bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exclusive breastfeeding after breast cancer. Case study
Authors: Poupas Martins Maria Antónia , Sim-Sim Margarida 
Published: March 2023

Objective. To develop a care plan focused on assisting a puerperal woman who decides to feed their child through breastfeeding on the contralateral breast.
Methods. A case study conducted with a 36-year-old primiparous woman who underwent tumorectomy and left axillary emptying, chemotherapy and radiotherapy 8 years ago. The data were collected in the Nursing process, with initial assessment using the Marjory Gordon functional health patterns. The care plan used the NANDA-I, NIC and NOC taxonomies.
Results. Three diagnoses were identified: [00208] Readiness for Enhanced Childbearing Process, [00106] Readiness for Enhanced Breastfeeding and [00167] Readiness for Enhanced Self-Concept. The indicators were evaluated in the initial and later phase, with gains in the first two diagnoses. The third diagnosis proved to be partially sufficient, as it did not allow assessing the developmental and non-pathological self-image in the puerperium. In the puerperal phase, maternal roles are challenging and demanding. Nursing care contributed to the adaptation to breastfeeding in the contralateral breast and to the guarantee of adequate nutrition for the newborn. The childbearing process was strengthened. Breastfeeding is carried out with maternal satisfaction, good latch and normal weight evolution in the newborn.
Conclusion. The case study strengthened knowledge by addressing a little investigated theme. The NANDA-I taxonomy may need further study in the Self-perception domain, more specifically in the self-image reported during the pregnancy-puerperal phase.
Men's health care: concept analysis
Authors: Reis de Sousa Anderson , De Carvalho Félix Nuno Damácio , Rosendo da Silva Richardson Augusto , De Santana Carvalho Evanilda Souza , Pereira Álvaro 
Published: March 2023

Objective. To analyze the concept of men's health care and identify its essential, antecedent and consequent attributes in the health context.
Methods. This is a concept analysis structured in the theoretical-methodological framework of the Walker and Avant Model. An integrative review was carried out between May and July 2020, using keywords and descriptors: Men's Care and Health.
Results. The concept of men's health care is structured by 240 attributes, 14 categories, 82 antecedents and 159 consequents, from the selection of 26 published manuscripts. The design was evidenced from the dimensions: Intrapersonal, psychological and behavioral related to masculinities, interpersonal, organizational and structural, ecological, ethnoracial, cross-cultural and transpersonal.
Conclusion. The concept of men's health care revealed the male specificities regarding the recognition of the place of health care and the daily exercise in the lived experience.
Clinical and genetic characteristics and an algorithm for the differential diagnosis of progressive muscular dystrophies that manifest after a period of normal motor development
Authors: Sharkova I. V. , Dadali E. L. 
Published: March 2023

Background. Progressive muscular dystrophies (PMD) are a group of genetically heterogeneous diseases that manifest in the age range from early childhood to adulthood. Depending on the predominant topography of the muscular lesion, there are: limb-girdle, distal, oculopharyngeal, facial-shoulder-scapular-peroneal variants of PMD.Aim. Creation of algorithms for the differential diagnosis of PMD with multiple topography of muscle lesions.Materials and methods. We observed 192 patients aged 1.5 to 66 years with PMD with a debut after a period of normal motor development. The diagnosis was established on the basis of genealogical analysis, neurological examination, assessment of non-muscular manifestations, results of instrumental, biochemical molecular genetic studies.Results. Four groups of patients were identified, differing in the topography of muscle damage and 19 genetic variants of PMD were diagnosed. An algorithm for diagnosing PMD that manifest after a period of normal motor development is proposed, which is based on the frequency of occurrence of individual genetic variants and their proportion in the analyzed sample, the presence of major mutations in causal genes, the features of phenotypic characteristics, the gender of the patient and the possibility of conducting etiopathogenetic therapy developed by for some genetic variants.Conclusion. The use of the proposed algorithm in clinical practice can significantly reduce the economic and time costs for confirmatory molecular genetic diagnosis, and promptly recommend etiopathogenetic therapy for some genetic variants of this group of diseases.
Neurophysiological differential diagnostic markers in hereditary neuropathy with liability to pressure palsies and chronic inflammatory demyelinating polyradiculoneuropathy
Authors: Grishina D. A. , Suponeva N. A. 
Published: March 2023

Background. Today, the issues of differential diagnosis of chronic hereditary and acquired demyelinating neuropathies are still relevant. The variety of phenotypic variants of chronic inflammatory demyelinating polyradiculoneuropathy and hereditary neuropathy with liability to pressure palsies, their remitting course and the non-specificity of neurophysiological changes necessitate the identification of clear markers that can help in the differential diagnosis of the neuropathies under discussion already at the stage of the analysis of the electroneuromyographic study data.Aim. To determine neurophysiological differential diagnostic markers in the manifestation of chronic inflammatory demyelinating polyradiculoneuropathy and hereditary neuropathy with liability to pressure palsies.Materials and methods. A retrospective analysis of the data of neurophysiological examination of 25 patients with hereditary neuropathy with liability to pressure palsies and 25 patients with chronic inflammatory demyelinating polyradiculoneuropathy.Results. A combination of such indicators as the age of the onset of the disease <33 years, the latency of the dM-wave with m.ADM ><3.7 ms and with m.AH ><4.8 ms (AUROC >0.7), the value of the conduction velocity along of the motor fibers of the ulnar nerve at the level of the elbow joint <37.5 m/s (AUROC >0.8), the conduction velocity along of the sensory fibers of the median nerve at the level of the wrist <48 m/s (AUROC >0.8), absence of conduction block along the median nerve in any area, and also the presence along the ulnar nerve at the level of the elbow joint is characteristic of hereditary neuropathy with liability to pressure palsies and allows to exclude chronic inflammatory demyelinating polyradiculoneuropathy.Conclusion. Neurophysiological markers have been identified that can help in the differential diagnosis of two chronic remitting demyelinating neuropathies: chronic inflammatory demyelinating polyradiculoneuropathy and hereditary neuropathy with liability to pressure palsies. However, only a combined analysis of clinical, anamnestic and paraclinical data makes it possible to establish a final diagnosis.
Validation of the Medical Research Council sum score (MRCss) for use in Russian-speaking patients with chronic inflammatory demyelinating polyneuropathy
Authors: Suponeva N. A. , Arestova A. S. , Melnik E. A. , Zimin A. A. , Zaytsev A. B. , Yakubu A. , Sherbakova E. S. , Yusupova D. G. , Grishina D. A. , Gnedovskaya E. V. , Piradov M. A. 
Published: March 2023

Background. The use of rating scales and questionnaires is essential in an evaluation of disease course, treatment response, the disability level and quality of life in patients with chronic inflammatory demyelinating polyneuropathy. The Medical Research Council (MRC) scale and its modification Medical Research Council sum score (MRCss) are widely used for measurement of motor deficit in patients with neuromuscular disorders. However, its usage is limited by the absence of the validated version for Russian-speaking patients.Aim. To validate MRCss scale in patients with chronic inflammatory demyelinating polyneuropathy with development of a Russian version.Materials and methods. We enrolled 50 patients with chronic inflammatory demyelinating polyneuropathy (25 with typical chronic inflammatory demyelinating polyneuropathy and 25 with Lewis–Sumner syndrome). At the first step we conducted linguocultural ratification according to the standard protocol. At the second step the psychometric parameters were evaluated, such as reliability, validity and sensitivity.Results. The developed Russian version of MRCss scale demonstrated the high level of reliability, validity and sensitivity.Conclusion. As a result, we developed a validated Russian version of MRCss scale, recommended for clinical practice and research.
Migraine Synonyms in South Indian coastal population- A retrospective study
Authors: Francis M. V. 
Published: March 2023

Background: A direct question like, do you get headaches or had headaches in the past will not unravel past history of migraine in many patients in Southern coastal region of India. This study was conducted to document migraine synonyms in this population.
Methods: A 5-year retrospective study was conducted in three outpatient clinics in a coastal region of Southern India. When children were brought with recurrent headaches, as an aid to diagnosing migraines, family history of headache or migraine was recorded from their mothers and grandmothers. They were asked two questions - 1) do you get headaches or 2) suffered from headaches in the past. If they replied in the negative, a third question was asked (Do you get any head discomfort /head pain along with any other illness).
Results: Out of 7000 mothers and grandmothers interviewed, 1778 reported headache in the past resembling migraine or probable migraine. 1001 who said no headache in the past, were getting other migraine synonym disorders in which headache was one of the complaints. 22 different synonyms which fitted into migraine diagnostic features were documented in this group of study participants.
Conclusions: To diagnose migraine and its subtypes, 2 (aura) to 5 (without aura) past episodes are mandatory. This study proves that a sound knowledge about local migraine synonyms and slangs are important to elicit past history of migraine. Headache epidemiological studies can be flawed if only one leading question like do you get headaches/suffered from headache in the past is asked.
The relation between obstetric conjugate diameter during pregnancy and the type of delivery: a narrative review
Authors: Satte Mahmoud S. 
Published: March 2023

Obstetric conjugate diameter is the first point of the maternal pelvis through which the head of the fetus has to pass during the stages of birth and it is the most important female pelvimetry during pregnancy. This review aims to find out the relation between obstetric conjugate diameter measured by radiography during pregnancy and the type of birth, vaginally, or by caesarean. Narrative review conducted at Najran Medicine College (Kingdom of Saudi Arabia).
METHODS: Articles review describing the association between obstetric conjugate diameters measured by radiography during the last stage of pregnancy and type of delivery were selected from the electronic database (PubMed, LILACS, SciELO, and Google scholar). The search date was on January to February 2023. This review showed that there is a relationship between obstetric conjugate diameter and the type of delivery and can be used in predicting the mode of birth (vaginal or cesarean). This knowledge is important for obstetricians and gynecologists to predict the type of childbirth, vaginally, or by cesarean.
A clinico-epidemiological study of mucocutaneous disorders in geriatric patients
Authors: Basavaraju Vidya , Lakshmikantha Chetan Bukanakere , Kollur Lata Radhakrishna 
Published: March 2023

Background: The study was done to determine clinical patterns and frequency of mucocutaneous manifestations in the elderly. Objectives to study the demographic profile of geriatric patients attending the dermatology outpatient department, JJM medical college, Davanagere and to study the clinical pattern of various mucocutaneous disorders in the geriatric population.
Methods: A cross-sectional study was conducted on geriatric patients. A detailed history and mucocutaneous examinations were done. Skin changes were classified into physiological and pathological changes.
Results: Out of 409 patients, 69.4% were males and 30.6% were females. The age range was from 60 to 74 years, with the mean age being 73.34±6.230 years. Pruritus was the most common complaint. Hypertension, diabetes mellitus (DM), physiological changes, and wrinkling were the associated findings.
Conclusions: This study gives an understanding of the pattern of geriatric dermatoses that aid in early diagnosis and management.
Study of knowledge, attitude, and practice regarding hepatitis B infection in first-degree relatives of patients suffering with hepatitis B infection
Authors: Jain Ajay Kumar , Joshi Amit D. , Jain Deepika , Sircar Shohini 
Published: March 2023

Background: Hepatitis B virus (HBV) infection is a significant public health problem in third-world countries, including India. The risk of infection among close family members of patients infected with chronic HBV infection is four to six times higher than in the general population. However, literature is scarce regarding the Knowledge, attitude, and practice toward HBV infection among the first-degree relatives of patients suffering from chronic hepatitis B. Hence, this study aimed to assess the knowledge, attitude, and practice regarding hepatitis B virus infection among first-degree relatives of hepatitis B patients.
Methods: A cross-sectional, observational study was conducted amongst the 354 first-degree relatives of HBsAg-positive patients. A validated questionnaire consisted of twenty questions of knowledge, seven questions of attitude, and ten practice questions were employed to gather information.
Results: The mean knowledge, attitude, and practice (KAP) were significantly better amongst participants aged 55-65 years and those who were educated. There was a positive correlation between knowledge and attitude (r=0.58, p value<0.05) and knowledge and practice (r=0.64, p value<0.05).
Conclusions: There is insufficient knowledge regarding hepatitis B, its common symptoms, modes of transmission, and preventive tools among close relatives of patients suffering from chronic hepatitis B.
Correlation between visual field and retinal nerve fiber layer thickness in adult north Indian population from Gurugram region with glaucoma suspect
Authors: Dubey Gaurav , Masihuzzaman M D , Sarkhel Sunanda , Singh Anshul Pratap , Dixit Suneel Kumar , Yadav Rakesh 
Published: March 2023

: To find the correlation between visual field and retinal nerve layer thickness in adult North Indian population from Gurugram region with glaucoma suspect. Correlative and quantitative study was carried between the visual field and retinal nerve fiber layer (RNFL) thickness of 400 adult eyes. The age of subjects participating in the study ranged between 18 to 80 years with mean age 45 ± 14years. The standard automated perimetry was acquired by Humphrey visual field analyser using 24-2 SITA standard strategy. Retinal nerve fiber layer thickness was measured by Spectral Domain OCT (3D OCT2000FA). Visual field was performed on the same day or within ± three months of OCT acquisition. Statistical analysis was performed using MS Excel, SPSS (ver.20) and other descriptive statistical tools.: The mean MD and PSD were -2.79 dB ±2.21 and 2.52 dB ±1.49, respectively. The average thickness of RNFL of the four quadrants calculated was 98.40 µm±10.70. RNFL thickness in an inferior and superior quadrant was 122.49µm ± 16.71 and 118.86 µm ±15.21 respectively. The mean cup to disc area ratio (CDAR) in the glaucoma suspect subject was 0.60± 0.10, and the vertical cup to disc ratio (VCDR) was 0.74± 0.074. Correlation of the average RNFL thickness, Inferior RNFL thickness and superior RNFL thickness with GHT was 0.245(P=0.011), 0.19 (P=0.094) and 0.27, (P=0.004), respectively. Superior RNFL thickness showed a more significant Correlation (r= 0.193, P&#60;0.01) with mean deviation (MD) of the visual field. Retinal nerve fiber layer thickness demonstrated a weak to mild and statistically significant correlation with the visual field. The correlation of average RNFL thickness with Visual field global indices and parameters were significant but weaker. Correlation between superior RNFL thicknesses was highest with GHT in adult North India Gurugram subjects with glaucoma suspect. Superior RNFL thickness showed a higher Correlation with Mean deviation (MD) and VFI of the visual field
Can oestrogen be a game changer in diabetic retinopathy progress: A novel study
Authors: Waris Abdul , Anjum Asma , Ahmed Saif , Shafiq Sheelu 
Published: March 2023

To measure and correlate the levels of oestrogen in patients with diabetic retinopathy (DR). A hospital based crossectional study of 60 patients (30 with DR, 30 without DR) with diabetes of more than 10 years was carried in our institute (JN Medical College, AMU). Serum oestrogen levels were measured in both the groups at Rajiv Gandhi Centre JNMCH & relevant statistical tests were conducted to compare both the groups. Serum oestrogen was maximum in patient without DR (64.02±46.40pg/mL) and minimum in patients with DR (42.34±34.8), the result was found to be significant (t = -2.047, P&#60;0.05).Oestrogen has a protective effect on diabetic retinopathy occurrence, through it has no statistically significant relation to its severity.
To study the association of dyslipidemia with macular edema and hard exudates in diabetic maculopathy in an industrial hospital in Chhattisgarh
Authors: Lakhlan Priksha , Sunov Chitra 
Published: March 2023

To study the affect of LDL cholestrol, HDL cholestrol and triglycerides with diabetic maculopathy in type 2 diabetic patients.An informed written consent was obtained in every case.A 5ml blood sample was withdrawn. All the patients detailed history, general physical examination and ocular examination including visual acuity, intraocular pressure by applanation tonometry, slit lamp examination and fundus examination by biomicroscopy were done. Optical coherence tomography and fundus photograph were also taken.Patients who were having diabetic retinopathy had higher values of LDL and total cholestrol as compared to those who were not having diabetic retinopathy.Patients who were having diabetic retinopathy changes had non-significant differences in the level of HDL and triglycerides as compared to those who were not having diabetic retinopathy changes.Patients with changes of diabetic retinopathy had significantly higher values of foveal thickness as compared to those without changes of diabetic retinopathy. Foveal thickness had correlation with total cholesterol levels.
Comparative study of changes in corneal astigmatism after pterygium excision with conjunctival auto graft and effect of demographics on the incidence and surgical outcome
Authors: Shah Kannisha Nainesh , Sujithra H  , Thansi Amina 
Published: March 2023

: Aim of this article was to study the role of demographics in the incidence of pterygium and its surgical outcome and also to study the change in astigmatism in patients undergoing pterygium excision with conjunctival auto graft in the southern Indian state of Kerala.: 46 eyes of 43 patients with pterygium were studied over a period of 2 years. A complete ophthalmological examination was done. Patient data like age, sex, residing area and occupation were collected. All the patients underwent pterygium excision with auto conjunctival graft under local anaesthesia. Outcome variables like best corrected visual acuity (BCVA), keratometry, subjective refraction and extent of pterygium were recorded preoperatively as well as postoperatively at 1 month and analysed for the change in astigmatism.: Incidence of pterygium was more among patients of the age group 50-70 years, fishermen (28.3%), housewives (21.7%) and among residents of coastal area (71.7%). There was no significant difference between male and female. Majority of the patients were found to have with the rule astigmatism (56%) preoperatively with a mean of 0.88. There was a significant reduction in astigmatism postoperatively in 39 eyes with only 15.4% having clinically significant astigmatism.: There is a significant role for patient demographics in the incidence of astigmatism along the coastal areas with fishing being the most common occupation. Pterygium excision with auto conjunctival graft results in significant reduction in astigmatism which leads to improvement in visual acuity.
Post operative opacification of polymethylmethacrylate, hydrophilic and hydrophobic acrylic intraocular lenses: A retrospective observational study
Authors: Ramraika Divya , Chandravanshi Shivcharan Lal , Kumar Pradeep , Agrawal Arun 
Published: March 2023

: To evaluate post-operative opacification of hydrophobic, hydrophilic and polymethylmethacrylate intraocular lenses. We had performed a retrospective observational study on twenty-one patients in tertiary care hospital of North India and a private clinic from March 2020-January 2021. History of systemic diseases like diabetes mellitus, hypertension, gout, chronic obstructive pulmonary disease was noted. We had also evaluated the patients for ophthalmic conditions like recurrent uveitis, retinal surgery, paracentesis for hyphema, open globe injury repair. The diagnosis of intraocular lens opacification was made on careful slit lamp examination. The patients with severe loss of visual acuity had undergone intraocular lens exchange procedure. The explanted intraocular lenses were sent for light microscopy with special stain and scanning electron microscopy. Statistical analysis was performed using SPSS software, version 21 (SPSS, Inc.) We found that mean age of patients with intraocular lens opacification was 62.5±6.82 years. The occurrence was 16(76.19%) in hydrophilic IOL, 4(19.05%) in hydrophobic IOL and only one (4.76%) was PMMA IOL which showed that the occurrence if IOL opacification is more in hydrophilic IOL. Light microscopy and scanning electron microscopy of the explanted IOLs did not show any deposits over IOL surface. Special stains were used and it was noted that Alizarin red was positive while Von Kossa for calcium was negative. We concluded that intraocular lens opacification can occur in any type of intraocular lens, but is predominantly seen with hydrophilic acrylic intraocular lenses. Also we came to a conclusion that various ophthalmic pathologies and systemic comorbidities accelerated the process of opacification.