bluuebunny/crossref_metadata_2025_split huggingface dataset:
A cross sectional observational study on uncontrolled bronchial asthma and inhaler technique among out patients in a tertiary care centre in Western Maharashtra
Authors: Shrinath V , Thatikonda Akshitha , Pandey Indramani , Marwah Vikas , Deshpande Samruddhi , Tentu Ajai Kumar , Kishore Kislay , Tyagi Rahul , Yadav Aseem , Choudhary Robin 
Published: August 2023

ABSTRACT

Background:
The 2014 Asia Pacific – Asthma Insight and Management (AP-AIM) study showed that none of the Indian asthmatics had controlled asthma when evaluated objectively. Our study aims to detect through objective measurements, uncontrolled asthma in OPD patients, the adequacy of their inhaler technique, and their awareness regarding the importance of inhaler technique.

Method:
The asthma Control Test (ACT) score was used to screen for uncontrolled asthma. A validated objective questionnaire and scoring were used to objectively assess the correctness and awareness of the inhalation technique.

Result:
The study was carried out over 2 month period and 80 patients meeting the inclusion criteria were enrolled. Out of 80 patients; 47 (58.75%) had well-controlled asthma and 33 (41.25%) had uncontrolled asthma. 64 (80%) patients had good, and 16 (20%) had poor inhalation techniques. Among the 64 patients with good inhalation technique 43 (67.18%) had well-controlled asthma and 21 (32.82%) had uncontrolled asthma. Among the 16 patients with poor inhalation technique 4 (25%) had well-controlled asthma and 12 (75%) had uncontrolled asthma. There was a statistically significant association between asthma control and inhaler technique (P value 0.002). In the study population 56 (70%) patients were aware of the inhalation technique and 24 (30%) were unaware of the inhalation technique. Out of the 56 patients who were aware of the inhalation technique 53 (94.64%) had good inhaler technique and 3 (5.36%) had poor inhalation technique. Among the 24 patients who were unaware of the inhaler technique 11 (45.83%) had good inhaler technique and 13 (54.17%) had poor inhaler technique. There was a statistically significant association between awareness of inhaler technique and good inhaler technique (P value 0.001).

Conclusion:
There is a statistically significant association between asthma control and inhaler technique and between inhaler technique and inhaler awareness. Improving the awareness regarding inhaler technique among bronchial asthma patients is the way forward to improve asthma control in our country.
The Impact of Politics, Security and Health on the Escalation of Road Traffic Accidents and their Consequences in Iraq for the Period 2015–2020
Authors: Alkhudhairy Miaad K. , Aldhalemi Ali A. 
Published: August 2023

Background:
This study aimed to detect the impact of politics, security and health on the escalation of road traffic accidents (RTAs) and their consequences in Iraq for the period 2015–2020.

Methodology:
The data of this cross-sectional study were obtained from the annual reports of RTA statistics from the Central Statistical Organisation of the Iraqi Ministry of Planning. The statistical analysis of data was done using the Statistical Package for the Social Sciences.

Results:
In this study, it was noted that the rate of RTAs, injuries and deaths increased from 16% to 19.5%, from 16.5% to 17.3% and from 16.2% to 20%, respectively, for the years 2015–2019, while the rates of RTAs, injuries and deaths in 2020 recorded a clear decrease compared to the rest of the years under study, and the rates were as follows: 14.8%, 14.4% and 14.1%, respectively. According to the types of traffic accidents, the rate of crashes recorded the highest rate of 51% in all years of the study compared to the run over, overturn and other unclassified accidents, which were 37%, 10% and 2%, respectively, and it was revealed that crashes, run over and other unclassified incidents increased from 5% to 20%, from 17% to 19% and from 18% to 26%, respectively, for the years 2015–2019, whereas all types of RTAs in 2020 were recorded the lowest rates compared to other years under study. Al-Basra, Baghdad, Al-Najaf and Babylon were recorded the highest rates of traffic accidents for the 6 years under study, with a rate of 13.3%, 11.7%, 11.1% and 10.4%, respectively.

Conclusions:
Although traffic accidents were not recorded in the years 2015, 2016 and 2017 for the governorates of Nineveh and Anbar due to the occupation of the terrorist Islamic State, traffic accidents maintained their levels due to internal migration. It was also noted that the rate of road accidents was the highest in 2019 compared to the years under study due to the liberation of occupied cities, the return of safety and the return of recording accident data again, while the year 2020 recorded a clear decrease in the rate of road accidents, especially in the first half of it due to the October protests that led to the suspension of all government institutions, universities and schools. The second reason for the decrease in the second half of 2020 is attributed to the lockdown of corona. It seems that the political, security, military and health factors have an effective impact on the traffic reality.
Neurological Soft Signs in First Episode Psychosis among Psychiatric Hospital Patients and its Relationship with Dimensions of Psychopathology: A Comparative Study
Authors: Nwiyi Obumneme Kenechukwu , Ohaeri Jude Uzoma , Jidda Mohammed Said , Danjuma Ishiak Abioda , Onu Justus Uchenna , Oriji Sunday Onyemaechi , Uwakwe Richard 
Published: August 2023

Background:
Neurological soft signs (NSS), as subtle, nonlocalising neurological abnormalities, are considered as the potential markers of psychosis. However, comparative studies of antipsychotic-naïve patients with first-episode psychosis (FEP) and first degree relatives (FDRs) are uncommon. We compared the prevalence and pattern of NSS in FEPs, their healthy FDRs and a healthy non-relatives’ control group (HC), highlighted the relationship between NSS and psychopathology and proposed cut-off scores for prevalence studies.

Materials and Methods:
Two hundred and two participants per group were recruited. The FEPs were consecutive attendees; FDRs were accompanying caregivers; while the HC were from hospital staff. The Brief Psychiatric Rating Scale and the Neurological Evaluation Scale were used to assess psychopathology dimensions and NSS, respectively.

Results:
Using an item score of two (‘substantial impairment’), the prevalence of at least one NSS was: 91.5% (95% confidence interval [CI]: 86.7%–94.9%), 16.8% (95% CI: 11.8%–22.7%) and 6.5% (95% CI: 3.5%–10.9%), respectively, for FEP, FDRs and HC. FEPs were impaired in a broad range of signs. The noteworthy relationships were as follows: (i) a significant correlation between the negative symptoms’ dimension versus number of NSS (r = 0.4), and NSS total score (r = 0.3), (ii) the anxiety/depression dimension correlated negatively with number of NSS (r = −0.3) and (iii) NSS cut across psychosis categories. We propose a cut-off score of ≥ 4 for the number of signs signifying probable impairment.

Conclusion:
The findings indicate that, subject to further studies, NSS could be regarded as a broader phenotype of neurologic dysfunction associated with psychosis proness.
Burden, Socio-demographic and Other Risk Factors Associated with Haemodialysis in North-west Nigeria: A Retrospective Multicentre Analysis
Authors: Ibrahim Usman Muhammad , Jibo Abubakar Mohammed , Garba Rayyan Muhammad , Jalo Rabiu Ibrahim , Tsiga-Ahmed Fatimah Ismail , Musa Abubakar , Muazu Salisu , Lisanework Serawit , Buba Luka Fitto , Sidi Kamalu Shehu , Babatunde Ademola Lawrence , Abdulsalam Kabiru , Karkarna Mustapha Zakariyya 
Published: August 2023

Background:
Kidney diseases requiring haemodialysis are becoming an emerging public health problem. This study aimed to determine the burden, socio-demographic and other risk factors associated with haemodialysis in Northwest Nigeria.

Methodology:
The study was a retrospective multicentre review of secondary data from the dialysis centres of public hospitals in northwestern Nigeria. Risk factors for renal failure were examined in 1329 patients who were enrolled for haemodialysis between 2019 and 2022 in the four public dialysis centres in Kano and Jigawa state. Data were analysed using IBM SPSS Statistics for Windows, version 22.0, with statistical significance set at P ≤ 0.05.

Results:
The minimum age of the patients was 2 years and the maximum was 100 years with a median of 48 (interquartile range = 31, 60) years. Chronic kidney disease (CKD) was found amongst more than two-thirds 998 (75.1%) of the patients. Up to 51 (3.8%), 62 (4.7%) and 10 (0.8%) were seropositive for HIV, hepatitis B and hepatitis C, respectively. Acute kidney injury (AKI) was significantly higher (67.9%, P < 0.001) amongst patients with post-partum haemorrhage (PPH), and were 24 times more likely to develop AKI when compared with those with no PPH (adjusted odds ratio [aOR] =24, 95% confidence interval [CI] = [13.5–44.5]). CKD was significantly higher amongst patients with hypertension (HTN) (84.9%, P < 0.001), and were 3.2 times more likely to develop CKD compared with non-hypertensives (aOR = 3.2, 95% CI = [2.4–4.1]). Acute on CKD (AOCCKD) was significantly higher amongst patients with chronic glomerulonephritis (CGN) (28.1%, P < 0.001), and were three times more likely to develop AOCCKD than those without CGN (aOR = 3, 95% CI = [2.1–4.2]).

Conclusion:
PPH was the major reason for AKI related haemodialysis while diabetes and HTN were the major causes of CKD-requiring haemodialysis. CGN was more amongst patients who had dialysis due to acute exacerbation of CKD. The government and relevant stakeholders should ensure a favourable policy for the screening and management of patients.
mHealth Monitoring of Treatment of Cutaneous Leishmaniasis Patients: A Community-Based Implementation Study
Authors: Cossio Alexandra , Bautista-Gomez Martha Milena , Alexander Neal , del Castillo Alejandra María , Castro María del Mar , Castaño-Grajales Patricia Yaneth , Gutiérrez-Poloche Yeison Hawer , Zuluaga Laura Sofía , Vargas-Bernal Leonardo , Navarro Andrés , Saravia Nancy Gore 
Published: August 2023

ABSTRACT.
Cutaneous leishmaniasis (CL) remains a global health problem. Compelled by the protracted healing process, initial and final outcomes of treatment are determined at 90 and 180 days, respectively, after initiation of treatment. Loss to follow-up during these intervals is substantial. Consequently, the effectiveness of treatment is largely unknown. We conducted an effectiveness-implementation hybrid design study of a community-based mobile health (mHealth) strategy to monitor adherence to anti-leishmanial treatment, adverse drug reactions, and therapeutic response compared with standard of care in two rural communities of Colombia. Three implementation outcomes were evaluated: usability and acceptability by qualitative methods and fidelity using quantitative methods. Fifty-seven patients were prospectively included in the mHealth intervention and 48 in the standard-of-care group. In addition, 24 community health leaders (CHLs), health workers, and patients participated in qualitative evaluations. The intervention significantly increased the proportion of patients having follow-up of therapeutic outcomes 90 and 180 days after initiating treatment from 4.2% (standard of care) to 82.5% (intervention), P < 0.001. The proportion of patients having records of treatment adherence, adverse drug reactions, and therapeutic response also increased significantly (P < 0.001). Fidelity to the intervention (recording of treatment adherence, adverse drug reactions, lesion photographs, and evaluation of therapeutic response) was 70–100%. The app was highly accepted by CHLs, health workers, and patients, who perceived that the app improved case identification and follow-up and met a public health need. Although usability was high, low connectivity affected real-time transmission of data. This community-based mHealth strategy facilitated access to health care for CL in rural areas and knowledge of treatment effectiveness.
Role of Sestrin 1 in Women with Polycystic Ovary Syndrome
Authors: Assala Abdullah Abd n lhusseiAbd_ A , Kaem Ghosoun Ghanem , Hasan Liqaa Hameed 
Published: August 2023

Polycystic ovary syndrome (PCOS) is a common reproductive endocrine disorder that affects at least 10% of women of reproductive age. Cystic ovaries, low or absent ovulation, and high circulating testosterone levels are the the group of symptoms that define polycystic ovary syndrome (PCOS).The aim of study: To investigate whether sestrin 1 can serve a prognostic indicator in polycystic ovary syndrome. The study included 100 women with age ranged between (18 – 44) years involving 70 PCOS patients and 30 apparently healthy women as a control in reproductive age, at the reproductive fertility consultant of gynecological and obstetric teaching hospital, Kerbala health directorate Iraq and College of Applied Medical Sciences, University of Kerbala Iraq during the duration from October ., 2022 to April, 2023. The Rotterdam criteriOn-2003 was presumed to PCOS females. The result showed there were highly significant decreasing in woman with PCOS in contrast to woman without PCOS. According to BMI showed highly significant in the overweight at( P =0.001) whereas in the obesity at( P= 0.004) and normal weight at (P= 0.004). According to age showed highly significant in age group (18_23) while in the age group( 24_29)at (P =0.000) and age group (30_35) at (P=0.006) whereas age group (36_41) at( P=0.274) The conclusion indicated that reduced serum sestrin 1 levels may be has potential as a new PCOS diagnostic biomarker .
PENERAPAN KEBIJAKAN HUKUMAN MATI TERHADAP KORUPTOR DALAM PEMBERANTASAN TINDAK PIDANA KORUPSI PERSPEKTIF HAK ASASI MANUSIA
Authors: Rinaldi Asrul , Marzuki Marzuki , Mukidi Mukidi 
Published: August 2023

Penerapan hukuman mati terhadap pelaku korupsi masih menimbulkan perdebatan-perdabatan di kalangan ahli. Rumusan masalah dalam penelitian dalam tesis ini adalah bagaimana pengaturan pidana mati dalam Undang-Undang Pemberantasan tindak pidana korupsi, faktor-faktor apakah yang mempengaruhi penerapan pidana mati dalam tindak pidana korupsi, bagaimana kebijakan hukum pidana dalam penerapan ancaman pidana mati dalam tindak pidana korupsi. Hasil pembahasan menyimpulkan bahwa Faktor-faktor yang mempengaruhi penerapan pidana mati dalam tindak pidana korupsi sulit diterapkan terutama pada unsur kondisi darurat. Kebijakan hukum pidana dalam penerapan ancaman pidana mati dalam tindak pidana korupsi di Indonesia saat ini masih banyak terdapat kelemahan-kelemahan, seperti alasan teknis juridisnya, sehingga masih sangat sulit untuk diterapkan saat ini. Belum ada satupun kasus tindak pidana korupsi yang dijatuhi pidana mati
Tugas dan Wewenang KOMPOLNAS dalam Pengawasan Fungsional terhadap Kinerja Penyidik POLRI
Authors: Dharma I Putu Satya , Parman Lalu , Ufran Ufran 
Published: August 2023

Dasar Hukum Kewenangan KOMPOLNAS di atur dalam Pasal 38 ayat (2) Undang-undang Nomor 2 Tahun 2002 tentang POLRI dan Peraturan Presiden Nomor 17 Tahun 2011 tentang KOMPOLNAS Pasal 7 yang memiliki kewenangan yang sama yaitu mengumpulkan dan menganalisis data, memberikan saran dan pertimbangan lain kepada Presiden dan menerima saran dan keluhan dari masyarakat mengenai kinerja kepolisian dan menyampaikan kepada Presiden dan Peraturan Kapolri Nomor 12 Tahun 2009 tentang Pengawasan dan Pengendalian Penanganan Perkara Pidana di Lingkungan POLRI Pasal 3–4 dan Pasal 133-138. Kewenangan eksternal (KOMPOLNAS) dan kewenangan internal (Wassidik dan Propam) dalam pengaturannya jika ditelisik berdasarkan dasar hukumnya tidak terdapat konflik kewenangan walaupun KOMPOLNAS sebagai lembaga pengawas independen memiliki peran dalam melakukan pengawasan terhadap kinerja POLRI secara umum termasuk juga didalamnya terkait penyidikan yang dilakukan penyidik POLRI. Namun di satu sisi, Wassidik dan Propam juga memiliki peran dalam mengawasi penyidikan tersebut. Hal ini dalam praktiknya bisa saja terjadi jika terdapat interpretasi atau perbedaan pandangan yang berkaitan dengan pengawasan penyidikan yang meliputi prosedur, standar atau kebijakan lain yang berlaku dalam penyidikan, sehingga diperlukan koordinasi antara KOMPOLNAS dengan POLRI. Ruang lingkup pengawasan fungsional KOMPOLNAS terhadap kinerja POLRI adalah terbatas pada fungsi Sumber Daya manusia (SDM) yaitu kegiatan pemantauan dan penilaian terhadap kinerja dan integritas anggota dan pejabat POLRI sesuai dengan ketentuan Perundang-undangan. Pengawasan yang dilakukan terhadap penyidik POLRI ruang lingkupnya terbatas pada pengawasan internal yang dilakukan oleh Perwira Pengawas.
Aspek Pengubah Hukum dari Segi Sosial Budaya
Authors: Fadillah Jihan , Ritonga Indah Irawan , Yusnita Windy , Putra Muhammad Arya , Munthe Indra Kumalasari 
Published: August 2023

The law aims to coordinate the activities of community members where these activities always change according to changes in society. Therefore the law feels obliged to intervene more seriously and directly in the form of legal rules. This research is research literature using a descriptive qualitative approach. Social change in a society in this world is a normal thing, which is not normal even if there is no change. Likewise with law, the law used in a nation is a reflection of the social life of the society concerned. By paying attention to the character of a law that applies in a society (nation), the character of social life in that society will also be seen. Abstrak: Hukum bertujuan untuk mengkoordinir aktivitas-aktivitas warga masyarakat di mana aktivitas-aktivitas itu senantiasa berubah sesuai dengan perubahan masyarakat. karena itu hukum merasa berkewajiban turut campur secara lebih serius dan langsung dalam wujud kaidah-kaidah hukum. Penelitian ini adalah enelitian literature dengan menggunakan pendekatan kualitatif deskriptif. Perubahan sosial dalam suatu masyarakat di dunia ini merupakan suatu hal yang normal, yang tidak normal justru jika tidak ada perubahan. Demikian juga dengan hukum, hukum yang dipergunakan dalam suatu bangsa merupakan pencerminan dari kehidupan sosial suatu masyarakat yang bersangkutan. Dengan memperhatikan karakter suatu hukum yang berlaku dalam suatu masyarakat (bangsa) akan terlihat pula karakter kehidupan sosial dalam masyarakat itu.
Edukasi Penyakit Infeksi Pada Anak Dan Demonstrasi Pengolahan Jahe Dalam Meningkatkan Imunitas Tubuh Masyarakat Di Kelurahan 13 Ulu Palembang
Authors: Rohani Siti , Kesuma Putri Zalika Laila Mardiah , Al Farizi Ahmad Bayu , Zilda Malika , Umar Muhammad 
Published: August 2023

Penyakit infeksi adalah penyakit yang disebabkan oleh patogen berupa virus, bakteri, parasit, maupun jamur. Penyakit ini bisa terjadi pada anak-anak serta orang dewasa. Salah satu upaya pencegahan penyakit infeksi dengan cara memanfaatkan tanaman herbal yaitu jahe. Jahe berfungsi sebagai antioksidan, antipiretik, anti-inflamasi, antimikroba maupun antivirus. Kegiatan pengabdian masyarakat ini berlokasi di Kelurahan 13 Ulu Palembang. Melalui kegiatan ini diharapkan para ibu yang memiliki anak balita mendapatkan pengetahuan mengenai penyakit infeksi dan upaya pencegahannya. Kegiatan ini berupa penyuluhan secara langsung mengenai penyakit infeksi pada anak, jenis- jenis penyakit infeksi, serta upaya pencegahannya yang kemudian dilanjutkan dengan demonstrasi pembuatan olahan herbal jahe dalam bentuk makanan dan minuman yang dapat dikonsumsi oleh anak-anak hingga orang dewasa. Pengukuran tingkat pengetahuan peserta dilakukan melalui pre-test dan post-test menggunakan kuisioner yang terkait dengan materi penyuluhan dan demonstrasi kepada 22 orang peserta. Hasil pengukuran didapatkan peningkatan pengetahuan peserta dari 22,7 % menjadi 72,7%. Peserta antusias mengikuti kegiatan serta aktif pada sesi diskusi. Seluruh peserta mengikuti proses penyuluhan dan demonstrasi hingga selesai. Selain itu minuman dan makanan yang dibuat pada sesi demonstrasi telah dicoba dan dapat diterima karena rasanya enak. Kegiatan pengabdian masyarakat dapat meningkatkan pengetahuan dan kesadaran masyarakat mengenai penyakit infeksi dan pencegahannya menggunakan jahe.
Mencegah Investasi Bodong Dengan Literasi Pasar Modal Dikalangan Siswa SMA St. Josef Pangkal Pinang
Authors: Gulo Yupiter 
Published: August 2023

The domination of the millennial and Z generations in increasing the number of investors on the Indonesia Stock Exchange, IDX, since the past year is truly encouraging as a strong indicator of confidence in Indonesia's economic progress, but it must be followed by a continuous and effective capital market literacy program to avoid and prevent fraudulent investment practices. Center for Research and Community Service Trisakti School of Management provided training to around 250 students of SMA St. Josef Pangkal Pinang as an effort to increase investment and capital market literacy, as well as to prevent the effects of fraudulent investments that are increasingly prevalent. The results of this training were very good, because students gave positive responses and significantly increased awareness of the importance of investment knowledge before becoming actors and investing in the capital market. Abstrak: Dominasi generasi milenial dan Z dalam peningkatan jumlah investor di Bursa Efek Indonesia sejak satu tahun terakhir sungguh menggembirakan sebagai indikator kuat kepercayaan pada kemajuan ekonomi Indonesia, namun harus diikuti dengan program literasi pasar modal yang terus menerus dan efektif untuk menghindari dan mencegah praktek investasi bodong. Pusat Penelitian dan Pengabdian Kepada Masyarakat Trisakti School of Management memberikan pelatihan kepada sekitar 250 siswa SMA St. Josef Pangkal Pinang sebagai upaya meningkatkan literasi investasi dan pasar modal, serta untuk mencegah pengaruh investasi bodong yang semakin marak terjadi. Hasil pelatihan ini sangat baik, karena siswa memberikan respon positif dan signifikan peningkatan kesadaran pentingnya pengetahuan investasi sebelum menjadi pelaku dan berinvestasi di pasar modal.
The factor related to the outcome of maze procedure in mitral valve replacement surgery
Authors: Tong Minh Cong , Vu Quynh Nga 
Published: August 2023

Objective: To evaluate the factors related to the outcome of Maze surgery to remove atrial fibrillation in mitral valve replacement surgery at Hanoi Heart Hospital.
Methods: Study on all patients with simple mitral valve disease and atrial fibrillation who were assigned to have mitral valve replacement surgery with Maze IV surgery from 01/2022 to 07/2023. Retrospective and prospective, non-controlled studies.
Results: 51 patients (17 men, 34 women, mean age 55.22 ± 9.13) were eligible to participate in the study. The rate of sinus rhythm restoration at the time of discharge - 3 months - 6 months after surgery was 56.9% - 90.2% - 94.1%, respectively. Preoperative echocardiographic parameters have no predictive value in predicting the likelihood of sinus rhythm re-establishment, while postoperative parameters have high prognostic value. Using ROC curve analysis, we provide cut-off thresholds with predictive value: postoperative left atrial diameter < 42.5 mm (AUC = 0.798, sensitivity 75%, specificity) 63.8%, p=0.05), LA diameter at 6 months follow-up < 45.5 mm (AUC = 0.929, sensitivity 75%, specificity 88.6%, p < 0.01), left atrial volume index (LAVi) re-examination at 6 months <62 ml/m2 (AUC = 0.827, sensitivity 75%, specificity 84.6%, p<0.05), LAVi re-examination at 6 months <60.5 ml/m2 (AUC = 0.867, sensitivity 67%, specificity 91.4%, p<0.05) increased the success rate of sinus cardioversion.
Conclusion: Maze surgery has a high success rate in patients who are indicated for mitral valve replacement surgery. Using ROC curve analysis, the parameters on echocardiography at 6 months after surgery: LA diameter < 45.5 mm, LAVi < 60.5 ml/m2 are factors that increase the success rate of ablation of atrial fibrillation and sinus cardioversion.