bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dermatological Manifestations among Doctors Using Personal Protective Equipment in Coronavirus Disease 19 Pandemic
Authors: Deoghare Shreya , Pol Devayani , Kothari Rohit , Kumar Ajay , Deora Mahendra Singh 
Published: May 2023

Background:
Coronavirus disease 19 (COVID-19) pandemic is a recent outbreak of a viral infection caused by severe acute respiratory syndrome coronavirus 2. Increase in the use of personal protective equipment (PPE) among doctors has resulted in increase in adverse effects such as contact dermatitis, urticaria, acne, and infections.

Objectives:
To identify the prevalence of common dermatosis developing in doctors using PPE. To compare if dermatosis is more common in doctors working in COVID-19 dedicated setup. To assess if the development of dermatosis use was related to the duration of PPE use.

Materials and Methods:
A cross-sectional type of observational study was conducted. A questionnaire was circulated on social media to the doctors. The response was collected in Microsoft Excel and analyzed.

Results:
Two hundred and sixty-nine (71.35%) doctors reported the development of dermatosis due to personal protective equipment (PPE) use. Eczema of the face (30%) and acne (26.25%) were the commonly reported dermatosis in our study. The development of dermatosis was significantly related to the duration of PPE use. Our study revealed a high prevalence of dermatosis among doctors using PPE, which was related to the duration of work.

Conclusion:
Hence, there is a need to make the doctors aware about such dermatosis, suggest prevention measures, provide them with effective dermatological treatment, and establish guidelines for prevention for occupational skin disorders at a national level.
A Clinicopathological Study of Primary Cutaneous Amyloidosis in Tertiary Care Center, Hubballi
Authors: Thejaswi Sanjay Ramachandra , Rao Shendre Mohan Eshwar , Kudligi Chandramohan , Tophakhane Raghavendra 
Published: May 2023

Background:
Cutaneous amyloidosis has a varied clinical presentations. Clinically, it is difficult to distinguish different subtypes of PCA.

Objectives:
This study was been taken up to correlate clinicohistological profile of all three forms of primary cutaneous amyloidosis (PCA) and to study various factors affecting the disease.

Materials and Methods:
A total number of 85 patients of PCA attending Skin and STD in tertiary care center in Hubballi were included in the study. A detailed history was taken, complete general physical, systemic, and cutaneous examination was done, and details of skin lesions were noted. Patient was subjected to skin biopsy from the affected area. Clinicohistological findings so obtained were analyzed, and results were correlated.

Results:
Out of 85 cases, 36 (42.35%) were macular amyloidosis (MA), 43 (50.58%) lichen amyloidosis (LA), and 6 (7.05%) were biphasic amyloidosis (BA). Majority of the patients were in the age group of 21–50, with a male: female ratio of 1:1.3. History of scrubbing while taking bath was given by 90.58%. Housewives were the most frequently involved group (38.82%). In MA, most frequently involved sites were upper back (58.33%) and extensor aspect of arm (55.55%). In LA, majority had involvement of the pretibial area (86.04%). The dermal changes seen in MA and LA were almost the same, while the epidermal changes were less frequent in MA.

Conclusions:
In the present study, most of the patients of macular and LA had clinical and histopathological correlation. There is not much difference in the demographic profile and histopathological characteristics between LA and MA. The findings confirm that the two forms of primary localized cutaneous amyloidosis are closely related variants of one disease. Histological examination will help in confirming the diagnosis.
Acute Undifferentiated Fever Presenting as Multi-Organ Dysfunction
Authors: Sharma Sanjana , Gupta Monica , Lehl Sarabmeet Singh , Singla Nidhi 
Published: May 2023

Introduction:
Acute undifferentiated fever (AUF) in India is highly prevalent in the monsoon and postmonsoon periods. AUF may trigger potentially fatal illnesses with acute-onset complications; therefore, this study was carried out to recognize the common forms of organ dysfunction in tropical vector-borne diseases which present as AUF.

Materials and Methods:
A 20-month prospective study was conducted to estimate the incidence of multi-organ dysfunction syndrome (MODS) among the common causes of AUF. The association of mortality with MODS patterns was also determined. All nonparametric variables were compared using Chi-square and Kruskal–Wallis. Bivariate as well as multivariate logistic regression analyses were performed to find the predictors of mortality/poor outcome.

Results:
Scrub typhus had the highest incidence of MODS and highest mortality with simultaneous hepatic and renal involvement in 35.8%, followed by hepatic involvement with acute respiratory distress syndrome (ARDS) in 33.9% and hepatic involvement with shock in 32%. Patients of MODS with acute kidney injury (AKI), shock, or sepsis had higher mortality rates.

Conclusion:
AUF presents with multiple overlapping manifestations which are difficult to discern clinically into specific etiologies, especially once MODS sets in. However, we observed statistically higher odds of the patient having scrub typhus as the cause of AUF when simultaneous hepatitis, AKI, ARDS, and shock were present.
Study of prevalence and operative results of fracture shaft femur in adults
Authors: Shah Poojan V. , Tank Parag M. , Patel Nimish B. , Italiya Keval S. 
Published: May 2023

Background:
Being the principal weight bearing of the lower limb, fractures related to the femur pose a threat to humans and affect the overall quality of life. Conservative management is no longer preferred, and stable internal fixation is the modality of treatment these days.

Aims and Objectives:
The aim of this article is to study the operative outcomes of fixation of fracture shaft femur in terms of union, stability, functional outcomes, and complications.

Materials and Methods:
This study is a retrospective study of 35 patients with proximal, mid-shaft, and extra-articular distal shaft femur fractures admitted to Smt. SCL Municipal Hospital for 3 years from May 2019 to May 2022.

Results:
The results showed improvement in all the functional and radiological outcomes. More than 70% of the patients achieved greater than 125° of knee flexion. The radiological union of fractures was 4.4 months in our study. According to Neer’s score, 33 patients scored excellent to satisfactory.

Conclusion:
Internal fixation of fractures in the femoral shaft is an absolute must and has gained widespread acceptance as implants and technology have improved. The rationale for internal fixation is that it restores anatomical alignment and allows early mobilization of the patient and limb.
Comparison conventional endoscopic myringoplasty with fibrin glue supplemented endoscopic myringoplasty
Authors: Devendiran Rajendiran , Mohanbabu Nagabooshanam , Ravikumar Venugopal 
Published: May 2023

Introduction:
The fibrin tissue glues have been used in many surgeries to reinforce surgical sutures and tissue adhesion. Myringoplasty is the commonly done ear surgery for the perforations of the tympanic membrane, where no suturing is done between remnant membrane and graft.

Aim:
The aim of the study is to compare the results and effectiveness of this biological fibrin tissue glue in myringoplasty surgeries as a supplementary procedure to conventional endoscopic myringoplasty (CEM) surgeries.

Materials and Methods:
Seventy patients with chronic suppurative otitis media with tympanic membrane perforation without ossicular and mastoid involvement have been chosen. One group of 35 patients underwent CEM surgeries. In another group of 35 patients, biological fibrin tissue glue, TISSEEL, has been used as supplementary to the CEM surgeries, and the graft uptake rate and hearing improvement were evaluated and compared postoperatively.

Results:
The graft success rate at 3 months postoperatively was 91.42% in both the groups, that is, 32/35, and these values were not statistically significantly different (P = 1.00). There was a highly statistically significant hearing outcome before and after the surgery in both the CEM and the fibrin tissue glue supplemented endoscopic myringoplasty groups. However, there was no statistically significant change in hearing outcomes between the two groups.

Conclusion:
In our study, we have got more or less similar results compared with the results of the studies on routine CEM cases. But the high-cost nature of the commercially available fibrin tissue glue makes it difficult to recommend for use in all routine endoscopy myringoplasty cases.
Open safety pin in the pediatric airway
Authors: Swain Santosh K. , Choudhury Jasashree , Dubey Debasmita 
Published: May 2023

Background:
Aspiration of an open safety pin in the airway is an extremely rare and critical condition that needs immediate and safe removal of the foreign body (FB). An open safety pin in the airway of the pediatric patient requires urgent recognition. Imaging will confirm the exact site of the open safety pin in the airway. Rigid bronchoscopy with optical forceps or grasping forceps is an ideal tool for the removal of the open safety pin from the airway.

Objective:
This study aims to evaluate the clinical details, management, and outcome of pediatric patients with an inhaled open safety pin in the laryngotracheal airway.

Materials and Methods:
This is a retrospective descriptive study done between November 2016 and December 2021. There were six children with inhaled open safety pins in the laryngotracheal airway. The diagnosis was done through proper history taking, clinical examination, and the X-ray of the neck and chest of the children. All children underwent rigid bronchoscopy with optical forceps to remove the open safety pin.

Results:
Out of the six children, four were boys and two were girls. Out of the six cases, four were in the proximal part of the airway and two were seen in the distal airway. The most common clinical presentation was coughing. In this study, open safety pins of the pediatric airway were removed successfully under general anesthesia with the help of a rigid bronchoscope.

Conclusion:
Open safety pin is rarely found in the laryngotracheal airway. Open safety pin may cause a life-threatening complication. During the removal of the open safety pin, the surgeon should maintain maximum care to not injure the surrounding structures by the sharp end of the open safety pin.
Histopathological study of salivary gland tumors
Authors: Pande Pankaj R. , Pandav Amitkumar B. , Bhosale Vijay R. 
Published: May 2023

Introduction:
Salivary gland tumors (SGTs) are relatively uncommon and show a wide variety of morphological heterogeneities. The incidence of SGTs is said to be affected by geographical and racial factors. Histopathological diagnosis plays a major role in the diagnosis of these neoplasms.

Objectives:
This study investigated the incidence of SGTs and histopathological features of various SGTs, aimed at knowing the epidemiological pattern of these tumors and comparing the results of our study with other studies of SGTs in the literature.

Materials and Methods:
A retrospective study was conducted on SGTs at the Pathology Department of the Government Medical College and Hospital for a period of 5 years. Clinical and demographic data were documented and analyzed concerning histopathologic type.

Results:
A total of 86 SGTs were identified, 65.12% of which were classified as benign and 34.88% as malignant. Most tumors occurred in the parotid gland (59.14%). Pleomorphic adenoma (PA) was the most common tumor (56.98%), followed by mucoepidermoid carcinoma (MEC) (17.44%). The tumors occurred more often in men (51.16%) than in women (48.84%).

Conclusion:
SGTs exhibit broad morphological heterogeneity and these tumors are rare. The parotid gland is the most common location, and PA is the most frequent benign tumor. MEC followed by adenoid cystic carcinoma is the most common malignancy of the salivary gland.
Efficacy of B-Lynch compression suture for control of intractable hemorrhage during cesarean section
Authors: Bagade Priya Manohar 
Published: May 2023

Background:
Primary postpartum hemorrhage (PPH) due to atonicity during lower segment cesarean section is commonly seen in obstetric practice. Usually, it responds to uterotonics but at times it may lead to life-threatening complications. B-Lynch brace suture is a fertility-preserving alternative surgical technique used in patients with primary atonic PPH not responding to uterotonics. This study was conducted to find out the efficacy of B-Lynch sutures in the surgical management of atonic PPH and prevention of obstetric hysterectomy in the same patients.

Materials and Methods:
The study included 34 patients with primary atonic PPH during cesarean section refractory to oxytocics and managed with B-Lynch brace sutures. It was a cross-sectional observational study conducted over 1 year at a tertiary hospital. The amount of blood loss, any additional surgical procedure required, and associated complications were studied in these patients.

Results:
Fertility could be preserved in 100% of the patients undergoing B-Lynch sutures for primary atonic PPH, following the failure of the medical line of management. No major complications including uterine wall necrosis or pyometra were observed in any of these patients.

Conclusion:
B-Lynch suture is a safe, effective, simple, life-saving, and fertility-preserving surgical technique in the treatment of primary PPH that requires lesser expertise. So it can easily be used before major interventions such as uterine devascularization or obstetric hysterectomy.
Effect of stretching exercises on menstrual pain among adolescent girls
Authors: Talekar Vaishali Chandrakant , Singh Maharaj , Kamble Kalpana , Mane Dhiraj Kumar 
Published: May 2023

Background:
Pain is an unpleasant, intense feeling. During menstruation, contraction of the uterus to expel the built-up lining. Prostaglandin hormone is responsible for the muscle contraction in the uterus, which causes press against the blood vessels around it. It leads to a cut-off oxygen supply to muscle tissue, which triggers pain. One of the treatments for primary dysmenorrhoea is regular exercise and relaxation techniques. Stretching exercises help to relieve pain by reducing stress, improving flexibility, and strengthening the muscle. This study aims to find out the effect of stretching exercises on menstrual pain among adolescent girls.

Materials and Methods:
A cross-sectional evaluative study was conducted among the adolescent girls of Selected schools in Navi Mumbai, India from October 2021 to February 2022 to analyze the relationship between stretching exercises and menstrual pain among adolescent girls. A numerical pain scale and a modified women’s health questionnaire were used to collect data from 100 adolescent girls. The non-probability purposive sampling technique was used to select adolescent girls.

Statistical Analysis:
SPSS 24.0, software was used to tabulate and analyze the data.

Results:
This study result shows that a maximum of girls from age of 15–17 years (48%). A total of 82% of girls experienced menstrual pain. After doing stretching exercises, girls reduced their total pretest mean score from 2.65 to 1.99 post-test mean score. Posttest menstrual symptoms were reduced than the pretest menstrual symptoms after 8 weeks of intervention, so it was proven that stretching exercises helped in reducing menstrual pain and coping with problems.(‘p-value was <0.0001.

Conclusion:
Menstrual pain was a common problem among adolescent girls in schools of Navi Mumbai, Maharashtra, India. Dysmenorrhea adversely affects school attendance in adolescents. Regular daily exercises were can help to reduce menstrual pain among adolescent girls.
Tire Noise and In-Wheel Motor Noise in FE Simulations for Pass-By Noise Predictions
Authors: Lysak Alina , Kocsis Attila , Xavier Robin 
Published: May 2023

<div class="section abstract"><div class="htmlview paragraph">Pass-by noise measurement is mandatory for automotive manufacturers for conformity of production. With evolving of pass-by noise requirements (under 68 dB in 2024), all the stakeholders should be able to comply with this criterion. OEMs, suppliers of passive acoustic treatments, road manufacturers and tire manufacturers are concerned and should deploy efforts to provide solutions for control of exterior noise. In this regard, simulations are preferable over measurement campaigns as they can provide fast feedback on passive exterior treatments for exterior noise control. In the particular case of Lightyear vehicles, the main contributors to pass-by noise are tires and in-wheel motors. Considering that, a contribution of each of these two sources of noise to pass-by noise will be described. Tire noise sources and motor noise sources will be replaced by simple monopole sources. The best monopole source location for both tires and motors is discussed. Actran vibro-acoustic Finite Element software is used to predict the noise at pass-by microphones. The calculation process takes advantage of advanced techniques to optimize the process. The acoustic transfer functions (TFs) from monopole sources to microphones are calculated first. The TFs are computed in different conditions considering acoustic treatments in different areas. Finally, these transfer functions are recombined with source strengths from tire and motor monopole sources. The pass-by noise simulation results are compared to the pass-by noise test results to conclude on the simulation accurateness.</div></div>
Studi Eksegesis 2 Korintus 11:4 Mengenai “Yesus yang Lain” dan Implikasinya terhadap Pembinaan Iman Jemaat
Authors: Prianto Robi , Rusliadi Rusliadi , Tampubolon Yohanes Hasiholan 
Published: May 2023

Another Jesus was a false doctrine taught by the false apostles to the Corinthians to lead astray the Lord’s congregation in Corinth. The teachings of the false apostles concerning another Jesus are those that are easy to understand and reasonable. When they believe in “another Jesus," they will be blessed and experience no shortage and no suffering. That is why the apostle emphasized to the Corinthians the when he became a believer in Christ of weakness, the suffering of even death and humiliation was yet to be experienced. The method used is qualitative research with an exegetical approach through grammatical-historical analysis. The study found that salvation was god’s initiative to rescue mankind trough his sacrifice on the cross. Only Jesus Christ who died on the cross and rose from the dead became the savior of man, not “the other Jesus.” That is why it is important to know Jesus Christ properly and prayerfully. Became through Jesus Christ mankind has gained the gift of salvation and not “another Jesus” as taught by the false apostle. AbstrakYesus yang lain adalah doktrin palsu yang diajarkan oleh para rasul palsu kepada jemaat Korintus untuk menyesatkan jemaat Tuhan di Korintus. Ajaran para rasul palsu tentang Yesus yang lain adalah ajaran yang mudah dimengerti dan masuk akal. Ketika mereka percaya pada “Yesus yang lain”, maka mereka akan diberkati dan tidak mengalami kekurangan dan segala macam penderitaan. Itulah sebabnya, rasul Paulus menekankan kepada orang-orang Korintus bahwa ketika dia menjadi percaya kepada Kristus yang lemah, penderitaan bahkan kematian dan penghinaan belum dialami. Metode yang digunakan adalah penelitian kualitatif dengan pendekatan eksegese melalui analisis gramatikal-historis. Penelitian ini menemukan bahwa keselamatan itu adalah inisiatif Tuhan untuk menyelamatkan umat manusia melalui pengorbanannya di kayu salib. Hanya Yesus Kristus yang mati di kayu salib dan bangkit dari kematian menjadi penyelamat manusia, bukan “Yesus yang lain.” Itulah mengapa penting untuk mengenal Yesus Kristus dengan benar dan dengan doa. Menjadi melalui Yesus Kristus umat manusia telah memperoleh karunia keselamatan dan bukan “Yesus yang lain” seperti yang diajarkan oleh rasul palsu.
Peran Allah Tritunggal dalam Karya Keselamatan: Sebuah Refleksi Teologis Efesus 1:3–14
Authors: Daliman Muner 
Published: May 2023

The work of salvation is often something that is discussed and debated by believers, and the main points often focus on Christ's work on Golgotha. But the work of salvation is actually the role of the Triune God. This is stated in Paul's teachings, especially the book of Ephesians. This article will take a study from the Book of Ephesians to detail the work of each person of the Triune God in bringing about the salvation of believers. Exegetical methods and literature studies are used to interpret the passage of Ephesians 1:3-14. The research results show the work of each of the Persons of the Triune God in realizing salvation for humans as a soteriology that is trinitarian, christocentric and pneumatic-eschatological. AbstrakKarya keselamatan sering menjadi hal yang dibicarakan dan diperdebatkan oleh orang percaya, dan poin utamanya sering menitikberatkan karya Kristus di Golgota. Namun karya keselamatan sesungguhnya merupakan peran dari Allah Tritunggal. Hal ini tertuang dalam ajaran Paulus, khususnya kitab Efesus. Artikel ini akan mengambil kajian dari Kitab Efesus untuk memerinci karya dari setiap pribadi dari Allah Tritunggal dalam mewujudkan keselamatan orang percaya. Metode eksegetis dan studi pustaka digunakan untuk menafsirkan bagian nats Efesus 1:3-14. Hasil penelitian menunjukkan karya dari masing-masing Pribadi dari Allah Tritunggal tersebut dalam mewujudkan keselamatan bagi manusia sebagai sebuah soteriologi yang bersifat trinitarian, kristosentris dan pneumatis-eskatologis.
THE IMPACT ASSESSMENT OF COVID-19 ON PAKISTANI WOMEN: A SOCIO-ECONOMIC PERSPECTIVE
Authors: Shah Nasreen Aslam , Bilgrami Aliyah Ali , Rauf Samina 
Published: May 2023

The impact of COVID-19 across the globe women have been profound because emerging evidence on the impact of COVID-19 shows that women’s lives have been affected disproportionately and differently. Presently, the epidemic of COVID-19 has had a major impact on every sphere of human life. All aspects of human life (social, economic, political) were directly or indirectly affected by the outbreak of the novel Coronavirus. Women are greatly affected by the outbreak of COVID-19 as compared to men. Women are half of the population of the world. They are involved in every sphere of life. A large number of women are working in the health, economy, security, hospitality, social protection, and education sectors all over the globe. Furthermore, the workload on women is higher than men in all fields (domestic and economic) of their lives. In COVID-19 women are not able to fulfil their socioeconomic responsibilities so the level of depression is increased in them. Due to COVID-19, the percentage of unemployed and depressed women has increased throughout the world as well in Pakistan. The aim of this research study is to evaluate the impact of COVID-19 on Pakistani women. To achieve the target, Data is collected through the non-probability snowball and convenient sampling technique. A total of 60 women were interviewed from different segments of society for the collection of primary data. The clinical studies, international reports, working papers along peer-reviewed articles as secondary data. The results of this research highlight that COVID-19 has harmed women in all areas of their lives. Furthermore, results point out that working women are more probable to spend their incomes on their families as compared to men. Therefore, in the present situation of the COVID-19 pandemic, women are fired from their jobs and livelihoods and facing vulnerable situations which created unbelievable depression, panic, and anxiety in them.