bluuebunny/crossref_metadata_2025_split huggingface dataset:
Change in Prevalence and Pattern of Peptic Ulcer Disease in the Northern Savannah of Nigeria: An Endoscopic Study
Authors: Yahya Husain 
Published: July 2023

Background:
Peptic ulcer disease (PUD) is common worldwide. Its incidence and prevalence have been declining in recent years in developed countries, and a similar trend has been observed in many parts of Africa including Nigeria.

Aim:
This study aimed to provide an endoscopic update on PUD in the Northern Savannah of Nigeria and compare with past reports from the region and recent reports from Nigeria, Africa, and the rest of the world.

Methods:
Upper gastrointestinal endoscopy records of consecutive patients diagnosed with PUD between January 2014 and September 2022 at an endoscopy unit of a tertiary institution in North-West Nigeria were retrieved and demographic data, types of peptic ulcer, and their characteristics were extracted and analyzed.

Results:
Over a 9-year period, 171/1958 (8.7%) patients were diagnosed with PUD: mean age 48.8 years (range 14–85), 68.4% male, and 70% >40 years. 59.6% were gastric ulcers (GU), 31.6% duodenal ulcers (DU), and 8.8% were both. The mean age of patients with GU was slightly higher than those with DU (49.9 years vs. 46.6 years, P = 0.29); patients aged <40 years were significantly more likely to be diagnosed with DU than GU (54.7% vs. 33.9%, P = 0.016) while those >40 years significantly more GU than DU (74.6% vs. 54.7%, P = 0.016). There were no significant gender differences between GU and DU.

Conclusion:
The prevalence and pattern of PUD in Northern Savannah of Nigeria have changed – patients were predominantly male and older, and GU predominated.
Perceived personality traits and parenting styles on addiction potentiality among nursing students
Authors: Elsisi Sabah Ali Mohammed , Mostafa Mona Hamdy , Khalil Mohamed Abd El-Fattah , Mohamed Sayeda 
Published: July 2023

Background
Drug addiction among adolescents represents a public health concern that receives attention from policy experts, academics, and government officials. Many factors that may affect addiction potential among nursing students are parenting styles and personality traits. This study aims to investigate the impact of personality traits and perceived parenting styles on addiction potential among nursing students.

Setting
Faculty of Nursing, Cairo University.

Design
A cross-sectional survey and descriptive research design.

Sample
Stratified random sample included 380 nursing students.

Tools
Personal data sheet, parental styles questionnaire, potential addiction scale, and personality inventory for DSM-5 Brief from (PID-5-BF).

Results
28.8% of the studied sample had personality traits of addiction potential. They perceived their parent style as authoritative style (69.5%), Permissive style (47.7%), and authoritarian style (35.2%). About 56.8% of the nursing students experienced moderate addiction potential levels. Parenting authority and personality traits demonstrated a statistically significant positive correlation.

Conclusion
The study concluded that parenting style and personality traits are the main risk factors contributing to addiction potential among nursing students.

Recommendation
Design a counseling program for parents on the effect of various parenting styles on the risk of addiction potential among adolescents and personality.
Effect of implementing mobility protocol on selected outcomes among critically ill elderly patients
Authors: Elsalam Saadia A.A. , Morsy Warda Y.M. , Youseif Monkez M. , Mohammed Fatma A. 
Published: July 2023

Background
Implementing mobility protocol for critically ill elderly patients may help prevent the sequelae of bed rest and improve patient outcomes.

Aim
To investigate the effect of implementing mobility protocol on selected outcomes among critically ill elderly patients.

Research hypothesis
Elderly critically ill patients who will be exposed to predesigned mobility protocol will have an improvement in their selected outcomes than those who will not.

Design
A quasi-experimental research design was used.

Sample
A purposive sample consisting of 60 critically ill elderly patients was included in this study within a period of 6 months.

Setting
This study was conducted at a medical ICU affiliated to a selected university hospital in Zagazig.

Tools
Two tools were developed, tested for clarity, and feasibility: (a) personal characteristics and medical data, and (b) patient outcome assessment sheet.

Results
Half (50%) of the control group and study group were males and the other half were females. The majority of study group were in the age group of 60 to less than 70 years. Concerning the past medical history, the majority of the control group and study group had a cardiac problem. The two groups were equal according to the presence of medical problems. In pretest, there were insignificant statistical differences (P>0.05) between the two groups regarding cardiovascular system outcomes. The two groups were equal, except for capillary refill (χ
2=4.32, P=0.04). Moreover, more than two-thirds (73.3%) of the control group had sluggish capillary refill compared with 93.3% of the study group, and approximately two-thirds (60%) of the control group had nonpitting edema in the right and left upper arms compared with 36.7% of the study group. In posttest, there were significant statistical differences in cardiovascular system outcomes between study group and control group in peripheral pulses (χ
2=4.32, P=0.04), edema of right upper arm (χ
2=10.13, P=0.006), edema of left upper arm (χ
2=10.13, P=0.006), edema of right lower leg (χ
2=5.96, P=0.03), and edema of left lower leg (χ
2=4.95, P=0.04).

Conclusion
Early mobilization and rehabilitation of critically ill elderly patients may help prevent the sequelae of bed rest and improve patient outcomes.

Recommendation
Integrating mobility protocol into daily nursing care has shown to be imminent. As well, studying the effect of implanting mobility protocol on selected outcomes of critically ill intubated patients. In addition replication of this study on a larger probability sample from the different geographical locations in Egypt is recommended. Replication of this study on a larger probability sample from different geographical locations in Egypt is recommended.
Effect of walking exercise on fatigue among patients with multiple sclerosis
Authors: Ragab Abeer A. , El-Naby Amel G.A. , Shalaby Nevin M. 
Published: July 2023

Background
Multiple sclerosis (MS) patients frequently experience severe fatigue that can be as disabling as objective neurological deficits. Walking exercise has significant effect in reducing MS-related fatigue.

Aim
To evaluate the effect of walking exercise on fatigue among patients with MS.

Design
Nonequivalent control group time series quasi-experimental design was utilized.

Research hypotheses
H1: the fatigue mean scores of patients with MS who subjected to walking exercise would be less than the fatigue mean scores of a control group after 6 weeks. H2: the fatigue mean scores of patients with MS who subjected to walking exercise would be less than the fatigue mean scores of a control group after 12 weeks. H3: the fatigue mean scores of patients with MS who subjected to 12 weeks of walking exercise would be less than 6 weeks of walking exercise in the study group.

Sample
A convenient sample of 60 MS patients were recruited along 12 weeks.

Tools
Four tools were utilized to collect data: (a) Semi-Structured Interview Questionnaire, (b) Fatigue Severity Scale (FSS), (c) The Expanded Disability Status Scale, (d) The Beck Depression Inventory-II.

Results
supported the stated research hypotheses. As regards, the total mean scores of FSS, there were high statistically significant differences between the study and control groups after 6 and 12 weeks of implementing treadmill walking exercise (35.67 and 49.63 and 29.11 and 50.87, respectively). As well, total mean scores of FSS among the study group after 6 and 12 weeks of implementing treadmill walking exercise was 35.67±10.77 and 29.11±9.93, respectively. Moreover, 76.70% of the study group had no fatigue after 12 weeks of treadmill walking exercise compared with 50% of them after 6 weeks.

Conclusion
Treadmill walking exercise was effective in reducing fatigue severity level among patients with MS and more than three quarters of the study group had no fatigue after 12 weeks of treadmill walking exercise compared with half of the study group after 6 weeks. Recommendations: this study recommended that patients with MS should practice walking exercise regularly in order to reduce fatigue severity level. Also, further studies should be conducted to compare the effect of different types of walking exercise on MS-related fatigue.
Self-efficacy and adherence to medication and fluid restriction among patients undergoing hemodialysis
Authors: Masoud Sherine A.-E. , Abd-Elaziz Salwa H. , Mohamed Seham K. , Abdo Ola I. 
Published: July 2023

Background
Self-efficacy is the confidence in one's ability to overcome barriers and perform a given task such as taking one's medications and restrict the intake of fluids to attain the desired health outcomes for patients undergoing hemodialysis (HD).

Aim
To determine the relationship between self-efficacy and adherence to medication and fluid restriction among patient undergoing HD.

Design
A descriptive correlational design was used.

Sample
A purposive sample of 116 adult male and female patients undergoing HD was recruited.

Setting
The study was conducted at the HD unit in Kom Hamada Specialized Hospital affiliated to Ministry of Health.

Tools
Four tools were used to collect data: Demographic and Medical Form, Morisky Medications Adherence Questionnaire, Self-Efficacy Scale, and Fluid Control in Hemodialysis Patients Scale.

Results
The mean age of patients under the study was 52.5±13.7 years. A positive correlation was found between fluid control and self-efficacy (r=0.23; P=0.01). Medication adherence among HD patients was low, with a mean of 7.4±2.3.

Conclusion
There was an inverse correlation between self-efficacy and medication adherence. A statistically significant positive correlation was found between fluid control and self-efficacy.

Recommendations
Periodic counseling and educational sessions among HD patients can improve confidence and adherence to medication and fluid restriction.
Tendoachilles Repair with Suture Anchor and Semitendinosus Autograft Augmentation
Authors: Jyothiprasanth M. , Jithin CR , Thomas Akhil K. , Pramod Sarang 
Published: July 2023

Introduction:
The Achilles tendon is the strongest tendon in the human body, and it is the most common tendon susceptible for rupture also. The incidence of Tendo achilles (TA) rupture is increasing while there exist controversies on the optimal clinical outcome. Along with either conservative or surgical management protocols, early functional rehabilitation plays a pivotal role.

Technique:
The patient with tissue defect 2 cm was selected. Prone position, midline incision, and suture anchor were inserted over the anatomical footprint of TA. Semitendinosus autograft was harvested and sutured with remnant TA to cover the defect using fibers from the suture anchor.

Conclusion:
An acute rupture of a healthy tendon can be successfully treated either conservatively or operatively. The technique of Tendoachilles repair with suture anchor and semitendinosus autograft augmentation, introduced in this literature, is a novel approach that requires further research to validate its superiority over conventional surgical techniques.
Hubungan antara Literasi Numerasi terhadap Kemampuan Berpikir Kritis dan Kreatif Siswa SMP di Kecamatan Curug
Authors: Salsabila Yuke , Fatah Abdul , Jaenudin Jaenudin 
Published: July 2023

Pelaksanaan ANBK merupakan salah satu bentuk asesmen literasi numerasi. Namun, hasil ANBK tidak dapat menggambarkan kemampuan tersebut secara individu. Peneliti tertarik untuk menelaah literasi numerasi siswa SMP. Kemudian, pada pembelajaran abad-21 terdapat kebijakan berupa penerapan 4C untuk setiap pembelajaran. Berpikir kritis dan kreatif termasuk ke dalamnya, maka dari itu peneliti ingin meneliti kedua kemampuan berpikir tersebut. Tujuan penelitian ini adalah untuk mendeskripsikan hubungan antara literasi numerasi terhadap kemampuan berpikir kritis, literasi numerasi terhadap kemampuan berpikir kreatif, dan kemampuan berpikir kritis terhadap kemampuan berpikir kreatif siswa SMP di Kecamatan Curug. Penelitian ini menggunakan pendekatan kuantitatif, tepatnya paradigma ganda dengan dua variabel terikat dan satu variabel bebas. Teknik korelasi sederhana dengan koefisien korelasi Pearson Product Moment digunakan pada penelitian ini dalam mencari hubungan antara masing-masing variabel. Pada teknik tersebut diperoleh nilai korelasi sebesar 0,345; 0,207; dan 0,406 dengan sampel sebanyak 373 siswa. Ini menunjukkan bahwa ada hubungan positif antara kemampuan literasi numerasi terhadap kemampuan berpikir kritis, literasi numerasi terhadap kemampuan berpikir kreatif, dan kemampuan berpikir kritis terhadap kemampuan berpikir kreatif siswa SMP di Kecamatan Curug.
Možnosti pri tvorbe základného pasportu
Authors: Ďubek Marek , Makýš Peter 
Published: July 2023

V súčasnosti sa pojem pasport používa hlavne v stavebnej praxi za účelom právneho úkonu spojeného so stavbou. Napríklad je použitý pri kolaudácii, kde jeho podrobnosť a potrebu definuje legislatíva. Okrem tohto zadefinovaného pasportu sa používa aj podrobné zadokumentovanie stavu budovy k nejakému určitému termínu, čiže k nejakému rozhodnému dátumu. Pasport štandardne vyhotovuje projektant. Existujú však aj iné účely pasportov, ktoré vypracúvajú znalci. Takéto môžeme nazvať pasport základný. Používajú ho znalci v rôznych úlohách podľa otázok. Spracovanie pasportu odnáša obhliadku, samotné spracovanie a tvorbu výstupov. Každý úkon si vyžaduje určitú námahu, podrobnosť a nasadenie. Podľa otázky na znalca a smerovaniu znaleckého úkonu si znalec musí zvoliť správny postup. Článok približuje možnosti a dostupné technológie pre takéto zadokumentovanie určitého stavu stavby ku konkrétnemu termínu. Približuje a znázorňuje metódu fotografovania, využitia softvérovej podpory a priestorové laserové skenovanie. Článok popisuje jednotlivé metódy a približuje výhody a nevýhody jednotlivých metód a postupov. V závere slovne hodnotí jednotlivé metódy.
Availability of Mobile Crisis Services in Mental Health Facilities
Authors: Anderson Andrew , Spivak Stas , Hendricks Alene Kennedy 
Published: February 2025

ImportanceRates of suicide ideation, severe depression, and acute psychosis have surged, paralleling an increase in emergency department visits for psychiatric emergencies. Mobile crisis services can play an important role in delivering timely, community-based interventions.ObjectiveTo assess the national availability of mobile crisis services in mental health treatment facilities and to identify key facility, geographic, and state-level factors associated with the availability of these services.Design, Setting, and ParticipantsThis cross-sectional study analyzed data from the 2022 National Substance Use and Mental Health Services Survey, which included 9036 mental health treatment facilities in the US. Facility zip codes were linked to the Agency for Healthcare Research and Quality’s Social Determinants of Health database to assess area-level factors. The study population included facilities that reported whether they offered mobile crisis services. Data were analyzed from August to September 2024.Main Outcomes and MeasuresThe primary outcome was the availability of mobile crisis services at mental health treatment facilities, as reported by facility directors. Key independent variables included facility characteristics, local area factors, and state Medicaid policies. Logistic regression models were used to examine the associations between these factors and the availability of mobile crisis services.ResultsOf 9036 facilities, 1882 (20.8%) reported offering mobile crisis services. Facilities providing integrated dual diagnosis services (marginal effect, 3.44 [95% CI, 1.41-5.53] percentage points), suicide prevention services (marginal effect, 6.74 [95% CI, 4.29-9.20] percentage points), and assertive community treatment (marginal effect, 11.26 [95% CI, 9.02-13.51] percentage points) were significantly more likely to offer mobile health crisis services. Facilities in areas with lower percentages of residents with only a high school education were also more likely to offer mobile crisis services (marginal effect, 1.33 [95% CI, 0.15-2.51] percentage points).Conclusions and RelevanceIn this cross-sectional study of US mental health facilities, facilities with integrated services and located in areas with certain geographic characteristics were more likely to offer mobile crisis services. Addressing gaps in service availability is essential to improving access to crisis care.
Knowledge of and Preferences for Medical Aid in Dying
Authors: Kozlov Elissa , Luth Elizabeth A. , Nemeth Sam , Becker Todd D. , Duberstein Paul R. 
Published: February 2025

ImportanceMedical aid in dying (MAID) is legal in jurisdictions covering more than one-fifth of the US population and has been used by a largely White, educated population. The extent to which knowledge of MAID and preferences for personal use align with patterns of use is unknown.ObjectiveTo evaluate knowledge among US adults of the legal status of MAID as well as interest in using MAID.Design, Setting, and ParticipantsThis cross-sectional, self-report online survey study used a national Prime Panels–based sample of US adults recruited between July 16 and August 10, 2024. A total of 3227 respondents aged 18 years or older from all US states and Washington, DC, were included. Individuals from states with legal MAID, aged 60 years or older, and members of racial and ethnic minority groups were oversampled.Main Outcomes and MeasuresKnowledge of the legality of MAID in the US and in respondents’ state of residence as well as potential interest in future use of MAID. Descriptive statistics and χ2 tests were used to examine associations by demographic characteristics and place of residence.ResultsOf 3227 respondents (mean [SD] age, 55.7 [17.4] years; 1839 women [57.0%]), 1654 (51.3%) did not know if MAID was legal the US, and 1638 (50.8%) did not know if MAID was legal in their state. Respondents in states where MAID is legal were more likely to know that MAID is legal in the US compared with those in states where MAID is not legal (728 of 2164 [33.6%] vs 216 of 1063 [20.3%]; P &amp;lt; .001). Across all respondents, 1420 (44.0%), including 96 of 222 Asian respondents (43.2%), 206 of 605 Black respondents (34.0%), and 129 of 308 Hispanic respondents (41.9%), reported they would definitely or probably consider MAID if they received a diagnosis of a terminal illness.Conclusions and RelevanceIn this online survey study of US adults, substantial interest in using MAID as well as significant knowledge gaps regarding the legality of MAID were reported. These findings highlight the need for public education, policy initiatives, and patient-clinician discussions to ensure equitable access to patient-centered end-of-life options and informed decision-making.
Endometriosis Presenting as a Rare Cause of Intestinal Perforation: A Case Report With Literature Review
Authors: Forouhar Farnood , Mesbah Narges , Esmailpour Sina , Bastani Peyman , Salimi Mostafa 
Published: February 2025

ABSTRACTThis case report details a 39‐year‐old woman with a history of endometriosis who presented with severe abdominal pain, vomiting, and nausea, leading to a diagnosis of intestinal perforation caused by endometriosis. The patient underwent emergency surgery to resect the perforated bowel and an adjacent mass. Pathology confirmed the presence of endometrial tissue within the intestinal wall. This case underscores the importance of considering endometriosis in the differential diagnosis of acute abdominal pain, particularly in women with a history of the disease. Early diagnosis and prompt surgical intervention are crucial for managing this potentially life‐threatening complication.
Sectorially Sorted Densely Packed 12‐Port MIMO Antenna With Improved Isolation Metrics
Authors: Mohanty Asutosh , Ranjan Panda Jyoti , Sahu Sudhakar 
Published: February 2025

ABSTRACTAn intuitive approach for investigating densely packed 12‐port multi‐input‐multi‐output (MIMO) antenna is investigated with improved isolation performance. Conventional dipole antenna elements are sectorially triangulated in a (3:3:3:3) manner that are sorted into cross‐shaped profile corners asserting a premium footprint. This unique topology has been acknowledged to achieve effective impedance matching and simultaneously reduce mutual coupling in the proposed cross‐coupled estate avoiding any additive decoupling network. The investigation shows that dipole arrays are coupled with a lumped L‐C‐L arrangement, whose dominant inductive resonance are stabilized by the center‐fed capacitance. The arrangement has the inherent advantage of stable impedance bandwidth (6.5–7.5) GHz and effective decoupling between radiating elements with isolation magnitude ranges (24–30) dB. The simulated performance counterparts are meticulously experimented on a fabricated prototype to observe the potential scattering, isolation, and radiation parameters. The far‐field envelope correlation coefficient between antenna elements shows minimal magnitude < 0.02, exhibiting its potential for diversity parameters. The radiation peak gain shows 7.5 dBi with stable omni‐directive patterns in the principal operating planes with maximum radiative efficiency (60–70)%, finding its applicability for mid‐band advanced (5G) applications.
Excessive sleep is associated with worse cognition, cognitive decline, and dementia in mild cognitive impairment
Authors: Overton Marieclaire , Sindi Shireen , Basna Rani , Elmståhl Sölve 
Published: February 2025

AbstractINTRODUCTIONThis study examines the link between daytime and nighttime excessive sleep and cognition, cognitive decline, and dementia in individuals with existing mild cognitive impairment (MCI).METHODSUsing data from the Swedish longitudinal study Good Aging in Skåne, participants aged 60–102 years were retrospectively classified as MCI based on cognitive testing. The average follow‐up time was 6.59 years. Mixed linear models assessed cross‐sectional and longitudinal associations between excessive sleep patterns (napping ≥2 h or nighttime sleep ≥9 h) and multiple cognitive domains. Cox regressions estimated dementia risk for excessive sleep.RESULTSOf 4930 participants, 2052 (41%) had MCI. Excessive daytime napping and nighttime sleep were associated with worse cognition and cognitive decline. Excessive napping and nighttime sleep were also linked to higher dementia risk (hazard ratios: 1.75 and 1.86, respectively).DISCUSSIONThese findings suggest that excessive sleep in MCI is associated with further cognitive decline and dementia.Highlights
Excessive daytime napping and nighttime sleep are linked cognitive decline for those with MCI.
Excessive sleep during the day or at night heighten dementia risk.
Worse test scores across multiple cognitive domains were observed for excessive daytime nappers.
Excessive sleep in MCI may be a warning sign for further cognitive decline.