bluuebunny/crossref_metadata_2025_split huggingface dataset:
Role of dietary habits in menstrual disorders among adolescent girls in Navi Mumbai, Western Maharashtra
Authors: Talekar Vaishali , Singh Maharaj , Kamble Kalpana , Mane Dhirajkumar 
Published: April 2023

BACKGROUND:
India is a developing country where malnutrition is the most common problems; we are dealing with emerging problems of consumption of convenience food and street food. These foods are easily available, awesome taste, have some packages and advertisements which attracts the new generations and skipping meals starts. Adolescent girls are getting the problems of overweight, underweight, thyroid disorders, anemia, and other hematological disorders. Ultimate aim of this research is to find out an association about between dietary habits and menstrual disorders in adolescent girls.

METHODOLOGY:
An observational study was carried out in adolescent girls of MGM School, Navi Mumbai, India, from October 2021 to December 2021, to find out the relation between dietary pattern verses menstrual disorders among adolescent girls. Numerical pain scale, modified women's health questionnaire, and daily diary were used to collect data from 100 adolescent girls. Nonprobability purposive sampling technique was used to select adolescent girls.

STATISTICAL ANALYSIS:
Statistical analysis was done using SPSS 24.0 software.

RESULTS:
The average age of menarche was 12.9 ± 2.7 years. The study showed that girls experienced moderate menstrual pain (54%), severe menstrual pain (21%), and premenstrual symptoms in 36% of adolescence girls. More than 42% of participants were eating street food and many of the girls had habits of skipping the meals in the afternoon. It was found that there was a significant association between dietary habits and menstrual problems (P ≤ 0.0001). The correlation coefficient between dietary habits and menstrual disorders was identified as r = 0.7 with P < 0.05.

CONCLUSION:
The menstrual disorders were arising problems among girls of schools of Navi Mumbai. Daily intake of appropriate amount of protein, CHO, fat, vitamins, and minerals can help reduce menstrual problems facing by adolescent girls.
Efficacy of Radiofrequency Lesioning for Chronic Spinal Pain
Authors: Gautam Sujeet , Singh Pratibha , Gopal Vineetha G. , Agarwal Anil , Kumar Sanjay , Khuba Sandeep , Shamshery Chetna 
Published: April 2023

Introduction:
Facet joint pain, discogenic pain, sacroiliac joint (SIJ) pain, and radicular pain are chronic spinal pain conditions, where radiofrequency (RF) lesioning has been used so far with variable results. It is always desired to choose a therapeutic option based on its current evidence. The present systematic review has focused on the efficacy of RF lesioning for chronic spinal pain conditions.

Methods:
A literature search was done in PubMed from the year 1966 onward. The basic idea of the literature search was to find out studies focusing on RF lesioning for chronic spinal pain. The randomized controlled trials and observational studies focusing on RF lesioning for chronic spinal pain of more than 3 months duration have been included in this review.

Results:
A total of 286 studies have been identified after literature search and assessed for inclusion in this review. Forty-two of these studies meeting the inclusion criteria have been included for the formulation of evidence; 26 of these studies were of high quality, 14 were of moderate quality, and 2 were of low quality as per Cochrane review criteria score. The level of evidence for RF lesioning of conditions giving rise to nonradicular pain is Level I for continuous RF lesioning of lumbar facet medial branch, for both short- and long-term effectiveness; level II evidence for continuous RF lesioning of cervical facet medial branch, continuous RF or cooled RF lesioning of SIJ and bipolar cooled RF in intradiscal biacuplasty for discogenic pain, for both short- and long-term effectiveness; level III evidence for continuous RF lesioning of thoracic facet medial branch. For radicular pain management, there is Level II evidence for dorsal root ganglion (DRG) pulsed RF lesioning, for both short- and long-term effectiveness.

Conclusion:
The evidence for RF lesioning of chronic spinal pain is summarized as follows:
Correlation of Cephalo-Facial Parameters with Body Height in Indian and African Students of a University in North India
Authors: Nair Sreekala C. , Samanta Prajna Paramita , Kharb Poonam 
Published: April 2023

Introduction:
In forensic anthropology, body height or stature estimation is important for identification of missing persons. Stature has a proportional relationship with different parts of the human body including cephalo-facial region. The cephalo-facial indices are different for different people. Therefore, they may help in stature reconstruction and identification of a person. The study was conducted to find out if there is any correlation between four cephalo-facial parameters and body height and to derive regression formulae in Indian and African students.

Material and Methods:
The present study was conducted on 170 students of a University in North India belonging to two different races, i.e., Indian (85) and African (85). Stature and four cephalo-facial dimensions, i.e., maximum head length (MHL), horizontal head circumference (HHC), morphological facial length (MFL) and bigonial diameter (BD) were measured. The data were analyzed using SPSS software version 15.

Results:
In both Indian and African students all the four cephalo-facial parameters, i.e., MHL, HHC, MFL, and BD showed a positive correlation with stature (P < 0.001). It was found that in Indians the strongest correlation of stature was with MHL and least correlation was with HHC. In Africans, the highest correlation was observed with MHL and lowest with BD.

Discussion and Conclusion:
In this study, it was found that among the cephalo-facial parameters, cephalic parameters are more reliable than facial parameters. Out of the two cephalic parameters HHC was found to be more reliable than MHL in the estimation of stature in both Indian and African students. The regression equations derived turned out to be population/race-specific and therefore, cannot be generalized for all population groups.
Health-promoting domains and lifestyle of a sample of Brazilian adolescents
Authors: Guedes Dartagnan Pinto , Zuppa Marizete Arenhart , Yamaji Bruna Hatsue Santos 
Published: April 2023

BACKGROUND:
Reports indicate that the health habits of adults are strongly linked to the behaviors incorporated in adolescence. Therefore, it is essential to monitor the lifestyle of adolescents to promote their present and future health. This study aimed to identify differences in health-promoting domains according to demographic data and lifestyle behaviors, including physical activity, sedentary behavior, sleep duration, and food intake, in a sample of Brazilian adolescents.

MATERIALS AND METHODS:
Cross-sectional school-based study, with the participation of 306 adolescents aged 14 to 18 years. A questionnaire was applied with structured questions to collect demographic data and lifestyle behaviors. To examine the health-promoting domains the Adolescent Health Promotion Scale (AHPS) was used. Data were analyzed using multivariate analysis.

RESULTS:
Scores attributed to each of the health-promoting domains showed substantial variations according to sex, age, year of study, parents' schooling, and family economic class. After adjustment for covariables, the adolescent who presented significantly higher scores equivalent to the overall index of health promotion reported being more physically active (F = 4.848; P = 0.009), sleeping 6–8 hours/night (F = 2.328; P = 0.046), consuming fruit/vegetable more frequently (F = 3.168; P = 0.024), while sedentary behavior and intake of sweetened products/soft drinks have not shown any significant effect.

CONCLUSION:
The findings confirmed the consistent positive influence of health-promoting domains assessed by AHPS on healthy lifestyle behaviors, suggesting in the intervention programs aimed at adopting healthy lifestyle approaches it is important enough to contemplate actions aimed at all the areas of health promotion with characteristics aimed at nutrition behavior, social support, health responsibility, life appreciation, exercise behavior, and stress management.
Psychometric properties of Persian version of child and youth resilience measure-revised in children
Authors: Aghebati Asma , Khosrovanmehr Najmeh , Mohammadi Gelavizh , Farahani Hojjatolla , Ahadianfard Pantea 
Published: April 2023

BACKGROUND:
Resilience is both the individuals' capacity to navigate their way to the resources that sustain their well-being in the context of exposure to adversity and their capacity to negotiate for resources to be accessed. Hence, it is crucial for clinical settings and research centers to have access to a valid and reliable scale that can measure different components of resilience. This study aimed to determine the psychometric properties and cultural adaptation of the Persian version of the Child and Youth Resilience Measure-revised (CYRM-R) in Children.

MATERIALS AND METHODS:
This cross-sectional study includes the standard procedure of translation of the CYRM-R and Person Most Knowledgeable–Child and Youth Resilience Measure–revised (PMK-CYRM-R), exploration of the goodness-of-fit, and confirmatory factor analysis (CFA) of a sample of 200 parents or caregivers and their children aged 5 to 9 years who were selected by convenient sampling in Tehran, Iran. CYRM-R, PMK-CYRM-R, and The Strengths and Difficulties Questionnaire (SDQ) were completed by participants. Also, internal consistency, face, content, and criterion validity were investigated.

RESULTS:
A two-factor structure of CYRM-R for Iranian children was identified by CFA: Personal and Caregiver. Results indicated adequate goodness-of-fit and strong internal consistency (Cronbach's alpha = 0.88). Acceptable face, content, and criterion validity of the CYRM-R were reported by positive correlation to the PMK-CYRM-R. No significant relation was found between CYRM-R and SDQ.

CONCLUSION:
Findings of the present study support the robust psychometric properties and cultural adaptation of the CYRM-R in Iranian children.
Impact of Covid-19 lockdown on sleep quality, physical activity, and body weight among university students: A retrospective cross-sectional study
Authors: Vanoh Divya , Juanis Allyanna Willma 
Published: April 2023

BACKGROUND:
Covid-19 lockdown had caused lifestyle changes especially in sleep, physical activity, and body weight. Thus, this study aimed to determine the weight changes before and after the lockdown period and further assessed the association between sleep quality, physical activity, and body mass index (BMI).

MATERIAL AND METHODS:
This was a retrospective cross-sectional study involving 107 undergraduate students in Universiti Sains Malaysia. Subjects recalled information during the first lockdown implemented in Malaysia from early March 2020 to July 2020. The questionnaire consisted of socio-demography, anthropometry, and physical activity using International Physical Activity Questionnaire and sleep quality using Pittsburgh Sleep Quality Index. Chi-square analysis was used to determine the association between the variables using Statistical Package for Social Sciences software version 26.0.

RESULTS:
There was a significant increase of 1.8 kg in weight before and after the lockdown period. The majority of respondents had poor sleep quality (80.4%) and low physical activity (60.2%), respectively. Almost 29% of the subjects had sleep latency of more than 30 min while 69.1% of them had sleep duration of <7 h. There was no significant association between sleep quality and BMI as well as physical activity and BMI.

CONCLUSION:
Our study demonstrated that the prevalence of poor sleep quality and low physical activity among university students was high during Covid-19 confinement. Moreover, youths have a significant increase in body weight during the lockdown period. Thus, university students may adopt exciting leisure activities to keep themselves active such as doing meditation or joining online exercise classes.
Designing an acceptance model and using public health apps by Iranian users
Authors: Ghalyan Shahrzad , Heydarinejad Sedighe , Nouri Rasool , Khatibi Amin 
Published: April 2023

BACKGROUND:
Nowadays, there are hundreds of mobile applications related to sports, health and fitness. The benefits of using mobile phones in physical activity can be seen in the increasing use of mobile health applications. The purpose of this study was to design a behavioral model of acceptance and use of public health apps by Iranian users.

MATERIALS AND METHODS:
The present study was a qualitative and exploratory approach that was conducted based on the theme analysis method (team). The statistical population included programmers and designers of sports programs and academic specialists in the field of sports and computers. Data collection was performed through review of documents, backgrounds and semi-structured interviews. The interviews were conducted in person or by telephone and each interview lasted about 20 to 40 minutes.

RESULTS:
In total, 249 key points with marker codes were extracted from 14 interviews which were classified into 21 sub-themes and 6 main themes (app quality, digital literacy, social influences, facilitating conditions, intention to use, trust and accept the app. Finally, the pattern of acceptance and use of health apps by Iranian users were presented in accordance with UTAUT theory.

CONCLUSION:
The results of this study can help the officials of the federation, public sports boards and clubs to use information and communication technology as a media in their strategies and programs to develop sports and health at the community level. It also contributes to social vitality and improves the quality of life of individuals.
Translation, cross-cultural adaptation and validation of the Persian version of selected PROMIS measures for use in lumbar canal stenosis patients
Authors: Oskouie Iman M. , Rostami Mohsen , Moosavi Mersad , Zarei Mohammad , Jouibari Morteza Faghih , Ataie Hosienali , Jafarieh Arash , Moghadam Navid , Kordi Ramin , Khadivi Masoud , Mazloumi Adel 
Published: April 2023

BACKGROUND:
The National Institutes of Health (NIH) developed a new measurement system called the Patient-Reported Outcomes Measurement Information System (PROMIS) which can be used for multiple health conditions. The 29-item short form (PROMIS-29) with seven domains was more often used by clinical researchers to measure the physical function, mood and sleeping status of patients with low back pain (LBP). Translation of the PROMIS into multiple languages and adaptation of its application in different cultural diversities can help to further standardize clinical research studies and make them comparable to each other. This study aimed to cross-culturally adapt the PROMIS-29 into Persian (P-PROMIS-29) and evaluate the construct validity and reliability of the translated questionnaire among patients with lumbar canal stenosis.

MATERIALS AND METHODS:
The translation was conducted by using the multilingual translation methodology guideline. Construct validity, internal consistency, and test–retest reliability at a two-week interval for the P-PROMIS-29 were calculated. Construct validity was assessed by calculating correlations between the P-PROMIS-29 with Oswestry Disability Index (ODI) and Roland–Morris results.

RESULTS:
The study sample included 70 participants with lumbar canal stenosis. Internal consistencies were moderate to good with Cronbach's alpha ranging from 0.2 to 0.94. The test–retest reliability evaluation was excellent with intraclass correlation coefficients (ICCs) ranging from 0.885 to 0.986. Construct validity of different domains of P-PROMIS-29 were moderate to good, with Pearson's correlation coefficient results ranging from 0.223 to 0.749.

CONCLUSION:
Our results showed that P-PROMIS-29 is a valid and reliable measurement tool for evaluation of patients with lumbar canal stenosis.
Assessment of Perceived Stress During Corona (COVID-19) Pandemic Among Health-Care Workers
Authors: Jain Akhilesh , Jain Naman , Goyal Manish Kumar , Goyal Ashok , Yadav Kuldeep Singh , Yadav Rakshit 
Published: April 2023

Introduction:
The pandemic of COVID-19 has caused both physical and psychological suffering not only to the general population but also to health-care workers (HCWs). Assessment of mental stress in HCWs is important as they have played a crucial role during this pandemic. Hence, this study was planned to assess the level of stress in HCWs during the COVID-19 pandemic.

Materials and Methods:
A total of 312 subjects were included by purposive sampling method in this cross-sectional study. A self-designed pro forma was used to collect sociodemographic details of subjects. The Hindi version of the perceived stress scale (PSS)-10 was used to assess stress. The data were analyzed using IBM SPSS version 28.

Results:
The level of perceived stress was significantly higher in HCWs working in government hospitals and quarantine services. Similarly, paramedical personnel and nursing staff were found to have more median PSS levels (18 and 16, respectively) as compared to doctors and others (15 and 16, respectively), and this observation was also significant in our study (P = 0.007). Although not statistically significant, stress was more among female HCWs, those from nuclear family, younger age group, and those who had been taking treatment for some psychiatric illness.

Conclusion:
There is a need to assess the ongoing stress among HCWs and address the contributing factors, thus enabling them to perform their duties more effectively and optimally.
Concurrent Chemoradiotherapy in Squamous Cell Carcinoma of the Anal Canal: A Tertiary Care Experience in North India
Authors: Tali Tavseef Ahmad , Amin Fiza , Sofi Shahid Rashid , Sofi Mushtaq Ahmad , Khan Nazir Ahmad , Najmi Arshad Manzoor , Rasool Malik Tariq , Wani Shaqul Qamar , Dar Nazir Ahmad 
Published: April 2023

ABSTRACT

Aim:
The aim of this study was to study the treatment outcome and survival of squamous cell carcinoma anal canal using concurrent chemoradiotherapy in a tertiary care hospital.

Materials and Methods:
This was a retrospective study performed in our hospital, in which all necessary clinical and epidemiological details of the 38 cases diagnosed with squamous cell carcinoma anal canal from January 2015 to December 2021 were analyzed.

Results:
Most patients were male in gender, 22 (57.90%) and 16 (42.10%) were females, with a male: female ratio of (1.37:1). All patients received concurrent chemoradiation as the definitive treatment. The mean 5-year survivals were (48 months). Five years of overall survival was 68% and for clinical stage I, II, and III was 100%, 64%, and 37%, respectively.

Conclusion:
The standard of care for stage I to III anal squamous cell carcinoma is concurrent chemoradiotherapy with 5-fluorouracil and mitomycin-C with excellent response rates.
Spatially Fractionated Radiotherapy: Dosimetric and Clinical Report
Authors: Barsing Shubhangi , Pemmaraju Gopal , Huilgol Nagraj , Parab Anand , Singh Anuradha 
Published: April 2023

ABSTRACT

Aim:
Lattice is a three-dimensional technical development of the two-dimensional grid technology, which forms high-dose “islands” amid a “sea” of lower dose. When compared to grid, lattice offers enhanced dose distribution and organs-at-risk (OAR) sparing, which may be useful for big or deep-seated cancers. In this study, we used a Halcyon 2.0 (6MV) linear accelerator to treat the palliative cases with lattice radiation using volumetric modulated arc treatment (VMAT). With new machines and techniques, it’s becoming more difficult to adapt and reinvent traditional grid radiation. In our study, we used VMAT to deliver high-dose radiation to the tumor while sparing the surrounding areas and normal tissues. New methodologies and the same thing we showed in our study are bringing development to lattice planning.

Materials and Methods:
Four patients were treated with grid technique. All the structures of respective patients were manually contoured on Eclipse SomaVision for lattice planning, important parameters include the vertex volume diameter and center-to-center spacing. Spheres were contoured in the axial slice inside the gross tumor volume. VMAT was planned with a single isocenter and multiple arcs (full arcs 360°). Optimization was set giving high priorities to the target volume, ensuring that the tumor received the required dose and that the OARs were met.

Results:
VMAT lattice therapy as a strategy to improve initial responsiveness while reducing OAR toxicity. All the target spheres achieved >95% of the prescription dose and dose fall-off outside the target sphere was achieved due to the ring shape sphere constraints.

Conclusions:
Bulky tumors were treated with lattice radiation with a high dose per fraction in this study, with the vertices receiving the specified dose and the region between the vertices being spared. As it was a task for physicists to design a lattice radiation considering the vertices and periphery regions and to achieve the OARs according to the dose constraint protocol, the VMAT plan was well realized using optimization and computation.
Thromboelastography parameters in chronic viral liver disease and liver resection: a retrospective study
Authors: Di Ying , Li Jialu , Ye Chunjuan , Wang Zheng , Zhu Qianqian 
Published: April 2023

Abstract

Introduction:
Thromboelastography (TEG) provides a global assessment of haemostasis and is potentially applicable to liver disease. The present study aimed to explore the utility of TEG for the evaluation of patients with chronic viral liver disease, which has previously not been investigated.

Methods:
Demographic characteristics and TEG parameters were collected before surgery. Child–Turcotte–Pugh (CTP) and model for end-stage liver disease (MELD) scores were used to categorise stages of liver cirrhosis. Liver resections were classified as low, medium and high complexity.

Results:
A total of 344 patients were included. Results showed significantly longer K-time, smaller α-angle and lower maximum amplitude (MA) with increasing liver disease severity as measured by the CTP and MELD scores (P < 0.05 for all). After multivariable adjustment (including age, sex, liver disease aetiology, alanine aminotransferase [ALT], aspartate aminotransferase [AST], albumin, total bilirubin, haemoglobin and platelet count), TEG parameters (except R-times) were either weakly or inversely related to the severity of liver disease as defined by the MELD score (absolute r < 0.2 and P < 0.05 for all except R-times). R-times obtained before surgery were weakly correlated with perioperative blood loss (r < 0.2 and P < 0.05 for all).

Conclusions:
The correlation between TEG parameters and severity of liver disease was weak. In addition, R-times obtained before liver resection were weakly associated with perioperative blood loss after multivariable adjustments. TEG utility for haemostasis assessment and prediction of blood loss during liver resection should be further explored in high-quality studies.