bluuebunny/crossref_metadata_2025_split huggingface dataset:
Epidemiology and Indications for major limb amputations in Ilorin, Nigeria
Authors: Ibraheem G.H. , Nasir A. A. , Abdur_Rahman L. O. , Babalola O. M. , Kadir D. M. , Solagberu B.A. 
Published: January 2025

Limb amputation refers to the removal of a limb or part of a limb through the bone. It is one of the oldest surgical procedures known to man. In the western world, dysvascular amputations (secondary to complications from diabetes mellitus and peripheral vascular disease) account for most of the amputations done. Traditionally, trauma and complications from badly managed traumatic injuries continue to account for most of the major limb amputations in Nigeria. We sought to evaluate the indications and patient characteristics amongst patients who had major limb amputations over a four-year period at a University Teaching Hospital in North-Central Nigeria. Eighty-seven patients had major limb amputations in the period under review. The majority (63%) of the amputees were male and 78% of the amputees had lower limb amputations. Dysvascular amputations (45.8%) and complications of trauma (43.4%) accounted for similar proportions of the causes of amputations in the study. Two peak age groups were involved: the third decade of life where traumatic causes predominated; and the seventh decade of life where dysvascular causes predominated. Public health interventions need to be intensified to improve management of traumatic injuries to reduce the rate of amputations in this cohort while improved education and management of diabetic patients will reduce the rate of dysvascular amputations.
Utilization of hospital library by health workers in a tertiary health institution in Ilorin, Kwara State
Authors: Musa O.I. , Omopupa K.T. 
Published: January 2025

The task of providing quality health care services require the use of current health information; and hospital library seems to be the most appropriate source of organized and well-articulated information for health workers. This descriptive cross-sectional study was carried to determine the use of hospital library by health workers at the University of Ilorin Teaching Hospital with a view to generating data that can used to improve the services and make the library more user friendly to the health workers. Analysis of 280 questionnaires returned by consenting health workers selected through simple random sampling showed that 244(87%) of the respondents used the library, and a significant proportion of the Doctors were found to use the library facilities more than any group of health professionals (P value<0.05). Although reading of library textbooks was the commonest service often sought by the users (80%), reading of newspapers/magazines for recreational purpose was common among the health workers (65.6%) Most of the health workers 176(72%) felt that relevant/current textbooks were not available and 156(64%) said relevant/current journals were inadequate; while majority expressed difficulty in accessing Medline service, medical video cassettes and photocopier in the library. Non-availability of the required services and lack of academic challenges that require using the lhospital library were some of the excuses given by those who do not use the facility. The constraints facing the library users were mostly related to lack of current books and journals, poor Medline service and short hours of service during the weekend. There is a need to strengthen the hospital library by extending the hours of service to the users, subscribing to various medical journals and procurement of current and relevant books so that the operational goals and aspiration of the Teaching hospital in terms of quality service, teaching and research can be achieved through medical library.
A SYSTEMATIC REVIEW ON PHYSICAL ACTIVITY PATTERNS AMONG INDIAN STATES
Authors: Sarkar Sanjoy , Bhowmik Sanjib Kumar , Yumkhaibam Ahsan Huda 
Published: January 2025

Physical activity is globally recognized as essential for promoting health and well-being, playing a crucial role in preventing chronic diseases and enhancing quality of life. Physical inactivity is a significant factor in mortality worldwide, contributing significantly to the burden of non-communicable diseases. Objectives: The present study aims to systematically evaluate physical activity patterns in Indian states, identifying variations based on age, gender, socioeconomic status, and geographical regions while assessing their public health implications. Methodology: The data is collected from published studies reporting physical activity patterns between demographics, socioeconomic factors, and lifestyle choices influencing physical activity levels and behaviours in India. It involves a meticulous search strategy including PubMed, ScienceDirect, Semantic Scholar, Web of Science and Google Scholar, focusing on studies from 2013 to 2024 using keywords Physical activity, Exercise, Walking, Inactivity, and sedentary behaviour, combined with individual state names of India. Results: Results from 33 studies reveal significant regional disparities, with urban areas exhibiting higher inactivity rates compared to rural areas. Socioeconomic factors further influence activity levels, with higher inactivity among higher-income populations. Age and gender emerge as critical determinants; younger populations and females, especially in urban settings, exhibit higher inactivity levels. The study concludes that targeted public health interventions are urgently needed to promote physical activity, particularly among vulnerable groups such as women and adolescents. Conclusion: Key findings highlight the urgent need for policy measures that address cultural, regional, and socioeconomic barriers to physical activity alongside the promotion of recreational and work-related activity.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0778/a.php" alt="Hit counter" /></p>
A GROUNDED THEORY ON THE DYNAMICS OF SPORTS ANXIETY OF COLLEGIATE ATHLETES
Authors: Broa Dann Ian G. , Baradillo Danilo G. 
Published: January 2025

The Dynamic Anxiety and Neuro-Behavioral Regulation Outcome in Collegiate Athletes (DANBROA) Theory presents a comprehensive framework to understand the complex interplay of factors influencing sports anxiety in collegiate athletes. Grounded in qualitative research, the DANBROA Theory identifies key elements shaping anxiety experiences: self-perception, social dynamics, coping strategies, and reflective practices. It emphasizes a dynamic feedback loop, where pre-competition anxiety, performance execution, and post-competition reflection continuously influence one another. This cyclical process highlights the evolving nature of sports anxiety and its impact on athletic performance. The theory posits that athletes with positive self-perception, supportive social environments, and effective coping mechanisms can harness sports anxiety as a source of motivation. At the same time, those lacking these resources may experience detrimental effects. The DANBROA framework underscores the importance of addressing internal (self-belief, mindset) and external (team dynamics, audience expectations) factors in managing sports anxiety. Implications for practice include the development of interventions to enhance resilience and sports performance. The theory offers a foundation for future research to explore further individual differences, cultural influences, and the effectiveness of anxiety management strategies in diverse athletic contexts.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0729/a.php" alt="Hit counter" /></p>
THE CHRONIC EFFECT OF CORE TRAINING ON DIFFERENT SWIMMING SKILLS PERFORMANCE IN YOUTH SWIMMERS
Authors: Mayda Yaşar , Ozdal Mustafa , Bilgiç Murat , Karaca Burak 
Published: January 2025

The purpose of this research is to examine the chronic effect of core training on swimming performance in different styles. 16 male swimmers with at least 5 years of competitive swimming history participated in this study as subjects. The subjects were divided into two equal groups and core training was applied to the experimental group in addition to the swimming training routine for 8 weeks, while the control group was not given any application other than routine swimming training. Before starting the training, the athletes' height, weight and 50 M Sprint times in 4 different styles were noted and recorded. From the moment I started training, I gave the experimental group core training for 8 weeks and did not take trial sprints. After 8 weeks of loading, I recorded 50 M Sprint times in 4 different styles as a final test. A two-way analysis of variance (2x2) was applied in repeated measurements to analyze the differences between applications. The Greenhouse Geiser correction test was used in measurements where the assumption of sphericity was not met. LSD test was used for post hoc analysis. Statistical results were evaluated at p&lt;0.05 significance level. Statistical analyzes of the differences in the mean freestyle swimming degrees between the pre-test and post-test applications in the control and experimental groups are presented. According to the results of a two-way analysis of variance in repeated measurements, a statistically significant difference was found between groups (F = 7.03, p = 0.033) and between times (F = 38.83, p = 0.001); No statistically significant difference was detected in the group*time interaction (F = 5.19, p = 0.057). As a result, it can be said that core exercises are the reason for strengthening the body part and increasing stability needed in all movements of freestyle, breaststroke, butterfly and backstroke styles.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0735/a.php" alt="Hit counter" /></p>
Left anterior and Middle cerebral artery stroke associated with Pituitary apoplexy in an adolescent male with Giant prolactinoma: A Case Report
Authors: Okrah Omane Acheamfour , Osei Adjei Emmanuel Kwadwo , Yankey Michael , Awindaogo Joseph Kebo , Jackson Emmanuel , Bankah Patrick 
Published: January 2025

Background: Pituitary apoplexy is a life-threatening condition in which there is a hemorrhage or infarction of the pituitary gland. It can be characterized by the sudden onset of headaches, vomiting, visual impairment, endocrine deficits, and changes in consciousness. There are very few cases of pituitary apoplexy presenting as strokes in children. We report a rare occurrence of an ischemic stroke in the left anterior and middle cerebral artery territories, caused by pituitary apoplexy from a prolactinoma in a 13-year-old male which was managed medically.
Case Presentation: He presented with worsening headaches and visual acuity and later developed left oculomotor nerve palsy, right hemiplegia, and dysarthria. MRI and CT imaging confirmed an apoplectic pituitary macroadenoma with internal carotid artery encasement and infarction in the territory of the left middle and anterior cerebral arteries. The patient was treated using dopamine agonists, which led to a decrease in tumor size and serum prolactin levels without surgery.
Conclusion: This report emphasizes the need to promptly recognize pituitary apoplexy as a potential cause of stroke in children. It also illustrates successful medical management in these cases, which could be especially important in areas with limited resources
Celebrating Five Years of Archives of Pediatric Neurosurgery – 2019-2024
Authors: De Oliveira Ricardo Santos , Ballestero Matheus 
Published: January 2025

This year marks a significant milestone for the Archives of Pediatric Neurosurgery (APN): five years since its launch in 2019. As we reflect on this journey, we are reminded of the bold vision that inspired its creation—a dedicated platform to advance knowledge, foster collaboration, and support the growth of pediatric neurosurgery in Latin America as well worldwide.
Over the past five years, the journal has published groundbreaking studies, comprehensive reviews, and insightful case reports that have informed practice and enriched the global pediatric neurosurgery community.

APN was founded in a period when the field of pediatric neurosurgery was rapidly evolving. Advances in imaging, surgical techniques, and molecular biology were transforming patient outcomes, but the need for a focused publication to curate and disseminate these developments was palpable. The journal rose to this challenge, filling a critical gap with an emphasis on high-quality, open-access publishing.

The journal has consistently adhered to the highest standards of peer review, ensuring the scientific rigor and ethics of its publications. Its prestigious editorial board has brought together diverse perspectives, bridging gaps across continents and creating a truly global platform.

APN has embraced innovation in publishing, from adopting cutting-edge digital platforms to integrating multimedia content such as surgical clinical videos . These efforts have enhanced the journal’s accessibility and utility for readers, making it a valuable resource for clinicians and educators alike.

As APN celebrates its fifth anniversary, it is a moment of gratitude and renewed purpose. We are grateful to the authors, reviewers, editorial team, and readers who have supported this endeavor. Their collective efforts have made APN a respected voice in pediatric neurosurgery.
The journey ahead is as exciting as the one behind. Emerging areas like neurogenetics, minimally invasive techniques, and AI-driven diagnostics hold promise for the future.
As we celebrate this milestone, we reaffirm our commitment to excellence, inclusivity, and service to the global pediatric neurosurgery community. Here's to many more years of advancing the care of our youngest patients, one article at a time.
Evaluation of Synergistic Anthelmintic Activity of Citrus Aurantifolia and Feronia Limonia Leaves Juice Extract Using Pheretima Posthuma Model
Authors: Shende Anup , Deshmukh Mrunal , More Siddhant , Dingalwar Achal 
Published: January 2025

With rising anthelmintic costs and resistance, there's a need for cost-effective alternatives. Synergistic effects of Citrus aurantifolia (Christm.) Swingle and Feronia limonia (L.) Swingle are unexplored. The prospective anthelmintic effects of Citrus aurantifolia (Christm.) Swingle (Acidlime) and Feronia limonia (L.) Swingle (kaitha) leaf juice, as well as the combination of leaf juice on Pheretima Posthuma, were investigated in the current study using in-vitro studies. The anatomical and physiological characteristics of Pheretima Posthuma are similar to intestinal roundworm parasites of human beings hence they are used for in-vitro study. Different concentrations (20% 50%, 100%) of juice of acidlime and kaitha and a combination of juice of both leaves were tested. Results were articulated in terms of time (min) of paralysis and death of worms. The usual medication albendazole is used as a positive control in these experiments, whereas saline water is used as a negative control. Results of Anthelmintic activity were observed in dose-dependent manner. A comparison of combination of juices of acidlime and kaitha leaves at 100% concentrate with Albedazole medication demonstrated a comparable anthelmintic activity. Albendazole (10mg/ml) while individual juice at 100%, 50%, and 20% concentrate showed less significant activity against worm Pheretima Posthuma. This study demonstrates the possibility of juice of kaitha leaves combined with acidlime leaves as anthelmintic drug. The concentration of a combination of juices showed a better anthelmintic effect when compared to individual juice. The drug's phytochemical profile may be further examined to determine the active ingredient responsible for its anthelmintic effect.
Efficacy of whole system Ayurveda protocol for rheumatoid arthritis – A case series
Authors: Jamale Mohini H , Gulhane Jayant D , Singh Ramraj , Kakade Rupali 
Published: January 2025

Introduction: Rheumatoid arthritis (RA) is a chronic inflammatory disease that shows etiological and clinical association with Aamavata, specified by Ayurveda. RA is a component of the medical condition complex, Aamavata. The mainstay of treatment for RA is a class of medications known as DMARDs; however, they have several drawbacks when used in the long term. Drugs with strong efficacy and low toxicity profiles are required to treat this crippling condition. Therefore, the whole system Ayurveda protocol for RA was designed. Objective: To evaluate the efficacy of the whole system of Ayurveda protocol for rheumatoid arthritis. Methods: Patients attending OPD of the Department of Kayachikitsa, diagnosed with rheumatoid arthritis according to the 2010 ACR classification Criteria for RA along with symptoms of Aamavata according to Ayurved. In the present clinical case series, eight patients with RA were diagnosed and recruited, of which four completed the treatment. Deepan-Pachan, Snehapan, Virechan, and Vaitrana Basti with herbomineral drug combination given for 60 days according to the treatment protocol of Aamavata described by Chakradatta. Assessments were done through various clinical measures, like the 2010 ACR classification Criteria, RA factor, ESR, WOMAC score, and Sandhishool with VAS Score. Results: The Ayurved treatment protocol showed a significant reduction in the signs and symptoms of Aamavata, the 2010 ACR Criteria, RA factor, ESR, WOMAC score, and Sandhishool with VAS Score. Conclusion: The treatment protocol for Aamavata described in the classical text of Ayurved can be effective in Aamavata, which significantly improves the patient's quality of life.
Transforming Migraine Pain into Peace: An Ayurvedic Approach Using Marma Chikitsa, Nasya, and Panchakarma
Authors: Agrawal Poonam , Bokade Vandana 
Published: January 2025

Migraine, characterized as a centrally-mediated pain disorder, signifies a dysfunction in the central nervous system (CNS), encompassing the brain and spinal cord. This disorder involves the complex interaction of nerves and blood vessels, concluding in the display of pain and neurological symptoms associated with migraine. Key features include a unilateral location, often manifesting on one side of the head; a pulsating quality to the pain; moderate to severe intensity, which can significantly impair daily functioning; and exacerbation with routine physical activity. The management strategy involves a multifaceted approach, incorporating Snehana (Therapeutic Massage), Swedana(Sudation Therapy), Shashtika Shali Pinda Sweda(Swedana), Nasya (errhine therapy), Marma Chikitsa, and oral medication. After a single treatment session, a significant improvement in the patient's health was evident as early as the second day of treatment, highlighting the prompt and positive response to the therapeutic interventions. This case serves as a compelling illustration of the crucial role played by Ayurveda in positively transforming the patient's health. Ayurveda's method provided a natural approach that addressed the root cause of patients' symptoms, balanced doshas, and provided relief to the patient in a short period.
Impact of eight weeks of Spirulina supplementation on body fat reduction in overweight young males: A randomized controlled trial
Authors: Bera Rajib , Ghosh Badshah , Biswas Subhashis 
Published: January 2025

Spirulina, a blue-green microalga, is high in protein, vitamins, minerals and antioxidants, making it a popular supplement for improving general health. Due to its potentiality for fat metabolism, the study aims to explore the effect of eight weeks of Spirulina supplementation in reducing body fat in overweight young males. Following CONSORT 2010 checklist, eight-week placebo-controlled trial has been implemented involving twenty participants. The experimental group received 5 grams of Spirulina supplementation for eight weeks. The intake frequency increased from 3 days per week in the first week to daily by the sixth week, ensuring controlled adaptation. No significant differences were found in demographic and anthropometric characteristics between the controlled and experimental groups. Spirulina supplementation led to a slight reduction in body fat percentage in experimental group, though the changes were not statistically significant (p=0.75). The reduction of body fat in the supraspinal and subscapular regions was relatively higher in the experimental group volunteers. The findings of the study indicate that providing overweight young boys with Spirulina supplementation for eight weeks did not have a significant impact on reducing body fat or modifying other physical measurements. The absence of significant change in body composition can be attributed to the duration of intervention, dosage and individual variability in response. The synergy of Spirulina supplementation and physical activity could be pivotal in effective weight control. Further research is required to examine the possible benefits of using Spirulina supplementation with other lifestyle strategies to achieve an effective reduction of body fat.
A fortified cereal and Ayurveda herb-based diet (Guducyadi krushara) for Sickle cell disease (~Pandu) - A case report
Authors: Gohel Vashishth , Raskar Swapnil , Gehija Jaidev , Bhimani Komal 
Published: January 2025

Introduction: Sickle Cell Disease (SCD) is considered as Beeja-Dustijanya and Pitta Dosha pradhan Vyadhi, which is counter with a drug-diet plan to alleviate the Crisis and symptoms of SCD, as the genetic origin of the disease makes it non-curable. A diet made with herbs having antioxidant, rejuvenating properties is core for the treatment of disease, and "Guducyadi Krushra" is one among them. In the present study, a 12-year-old female child (diagnosed case of Sickle Cell Disease) was treated for 30 days with the Guducyadi Krushara as add-on dietetic management along with conventional therapy with hydroxyurea and folic acid. Methods: In this study, Guduci is taken as the primary Immunomodulator, processed to form Krushra made up of rice and green gram, and prescribed as a diet regimen for patients with Sickle Cell anemia. Results: There is significant relief in the symptoms of crisis, pain, fatigue, and loss of appetite in the patient treated with Guducyadi Krushra as Pathya Aahara. which was not observed with conventional therapy alone. Discussion: The antioxidant, Anti-sickling, and rejuvenating properties of Guduci help to alleviate the symptoms of SCD and help to maintain the Quality of life of the patient. It promotes the healthy RBCs and prevents the sickling. Additionally, Krushara (Gruel) is easy to digest and has nutritive value and is accepted in different ethnic populations of India and hence easy to administer with good acceptance by children. It helps to maintain adherence and compliance to the therapy, which yields results. Conclusion: The use of Ayurveda herbs with diet as a regime will help to improve the clinical outcome and integration approach to reduce the burden of diseases like childhood SCD.