bluuebunny/crossref_metadata_2025_split huggingface dataset:
Treatment of intra-articular phalangeal fractures of the hand by Suzuki frame external fixator
Authors: Bayoumy Elsayed M , Eltramcy Mohamed S 
Published: April 2023

Abstract

Purpose
This study aims to evaluate the functional, clinical, and radiological outcome of treatment of fractures of proximal interphalangeal joints of the hand by the Suzuki frame external fixator technique.

Patients and methods
A prospective study was held in Benha University Hospital that included 20 patients with intra-articular proximal interphalangeal joint (PIPJ) fractures treated with the Suzuki frame external fixator technique. All of the patients were followed up for a minimum period of 12 weeks, and the maximum period of follow-up was 36 weeks. Postoperatively, plain radiographs were used for assessing fracture reduction, congruity, and healing. The visual analog score and the Michigan Hand Outcome Questionnaire were used for functional evaluation. PIPJ range of motion and hand grip strength were also assessed.

Results
The mean age of the studied patients was 33.85 ± 8.65 years, and there was a male predominance (75%). The left hand was affected in 12 (60%) patients. The nondominant hand was involved in 13 (65%) patients. The mechanisms of injury were crushing by hard object (45%), followed by falling on the ground (35%), and sports injury (20%). The mean time from injury was 2.05 ± 1.88 days. The mean time of surgery was 17.55 ± 3.1 min. The mean time of the bony union was 11.8 ± 2.9 weeks. The mean time of the frame removal was 4.7 ± 0.57 weeks. At the final follow-up, all patients had no residual pain. The average PIPJ-range of motion was 86.25 ± 9.6°, and the average grip strength was 89.9 ± 8.19% as compared with the healthy side. The mean normalized Michigan Hand Outcome Questionnaire score was 86.1 ± 11.26 points, with seven, 10, and three patients having excellent, good, and fair results, respectively. Complications included pin-tract infection (three cases), stiffness (one case), aseptic loosening and osteolysis at head of proximal phalanx (one case), and flexion contractures (one case).

Conclusion
The pins and rubber traction frame technique is simple, reliable, available, reproducible, time saving, and cost-effective for managing complex PIPJ fractures while allowing early joint mobilization, which is proven to be effective in achieving high satisfactory functional results.
Submuscular bridge plating in the treatment of length unstable femur fracture in adolescents
Authors: Attia Ahmed E , Zayed Emad , El Ghait Hussein A 
Published: April 2023

Abstract

Background
The most common fractures in teenagers that need hospitalization are femoral shaft fractures.

Aim
This study aims to evaluate the role of the submuscular bridging plate in the treatment of length unstable femur fracture as a safe and alternative option in cases where use of intramedullary nails and open reduction methods is debatable regarding healing and functional outcomes.

Patients and methods
Submuscular bridge plate for femur fracture was performed on 20 patients having length unstable femoral shaft fractures through a minimally invasive technique.

Results
There was a significant positive link between age and healing time, but no such relationship existed between healing time and patient sex, level, type of fracture, or injury mechanism. The patients’ average age was 11 years (10–19 years). Overall, 12 patients were males and eight were females. There was no infection except for three cases of superficial infection. There was no significant swelling except in four cases; all patients restored full range of motion except four patients had limited knee flexion for a short period. No patient had a deformity greater than 10° in the frontal or sagittal planes, or a limb-length disparity greater than 1 cm. There has been no clinically obvious malrotation, late union, or nonunion.

Conclusion
Submuscular plating is a dependable method with excellent healing capacity and fixing mechanics. Submuscular plating is a surgical technique with a learning curve. It offers clear benefits over other operative procedures and is linked to minimization of complications.
Academic burnout among undergraduate nursing students: A quantitative survey approach
Authors: Prakash Pushpa , Sheilini Melita , Nayak Shalini G. 
Published: April 2023

BACKGROUND:
Exposure of nursing students to constant work pressure, stress, and emotional turmoil during both clinical and theoretical sessions of nursing training often leads to academic burnout among them. The aim of the study was to determine the presence of academic burnout among undergraduate nursing students and the association of academic burnout with age, gender, year of nursing program, residence location, and relaxation technique practice.

MATERIALS AND METHODS:
A descriptive survey design was used, and data were collected from 266 undergraduate nursing students from Udupi Taluka, South India. Baseline information was collected through a demographic proforma, and Oldenburg Burnout Inventory for Students was used for assessing academic burnout. A stratified proportionate sampling technique was used to select the study sample. The data were collected from April 2021 to May 2021. Descriptive and inferential statistics were used for the analysis by using Statistical Package for the Social Sciences (SPSS) version 16.

RESULTS:
The study revealed that most of the participants had high levels of academic burnout (163, 61.7%), emotional exhaustion (165, 62%), and disengagement (173, 65%). Moreover, academic burnout was significantly associated with age (χ2 = 8.669, P = 0.012) and relaxation technique practice (χ2 = 9.263, P = 0.002). Additionally, disengagement was significantly associated with gender (χ2 = 9.956, P = 0.002), residence location (χ2 = 7.032, P = 0.027), and relaxation technique practice (χ2 = 8.729, P = 0.003).

CONCLUSIONS:
Based on the findings of the study, we recommend that the faculty and administrators of nursing institutes must incorporate strategies for the prevention or reduction of academic burnout in the nursing curriculum.
Comparison of the clinical efficacy of surgical versus medical method for first trimester pregnancy termination in Iran: A quasi-experimental research
Authors: Barghazan Saeed Husseini , Hadian Mohamad , Rezapour Aziz , Nassiri Setare 
Published: April 2023

BACKGROUND:
The surgical and medical options for management of pregnancy termination procedures are acceptable in practice but differ in clinical efficacy, costs, and patient experiences, and deciding what the best method is not clear always. This study aimed to compare clinical efficacy, outcomes, and patient acceptance of dilatation and curettage (D and C) versus medical abortion using misoprostol for first trimester of gestation in Iranian context.

MATERIALS AND METHODS:
A prospective, multicenter, quasi-experimental research conducted from July 2021 to January 2022. The primary outcomes were the rate of composite complications or complete abortion. Data were analyzed with SPSS 18 using descriptive statistics, independent t-test, analysis of variance and non-parametric tests. Secondary outcomes were quality of life using EQ5D questionnaire, estimated blood loss, pelvic infection, pain level, hospital stay, and acceptability of intervention and relative risk as the effect size.

RESULTS:
Finally, 168 patients were included in this study. The composite complication rate among medical abortion patients is significantly more than that of surgical abortion patients (39.3% vs. 4.76%). The relative risk calculated 8.25 (3.05–22.26 CI). Medical abortion patients have experienced higher levels of ongoing bleeding, pain, and symptoms of pelvic infection. The higher level of acceptance has been reported by surgical group patients in comparison to the medical group patients (85.7% vs. 59.5%). Quality of life scores for surgical and medical group estimated 0.6605 and 0.5419, respectively.

CONCLUSION:
Surgical method of abortion using D and C is a very safe and highly successful option in comparison to the medical method using misoprostol alone and is associated with better clinical outcomes, acceptance, and quality of life in first trimester of pregnancy among Iranian women.
Design, implementation, and validation of an application for childbirth preparation classes to improve the performance of midwifery students: Study protocol
Authors: Kiani Zahra , Moghasemi Mobina , Elyasi Forouzan , Shirvani Marjan Ahmadi , Hamzehgardeshi Zeinab , Tayebi Tahereh , Tabari Narges Sadat Motahari , Azarfar Hamidreza , Moosazadeh Mahmood , Khani Soghra 
Published: April 2023

BACKGROUND:
Childbirth preparation classes are incredibly useful for midwifery students as future medical personnel. Nowadays, given the outbreak of Covid-19 pandemic and as mobile applications are extensively welcomed, virtual space can be used for education in the area of childbirth preparation classes. Given the lack of an application for childbirth preparation classes, this study will be conducted to design, implement and validate such an application to improve the performance of midwifery students in the areas of pregnancy and safe delivery.

MATERIALS AND METHODS:
The present study will be conducted in three phases. In the first phase, content will be provided to Information Technology experts based on the content of the national guidelines for physiological delivery in Iran, and the application will be designed and validated for the use of midwifery students, then develop app for other medical students, midwives and physicians. In the second phase, the assessment will be based on Kirkpatrick's model. In the third stage, develop app for other medical students, midwives and physicians based on the results of the first and second phase. SPSS version 17 will be used in this phase for analysis of data through descriptive and analytical tests.

CONCLUSION:
Owing to the expansion of virtual space and the outbreak of Covid-19 pandemic, design, validation, and evaluation of an application for childbirth preparation classes is an exceptionally significant necessity which contributes to the process of educating midwifery students.
Antibiotic susceptibility of uropathogenic Escherichia coli isolates in a hospital setting in Ouagadougou, Burkina Faso: A twelve-year retrospective analysis
Authors: Kafando H. , Ouattara M. , Kienou M. , Coulidiaty Y.D. , Ouattara K. , Ouédraogo R. , Sawadogo M. , Guira C., , Ouédraogo A.S. , Sanou I. 
Published: April 2023

Background: Escherichia coli is the main bacterium responsible for uncomplicated urinary tract infections (UTI). The increasing frequency of antibiotic resistance in E. coli isolates from UTI poses concern in their therapeutic management. The aim of this study is to describe the current antibiotic resistance profile of E. coli clinical isolates at the Yalgado Ouedraogo University Hospital of Ouagadougou (CHUYO), Burkina Faso, with a view to revising the treatment protocols for bacterial UTI.
Methodology: This was a retrospective review and descriptive study of all E. coli isolates from febrile UTI at CHUYO from January 2010 to December 2021. During this period, two techniques were used to perform antibiotic susceptibility test; agar diffusion from 2010 to 2018 and commercial liquid susceptibility testing from 2019 to 2021 using the BD Phoenix M50 automated system. The detection of ESBLs was performed using the Expert System of the automated system or a synergy test combining an amoxicillin-clavulanic acid and a 3 rd generation cephalosporin (3GC) disc.
Results: A total of 2055 non-repetitive strains of E. coli were isolated from UTI over the period of study, with 62.0% (1274) of isolates resistant to 3GC. Resistance to 3GC by ESBL production was the most dominant mechanism in 83.1% of cases (1059/1274). Among the 781 (38.0%) 3GC-susceptible isolates, there were high resistance rates to ampicillin (75.2%) and cotrimoxazole (60.2%), but these isolates retained full susceptibility to imipenem (carbapenem) and fosfomycin. As for the 3GC-resistant strains, there was high resistance to cotrimoxazole (93.0%) and ciprofloxacin (90.3%) but relatively low to medium resistance to gentamicin (56.0%) and amikacin (26.3%), and low resistance to nitrofurantoin (10.0%), fosfomycin (6.1%) and imipenem (4.2%). About one third (31.7%) of all the isolates tested were resistant to both ceftriaxone and gentamicin.
Conclusion: In view of the results, the implementation of rapid diagnostic tools such as the β-lactamase test to guide empirical antibiotic therapy is essential for an early and efficient management of febrile UTI at the local level in Burkina Faso.
Comparative gender analysis of the seroprevalence of varicella zoster virus among HIV-infected individuals receiving care at Offa, north-central Nigeria
Authors: Udeze A.O. , Odebisi-Omokanye M. 
Published: April 2023

Background: Varicella zoster virus (VZV) infections are common and contribute substantially to morbidity and mortality among HIV-infected patients. This study was conducted to determine the level of exposure, compare the gender distribution pattern and correlate with CD4 count, history of chicken pox and demographics among HIV patients.
Methodology: Blood samples were collected from 273 randomly selected HIV-positive patients (93 males and 180 females) receiving care and management at the General Hospital Offa, Kwara State, Nigeria, between September 2019 and March 2020, after obtaining informed consent. Sera were separated from the blood samples and tested for the presence of VZV-specific IgG antibodies using Enzyme Linked Immunosorbent Assay (ELISA).
Results: The seroprevalence rate of VZV in the selected HIV patients was 76.9% (210/273), which was similar in both male (83.9%, 78/93) and female (73.3%, 132/180) patients (χ2=3.265, p=0.071). The seroprevalence rates of VZV in both male and female patients were significantly associated with marital status, occupational status, and CD4+ cell count (p<0.05), however, age group was not significantly associated with VZV seroprevalence in both male (χ2=8.014, p=0.155) and female (χ2=4.689, p=0.455) patients. The seroprevalence of VZV in males (32%) who reported history of chicken pox was about twice that of females (17.4%) (OR=2.235, 95% CI=1.162-4.302, p=0.023).
Conclusion: The level of exposure of HIV-infected individuals to VZV in Offa, Nigeria is high and is similarly distributed in both male and female genders. However, more males with VZV exposure reported history of chicken pox (acute infection) than their female counterparts.
The effect of Health Education on the knowledge, attitude and uptake of Malaria Preventive Practices among Caregivers of Under-Fives in Nigeria : a systematic review
Authors: Usman N.O. , Grace B. , Nwankwo B. , Zubairu R.A. , Ogunsina M.A. 
Published: April 2023

The elimination of malaria by 2030 is one of the targets of the Sustainable Development Goals. However, malaria remains a public health issue causing morbidity and mortality especially among under-fives in sub-Saharan African countries like Nigeria. Suboptimal health knowledge and poor preventive practices for malaria are prevalent in Nigeria.
This study determined the effect of health education on the knowledge, attitude, and uptake of malaria preventive practices among caregivers of under-fives in Nigeria.
The Cochrane Library guidelines and the PRISMA checklist were used to conduct a systematic review. PubMed, ProQuest, CINAHL and Cochrane Library were the electronic databases used to search for literature published between 2000 and 2022. The initial search yielded 475 studies but only eight of them met the inclusion criteria.
At baseline only 3% to 48.4% of the respondents in the experimental group had good knowledge of malaria prevention. This proportion increased after the intervention with findings ranging from 55.8% to 88.7%. The proportion of respondents in the experimental group with good attitude towards malaria prevention increased from 60.5% at baseline to 97.4% after the intervention. Only 16% to 40% of the respondents in the experimental group had good preventive practices against malaria at baseline. After the intervention, the proportion increased (72.6% to 100%). The changes observed in the study (experimental) group were statistically significant i.e., p<0.05. The findings in the control groups were comparable to the study group at baseline however there was no statistically significant increase at the end of the study.
Health education has been found to improve knowledge, attitude towards and preventive practices for malaria. In order to achieve effective control of malaria a comprehensive approach needs to be instituted.
Serological prevalence and predictors of Hepatitis B infection among Adult Patients attending Out-Patient Clinic, General Hospital, Ilorin Kwara State Nigeria.
Authors: Ademola C.O , Yusuf A.R , Obalowu I.A , Mohammed A , Oyeleke O.A , Alabi A.N 
Published: April 2023

Hepatitis B is a viral infection that is ravaging sub-Sahara African countries including Nigeria. Several studies have been done on hepatitis B infection among different population groups including pregnant women, blood donors and children but very few have reported findings among primary care adult patients. The aim of this study was to determine the prevalence of hepatitis B infection among the primary care patients and the possible associated risk factors.
It was a hospital-based descriptive cross-sectional study done among adults attending out-patient clinic of the General Hospital Ilorin. A sample size of 338 was estimated with the use of EPI-info 7 statistical software and Enzyme-based immunoassay testing was used to screen for hepatitis B virus infection among the study participants. The sero-prevalence of hepatitis B infection among the study population was 14.5%. Identified risk factors associated with hepatitis B infection in this study were family history of hepatitis B infection, blood transfusion and unsupervised home delivery.
In conclusion, the findings in this study have shown that hepatitis B infection was highly endemic among adult primary care patients. Blood transfusion and unsupervised home deliveries were the predictors of hepatitis B infection among these study participants.
PENGARUH KEDISIPLINAN KERJA DAN PENGALAMAN KERJA TERHADAP PRESTASI KERJA PEGAWAI PADA DINAS PARIWISATA DAN KEBUDAYAAN KABUPATEN KARO
Authors: Purba John Fokker Skylab , Marbun Timsa F 
Published: April 2023

Penelitian ini bertujuan untuk mengetahui pengaruh kesiplinan dan pemgalaman kerja secara parsial maupun simultan terhadap prestasi kerja pegawai pada Dinas Pariwisata dan Kebudayaan Kabupaten Karo. Metode penelitian yang digunakan adalah kuantitatif, dengan jumlah responden sebanyak 41 orang. Metode pengumpulan data menggunakan metode penelitian dokumentasi dan metode penelitian lapangan. Data dianalisis dengan menggunakan analisis regresi linier berganda. Pengujian hipotesis dilakukan dengan uji t dan uji F. Untuk melihat besarnya pengaruh variabel bebas terhadap variabel terikat digunakan uji koefisien determinasi. Hasil penelitian menunjukkan bahwa Persamaan regresi yang

diperoleh: Y = 8,442+ 1,236 X₁ + 0,365 X₂, artinya jika diasumsikan kedisiplinan (X1) dan pengalaman kerja (X2) bernilai 0, maka nilai prestasi kerja (Y) adalah sebesar constanta atau 8,442 dan kenaikan 1 satuan variabel kedisiplinan maupun pengalaman kerja akan mengakibatkan kenaikan prestasi kerja sebesar 8,442. Kedisiplinan berpengaruh positif dan signifikan terhadap prestasi kerja pegawai. Hal ini dapat dibuktikan dengan nilai diketahui nilai t hitung (7,023) lebih besar dari nilai t tabel (2,022). Disamping itu, nilai signifikansinya sebesar 0,000 lebih kecil dari 0,05. Pengalaman kerja tidak berpengaruh terhadap prestasi kerja pegawai. Hal ini dapat dibuktikan dengan nilai t hitung (1,300) lebih kecil dari nilai t tabel (2,022). Disamping itu, nilai signifikansinya sebesar 0,201 lebih besar dari 0,05. Kedisiplinan dan pengalaman kerja secara simultan berpengaruh terhadap prestasi kerja pegawai pada Dinas Pariwisata dan Kebudayaan Kabupaten Karo. Hasil ini diketahui dari nilai F hitung (33,421) lebih besar dari nilai F tabel (3,24), dan nilai signifikansinya sebesar 0,000 lebih kecil dari 0,05. Nilai Adjusted R Square sebesar 0,618, memiliki arti bahwa variabel terikat (pretasi kerja pegawai) dipengaruhi oleh kombinasi dari variabel kedisiplinan dan pengalaman kerja sebesar 61,8%, sedangkan sisanya sebesar 38,2% (100% - 61,8%) dipengaruhi oleh faktor lain yang tidak diteliti dalam penelitian ini, misalnya disiplin kerja, pelatihan dan lain sebagainya.
PENGARUH BAURAN PEMASARAN DAN KUALITAS PRODUK TERHADAP VOLUME PENJUALAN PADA PT. BERASTAGI BINTANG ASIA MEDAN
Authors: Tafonao Ludina , Tarigan Ima Agustina 
Published: April 2023

Ada pun tujuan penelitian ini adalah mengetahui pengaruh Harga terhadap Volume Penjualan pada PT. Berastagi Bintang Asia Medan, mengetahui pengaruh Promosi terhadap Volume Penjualan pada PT. Berastagi Bintang Asia Medan, mengetahui pengaruh Kualitas Produk terhadap Volume Penjualan pada PT. Berastagi Bintang Asia Medan dan mengetahui pengaruh Harga, Promosi dan Kualitas Produk terhadap Volume Penjualan pada PT. Berastagi Bintang Asia Medan. Penelitian ini adalah penelitian deskripsi kuantitatif dengan instrumen kuisioner

dilakukan pada PT. Brastagi Bintang Asia Medan, dengan jumlah populasi pelanggan per bulannya sebanyak 35.500 orang. Pengambilan sampel menggunakan rumus Slovin sehingga diperoleh jumlah sampel yang diteliti sebanyak 100 orang.
Adapun hasil penelitian adalah persamaan regresi linier berganda yaitu Y = 8,094 + 0,212X1 + 0,706X2 + 0,466X3, hasil uji hipotesis diperoleh Harga secara parsial berpengaruh terhadap Volume Penjualan PT. Berastagi Bintang Asia Medan sebesar 2,447 dimana nilai thitung > ttabel (2,447 > 1,983) dan nilai sig < 0,05, Promosi secara parsial berpengaruh terhadap Volume Penjualan PT. Berastagi Bintang Asia Medan sebesar 4,506, dimana nilai thitung > ttabel (4,506 > 1,983) dan nilai sig < 0,05, dan Kualitas Produk secara parsial berpengaruh terhadap Volume Penjualan PT. Berastagi Bintang Asia Medan dimana nilai thitung > ttabel (4,802 > 1,983) dan nilai sig < 0,05. Selanjutnya secara simultan terdapat pengaruh signifikan Harga, Promosi dan Kualitas Produk Terhadap Volume Penjualan PT. Berastagi Bintang Asia Medan dimana Fhitung > Ftabel (14,685 > 2,462) dan nilai sig < 0,05. Nilai Adjusted RSquare yaitu 0,746 atau 74,60%, artinya variabel penelitian memberikan sumbangsih atau kontribusi cukup besar dalam menjelaskan tentang Volume Penjualan PT. Berastagi Bintang Asia Medan sebesar 74,60% sedangkan sisanya 25,40% dipengaruhi oleh faktor-faktor lain.