bluuebunny/crossref_metadata_2025_split huggingface dataset:
Staged Crystalized Phenol Treatment in Pilonidal Disease: A Retrospective Cross-Sectional Study
Authors: Güler İlkay , Balas Şener , Karabacak Harun 
Published: July 2023

Background: In recent years, minimally invasive techniques with less tissue excision, rather than surgical treatments including wide tissue excisions, are preferred in the surgical treatment of pilonidal sinus. Crystallized phenol treatment is a widely used minimally invasive method. The aim of this study is to examine the results of applying crystallized phenol in a two-stage manner.
Material and Methods: In this study, demographic information, pilonidal sinus characteristics, and results of crystallized phenol treatment of primary pilonidal sinus patients treated with crystallized phenol at Ankara Yıldırım Beyazıt Education and Research Hospital General Surgery Clinic between January 2016 and July 2021 were retrospectively analyzed.
Results: The average age of 185 patients who underwent phenol treatment for pilonidal sinus was 26.75±6.21 years. 53.2% of the patients were ≤25 years old. 80.5% of the patients were male. 65.0% of all patients had a BMI <30 kg/m2. The follow-up period for patients was 31 months (min 6, max 60). The patients had 1-3 pits. In the final evaluation of patients who received crystallized phenol treatment twice, abscesses developed in 3 patients (1.6%) and recurrences occurred in 8 patients (4.3%). A statistically significant relationship was found between age and recurrence (p=0.027) and between BMI and recurrence (p=0.003). The incidence of recurrence increased significantly as the number of pits increased (p<0.001).
Conclusions: In our study, we did not encounter any serious complications with the application of crystallized phenol in two stages. We observed that our patients returned to their routine lives painlessly in the early period and that our recurrence rates were low. Based on our findings, we can say that the application of crystallized phenol as a minimal invasive procedure is still a safe and valid method for the treatment of pilonidal sinus.
Different Pain Types at Coccygodynia and its Relation with Vitamin D Level
Authors: Güler Emel , Unal Hanzade Aybuke 
Published: July 2023

Background; Coccygodynia is a musculoskeletal disease that affects quality of life. The main complaint of coccygodynia is nociceptive and/or neuropathic pain. Vitamin D deficiency has been associated with the development of pain in various diseases.
Aims; In this study we aimed investigate the pain types (nociceptive, neuropathic, mixed) and the relationship between pain types and Vitamin D level in patients with coccygodynia.
Study design; Observational study
Materials and Methods; A total of 54 patients diagnosed with coccygodynia were included. Pain intensity, disablity and pain type were evaluated by Visual Analogue Scale (VAS), the Oswestry Disability Index (ODI), and the PainDETECT questionnaire, respectively. All participants had their vitamin D levels measured.
Results; Neuropathic pain was detected in 27.8% of the patients with coccygodynia. Vitamin D was determined to be insufficient or deficient in 81.5% of the patients. A statistical significant correlation was found between neuropathic pain and prolongation of coccygodynia and increased ODI values (p<0.05). The Vitamin D values were determined to show statistically similar distribution in the nociceptive, mixed type, and neuropathic pain groups (p=0.532).
Conclusion; The frequency of neuropathic pain in coccygodynia increases with increasing disability and disease duration. Although vitamin deficiency or insufficiency is common in coccygodynia, it is not associated with the type of pain.
Characterization and Prevalence of Pediatric Ramp Lesions Associated with Anterior Cruciate Ligament Tears.
Authors: Borici Neritan , Ezeokoli Ekene , Loyd Nathaniel Gray , McKay Scott 
Published: July 2023

Background: Ramp lesions correspond to posterior meniscocapsular tears of the medial meniscus and are common with anterior cruciate ligament (ACL) tears. They cannot be recognized easily on preoperative magnetic resonance imaging (MRI) scans and are difficult to visualize even using standard arthroscopic approaches. We aim to (1) characterize and evaluate the prevalence of ramp lesions in pediatric patients at a major tertiary children's hospital, providing important insights into demographics, diagnosis, treatment, and functional disability and (2) evaluate the efficacy of MRI in its diagnosis.
Materials and Methods: We retrospectively reviewed patients under 21 years old undergoing posterior medial meniscal injuries and anterior cruciate ligament ruptures with arthroscopic examination and positive ramp lesions from 2018 to 2021. Patient demographics (including gender and age), initial presentation, physical examination findings, mechanism of injury, pre-operative radiologic findings, and treatment were collected and reviewed via electronic medical record. Exclusion criteria included patients over 18 years old, patients, that did not have an MRI, and patients that were not treated surgically.
Results: There were 117 patients that met the inclusion criteria out of 690 patients. The mean age at diagnosis was 15.6±1.6 years and the mean BMI was 26.7±6.4. 83% of injuries occurred secondary to sporting activities. Ramp lesions were only detected on preoperative MRI in 63% of cases, suspected in 3%, and not detected in 33%. The sensitivity of the MRI was 63%.
Conclusions: Ramp lesions were found in 117/690 (16.9%) of patients undergoing ACL reconstruction. MRI had a low sensitivity rate of 63%. During ACL reconstruction, a careful review of the posteromedial compartment is important to recognize less obvious trauma. Lack of treatment may lead to continued instability and risk of complications in these patients.
Bedside Ultrasonographic Assessment of the Optic Nerve Sheath Diameter to Assess Intracranial Pressure in Patients Given Ketamine in Emergency Department
Authors: Yılmaz Fevzi , Akça Erdi , Baltacıoğlu Bora , Tiftikçi İffet , Arslan Engin Deniz , Kavalcı Cemil , Beydilli İnan 
Published: July 2023

Background: There is an ongoing debate if ketamine exerts any effect on intracranial pressure (ICP). ICP can be evaluated noninvasively by means of optic nerve sheath diameter (ONSD) measurement. In the present study, we aimed to determine if ketamine has any perceivable effect on ICP using ONSD.
Material and Methods: In this single-center observational study, we prospectively enrolled patients who were admitted to the ED and received intravenous ketamine for induction, analgesia, procedural sedation for any procedure (ie, fracture reduction, laceration repair, pacemaker implantation). ONSD was used to rate ICP changes noninvasively both before and after ketamine application.
Results: There were a total of 75 patients with a mean age of 59.8 ± 20.5 years. The majority of patients were applied Procedural Sedation (53.3%). In patients who were administered ketamine for induction, the median ONSD before and after ketamine were 5.10 (IQR: 1) mm and 5.00 (IQR: 1.30) mm, respectively. There occurred no significant diameter change (p=0.832). In patients who were administered ketamine for analgesia, the median ONSD 3.70 (IQR: 0.40) mm and 3.65 (IQR: 0.23) mm prior to and after the procedure, respectively. There occurred no significant diameter change (p=0.549). In patients who were administered ketamine for procedural sedation, the median ONSD before and after the procedure were 4.05 (IQR:0.67) mm and 3.97 (IQR: 0.69) mm, respectively. This time, however, ONSD was significantly reduced after ketamine administration (p=0.001).
Conclusions: In this patient population, ketamine did not cause any incremental effect on ONSD, a surrogate marker of ICP.
The Origin of Pilonidal Sinus Disease – 10 wrong Theories and one Recent Discovery
Authors: Dettmer Marius , Degiannis Konstantinos , Braun-Münker Myriam , Doll Dietrich , Maak Matthias 
Published: July 2023

Introduction: In the last two centuries, many theories have been proposed to explain the origin of pilonidal sinus disease (PSD) – congenital and acquired.
Materials and Methods: A PubMed literature review was conducted and looked at different proposed theories on the origin of PSD; this overview was then compared to research results from more recent studies.
Results: Initially it was postulated, that PSD was of embryonic origin. This however changed during World War II as more 78.000 American soldiers were diagnosed and treated for PSD. Thereafter, the perception of the origin of PSD changed to an acquired one. New data has shown that short hair fragments, which have fallen from the scalp may be the origin of PSD – therefore disproving the theory of folliculitis and fatty gland obstruction.
Conclusion: These new findings may explain why recurrences/new diseases occur within follicle-free areas – such as scars and without any preceding infection. This may aid in the prevention of PSD.
The Key Role of Splenectomy in Fever of unknown Origin which Resulted to be B-cell primary Splenic Lymphoma.
Authors: Muco Ermira , Osmenaj Renato , Bode Rovena , Blloshmi Amarildo , Prendi Jona , Berdica Leart 
Published: July 2023

Background: The term ‘fever of unknown origin’ (FUO) was first introduced by Petersdorf and Beeson in 1961, and it is defined as recurrent fever >38.3°C, lasting for >3 weeks, remaining undiagnosed after 1 week of in-hospital evaluation. The etiologies of classic FUO include mainly infections, malignancies, non-infectious inflammatory diseases, and miscellaneous causes, while some cases remain undiagnosed. Primary splenic lymphoma (PSL) is a rare malignant lymphoma. In many cases, splenectomy is the treatment of choice for massive splenomegaly.
Case presentation: A 54-year-old woman presented with a history of high fever up to 39°C, sweating, fatigue, and weight loss for one month. She had been treated by her family physician with antibiotics (cephalosporin) for 10 days but without improvement. On admission, the patient had palpable splenomegaly but no palpable lymphadenopathy. The patient had increased markers of inflammation. The indicators of autoimmune disease were all negative. Screening for specific infectious diseases and the blood cultures all came out negative. Abdominal computerized tomography (CT) revealed an enlarged spleen. The splenectomy was performed and the spleen was sent for histological analysis. Meanwhile, the patient was subject to a complex treatment. Histological and immunohistochemical analysis confirmed the diagnosis of diffuse large B-cell non-Hodgkin lymphoma with diffuse red pulp infiltration. Afterward, the patient underwent systemic chemotherapy.
Conclusion: We strongly suggest that clinicians should have a high index of suspicion for malignancies in cases with FUO. Sometimes splenectomy can be the key to solving the problem.
Chylothorax Management Four Years Post Spine Surgery: A Successful Conservative Treatment
Authors: Skenduli Ilir , Mezini Arjan , Caushi Fatmir , Tanka Arben , Gjati Laert 
Published: July 2023

Background: Chylothorax is a pathological condition associated with a high mortality and morbidity rate. The first observation of chylothorax associated with thoracic vertebral injury was documented by Krabbell in 1885. Since then, several cases have been described in the literature.
Non traumatic chylothorax several years after spine surgery is a rare condition. We described a case of a patient who sustained a thoracic spine fracture-dislocation and presented with a right sided chylothorax as a late complication to his thoracic spine trauma. A right thoracentesis was performed, providing partial relief of respiratory symptoms. The collected fluid was sent to the laboratory for further examination. Biochemical analysis of the milky pleural fluid confirmed the suspicion of chylothorax, with elevated levels of triglycerides and lymphocytes. These findings supported the diagnosis of chylothorax.
Conclusion: Non-traumatic chylothorax occurring several years after spine surgery is a rare condition, and there is limited literature available on this particular pathology. The diagnosis can be simplified through laboratory examination of the milky fluid. Conservative treatment is typically the approach of choice in the majority of cases, involving total parenteral nutrition and the insertion of a chest tube into the chest cavity, followed by chemical pleurodesis.
Comparative Analysis of Knee Replacement Surgery who follow up by Physical Therapy and Intra-articular Steroid Injections for Obese Patients.
Authors: Avdulaj Eugerta 
Published: July 2023

Knee osteoarthritis (KOA) is the most common chronic articular disease, and its prevalence has doubled since the mid-20th century. It affects 16% of the adult population over 50 years of age in the post-industrial era [1].
Obesity is one of the only modifiable risk factors for both incidence and progression of Osteoarthritis (OA).[2]
Although OA was previously regarded as a disease of the elderly, its development starts much earlier than originally thought, and OA is ranked among the top 20 diseases in the 40–45 years age group [3].
This review aims to provide a comprehensive analysis of the outcomes of knee replacement surgery following up physical therapy, versus intra-articular steroid injections for obese patients (BMI >30)
The study design employed in this review is narrative, and articles published after 2010 from PubMed were considered for inclusion. The review examines the impact of each intervention on the complete regain of knee function in this specific population.
Through the analysis of relevant studies, this review seeks to inform clinical decision-making and guide the management of obese patients with knee osteoarthritis.
Conclusion.
Based on the reviewed literature, knee replacement surgery appears to offer a better chance of achieving complete regain of knee function in obese patients (BMI >30) undergoing physical therapy compared to intra-articular steroid injections. However, the findings are limited by the availability of studies and the heterogeneity in the research methodologies.
Emergency Access and Impact of Injuries Caused by Electrocution and Lightning
Authors: Lenjani Basri , Dogjani Agron , Baftiu Nehat , Abdullahu Luljeta , Orgusha Nimet , Lenjani Dardan , Lenjani Zenel 
Published: July 2023

Electrical injury is a physiological reaction caused by electric current passing through the body. Electric injuries can be caused by the impact and exposure to electric current or lightning either at home or at work.
The injury depends on the density of the current, tissue resistance, and duration of contact. Very small currents may be imperceptible or produce a light tingling sensation. Injuries can range from minor, moderate, to severe, and fatal injuries are just as likely to occur at home as in the workplace, with around 20 Australians dying each year from electric shock.
The purpose of this paper is to study how well-trained healthcare professionals in both pre-hospital and hospital settings are in treating patients in the case of electric shock and injuries caused by lightning, including the triage, assessment, monitoring, treatment, and transport with medical care in pre-hospital settings
The research was conducted based on data obtained from assessments of health care professionals based on anamnestic data, the status of vital parameters, monitoring, medical procedures, system-level injuries, type of health care delivery, and location.
Conclusions; Given the discrepancies found in reporting pathological conditions and injuries pertaining to electrical burn wounds, a standardized system for classifying these pathological conditions is suggested. Although electric shock-related mortality is not the leading cause of death in high-prevalence areas, awareness needs to be raised.
Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department.
Authors: Bollano Enton , Lilaj Krenar , Thereska Dariel , Dogjani Agron 
Published: July 2023

Fournier's gangrene (FG) is a well known often fatal fasziitis of the pelvic floor following ano-rectal, urologic and gynecologic infections. Although rarely it is described as a complication of operative anal procedures and predisposing factors such as diabetes, alcoholism, immune-defects and consumptive diseases.
Current literature only briefly mentions the potential risk of FG after such a common surgical procedure. However, devastating complications occur more often than expected. This catastrophic complication without a predisposing factor is discussed along with a review of the literature.
The objective of this article is to provide updated and relevant information regarding the recognition, diagnosis and management of FG, from the general surgeon to the emergency department.
This article refers to two complicated cases of Fournier's gangrene. The patients underwent emergency surgical intervention with the diagnosis of hemorrhoidal prolapse with rectal bleeding and accompanying anemia…
Conclusion; The gold standard for treatment was found to be a combination of surgical debridement, broad-spectrum antibiotics, and the administration of intravenous fluids. Further, patient survival was found to be directly related to the time from diagnosis to treatment when they underwent surgical debridement.
The General surgeon must be vigilant for this condition and be aware of risk factors, prognostic indicators, and proper treatment protocols to recognize FG early and initiate appropriate management.
The ATLS® Course: Empowering Healthcare Professionals for Excellence in Trauma Care.
Authors: Dogjani Agron , Haxhirexha Kastriot , Gjata Arben , Subashi Kastriot 
Published: July 2023

The Advanced Trauma Life Support (ATLS) course has become an indispensable tool in preparing health care professionals to provide optimal trauma care.
This article highlights the impact of the ATLS course on empowering healthcare professionals for excellence in trauma care.
By providing a standardized framework, enhancing critical decision-making skills, and promoting interdisciplinary collaboration, the ATLS course equips practitioners with the knowledge and skills necessary to effectively respond to trauma emergencies. Additionally, the course prepares healthcare professionals for the unpredictable nature of trauma care through simulation-based training and fosters a culture of continuous professional growth.
Through its emphasis on standardization, critical thinking, and continuing education, the ATLS course plays a vital role in improving patient outcomes and establishing a foundation for excellence in trauma care.
Conclusion: The ATLS course stands as a testament to the commitment of healthcare professionals to provide excellent trauma care. It empowers practitioners with the necessary knowledge, skills, and standardized approach to save lives in the critical moments following traumatic events.
PENGARUH PROFITABILITAS, LIKUIDITAS, DAN STRUKTUR AKTIVA TERHADAP STRUKTUR MODAL PADA PERUSAHAAN SEKTOR INDUSTRI BARANG KONSUMSI YANG TERDAFTAR DI BEI
Authors: Khotimah Chusnul 
Published: July 2023

Penelitian ini bertujuan untuk menguji pengaruh profitabilitas, likuiditas, dan struktur aktiva terhadap struktur modal pada perusahaan sektor industri barang konsumsi yang terdaftar di BEI periode 2019-2020. Profitabilitas dihitung dengan return on equity (ROE), likuiditas dihitung dengan current ratio (CR), struktur aktiva dan struktur modal dihitung dengan debt to equity ratio (DER). Objek penelitian adalah sektor industry barang konsumsi yang terdaftar di Bursa Efek Indonesia dengan sampel sebanyak 37 perusahaan yang diambil melalui purposife sampling. Pengujian hipotesis dalam penelitian ini dilakukan dengan menggunakan analisis regresi berganda. Hasil penelitian melalui uji t menunjukkan bahwa profitabilitas, likuiditas berpengaruh signifikan terhadap struktur modal, sedangkan struktur aktiva tidak berpengaruh signifikan terhadap struktur modal.
PENGARUH KREDIBILITAS BANK, PERSEPSI KEMANFAATAN DAN PERSEPSI KEMUDAHAN APLIKASI PERBANKAN TERHADAP MINAT NASABAH MENGGUNAKAN LAYANAN BSI MOBILE DI BANK SYARIAH INDONESIA KCP PONOROGO SOETTA
Authors: Hayati Nur , Fitriani Ajeng Pipit 
Published: July 2023

Customer interest is the desire to try the product and an interest arises in using and owning the product. Customer interest can be influenced by several factors including the bank's credibility, perceived usefulness and perceived convenience. Bank credibility is a form of customer trust in banking, the behavior of someone who believes their transactions and privacy are safely guarded by banks. Perceived usefulness is a person's subjective view if using an information technology can improve performance. Perceived convenience is the degree to which a person believes that using a system does not require much effort. This study uses a quantitative research approach using primary data obtained through interviews and distributing questionnaires. The population used in this study are customers who use the BSI Mobile application at Bank Syariah Indonesia KCP Ponorogo Soetta whose number is unknown. The sampling technique in this study used the Lemeshow formula with 100 respondents as the research sample. The data analysis method used in this study is multiple linear regression analysis. The results of this study indicate that: Bank credibility, perceived usefulness and perceived convenience partially and simultaneously have a significant effect on customers' interest in using BSI Mobile services at BSI KCP Ponorogo Soetta.
Keywords: Bank Credibility, Perceived Usefulness, Perceived Convenience, Customer Interest
Knowledge, Attitude and Practices of Diabetes Mellitus among Patients Visiting Out-Patient Department at A Rural Health Centre of Bangladesh
Authors: Chowdhury Sumon Rahman , Ahmad Shahryar , Hassan Mohammad Mahmudul , Mostafa Farzana , Tanzil Tasnuva 
Published: July 2023

Background : Diabetes Mellitus (DM) is a disorder in which the body does not produce enough or respond normally to inculin causing blood sugar levels to be abnormally high. To assess the knowledge, attitude and practices regarding diabetes mellitus and their associated factors among diabetic patients visiting outpatient department of a primary care setting at a rural health center.
Materials and methods: A questionnaire based crosssectional survey was carried out in the Outpatient Department of a primary level hospital in a poor resource country from February to November 2021. A total of 384 patients aged ³30 years of either gender with known diabetes mellitus type 2 were included in the study using systematic random sampling technique and interviewed using a pretested structuredquestionnaire. Data were analyzed on Statistical Package for Social Sciences (SPSS) version 21 and inferential analysis was performed using chi-square test. The study duration spanned over 9 months.
Results: The study results showed that 257 (66.9%) of the participants had adequate knowledge, 165 (43.0%) had adequate attitude while only 105 (27.3%) had adequate practices related to diabetes mellitus. Moreover, adequateness of attitude was statistically significantly associated with age (p=0.001) and education (p=0.016) while that of practices was also statistically significantly associated with age (p=0.001) and education (p<0.001) of the patients.
Conclusion: Diabetes related attitude and practices of the patients studied were far from satisfactory. Moreover, participants’ age and educational status appeared to influence both their attitude and their practices. Further evaluation of study findings using more rigorous designs is recommended.
JCMCTA 2021 ; 32 (2) : 14-19