bluuebunny/crossref_metadata_2025_split huggingface dataset:
Super Refractory Status Epilepticus: A Case Report from Livingstone Central Hospital
Authors: Sheikh Waqas Ahmed , Chinyathi A D , Kapembwa K C 
Published: January 2023

Background: Status Epilepticus (SE) is defined as more than five minutes of persistent seizure activity without full recovery of consciousness in between the seizures. If SE fails to respond to two antiepileptic drugs, it is called refractory status epilepticus (RSE) and if it continues or recurs 24 hours after anesthesia, it is called super refractory status epilepticus (SRSE). We present a case of 22 years old Zambian nursing student who presented with first episode of generalized tonic clonic seizures which later turned out to be SRSE. This case has been presented due to the rarity of this condition. To the best of our knowledge this is the first documented case of SRSE in Zambia.
Objective: To familiarize the clinicians through this case about SRSE and challenges in its diagnosis and the management in resource poor Zambian health settings.
Case History: A 22 years old male nursing student with first episode of generalized tonic clonic seizures brought into the medical emergency of Livingstone Central Hospital. He was treated with 60mg of diazepam but fits continued and patient was transferred to ICU, where he was treated with phenobarbitone infusion with no effect until he was intubated and given general anesthesia with thiopental infusion. After 36 hours, he was extubated, and fits returned soon. His fits finally came under control after treatment with sodium valproate, levitracetam and lorazepam His FBC, LFTs, RBS, electrolytes, CT scan of brain and MRI of brain did not show any abnormality.
Conclusion: Though SRSE is a rare condition but once it presents, it becomes difficult to manage. All cases of SE should be treated with urgency to prevent them from becoming RSE and SRSE.
The Prevalence of Kidney Dysfunction and Associated Risk Factors among ART-Naïve HIV-1 infected Adults at the University Teaching Hospital in Lusaka, Zambia
Authors: Tembo S , Chirwa L , Mulenga L B , Mweemba A , Musonda P 
Published: January 2023

Background: Chronic HIV infection is associated with renal complications including renal dysfunction. Risk factors found in literature for kidney disease in the HIV population include hypertension, diabetes mellitus, cardiovascular disease, low CD4 count, high viral load, hepatitis C virus co-infection, hypoalbuminemia, and a family history of CKD, black race, nephrotoxic drugs including antiretroviral medication. Other factors implicated being underweight, obesity, herbal medication use, chronic NSAID use.
No local studies have been done to validate these risk factors in our ART naïve HIV infected adult population.
General objective: To determine the prevalence of renal dysfunction and associated risk factors in ART naïve HIV infected adults at the University Teaching Hospital, Lusaka.
Methods: This was a cross sectional analytical study with 360 participants enrolled. A structured questionnaire was used to collect data. Blood and urine samples were collected for creatinine, CD4 count, HIV-1 viral load, serum albumin, hepatitis B surface antigen, Hepatitis C antibody, Random blood sugar, urinalysis. Data was entered onto a Microsoft office excel spread sheet, and analysed using STATA version 13. We investigated the association between the dependent variable and each independent variable.
Results: The prevalence of renal dysfunction was 24.76%. The overall mean age for the sample population was 36.62 (renal=37.53 and non-renal 35.47). The study population comprised more females (54.63%) than males. Hypertension OR=2.63, (95% CI 1.11, 6.12) was the only factor found to be predictive of renal dysfunction.
Conclusion: The prevalence of renal dysfunction among ART naïve HIV infected adults was high. However, no significant predictors of renal dysfunction were found in our study other than hypertension.
Narcolepsy in a Pre-teen Girl: A Case Report
Authors: Sheikh W A , Fubisha R C 
Published: January 2023

Background: Narcolepsy is a neurological disorder, the main classic feature of which is excessive day time sleepiness (EDS), with recurrent episodes of irresistible sleep (sleep attacks). It is thought to result from genetic predisposition, abnormal neurotransmitter functioning and sensitivity, and abnormal immune modulation. The onset of narcolepsy symptoms usually starts in late 2nd or 3rd decade of life. Rare cases of narcolepsy have been reported to occur in the first decade of life, even in infants. We are presenting a case of narcolepsy in a 10 years old girl, who presented at Livingstone Central Hospital. This case has been presented due to rarity of this condition in this age group. To the best of our knowledge, this is the first documented case of narcolepsy in a pre-teenaged child in Zambia.
Objective: To familiarize the health workers about narcolepsy and diagnostic challenges it pose in resource poor Zambian health settings.
Case History: A 10 years old girl was brought to the pediatrics department of Livingstone Central Hospital by her mother with complaints of having episodes of EDS for the past three years. The onset was insidious and episodes had increased in frequency in past 3 years. She used to sleep while in the class, during talking and sometimes during eating. There was no history of having cataplexy, hallucinations or sleep paralysis. Clinical diagnosis of narcolepsy without cataplexy was made and she was treated with oral fluoxetine and modafanil. She was discharged after staying in the hospital for 6 days. At her follow up after 3weeks, the patient had responded well to treatment and was free of those episodes of day time sleepiness. Currently the patient is doing fine and still on the same treatment. Her FBC, DLC, ESR, LFTs, Urine routine & microscopy, HIV test, all came out normal. She was weighing 43 Kg and was 1.43m tall. Her CT scan of brain didn’t show any abnormality. Her physical & neurological examinations were unremarkable.
Conclusion: Narcolepsy in children is a rare condition but once it presents, it poses diagnostic challenges in Zambia due to unavailability of sleep laboratories and lack of knowledge among health workers about this disorder.
Knowledge and Perception of Laparoscopic Surgery among Surgical Outpatients in a Nigerian Teaching Hospital
Authors: Afuwape O O , Ayandipo O O 
Published: January 2023

Background: Laparoscopic surgery is the gold standard in developed countries. Challenges in developing countries apart from the cost of instrumentation include a low acceptance level among patients. The consequent low volume of surgical cases debars cost reduction for surgery.
Objective: The aim of this study is to determine the knowledge level and perception of laparoscopic surgery in patients attending the surgical outpatient for the first time in a teaching hospital in Nigeria. We also determined probable factors which affect this.
Design of the study: This was a prospective study carried out on consenting new patients at the surgical out-patient clinic of the surgical out-patient clinic of a Nigerian Teaching Hospital. The questionnaire was administered to consenting patients through a face-to-face interview by non-medical personnel who had been instructed by the investigators. Data collection was on clinic days within the period.
Results: A total of 370 persons were recruited in this study with a male: female ratio of 1:1.79. The age distribution was between 14years and 81 years with a mean age of 44.19. 62.6% had no knowledge of laparoscopic surgery. 108(29.3%) and 260(70.7%) had positive and negative perception respectively. Only 44% of the patients with positive perception acquired information from appropriate hospital personnel. The longer the duration of perceived knowledge by the patients the higher the tendency to have the wrong perception. The level of education was a significant contributory factor to appropriate perception of laparoscopic surgery.
Conclusion: There is a need for public health education in the region to drive this relatively new frontier of surgery to improve our practice and encourage indigenous innovations.
The Lunar Effect on Delivery and Other Birth Outcomes in Rural Zambia
Authors: Vwalika Bellington , Sindano N , Stringer J M 
Published: January 2023

Objective: It is a widely held belief that the period of a full moon is associated with higher birth rates compared to periods when the moon is not full. We investigated whether more births occurred during a full moon in a rural African population.
Design: Data collected from 42 clinical sites in rural Zambia associated with the Better Health Outcomes through Mentoring and Assessment (BHOMA) Study were evaluated. We compared the proportion of pregnancies born during a full moon to the proportion that would be expected if there were no association.
Main outcomes: Proportion of births during the full moon.
Measures: Demographics and birth outcomes.
Results: A total of 10,127 women delivered at a participating site between 8 December 2010 and 19 August 2015. Mean maternal age was 25.1 years (standard deviation [SD] 6.4 years), mean maternal weight 62.7 kg (SD 13.9 kg), 14.4% were HIV seropositive, and 3.7% were syphilis positive. The mean birthweight was 3032 g (SD 0.5 g); 49.6% newborns were female, and 1.48% were stillborn. There was a full moon during 70 of the 1715 days under observation. In the absence of an association, we would expect 70 / 1715 (4.08%) of births to occur on these days. We observed a total of 434 deliveries (4.29%; 95% Confidence Interval [CI]: 3.89%, 4.68%) during these 24-hour periods. Thus, an association between the full moon and higher delivery rates was not observed (p=0.87). An additional analysis, where the entire lunar cycle was divided into 8 equal bins, also yielded no association. Finally, we did not identify any other birth outcomes that were associated with lunar cycle (birthweight, stillbirth, gender, or congenital malformation).
Conclusions: In this large, rural population, we found no evidence of a lunar effect on delivery or adverse birth outcomes. These results refute a common belief and should provide assurance to managers who opt to ignore lunar cycle when scheduling midwife staffing of rural clinics.
Serum Selenium levels in Essential hypertension among adults at the University Teaching Hospital, Lusaka, Zambia
Authors: Mukosha Moses , Sijumbila G , Lambwe N , Chisulo A C 
Published: January 2023

In Zambia, essential hypertension is one of the commonest and prevalent non-communicable diseases. In the current medical literature it is not clear on the serum selenium levels among essential hypertensive patients in Zambia despite evidence in literature of its role in development of hypertension.
The present study investigated serum selenium levels in essential hypertensive adults. We hypothesized that serum selenium levels were significantly lower in this population and was a risk factor for developing hypertension. An analytical cross-sectional design was applied to a total of 245 participants. Blood was collected for serum levels of Selenium, glucose, urea, creatinine and electrolytes. Student t-test was used to compare the serum selenium levels between hypertensive and normotensive participants. Significant (p<0.0001) lower levels of serum Selenium were observed in essential hypertensive adults (0.093mg/L ± 0.048) than in healthy normotensive adults (0.109mg/L ± 0.047). Regression results showed no significant relationship off Selenium levels with age (p=0.255), BMI (p-0.232), systolic blood pressure (p=0.175) and diastolic blood pressure (p=0.195). From these findings serum selenium levels may not be a risk factor for essential hypertension in this population. Nevertheless, more studies in the same geographical area are needed to confirm this.
Pancreatic Cancer: Patterns in a Low- to Middle-Income Population, Zambia
Authors: Asombang Akwi W , Madsen R , Simuyandi M , Phiri G , Bechtold M , Ibdah J A , Lishimpi K , Banda L 
Published: January 2023

Introduction In 2007, the Cancer Disease Hospital (CDH) was opened as the national referral center for patients diagnosed with cancer in Zambia. Since inception of the CDH, there has been no systematic analysis of the disease burden and implication on healthcare delivery with regards to pancreatic cancer. There are limited studies describing patterns of pancreatic cancer in a native African population. Data suggest African-Americans have a higher incidence and poorer prognosis of pancreatic cancer than non-African Americans.
Objective:
Our aim is to describe the demographic features (age, gender) of pancreatic cancer using the Cancer Disease Hospital (CDH) data base in a native African population and compare with the African-American cohort using the Surveillance, Epidemiology End Results (SEER) Program database.

Methods This was a retrospective study of patients diagnosed with pancreatic cancer at the CDH in Zambia, Southern Africa between 2007 and 2014. We entered the term “pancreatic cancer” into the CDH database, extracted patient medical records numbers, and manually located the records for review. From each chart we extracted: age, gender, geographic origin, ethnicity, clinical features at presentations, location of tumor, stage at diagnosis and treatment. Data collection tool and master code sheet created a priori were used. Data was analyzed using statistical analysis software (SAS). Descriptive statistics including means, medians as well as frequency distributions and cross-tabulations were used. SEER database was used to compare subjects between Zambia and USA. Groups were compared using Chi-square tests and Wilcoxon Signed Rank test. A p-value less than 0.05 was used as the level of significance.
Results Thirty-eight charts were identified in the CDH dataset, of which 27 were included in final analysis and 11 excluded (5 non-pancreatic cancer diagnosis, 6 not manually located). The mean age of diagnosis was 55.7 years in the native African population, compared to 66.7 years for the African-Americans in the SEER database, p < 0.0001. There were 63.0% males (CDH) compared to 48.1% (SEER), p=0.121. Further review of the CDH database revealed that the most common presenting symptom was abdominal pain (52.6%), mode of diagnosis surgical (83%, missing 3), histopathology adenocarcinoma (86%, missing 6), location head of pancreas (83%, missing 9) and stage 4 at diagnosis (100%, missing 3). ConclusionPancreatic cancer occurs at a younger age in Zambians when compared to the African American, USA population. There is no statistically significant difference in sex presentation between Zambian and USA black population.
JUDGES’ ASSOCIATIONS AND TRADE UNIONS – INTERNATIONAL STANDARDS AND SELECTED NATIONAL PRACTICES
Authors: Knežević Bojović Ana S. , Misailović Jovana M. 
Published: January 2023

The aim of the paper is to present international standards and their implementation in the national legislations in European countries regarding judges’ right to association with special regard to judges’ right to unionise.
Authors hypothesise that although not strictly envisaged in any of the hard law sources, there is a plethora of soft-law instruments to assert this right. Consequently, the authors conclude that there is nothing in the relevant international standards that a priori prevents judges from unionising. Additionally, they posit that judges benefit from collective workers’ rights generally linked to the trade unions through activities of judges’ association, even in cases where judges are explicitly prohibited from joining and forming trade unions. The latter assertion is supported by a comparative overview of practices in selected European countries.
Farmers Behavior In Integrated Rice Crops Management In The Rawa Lebak Agroecosystem
Authors: Maya Dhania Sari  , Bunaiyah Honorita  , Dedeh Hadiyanti  
Published: January 2023

Abstract
Rice productivities in the swamp radish area is still in low category. It needs to introduce technology innovation through integrated crop management approach. Adopting technology innovation process needs farmer’s behaviour changing. Farming instructor has strategic role in changing of farmer behaviour. There are many methods can be used, one of them is Aplply Experiment in effort technology dissemination Indonesian Agency for Agricultural Research and Development, do a studying applicating swamp rice cultivation to improve farmer behaviour. This paper aim to (1) to measure farmer’s knowledge and behaviour in swamp rice cultivation using PTT approach. (2) to evaluate farmer’s applying level in rice swamp cultivation using PPT approach. (3) to analyse relation between farmer’s knowledge and behaviour in rice swamp cultivation using PTT approach. This research has been done on December 2020 in Pemulutan village I, Ogan Komering Ilir district using survey method and interview using questioner. Being analysed descriptively and non-parametric Spearman Rank correlation. the result shows that most of respondents has known and agree with swamp rice cultivation technology by PTT approach exception in fertilization frequency and fertilization based on PUTR and only 40% and 30% farmers know about each component . Most farmer’s absorbing level is in trying level and just few reach applied level. Spearman rank Relation test result shows a significant relation between knowledge and farmer’s behaviour with relation direction positively with correlation coefficient is 1,00 and signification number is 0,000.
Interacción y comunicación en entornos virtuales. Claves para el aprendizaje a distancia en estudios de postgrado/ Interaction and communication in virtual environments. Keys for distance learning in postgraduate studies
Authors: Sanchez Haydee Socorro , García Luis 
Published: January 2023

La Universidad Abierta para Adultos (UAPA), desde la Escuela de Postgrado, ofrece ambientes de trabajo en línea, flexibles en cuanto a tiempo y espacio. En estos espacios se exige calidad en las metodologías de enseñanza y debe prevalecer la dimensión social, definida en la interacción entre los actores sociales y con los recursos tecnológicos. Estos elementos del modelo pedagógico de la UAPA, ameritan de seguimiento y valoración para lo cual se intenta describir cómo se desarrollan la interacción y comunicación y cuál es la importancia para el aprendizaje en los entornos virtuales de postgrado. Es un estudio exploratorio descriptivo, se consideró a siete grupos virtuales de diferentes maestrías, seleccionados al azar, a quienes se aplicó un instrumento en línea y se observó el desarrollo del curso en plataforma. El análisis inductivo de la información se realizó a partir de tres dimensiones: a) cognitiva (conocer), b) social (ser) y c) práctica (hacer) en los cursos estandarizados en la plataforma institucional. Los resultados ratifican que tienen conocimiento sobre la interacción definida en el diálogo sostenido y a tiempo entre los actores en el entorno y que garantizan el desarrollo cognitivo, axiológico y la autonomía de los participantes. Estas dimensiones dan respuesta a las competencias generales en estudios de postgrado, y a los desafíos de la educación a distancia virtual.
Palabras clave:
Entornos virtuales; comunicación; interacción; aprendizaje a distancia
Mapping Management of Innovation and Leadership in the Sustainability of an Organization; Bibliometric Analysis 2020-2022
Authors: Rahmawan Zudi , Destri Wulandari , Parjiyati  , Wulansari Rika , Yuhara Rr. Tisie , Muhamed Ariff 
Published: January 2023

Purpose - ArticleThis paper presents and discusses the impact of an innovation implemented by leadership on the sustainability of an organization which is taken from mapping through biblometric analysis. In order to compete with other organizations, organizations must have innovation and be innovative in looking for new ideas or breakthroughs. In fact, there have been many studies related to management innovation. But here we are interested in examining how much researchers who conduct innovation management research directly related to leadership use bibliometric analysis through VOSViewer.
Design/methodology/approach - We use a bibliometric method and review related to Innovation and Leadership management. We obtained the data source for the bibliometrics through the Scopus database.
Findings and Discussion – The results of research with mapping using the keyword "Management Innovation" show two clusters. In the first cluster there are 2 interrelated elements, namely study and innovation which are closely related to the innovation itself. In the second cluster there is only Development related to innovation. Innovation Connectivity between clusters can be seen through the nodes. The bigger the node, the higher the frequency of occurrence.
Conclusion - The study can be concluded that Innovation Management and Leadership are very closely related. It has been proven that in the last 2 years there have also been many studies highlighting management innovation but most of them have researched management innovation in the education sector. In addition, Innovation Management also ranks first on the vosviuwers search page. The citations used for research also reach thousands in the article. Articles on innovation management also reach hundreds of articles published annually by various studies.
Organizational Changes; Bibliometric Analysis For 2016-2022
Authors: Noviana Tri , Sulistyawati Eni , Sagala Pinondang br , Romiyati  
Published: January 2023

Purpose - This study aims to determine the changes that are taking place and to analyze Organization Change publication trends regarding the number of articles, the number of citations to a journal, the relevance of affiliation, the most authors, publishers and network clusters.This research is the first step to look at existing research and find research themes related to organizational change
Design/methodology/approach - This research uses the Bibliometric analysis method. The data was obtained through searching the Google Scholar (GS) database with the word Organization Change in the category Article title, Abstract, Keywords. Approximately 153 articles were obtained in the initial results with 569 citations (56.9 citations/year)
Findings and Discussion – The search results obtained 129 articles, the citation data also changed, with 367 citations and 52.43 citations/year, during the 2016-2022 period. From the results, 129 articles were refined and the citation data also changed to 367 citations and 52.43 citations each year. The results of the study show that the most cited authors are a. J Suwaryo HKK, and its most relevant affiliate is the University of Indonesia. b. Aslami and Rahman are the most authors, ejournal.unsrat.ac.id is the largest publisher c. words that often appear are organization change, change, organization, organizational change, and study.
Conclusion - Bibliometric mapping supports the scientific explanation between probability theory and evidence. Research on Organizational Change can be developed more broadly on themes that appear few and have not been widely included in research in the last seven years. Therefore, this research is expected to be a reference for further research