an unintended pregnancy. Women living in urban areas are more likely to experience unintended pregnancies than women in rural areas. The 15–19 have the highest chance of experiencing an unintended pregnancy. Education is a protective factor from unintended pregnancy. Employed women are 1.938 times more likely than unemployed. Poverty is a risk factor for experiencing an unintended pregnancy. Multiparous is 4.095 times more likely than primiparous.

Conclusion:
The study identified six variables that affect unintended pregnancy among unmarried women in Indonesia: residence, age, education, employment, wealth, and parity.
Differences in Microplastic Content in Commercial Salt and Salt at the Semiringkai Coastal Local Center in Kupang City and Kupang Regency
Authors: Dapa Taka Anna Stephanie Mengga , Lada Christina Olly , Amat Anita Lidesna Shinta 
Published: April 2023

Background:
Plastic waste that ends up in the ocean can undergo a degradation process into small plastic particles measuring 5 mm called microplastics. The presence of microplastics in the sea can contaminate marine products such as sea salt. Microplastics in the salt consumed by humans can cause adverse health effects. This study aims to determine the difference in the content of microplastics in commercial salt and local salt from the semiringkai coast in Kupang City and Kupang Regency.

Material and Methods:
This research is an observational analytical study with a comparative analysis design. The method used is laboratory observation using a microscope. This study used 10 salt samples which were divided into 2 groups, namely the commercial salt group and the local salt group, each consisting of 5 salt samples. Samples were taken using non-probability sampling method with purposive sampling technique. Data were analyzed univariately and bivariately using the independent T-comparison test.

Results:
The results of the analysis test in this study were P = 0.065 (P > 0.05).

Conclusion:
There is a content of microplastic in commercial salt and local center salt of the semiringkai coast in Kupang City and Kupang Regency with an average that is not significantly different.
Factors Associated with Prolonged Intensive Care Unit Treatment and Organ Failure in Pediatric Patients with Diabetic Ketoacidosis
Authors: Whang Jeffrey Eli , Wu Yi-Lei , Chen Jia-Yuh , Kor Chew-Teng , Lee Ming-Sheng 
Published: April 2023

Context:
Patients with diabetic ketoacidosis (DKA) have potential complications, such as respiratory failure, cerebral edema, or acute renal injury, all of which can lead to a prolonged hospital course.

Aims:
This study identified risk factors for prolonged intensive care unit (ICU) stay and organ failure in pediatric patients with DKA.

Materials and Methods:
Patients with DKA aged <19 years admitted to the pediatric ICU of our hospital between June 2011 and May 2021 were enrolled. Demographic characteristics, initial Glasgow Coma Scale score, source of admission, biochemical values, ICU length of stay (LOS), and hospital LOS were collected. The primary outcome was to identify factors associated with prolonged (≥48 h) ICU treatment. The secondary outcomes were to identify factors associated with respiratory failure, cerebral injury, or acute renal failure.

Results:
This study enrolled 137 patients. Nonemergency room admission was associated with longer ICU LOS [adjusted odds ratio (aOR), 3.14; 95% confidence interval (CI) 1.01–9.82] compared with admission from the emergency room. Older age (aOR, 0.89; 95% CI, 0.80–0.99) and underweight (aOR, 0.33; 95% CI, 0.12–0.95) were associated with shorter ICU LOS.

Conclusions:
Recognizing the risk factors associated with prolonged ICU LOS in pediatric patients with DKA may help clinicians with the early identification of critical DKA cases.
Evaluation of continuous wound infusion with local analgesics in postoperative renal transplantation patients
Authors: Alshuaibi Muaath Khaled , Khogeer Abdulghani , Ambusaidi Hamed , Mazeaud Charles , Larose Clement , Lecoanet Pierre , Urmès Isabelle , Lagrange Francois , Lemelle Jean-Louis , Manuguerra Anthony , Fuchs-Buder Thomas , Hubert Jacques , Eschwège Pascal 
Published: April 2023

Objectives:
The objective is to evaluate the efficacy of the continuous wound infusion (CWI) with Ropivacaine (naropeine 2 mg/ml) on postoperative pain, analgesics consumption, and bowel function in renal transplantation patients.

Materials and Methods:
A retrospective study trial including 79 patients who underwent renal transplantation. Patients were separated into two groups (catheter or without catheter). We identified 52 (65.8%) patients who received catheter wound infusion during the first 48 h postoperatively. On the other hand, 27 (34.1%) patients received standard without catheter anesthetic technique. Catheter wound infusion was achieved through a 12 cm catheter, inserted subcutaneously after abdominal closure. The catheter was placed above the external oblique aponeurosis. All postoperative data were examined to evaluate the first postoperative 48 h. This study aims to assess three variables: postoperative pain analysis through a visual analog scale, analgesics consumption, and bowel function.

Results:
The overall score of the three variables was studied. Regarding pain assessment, we have determined that the group of patients with catheter scored better than patients without catheter with borderline significance (66.3 vs. 61.2 consecutively; P = 0.0843). An early bowel function was noted in patients with catheters on the 2nd postoperative day (P = 0.0209). Moreover, patients without catheter consumed more painkillers with nonsignificant difference (P = 0.2499).

Conclusion:
Patients with catheter showed earlier bowel function than the noncatheter group on the 2nd postoperative day. The catheter group had better pain evaluation.
Safety of transurethral resection of large prostate
Authors: Al-Bakri Ayman , Al-Jaser Abdullah , Al-Gamdi Khalid , Al-Reshaid Reshaid , Al-Enizi Abdullah , Al-Kharji Ali Ali , Al-Zahrani Ibrahim , Al-Modahi Nawaf , Al-Harbi Moath , Al-Mani Abdullah 
Published: April 2023

Background:
Benign prostatic hyperplasia is a common benign disease occurs in older men. Some patients can be treated medically but eventually, most of them will need a surgical intervention, and the most commonly applied procedure is transurethral resection of the prostate (TURP).

Objectives:
The objective of this study is to assess the feasibility and safety of performing transurethral resection of large prostate (80 g and more).

Methodology:
Out of 153 patients reviewed 48 cases included in this study. The main data collected from patients’ files and patient interview. The criteria of exclusion were prostate size <80 g and previous history of TURP. The collected data were analyzed by the Statistical Package for the Social Sciences (SPSS).

Results:
The main results showed that 93.7% of patients did not experience major bleeding postoperatively, neither major drop in hemoglobin level. Moreover, the patient’s distribution according to the presence of TUR syndrome was only 2.1% with mild symptoms. No patient had an episode of retention during the hospital stay or in the follow-up.

Conclusion:
Surgeon experience, systematic resection approach, and strict time of resection are important factors to assure the safety of TURP in large prostate. In cases of huge prostate size >100 g, staged TURP can be offered safely or if patients’ obstructive symptoms do not resolve after the first procedure.
Time of onset and factors associated with delayed response post intradetrusor injection of onabotulinumtoxin a in patients with neurogenic and idiopathic overactive bladder syndrome
Authors: Al-Shaiji Tariq Faisal , Al-Yousef Rawan Jamal , EL-Nahas Ahmed Refat , Awad Awad Thahir , Almutairi Meshari Falah , Al-Terki Abdullatif Ebrahim 
Published: April 2023

Objective:
The objective of this study was to determine risk factors for delayed response in patients with neurogenic and idiopathic overactive bladder (OAB) after intradetrusor onabotulinumtoxin A injection.

Subjects and Methods:
This is a retrospective study that included 87 patients who underwent onabotulinumtoxin A intradetrusor injection from October 2011 to November 2019. Patients were followed up at 2, 4, and 12 weeks post intervention in the outpatient clinic and over the phone. The data of patients with early response were compared with those with late response using univariate and multivariate analyses.

Results:
The study included 87 patients. The mean age was 41 ± 15.3 standard deviation, and 69% of the participants were female. Fifty-one percent were diagnosed with neurogenic OAB. A median response time to onabotulinumtoxin A injection of 7 days was demonstrated, and patients who responded during the first 7 days post procedure were considered early responders. Independent predictors for late response include diabetes (Relative risk: 3.89, P = 0.018, and 95% confidence interval [CI]: 1.26–11.98), >1 BTX-A session (Relative risk: 4, P = 0.011, and 95% CI: 1.38–11.6), and wet OAB (RR: 9.94, P = 0.002, and 95% CI: 2.31–42.17).

Conclusions:
The median time of onset post intradetrusor injection of onabotulinumtoxin A was found to be 7 days. Diabetes mellitus, wet OAB, and <1 Botox sessions were independent risk factors for late onset of response.
A mathematical method to estimate angle and distance for percutaneous renal puncture based on computed tomography data
Authors: Salem Shady Mohamed , Aldousari Saad A 
Published: April 2023

Introduction:
Gaining access to the kidney is crucial step in percutaneous nephrolithotomy (PCNL); it has a steep learning curve.

Objective:
Describe the mathematical method to predict renal puncture angle and distance based on preoperative computed tomography (CT) measurements. Then evaluating how it correlates with measured values.

Patients and Methods:
The study was prospectively designed. After ethical committee approval, the study uses data from preoperative CT to construct a triangle so we can estimate puncture depth and angle. A triangle of three points, the first is point of entry to the pelvicalyceal system (PCS), the second is point on the skin perpendicular to it, and the third where the needle punctures the skin. The needle travel is estimated using the Pythagorean theorem and puncture angle using the inverse sine function. We evaluated 40 punctures in 36 PCNL procedures. After PCS puncture using fluoroscopy-guided triangulation, we measured the needle travel distance and angle to the horizontal plane. Then compared the results with mathematically estimated values.

Results:
We targeted posterior lower calyx in 21 (70%) case. The correlation between measured and estimated needle travel distance with Rho coefficient of 0.76 with P < 0.001. The mean difference between the estimated and the measured needle travel was – 0.37 ± 1.2 cm (−2.6–1.6). Measured and estimated angle correlate with Rho coefficient of 0.77 and P < 0.001. The mean difference between the estimated and the measured angle was 2° ± 8° (−21°–16°).

Conclusion:
Mathematical estimation of needle depth and angle for gaining access to the kidney correlates well with measured values.
Bladder cancer in young adults
Authors: Albakri Mahmoud , Abu-Hijlih Ramiz , Salah Samer , Al-Ibraheem Akram , Abuhijla Fawzi , Serhan Hashem Abu , Farkouh Ala’a , Obeid Zeinab , Shahait Mohammed 
Published: April 2023

Objectives:
The incidence of bladder cancer in the Middle East is increasing. Nevertheless, data on the young population with urothelial carcinoma (UC) of the urinary bladder in this region is scarce. Therefore, we evaluated clinical and tumor characteristics, in addition to treatment details in patients younger than 45 years old.

Methodology:
We reviewed all patients presenting with UC of the urinary bladder from July 2006 to December 2019. Clinical characteristics including demographics, stage at presentation, and treatment outcomes were extracted.

Results:
Out of 1272 new cases of bladder cancer, a total of 112 (8.8%) patients were ≤45 years old. Seven patients (6%) had nonurothelial histology and were excluded from the study. The remaining 105 eligible patients with UC had a median age at presentation of 41 years (35–43). Ninety-three patients (88.6%) were males. Tumor stage at presentation: nonmuscle invasive disease (Ta-T1), locally advanced muscle-invasive bladder cancer (MIBC) (T2-3), and metastatic disease were 84.7%, 2.8%, and 12.5%, respectively. All patients with MIBC received neoadjuvant cisplatin-based chemotherapy. Radical cystectomy was performed in 8 (7.6%) cases; three patients with MIBC and five with high-volume non-MIBC. Neobladder reconstruction was done in six patients. A total of 13 patients with metastatic disease (93%) received palliative chemotherapy (gemcitabine/cisplatin), and one (7%) was a candidate for best supportive care only.

Conclusion:
Bladder cancer is relatively rare in the young population, although the incidence at our region is higher than other reports in the literature. Most patients present with early disease. Early diagnosis and multidisciplinary approach are paramount for the management of these patients.
Design of Rectangular Cross Section Helical Resonator for Noise Attenuation in Air Induction System
Authors: Kumar J Thirumala Sai , Dixit Manish 
Published: April 2023

<div class="section abstract"><div class="htmlview paragraph">Noise pollution is a prominent environmental hazard faced by the automobile industry. The design of automotive Air Induction Systems (AIS) plays a crucial part in attenuating noise emitted by an engine. In addition to this, sound attenuating devices are connected in series and in parallel to the AIS for effective noise attenuation. This paper presents three-dimensional (3D) acoustic and flow results of one such sound attenuating device, the Helical Resonator (HR), which is attached to the AIS of a 3.6 L engine replacing the existing Helmholtz resonators (HHR). The baseline AIS has four HHRs to attenuate four major engine noise frequencies. In this paper, design parameters were selected to allow the HR to capture at least two of the four frequencies and minimize the cost at space concerns. The analytical four-pole Transfer Matrix Method (TMM) approach is applied to initially calculate Transmission Loss (TL) and arrive at a suitable set of HR design parameters. This allows us to understand the sound attenuation capability of the HR. Fine-tuned design parameters of the HR are implemented in the full AIS using GT-POWER® in the frequency range of 0 to 1000 Hz. Siemens 3D Simcenter® is used to estimate the impact of the HR on noise attenuation for correlation. STAR-CCM+® is used to estimate the amount of pressure drop contributed by the HR. This design can be used for future applications if the additional pressure drop due to HR is within permissible limits.</div></div>
Linguística Interacional
Authors: Nascimento Thiago Da Cunha , Barth-Weingarten Dagmar 
Published: April 2023

O presente capítulo fornece um esboço da Linguística Interacional e sua relevância à Linguística Aplicada. Inclui-se nisso uma pesquisa acerca da emergência da Linguística Interacional, seus conceitos básicos e instrumentos metodológicos, perguntas de pesquisa e desafios futuros da Linguística Interacional, bem como sua contribuição à Linguística Aplicada. O capítulo termina com uma bibliografia de trabalhos citados e referências relevantes.
Analisis Pengaruh Keterlambatan Pengurusan Jenazah di Desa Suka Maju
Authors: Fadhi Said Muhammad , Sinaga Qurrata A’yun , Pasaribu Aggridita Agita , Nainggolan Windi Arningsih , Samosir Hasrat Efendi 
Published: April 2023

There are several important things in Islamic teachings that must be done as soon as possible, including taking care of the corpse, serving food when guests arrive, marrying off a girl whose soul mate has arrived, paying off debts when they are due and repenting when committing small or major sins. The law of taking care of the corpse is fard kifayah. The management of the corpse must be expedited as quickly as possible. This is necessary because goodness is good for the corpse itself. In Suka Maju village, Pahae Jae sub-district, there are frequent delays in processing the bodies. In connection with this, the researcher analyzed the causes of delays in the management of corpses in Suka Maju Village and solved the problem so that there were no more delays in the management of corpses.
Keywords: Islamic Teachings, Fardhu Kifayah, Training, Counseling, Body Management..