bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predominant polarity in bipolar affective disorder and its impact on cognition and quality of life
Authors: Bhardwaj Shashank , Sinha Deoraj , Pawar Ami , Mane Astik 
Published: June 2023

ABSTRACT

Background:
Bipolar mood disorder or bipolar affective disorder (BPAD) is a chronic illness characterized by phases of mania/hypomania, depression, or mixed episodes. The course of bipolar mood disorder is relapsing in nature. It is associated with high comorbidity rates, a large number of premature deaths due to suicide, and a worse social and work performance. All of those characteristics entail a significant economic impact due to both direct and indirect costs and require an effective diagnostic and therapeutic approach. Lifetime prevalence of BPAD is approximately 4% worldwide. Various attempts have been made to define “predominance” of polarity in BPAD.

Need for this Study:
Our study tries to highlight the existence of predominant polarity by comparing effects of the same on substance consumption, cognitive abilities, quality of life, and preponderance of specific polarity to specific gender.

Method:
After Institutional Ethics Committee Approval and written informed consent, patients who were diagnosed with BPAD attending out-patient department of a tertiary care hospital in Mumbai were recruited. A total of 57 participants were enrolled. The World Health Organization Quality of Life - Brief Scale (WHOQOL BREF) and the Montréal Cognitive Assessment (MoCA) were both used to evaluate the patients’ quality of life and cognitive ability, respectively.

Discussion and Results:
Men exhibited manic predominant polarity, while women had depressive predominant polarity, with P value of. 003. Regarding age, illness length, education, substance abuse, family history, and suicide attempts, there was no discernible difference in the polarities. The outcome of female bipolar patients may be improved if the clinician is mindful of the burden of depression, risk of misdiagnosis, and variable therapy response. Interestingly, our study found no significant difference between MoCA scores of those with depressive and manic polarity. Substantial MoCA score differences were found between the groups with depressive polarity and no polarity.

Conclusion:
Men were observed to experience more manic episodes. More women in the study experienced predominantly depressive polarity, highlighting the need to probe for a past history of hypomania or mixed episodes to avoid misdiagnosis as unipolar depression in them. Manic predominate polarity performed better in the physical and psychological domains of the post hoc test for quality-of-life BREF scale. There were substantial MoCA score differences between the groups with depressive polarity and no polarity, with the depressive polarity showing more cognitive decline.
The clinical profile and outcome of patients receiving continuation electroconvulsive therapy (C-ECT): A retrospective study
Authors: Grover Sandeep , Kathiravan Sanjana , Chakrabarti Subho 
Published: June 2023

ABSTRACT

Background:
There is a lack of data on the use of continuation electroconvulsive therapy (C-ECT) from India.

Objectives:
This study aimed to evaluate the clinical profile and outcome of patients receiving C-ECT.

Materials and Methods:
The ECT register was used to identify patients receiving C-ECT (ECT after completion of an acute course, to maintain remission or prevent relapse) from 2011 to July 2022. Socio-demographic, clinical, and treatment outcome details were extracted from their treatment records.

Results:
A total of 72 C-ECT courses were identified that were used in 60 patients. Out of all the patients receiving ECT, only 3.25% of patients receive C-ECT. The majority of the patients were male (60%). The mean age of the patients at the time of starting ECT was around 39 years. The most common diagnosis was schizophrenia (73.3%), followed by recurrent depressive disorder (21.6%). The most common indication was persistent psychotic symptoms poorly responding to multiple antipsychotic trials of 3.09 (SD: 1.39), including clozapine. These patients received a mean of 22.58 (SD: 8.05; range: 10 to 46) ECTs, with 10.0 (SD: 4.83) ECTs for the management of the acute phase of illness and 12.57 (SD: 6.20) ECTs as part of continuation treatment. The majority (61.1%) of the patients received four (once weekly) C-ECTs in the first month, followed by three more in the next month. However, 16 patients received weekly ECTs during the second month too, as symptoms worsened with the lowering of frequencies. Twelve patients received more than one C-ECT course. The majority of the patients maintained the improvement gained during the acute phase or showed further improvement with C-ECT along with ongoing pharmacotherapy as rated on appropriate scales. The Clinical Global Impressions-Severity (CGI-S) difference before and after C-ECTs was 2.94 (SD: 0.88).

Conclusions:
C-ECT is considered in only in a small proportion of patients. However, when used, it is effective in maintaining the benefits gained during the acute course of ECT and preventing relapse.
Evaluation of a manual-based training program in changing auxiliary nurse midwives (ANMs) knowledge, attitudes, and skills related to maternal mental health
Authors: Poreddi Vijayalakshmi , Gandhi Sailaxmi , Ramachandra  , Ganjekar Sundarnag , Desai Geetha , Chandra Prabha S. 
Published: June 2023

ABSTRACT

Background:
Globally, maternal mental health has been recognized as a priority public health issue. While it is crucial to integrate maternal mental health into mother and child health services, research on strengthening the knowledge and skills of primary healthcare providers on maternal mental health is limited in India.

Aim:
To evaluate the effectiveness of a manual-based training program in improving auxiliary nurse midwives (ANMs) knowledge, attitudes, and skills related to maternal mental health.

Methods:
The present study adopted an experimental design among ANMs (N = 110) working at primary health centers, Karnataka, India. The participants were randomly assigned to either experimental group (n = 53) or control group (n = 57). The training program delivered interactive sessions based on a facilitator’s manual developed specifically for ANMs in India. The assessments were done in both groups at baseline, after the intervention, at three months and at six months using self-rated questionnaires and a case vignette. The descriptive and inferential statistics were used to analyze the data.

Results:
After the training program the mean knowledge, attitudes and skills scores were significantly increased in the experimental group (P < 0.001) and significant differences were found between the mean scores of the groups at 3 months and 6 months follow-up (P < 0.05).

Conclusion:
The training program was found to have a positive impact in enhancing ANMs’ knowledge, attitudes, and skills related to maternal mental health in India as there is dearth for mental health professionals in primary care settings.
Dropout rates and reasons for dropout among patients receiving clozapine
Authors: Grover Sandeep , Mishra Eepsita , Chakrabarti Subho 
Published: June 2023

ABSTRACT

Background and Aim:
The present study aimed to assess the treatment dropout rates, reasons for treatment dropout, and clozapine discontinuation rate among patients attending a tertiary care center in North India.

Materials and Methods:
Clozapine data bank was used to identify patients on clozapine, and their treatment records were reviewed for the period Jan 2020–March 2020. Patients who did not follow-up at least once in the last 6 months were considered to have dropped out and were contacted telephonically to understand the reasons for dropout. Treatment records of those following up regularly were reviewed to check if clozapine was discontinued and if so, the reason for the same was evaluated.

Results:
Out of 671 patients on clozapine, 495 (73.8%) were still on regular follow-up and the remaining 176 (26.2%) had dropped out of treatment. Out of the 176 patients who had dropped out of treatment, 84 could be contacted. Common reasons for dropout were long distance from the hospital (n = 27), long waiting time for consultation (n = 8), no benefit with treatment (n = 17), side effects with medication (n = 10), moving away to another place (n = 6), refusal by the patient to follow-up (n = 7), patient improved and so did not feel the need to continue treatment (n = 7), and other reasons (n = 37).

Conclusion:
About one-fourth of patients who had started treatment with clozapine dropped out from the treatment. The most common reasons for dropout from treatment included long distance from the hospital and no benefit from treatment.
Self-Removing Antegrade Tethered Ureteric Stents After Tubeless Percutaneous Nephrolithotomy in the COVID-19 Era
Authors: Reddy Bathi Sourabh , Kulshreshtha Mayank , Reddy Suraj Jayadeva , Pillai Sunil , Chawla Arun , Shah Milap , Somani Bhaskar K. , Kankaria Sanket 
Published: June 2023

Purpose:
To assess the safety and efficacy of self-removing antegrade tethered stents after percutaneous nephrolithotomy (PNL) during the COVID-19 pandemic.

Materials and Methods:
Instead of routine placement of double-J stent which requires endoscopic removal, a tethered antegrade stent after tubeless PNL as an exit strategy followed by self-removal can obviate the need of early postoperative revisit. A prospective observational study in a university teaching hospital was conducted during the lockdown period from May 2021–June 2021 with the use of antegrade tethered stent in 30 patients and we studied the complications associated with it.

Results:
The average stone size among the patients was 2.4 cm (1.2–4.9). Postoperative visual analog scale (VAS) till the time of stent removal was 30.8 + 4.4 mm while the VAS at stent removal was 26.6 + 3.8 mm. None of the patients had urine leak or hemorrhage from the site of percutaneous access after self-removal of stent. Two (6.66 percent) patients had grade I and grade II modified Clavien–Dindo complication. The mean score of satisfaction with life scale (SWLS) Questionnaire was 31 (34–27). The present study demonstrates that tubeless PNL with antegrade tethered stent has the advantages of avoiding hospital visits for stent removal during COVID-19.

Conclusion:
The use of an antegrade threaded stent is safe, culminating in minimal morbidity and patient distress, and greater overall patient satisfaction.
Nuevas líneas pastorales para el Tercer Milenio. Evangelización y catequesis en el magisterio eclesial y en la reflexión catequética de los albores del siglo XXI
Authors: Alberich Sotomayor Emilio 
Published: June 2023

Los últimos diez años –prácticamente la década a caballo del año 2000– han sido muy fecundos en la reflexión y en el magisterio eclesial a propósito especialmente de la evangelización, la iniciación cristiana y la catequesis. Muchos documentos, publicaciones y experiencias quieren relanzar la acción evangelizadora y catequética por nuevos derroteros.
Teacher-Parent Communications to Foster Learners’ Performance in English
Authors: Dalapo Anub Cheryl 
Published: June 2023

Purpose: This action research aimed to determine the effectiveness of Teacher-Parent Communications in fostering the learners' performance in English of Francisco L. Adlaon High School, Carmen 2 District. It particularly examined the learners' performance in English before and after the intervention.
Approach/Methodology/Design: The study is quantitative and utilized a descriptive research design. A self-made summative test was utilized in the study. Eight (8) learners underperforming in English were subjected to the intervention through a pretest and post-test research design. With the help of their parents, learners were exposed to contextualized modules suited to their grade level.
Findings: The findings revealed that there was an increase of 5.25 points from 80.88 which is “Satisfactory” to 86.13 which is “Very Satisfactory” on the learners’ performance in English.
Practical Implications: This study provides valuable insights for educators, schools, and policymakers, emphasizing the need for fostering effective communication channels between teachers and parents to support students’ language learning and overall academic success.
Originality/value: The findings contribute to the existing body of knowledge by emphasizing the role of teacher-parent collaboration as a solution to academic problems and highlighting its significance in enhancing students' performance.
A IMPORTÂNCIA DOS BANCOS DE DENTES HUMANOS
Authors: Fragoso Verçosa Maria Vitória , Maciel de Andrade Ana Karina , Ramalho Sarmento Hugo , De Souza Alemán Josiane Aparecida , Venâncio Fernandes Dantas Raquel , Saeger Meireles Sônia , Franco Barros Mangueira Leite Dayane 
Published: June 2023

Objetivo: Revisar a literatura sobre a importância dos Bancos de Dentes Humanos (BDHs). Metodologia: Foram utilizadas as bases de dados BBO, Lilacs, SciELO, Google acadêmico e PubMed. Foram coletados artigos científicos completos relacionados ao tema, publicados entre os anos de 2013 e 2023, nos idiomas português e inglês. Os descritores em português e inglês respectivamente foram: “Bioética”/ ”Bioethics”, “Obtenção de Tecidos e Órgãos”/ “Tissue and Organ Procurement”, “Dente”/ ”Tooth” e “Educação em Odontologia”/ “Education, Dental”. Resultados: Foram selecionados 80 estudos, 24 foram excluídos por excederem o tempo delimitado de 10 anos. Após a leitura, 40 estudos foram descartados pelos critérios de exclusão, resultando em 16 artigos. Os BDHs são entidades autônomas de grande impacto no processo didático-científico dentro das instituições de ensino Odontológico e são fundamentais na aplicação da legislação vigente que tange a doação de órgãos no país. São competências dos BDHs: a arrecadação, a limpeza, o armazenamento e a distribuição dos dentes, assim como, a formulação de campanhas de conscientização e divulgação. Conclusão: A importância dos BDHs consiste em desempenhar função educativa de valorização do órgão dental e em disponibilizar elementos dentários humanos, que foram concedidos voluntariamente, para utilização em estudos anatômicos, treinamentos pré-clínicos e pesquisas científicas. A concessão e a utilização dos elementos extraídos permitem uma formação acadêmica prática e efetiva. Adicionalmente, são necessários mais estudos sobre BDHs para divulgação e conscientização da população em geral.
DISKRESI PENYIDIK KEPOLISIAN DALAM PENYELESAIAN PERKARA PIDANA MELAUI JALUR NON LITIGASI
Authors: Latif Udin 
Published: June 2023

Law enforcers in the Criminal Justice System are tasked with enforcing the law and aiming to tackle, prevent or foster and reduce the occurrence of crimes or violations of criminal law, as well as making people's lives safe, peaceful, controlled and synergistic.
Each component in the Criminal Justice system has the authority to screen cases starting at the investigative level in the form of police action which in practice is called investigator discretion. Police investigators use their discretionary authority to make efforts to settle cases outside the criminal justice system. The process of terminating an investigation carried out by an investigator is a form of police discretion, namely an authority exercised by the police based on their judgments and beliefs by prioritizing moral considerations rather than legal considerations.
Handwriting Quality: Psychometric Properties of Two Evaluation Scales With a Czech Sample
Authors: Čunek Lukáš , Ondřej Jan , Blažíčková Ivana , Pupíková Veronika , Lacko David , Prošek Tomáš , Šafárová Katarína 
Published: June 2023

Abstract
Importance: Approximately 7% to 30% of children contend with handwriting issues (HIs) in their school years. However, research studies to define and quantify HIs, as well as practical assessment tools, are lacking.
Objective: To confirm the validity and reliability of two screening scales for HIs: the Handwriting Legibility Scale (HLS) and the Concise Assessment Scale of Children’s Handwriting (BHK).
Design: Structural equation modeling (SEM) and confirmatory factor analysis (CFA) of five different models were used to examine the construct and discriminant validity of both scales. Furthermore, internal consistency and interrater agreement were evaluated. The association among scales, grades, and children’s self-evaluation was also explored.
Setting: Elementary schools and state counseling centers in the Czech Republic.
Participants: On a voluntary basis, 161 children from elementary schools and state counseling centers in the Czech Republic were enrolled. The variable of children with typical handwriting development versus HIs was missing for 11 children. Thus, for discriminant validity analysis, 150 data records from children were used.
Outcomes and Measures: The HLS and BHK were used to evaluate the handwriting quality of the transcription task. The Handwriting Proficiency Screening Questionnaires for Children was used for children’s self-evaluation.
Results: The study confirmed the validity and reliability of the shortened BHK and HLS. A strong relationship was found between the BHK and HLS, grades, and children’s self-evaluation.
Conclusions and Relevance: Both scales are recommended for occupational therapy practice worldwide. Further research should focus on developing standards and providing sensitivity studies.
What This Article Adds: Both the HLS and the BHK are recommended for occupational therapy practice. Practitioners should also take the child’s well-being into consideration in handwriting quality assessment.
ANALISIS KELAYAKAN USAHA AYAM BROILER DENGAN SISTEM KEMITRAAN PADA PETERNAKAN NURHADI DI DESA MON KEULAYU KECAMATAN GANDAPURA KABUPATEN BIREUEN
Authors: Muazzan Siddiq  , Teuku Muhammad Nur  
Published: June 2023

Penelitian ini telah dilaksanakan di usaha peternakan ayam broiler milik Bapak Nurhadi di Desa Mon Keulayu Kecamatan Gandapura Kabupaten Bireuen Provinsi Aceh, selama 1 tahun dari bulan Januari sampai dengan Desember 2021 (enam periode pemeliharaan). Penelitian ini bertujuan untuk mempelajari tingkat pendapatan usaha ayam broiler dengan pola kemitraan dan untuk mengetahui kelayakan usaha ayam broiler dengan pola kemitraan pada peternakan Nurhadi Desa Mon Keulayu Kecamatan Gandapura Kabupaten Bireuen. Komponen yang dipakai dalam evaluasi kelayakan usaha meliputi biaya produksi, penerimaan usaha dan pendapatan yang diperoleh dari usaha peternakan ayam broiler. Parameter yang diukur adalah dengan menggunakan indikator cost-benefit analysis yang meliputi: R/C Ratio, B/C Ratio, BEP dan Return On Investment (ROI). Hasil penelitian menunjukkan bahwa analisis kelayakan usaha ternak ayam broiler dengan skala usaha 36.000 ekor/tahun (6 Periode) menguntungkan sebagai usaha yang berorientasi agribisnis dimana keuntungan yang diperoleh sebesar Rp. 93.481.176 selama 6 periode (1 tahun), dan layak untuk dikembangkan dengan nilai R/C ratio > 1 dengan nilai 1,06 dan B/C ratio > 0 dengan nilai 0,06. Analisis BEP menunjukkan bahwa jumlah produksi lebih tinggi dari nilai BEP produksi (Produksi>BEP Produksi) yaitu sebanyak 72.938 kg/tahun dan BEP harga terlihat harga yang ditawarkan masih lebih rendah dari yang ditetapkan yaitu sebesar Rp. 19.752.-/kg sehingga telah memenuhi standar empiris dalam hitungan analisis titik impas. Sedangkan untuk Analisa Return On Investment (ROI) masih berada di angka 6,11 %, hal ini menunjukkan bahwa usaha peternakan ayam broiler Milik Bapak Nurhadi di Desa Mon Keulayu Kecamatan Gandapura Kabupaten Bireuen layak untuk dilanjutkan atau dikembangkan.
Syarikat Kapal Wap: Pencetus Pembangunan Ekonomi Bandar di Borneo Utara, 1883â€“1941
Authors: Rosli Mohamed Aliff 
Published: June 2023

Abstrak
Perkembangan pengangkutan kapal wap telah memberi kesan kepada pembangunan ekonomi bandar utama di Borneo Utara. Misi utama Kerajaan British North Borneo Company (BNBC) adalah untuk pembangunan ekonomi di Borneo Utara dari tahun 1883 hingga 1941. Penulisan tentang peranan syarikat kapal wap dalam pembangunan ekonomi bandar utama di Borneo Utara adalah sangat kurang. Penulisan yang ada hanya menyentuh tentang peranan syarikat kapal wap kepada kepesatan pelabuhan tanpa menerangkan peranannya kepada pembangunan ekonomi bandar utama di Borneo Utara. Makalah ini menerangkan secara terperinci tentang peranan yang dimainkan oleh syarikat kapal wap dalam pembangunan ekonomi bandar utama di Borneo Utara. Diharapkan makalah ini dapat dijadikan sebagai sumber rujukan untuk mengkaji sejarah pembangunan Borneo Utara dalam bidang perkapalan.
Abstract
The progression of the steamship transportation gave effect to the economic development of major urban in North Borneo. The main mission of the British North Borneo Company (BNBC) was for the economic development in North Borneo from 1883 to 1941. The writings on the role of steamship companies in the economic development of major urban in North Borneo is somewhat lacking. Existing writings only touch on the contribution of steamship companies to the development of ports in North Borneo without explaining its role in the economic development of the urban. This paper explains in detail the role played by steamship companies on the economic development of major urban in North Borneo. It is hoped that this article could be used as a source of reference to study the history of North Borneo development in the field of shipping.
Penyelidikan Arkeologi Versus Penerbitan: Pengalaman Sarawak
Authors: Ugong Nur Auni 
Published: June 2023

Abstrak
Penyelidikan arkeologi di Sarawak bermula pada tahun 1947 namun kajian berkaitan antikuitinya adalah lebih awal lagi. Hanya selepas tahun itu barulah kajian lebih aktif dilakukan oleh Muzium Sarawak dengan kerjasama pengkaji luar. Penemuan demi penemuan dilakukan telah menyumbang kepada perkembangan disiplin arkeologi dan penjelasan mengenai kebudayaan purba di Borneo serta Asia Tenggara. Kajian ini ada yang diterbitkan dan sebaliknya. Mengapakah hal ini berlaku? Seharusnya perlu ada saling melengkap antara penyelidikan dan penerbitan dalam disiplin arkeologi. Makalah ini akan membincangkan bentuk hubungan keduaÂ­-dua entiti ilmiah berkenaan berdasarkan pengalaman di Sarawak dalam tempoh lebih dari setengah abad yang lalu. Hasil perbincangan ini akan dapat membuktikan bahawa mengapa negeri ini dianggap sebagai negeri yang ke hadapan dalam kajian dan penerbitan berkaitan disiplin arkeologi pada hari ini.
Abstract
Archaeological research in Sarawak began in 1947 but its antiquity studies were earlier. Only after that year, more active studies have been carried out by the Sarawak Museum in collaboration with external researchers. Discovery after discovery has contributed to the development of archaeological disciplines and as well as explanations of ancient cultures in Borneo and Southeast Asia. The studies have been published and vice versa. Why does this happen? Supposedly there should be complementary interventions between research and publication in the discipline of archaeology. This article will discuss the relationship between these two scientific entities based on experience in Sarawak over the past half-century. The outcome of this discussion is to prove that the state of Sarawak is regarded as the leading state in the study and publication of archaeological disciplines today.