bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical profile of febrile encephalopathy patients at a tertiary care hospital in India: A retrospective study
Authors: Sengupta Sanjeev , Shukla Ashish Kumar , Kishore Kunal , Goel Jitesh , Ghosh Amlan 
Published: September 2023

Objective:
To investigate demography, etiology, and clinical profile and to analyze the outcomes of patients presenting with febrile encephalopathy at a tertiary care center in Eastern India.

Methods:
This retrospective, observational study included a total of 50 patients (>18 years) who presented with fever and encephalopathy. All patients underwent blood analysis; culture test for blood, urine, sputum, cerebrospinal fluid, and other body fluids; chest and abdominal ultrasonography; neuroimaging; polymerase chain reaction test, and other relevant tests as and when applicable.

Results:
The mean age of all enrolled patients was (58.0±16.0) years with male to female ratio of 1.27:1. Viral encephalitis was diagnosed in 16 (32%) patients, sepsis-associated encephalitis in 14 (28%), bacterial meningoencephalitis in 8 (16%) and tuberculosis meningoencephalitis in 5 (10%). The mean hospital stay was 10 (4, 17) days. At 6-month follow-up, 10 (20%) patients died, 10 (20%)patients recovered with sequelae (cognitive impairment, critical careneuropathy, etc.), and 30 (60%) patients recovered without sequelae. A statistically significant association was noted between GlasgowComa Scale (<8) and mortality rate (P=0.02).

Conclusions:
Primary central nervous system infection is the mostfrequent etiology of febrile encephalopathy and viral encephalitisis the most common etiological cause. Accurate, systematic, timelydiagnosis and management are prime factors to reduce mortality andmorbidity.
Molecular and Antigen Detection, Phylogenetics, and Immunoinformatics Study of the Zoonotic Coronavirus in Iranian Diarrheic Calves
Authors: Enayati Soodeh , Ranjbar Mohammad M. , Hooshmandi Soodeh , Ahangarzadeh Shahrzad , Aboutalebian Shima 
Published: September 2023

Background:
Bovine coronaviruses (BCoVs) are zoonotic diseases that result in substantial economic losses due to mortality, impaired growth, and increased medication expenses in large animals. These viruses pose a risk to children who live beside infected animal, as they can cause diarrhea. This study was dedicated to molecular and antigen detections and phylogenetic and immunoinformatics analysis of zoonotic coronavirus (CoV) in Iran.

Materials and Methods:
A total of 77 diarrheic samples were collected from Holstein dairy herds in selected provinces of Iran. Samples were tested by capture antibody enzyme-linked immunosorbent assay (ELISA) to detect CoV and reverse transcriptase–polymerase chain reaction (RT–PCR) for verification of detection and also genotyping of spike glycoprotein in CoV-positive samples. After statistical analysis, nucleotide sequence alignment, and nucleotide and protein phylogenetic tree construction, the centralized sequence for vaccine strains was obtained using computationally optimized broadly reactive antigen (COBRA)'s center-of-the-tree (COT) method.

Results:
Twenty-two (28.5%) and eight (10.3%) of 77 samples were positive according to RT–PCR and ELISA, respectively. (Basic Local Alignment Search Tool) BLAST and phylogenetic analysis revealed that most similar sequences to the Iranian CoV sequence were for European countries. Furthermore, there were strong correlations to other CoVs in humans and wild and domesticated animals. As CoV has variable COT, the most recent strains and COBRA vaccine strains were obtained.

Conclusion:
Based on the high prevalence of this viral disease in calves and its economic impact on the breeding industry, as well as the potential transmission to humans and correlation with World Health Organization (WHO) One Health approach guidelines, the study emphasizes the importance of implementing preventive strategies such as animal vaccination.
Evaluation of Effects of Scaling with and without Polishing on Oral Hygiene Clinical Parameters – A Concurrent Parallel Randomized Trial
Authors: Shanmugam Shankar , Sundararajan Shanmathi , Yasin Mohamed , Muthu Karthikka Sai , Shavi Girish R. , Murali Kruthika 
Published: September 2023

Introduction:
Good oral health is a crucial indicator of overall well-being. Oral hygiene maintenance and care is the practice of keeping the oral cavity clean and disease free. The main objective of this study was to evaluate the effects of scaling and polishing on oral hygiene clinical parameters at different intervals.

Materials and Methods:
A concurrent parallel randomized trial was carried out among 60 college students in the Namakkal district. Subjects were randomly assigned into two groups, the scaling followed by the polishing group and the scaling without polishing group. This was a three-point assessment (baseline, 2nd week, and 3rd week) for plaque, gingival, and marginal line calculus index scores. Data were analyzed using parametric tests: independent t-test and repeated measures ANOVA.

Results:
A statistically significant difference was found for all three clinical parameters at the final 3rd-week follow-up between the two groups. Between the intervals, both the groups had a significant difference (P < 0.05) for plaque, gingival, and calculus index.

Conclusion:
Scaling followed by polishing had better results when compared to scaling without polishing. Microlocal irregularities, caused by scaling procedures, might be the cause for further accumulation of debris which can be reduced by polishing procedures.
An Analysis of Psychiatric Morbidity and Its Related Factors in Ambulance Workers
Authors: Lebimoyo Azizat Abiodun , Sanni Mumtaz Oladipupo 
Published: September 2023

Abstract

Objectives:
Ambulance workers belong to a high-risk occupational group, facing constant threats to their health and lives. Therefore, they are prone to mental health problems such as burnout, depression, and anxiety. A review of the literature has shown a scarcity of data concerning the magnitude and predictors of these psychiatric morbidities among Nigerian ambulance workers. In this study, we intended to determine the prevalence of burnout, the prevalence and predictors of depression and anxiety, as well as the relationship between burnout, depression, and anxiety among ambulance workers in Lagos, Nigeria.

Methods:
This was a cross-sectional study of 94 ambulance workers who were chosen using systematic random sampling. Copies of questionnaire used were the Maslach Burnout Inventory, the Hospital Anxiety and Depression Scale, as well as a sociodemographic questionnaire.

Results:
Mean scores ± standard deviation for burnout were emotional exhaustion (EE) 12 ± 9, depersonalization (DP) 7 ± 3, and personal achievement (PA) 36 ± 12. Furthermore, 12%, 34%, and 61% of the sample had high EE, high DP, and low PA, respectively. The prevalence of 34% and 52% was reported for depression and anxiety, respectively. Predisposing factors for depression were significantly to be female gender (p < 0.05), being married (p = 0.01), junior cadre (p < 0.05), and EE (p = 0.001). For anxiety, junior cadre (p < 0.01), EE (p < 0.01), and PA (p = 0.001) were predisposing factors.

Conclusion:
Ambulance workers suffer from diverse forms of psychiatric morbidities which have long-term effects on their mental health. There is a need for more support systems for ambulance workers to avert the occurrence of emotional problems in them.
Multivariable Prediction Models for Traumatic Spinal Cord Injury: A Systematic Review
Authors: Hakimjavadi Ramtin , Basiratzadeh Shahin , Wai Eugene K. , Baddour Natalie , Kingwell Stephen , Michalowski Wojtek , Stratton Alexandra , Tsai Eve , Viktor Herna , Phan Philippe 
Published: September 2023

Background:
Traumatic spinal cord injuries (TSCI) greatly affect the lives of patients and their families. Prognostication may improve treatment strategies, health care resource allocation, and counseling. Multivariable clinical prediction models (CPMs) for prognosis are tools that can estimate an absolute risk or probability that an outcome will occur.

Objectives:
We sought to systematically review the existing literature on CPMs for TSCI and critically examine the predictor selection methods used.

Methods:
We searched MEDLINE, PubMed, Embase, Scopus, and IEEE for English peer-reviewed studies and relevant references that developed multivariable CPMs to prognosticate patient-centered outcomes in adults with TSCI. Using narrative synthesis, we summarized the characteristics of the included studies and their CPMs, focusing on the predictor selection process.

Results:
We screened 663 titles and abstracts; of these, 21 full-text studies (2009-2020) consisting of 33 distinct CPMs were included. The data analysis domain was most commonly at a high risk of bias when assessed for methodological quality. Model presentation formats were inconsistently included with published CPMs; only two studies followed established guidelines for transparent reporting of multivariable prediction models. Authors frequently cited previous literature for their initial selection of predictors, and stepwise selection was the most frequent predictor selection method during modelling.

Conclusion:
Prediction modelling studies for TSCI serve clinicians who counsel patients, researchers aiming to risk-stratify participants for clinical trials, and patients coping with their injury. Poor methodological rigor in data analysis, inconsistent transparent reporting, and a lack of model presentation formats are vital areas for improvement in TSCI CPM research.
THE EFFECT OF SUBCUTANEOUS TUNNELING ON EXTERNAL LUMBAR DRAINAGE COMPLICATIONS
Authors: UYSAL Ece 
Published: September 2023

Introduction
Patients with a lumbar catheter become prone to infection due to the outflow of CSF. This research aimed to investigate how tunneled lumbar drainage affected infection in patients undergoing lumbar drainage.
Materials and Methods
This study was conducted on patients with lumbar drainage who were hospitalized for various clinical reasons. Subcutaneous drain length was measured by post-procedural lumbar tomography. The length of the lumbar drainage catheter, the duration of lumbar drainage, fever monitoring, CSF leakage, biochemical blood tests, the length of hospitalization, infection were recorded.
Results
This study comprised a total of 93 cases with external lumbar drainage. 51 (54.8%) of the 93 cases were inserted using the classic technique, 42 (45.2%) were inserted using the tunneled technique. The rate of CSF leakage was decreased using the tunneling approach (p = 0.003). A significant correlation was established between CSF leakage around the drain and subcutaneous drain length. CSF culture was negative in 78.8% of patients with subcutaneous drain lengths between 0 cm and 3 cm, and 100% of patients with subcutaneous drain lengths of 5 cm or more. Seven days or less was the cutoff value for negative CSF culture.
Conclusion
External lumbar draining can lead to issues such as infection and CSF leakage. The tunneling procedure is straight forward, affordable, and successfully prevents these complications.
PENGARUH SIKAP EMPATI TENAGA KESEHATAN TERHADAP KEPUASAN PASIEN: META ANALISIS
Authors: Rahayuningsih Lilik Anggar Sri , Cahyaningrum Nopita 
Published: September 2023

Kepuasan pasien merupakan harapan yang di inginkan masyarakat dalam memperoleh pelayanan kesehatan. Kepuasan pasien merupakan gambaran mutu pelayanan, apabila pasien merasa puas maka dapat dinyatakan pelayanan kesehatan bermutu. Salah satu dimensi mutu dalam pelayanan kesehatan yaitu empati. Sikap empati tenaga kesehatan yaitu hubungan komunikasi yang baik dan memahami kebutuhan pasien. Dimensi ini sangat berperan dalam memenuhi kepuasan pasien karena langsung berhadapan dengan pasien. Penelitian ini bertujuan untuk menganalisis pengaruh sikap empati tenaga kesehatan terhadap kepuasan pasien. Metode yang digunakan yaitu meta analisis dilakukan dengan PICO sebagai berikut: Populasi pada penelitian ini adalah pasien. Intervensi berupa tenaga kesehatan dengan sikap empati. Comparison berupa tenaga kesehatan tidak bersikap empati. Outcome berupa peningkatan kepuasan pasien. Studi meta-analisis diterapkan pada penelitian ini dengan sumber data elektronik: Google Scholar dan Pubmed. Artikel yang digunakan adalah artikel full-text dengan desain studi Cross sectional. Terdapat 6 artikel yang digunakan dalam penelitian ini yang dianalisis menggunakan aplikasi Review Manager 5.3. Sebanyak 6 artikel dengan studi Cross sectional berasal dari Negara Indonesia, Malaysia dan China menunjukkan bahwa sikap empati petugas efektif untuk meningkatkan kepuasan pasien pengaruh tersebut secara statistik signifikan (aOR = 2.10; CI 95% = 1.72 hingga 2.56; p<0.001). Kesimpulan: Sikap Empati petugas kesehatan efektif meningkatkan kepuasan pasien.
The First Epistle to the Corinthians, Revised Edition
Authors: Fee Gordon D. 
Published: September 2023

This landmark commentary, originally published in 1987, has been lauded as the best study available of Paul's theologically rich first letter to the Corinthians. Writing primarily for pastors, teachers, and students, Gordon Fee offers a readable exposition of 1 Corinthians that clearly describes the meaning of Paul's ideas and their larger theological relevance.
Fee's revised edition is based on the improved, updated (2011) edition of the NIV, and it takes into account the considerable scholarship on 1 Corinthians over the past twenty-five years. Fee has also eliminated “chapter and verse” language — totally foreign to Paul's first-century letter — relegating the necessary numbers for “finding things” to parentheses.
Luke
Authors: Spencer F. Scott 
Published: September 2023

The story Luke tells in his gospel, says F. Scott Spencer, is “a compelling, complex narrative confession of faith in God. To what degree anyone joins Luke in that faith journey is up to them, but any responsible interpreter must attend considerately to Luke's theological roadmap.”
In this latest addition to the Two Horizons New Testament Commentary series, Spencer integrates close textual analysis of Luke's unfolding narrative with systematic theology, spiritual formation, philosophical inquiry, and psychological research. With section-by-section commentary, Spencer highlights the overriding salvific message that runs through Luke's gospel. Pastors, scholars, and students alike will benefit from Spencer's insight into Luke's theological significance.
The Letter of James
Authors: McKnight Scot 
Published: September 2023

Scot McKnight here explains the Letter of James both in its own context and as it may be seen in light of ancient Judaism, the Graeco-Roman world, and emerging earliest Christianity.
From beginning to end, the book is shaped for pastors, teachers, and scholars. McKnight is less interested in shedding new light on James than on providing a commentary for those who want to explain the letter and its significance to congregations and classes.
This commentary is accessible to a broad readership, at once full of insight and of good sense and wit that makes for good reading. The Letter of James is an especially helpful source for consultation as to what James is about.
The Letters to Timothy and Titus
Authors: Yarbrough Robert W. 
Published: September 2023

The Pastoral Letters—1 Timothy, 2 Timothy, and Titus—have made an enduring contribution to understanding the role of pastors in the church. With a spirited devotion to the text, Robert Yarbrough helps unlock the meaning of these short but rich letters in this commentary.
In keeping with the character of Pillar New Testament Commentary volumes, The Letters to Timothy and Titus offers a straightforward reading of these texts. Their primary concerns—God, salvation, and the pastoral task—remain central to Yarbrough’s thorough and comprehensive exegesis. Engaging with the best scholarship and resources, Yarbrough shows how these letters are as relevant today as they were to the early Christians.
The Gospel of Matthew
Authors: Wilson Walter T. 
Published: September 2023

What was the original purpose of the Gospel of Matthew? For whom was it written? In this magisterial two-volume commentary, Walter Wilson interprets Matthew as a catechetical work that expresses the ideological and institutional concerns of a faction of disaffected Jewish followers of Jesus in the late first century CE. Wilson’s compelling thesis frames Matthew’s Gospel as not only a continuation of the biblical story but also as a didactic narrative intended to shape the commitments and identity of a particular group that saw itself as a beleaguered, dissident minority. Thus, the text clarifies Jesus’s essential Jewish character as the “Son of David” while also portraying him in opposition to prominent religious leaders of his day – most notably the Pharisees – and open to cordial association with non-Jews.
Through meticulous engagement with the Greek text of the Gospel, as well as relevant primary sources and secondary literature, Wilson offers a wealth of insight into the first book of the New Testament. After an introduction exploring the background of the text, its genre and literary features, and its theological orientation, Wilson explicates each passage of the Gospel with thorough commentary on the intended message to first-century readers about topics like morality, liturgy, mission, group discipline, and eschatology. Scholars, students, pastors, and all readers interested in what makes the Gospel of Matthew distinctive among the Synoptics will appreciate and benefit from Wilson’s deep contextualization of the text, informed by his years of studying the New Testament and Christian origins.
The Gospel and Letters of John
Authors: von Wahlde Urban C. 
Published: September 2023

This radically new, three-volume commentary by Urban von Wahlde on the Gospel and Letters of John is the most detailed study of the composition of the Johannine literature ever put forth by an American scholar.
Some of the most serious problems involved with interpreting John are due to the complex history of the Gospel's composition. While many scholars overlook the various inconsistencies and conflicting “voices” present in this Gospel, von Wahlde painstakingly examines them, exposing the distinct stages — and literary strata — in the Johannine tradition and showing how each represents a further theological development. His thorough and precise exegesis will lead readers to a fuller understanding of both the Gospel and the Letters in all their richness.
In this second volume, von Wahlde provides a detailed commentary on the Gospel of John. He includes his own translation from the Greek (with material from each edition of the Gospel indicated by typeface) along with detailed notes on individual verses. He also sets forth a developmental commentary that shows the meaning of each passage — and how and why the meaning may have changed throughout the Gospel's development — and he demonstrates how individual passages contribute to the overall structure and "religious thought" of the Gospel at each point in its composition and in its present form.
The Gospel according to Luke
Authors: Edwards James R. 
Published: September 2023

In keeping with the Pillar New Testament Commentary’s distinctive character, this volume by James R. Edwards on Luke gives special attention to the Third Gospel’s vocabulary and historical setting, its narrative purpose and unique themes, and its theological significance for the church and believers today.
Though Luke is often thought to have a primarily Gentile focus, Edwards counterbalances that perspective by citing numerous evidences of Luke's overarching interest in depicting Jesus as the fulfillment of God's providential work in the history of Israel, and he even considers the possibility that Luke himself was a Jew. In several excursuses Edwards discusses particular topics, including Luke's infancy narratives, the mission of Jesus as the way of salvation, and Luke's depiction of the universal scope of the gospel.
While fully conversant with all the latest scholarship, Edwards writes in a lively, fluent style that will commend this commentary to ministers, students, scholars, and many other serious Bible readers.
Spectrum of Intestinal Parasitic Infections in Paediatric Population in A Tertiary Care Hospital
Authors: Sadiq Iqra , Mirza Irfan Ali , Khursheed Umer , Irfan Rafia , Sana Fatima , Akhtar Mahtab 
Published: September 2023

Objectives: To determine the frequency of parasites detected in stool samples of children with symptoms of parasitic infections.
Study Design: Cross-sectional study.
Place and Duration of Study: Department of Microbiology, Armed Forces Institute of Pathology, in collaboration with Paediatrics Department of Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jan to Jul 2020.
Methodology: A Total of 138 stool samples were collected from children who were admitted or presented in the outdoor department and had symptoms of intestinal parasitic infections. Youngsters who had been dewormed within the previous six months or whose samples arrived at the lab more than three hours after the collection were not included. Stool samples were examined visually and by using a saline preparation followed by a method that involved the concentration of formal ether. This was done to determine the different kinds of trophozoites, adult worms, and eggs or cysts that parasites produce.
Results: The study found that intestinal parasites were moderately prevalent (26.81%) among the pediatric population, with Giardia lamblia (54.05%) being the most frequent, followed by Entamoeba histolytica (35.14%) and Ascaris lumbricoides (5.41%).
Conclusion: It is recommended to guarantee the accessibility of purified drinking water to decrease the incidence of parasitic infections within our populace.