bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of platelet-rich plasma in alleviating split skin graft morbidities
Authors: Chigurupati Veda Samhitha , Khanna Seema , Kumar Sandip , Khanna Rahul 
Published: August 2023

Abstract

Introduction:
Skin grafting is a routinely employed technique to cover the skin defect. Though the skin grafts are technically effortless, they are tiresome because of the prolonged duration of hospital stay, labor–intensive, demanding repeated dressings, and also create a second wound. Platelet-rich plasma (PRP) is one that has a higher concentration of platelets than the blood. Alpha granules of the platelets are rich in growth factors.

Aims and Objectives:
To assess the effect of PRP on split-thickness skin graft uptake and donor site healing.

Materials and Methods:
In a single-center-based prospective study done from August 2018 to June 2020, 60 patients with acute and chronic wounds were divided into two equal groups. Autologous PRP was applied on the recipient wound bed and donor site in PRP group, and conventional methods like staples/sutures were used to anchor the skin grafts and standard of care of the donor site in a control group.

Results:
Instantaneous graft adhesion was observed in all patients of PRP group. The first graft inspection was delayed. Seroma, hematoma, total number of dressings, and duration of stay in hospital were significantly reduced in the PRP group. Donor site pain in the postoperative period was notably reduced in PRP group. PRP also remarkably hastened the donor site healing.

Conclusion:
The application of PRP promotes graft take, minimizes complications, enhances donor site wound healing, mitigates donor site pain, and has immense economic benefits due to the reduced number of dressing changes and shorter hospital stay.
Descending the reconstructive ladder: Salvage reconstruction by tissue expansion to revise a free flap-based forehead reconstruction
Authors: Asher Christian M , Oluboyede Daniel , Mario Avelina I , Malata Charles M 
Published: August 2023

Abstract

Background:
Forehead defects pose a reconstructive challenge and multiple revisions are often required to achieve satisfactory outcomes.

Materials and Methods:
The case history of a 20-year-old woman undergoing radical resection of a forehead arteriovenous malformation and reconstruction with an anterolateral (ALT) free flap is described.

Results:
Although free tissue transfer with an ALT was successful, its color and texture mismatch were unacceptable to the patient. The esthetic result and patient satisfaction were improved by subsequent tissue expansion of the contralateral forehead, removal of the free flap and advancement of the contralateral forehead skin.

Conclusion:
Complex reconstructions utilize a breadth of techniques. We illustrate a dynamic use of the reconstructive ladder, implementing a descending approach to achieve a satisfactory reconstruction objectively and subjectively from the patient perspective.
Multidimensional indicators as enablers on perception of facial beauty and appearance among Indian population: A descriptive cross-sectional study
Authors: Alok Kumar Vaibhav , van der R R W J Hulst , Shome Debraj Debabrata , Booi Darren I , Tandel Harshal Arun , Mhatre Pranjal Devidas 
Published: August 2023

Abstract

Background:
Facial appearance has been a flagbearer of “beauty” since time immemorial. Perception of beauty is highly influenced by cultural, interpersonal, and intra-personal variations.

Objectives:
This study aimed to assess the perception of facial beauty and appearance through multidimensional influencing indicators among the Indian population, and to determine whether the physically attractive person possesses more personal and socially desirable traits than the comparatively less attractive individual.

Materials and Methods:
A study population of 474 with equal male and female population of Indian origin was selected. Their perception was assessed based on the prevalidated, self-administered questionnaire using a tool with five major multidimensional indicators. Six images were selected, three each of male and female subjects, and labeled as A, B, and C, in descending order of attractiveness. The multidimensional influencing indicator tool was self-administered to the participants and the responses were recorded individually.

Results:
Photograph A scored the highest out of the three grading scales in both males and females.

Conclusion:
The most attractive photograph, in both males and females, was deemed to be associated with higher scores of attractiveness and success.
Microneedling with autologous platelet-rich plasma versus topical insulin for treating postacne scars: A split-face comparison
Authors: Mohta Alpana , Yadav Manoj K , Ghiya Bhikam C 
Published: August 2023

Abstract
Post-acne atrophic scars (PAS) are a common complication of acne, and their treatment can be limited in people of color due to dyspigmentation and scarring risks. This split-face study compared the efficacy of microneedling with topical insulin (TI) on one side of the face with microneedling with platelet-rich plasma (PRP) on the other side for the treatment of PAS. The study included 50 participants with Fitzpatrick skin types III to VI who had never been treated for PAS. Both sides of the face showed significant improvement, with the left side (TI) showing a 52% improvement and the right side (PRP) showing a 28% improvement. The treatment was well-tolerated, with no significant adverse effects, and no changes in blood glucose levels were observed. The researchers suggest that combining TI or PRP with microneedling can improve PAS treatment, with TI being a superior option due to its ease of use, low cost, and noninvasive nature.
An innovative approach for nasal reshaping using hyaluronic acid intradermal injections
Authors: Romeo Francesco 
Published: August 2023

Abstract

Background:
Nasal reshaping using hyaluronic acid (HA) filler has become a widespread technique and injections are usually performed in deep layers. As an alternative, we propose an innovative approach where HA is injected into the dermis, the so called MesoRhinoFiller.

Aims and Objectives:
The aim of this study was to describe our injection technique using a smooth, cohesive, and slightly viscous HA filler injected in the dermis.

Materials and Methods:
A retrospective review of the author’s clinical experience from March 2017 to March 2020 was presented. A total of 280 consecutive patients were treated with HA injections to improve their nasal appearance. The mean volume was 0.5 cc HA filler/treatment.

Results:
An average increase of 4.9 ± 3.4° was obtained for the nasofrontal angle, and of 7.0 ± 4.5° for the columella labial angle. Asymmetries in the nasal profile and alar rim were also corrected. All the patients were satisfied with the results and no complications occurred.

Conclusion:
Injecting HA fillers in the dermal plane is a versatile approach that provides very satisfactory results. This technique allows one to better correct aesthetical, post-traumatic, and post-surgical defects compared with the usual injection rhinoplasty procedures where the filler is injected deep onto the bone/cartilage in the midline of the nose.
Intralesional drug delivery with a bent needle
Authors: Mutalik Sharad D , Rasal Yashashree Dhaval 
Published: August 2023

Abstract
Intralesional injections to wide, thick lesions and lesions on curved surface are challenging with syringe and needle unit being held parallel to skin surface. Bending the needle eases negotiation by lifting the syringe away from skin surface with needle entering parallel to the lesion ensuring uniform and optimal drug delivery.
Periareolar augmentation mastopexy: Finding the aesthetic level of breast lifting
Authors: Byun Il Hwan , Jung Ji Eun , Shin In Seok , Hoon Park Sang 
Published: August 2023

Abstract

Background:
Ptosis and volume atrophy of the breasts are common symptoms for various ages of women and may induce a considerable amount of stress in daily life. Periareolar augmentation mastopexy is an effective procedure for such conditions, and planning the new nipple position is very important.

Aim:
To provide a simple, straightforward planning and walkthrough of this operation in a journey to find the ideal level of breast lifting for natural upper fullness.

Materials and methods:
From January 2019 to December 2021, a total of 193 patients with volume deflation and ptosis of the breast received periareolar augmentation mastopexy in our institute. We retrospectively reviewed data on demographics, surgical procedures, outcomes, and complications.

Results:
All operations were done with periareolar incisions, and the mean follow-up period was 29.48 ± 9.11 months. The Likert scale of outcome satisfaction scored 9.02 ± 0.61. Complications were minimal, and no symmastia or bottoming out occurred.

Conclusion:
We present our basic strategies of periareolar augmentation mastopexy with a slight modification of the design. We believe that lifting the nipple to 3–4 cm above the inframammary fold (IMF) (making the top of the areola about 5–6 cm above the IMF) yields satisfactory aesthetic results.
Platelet-rich fibrin therapy as an adjuvant treatment in the management of metastatic Crohn’s disease: A case series
Authors: Vasudevan Biju , Neema Shekhar , Vendhan Senkadhir 
Published: August 2023

Abstract
Metastatic or cutaneous Crohn’s disease (MCD) is a rare manifestation of Crohn’s disease and presents with ulcers, nodules, edema, fissures, and fistula. The genital involvement is seen in almost 50% patients and linear ulcers (knife-cut ulcers) are characteristic clinical features. The histopathological findings of skin lesions are similar to gastrointestinal involvement and is diagnostic. The treatment options for the management of MCD include topical and oral steroids, oral metronidazole, as well as immunosuppressants such as methotrexate, azathioprine, cyclosporine, and tumor necrosis factor alpha inhibitors. We present three cases of MCD who were treated with platelet-rich fibrin therapy as adjuvant and resulted in rapid healing of ulcers.
Micro-face-lift: A novel biplanar, composite, less-invasive procedure
Authors: Wolf Yoram , Selinger Rami , Skorochod Ron , Mitz Vladimir 
Published: August 2023

Abstract

Background:
Facial rejuvenation procedures have been in existence for over a century. Since its first introduction, it improved anatomical understanding and clinical implications and gave rise to numerous techniques and re-ideations of the original face-lift. The increase in popularity of face-lift procedures attracts patients of various ages and with different medical comorbidities. In this paper, we describe the less-invasive facelift procedure, termed the “Micro-Face-lift,” with minimal complications, a short recovery period, and few contraindications.

Materials and Methods:
The authors retrospectively analyzed the medical files of 51 patients who underwent the “Micro-Face-lift” procedure between 2014 and 2019 by three independent surgeons.

Results:
Fifty-one patients met the inclusion criteria for the procedure. Forty-nine patients were women (96.1%) and the remainder were men (3.9%). The mean age at the time of the procedure was 60.8 years (range 45–87). Complications were encountered in five patients (9.8%): two hypertrophic scars (3.8%), one hematoma (2%), one surgical wound infection (2%), and one edema (2%), persistent for more than 2 weeks postoperatively. All complications resolved within 6 weeks of postoperatively. Thirty-five patients (68.6%) underwent additional procedures to maximize the aesthetic outcome. Thirty patients (58.8%) underwent submental liposuction and five patients (9.8%) underwent mid-face lipo-filling. The average satisfaction score on the self-reported “Likert” scale was 4.27 (range 1–5). All patients were followed for a minimum period of 18 months.

Conclusions:
The “Micro-Face-lift” is a less-invasive procedure that can be performed under local anesthesia and sedation in the outpatient setting. Complication rates and mortality are low, contraindications are rare, and the recovery period is short. In our experience, patient satisfaction is high with the Micro-Face-lift procedure, and the learning curve for the experienced practitioner is short.
Emergency versus elective cholecystectomy: Experience at a university hospital in the Eastern Province, Saudi Arabia
Authors: Amer Nasser M. , Alarfaj Mosab A. , Othman Sharifah A. , Alshammary Shadi , Alshammari Eiman M. 
Published: August 2023

Abstract:

BACKGROUND:
Laparoscopic cholecystectomy (LC), the procedure of choice for treating most gallbladder pathology, has become the most trusted elective procedure for treating gallstone disease because of its effectiveness and safety. While the timing is an important factor in those cases, our aim in this study was to compare emergency and elective LC, determine the differences in postoperative complications, and assess the conversion rate to open cholecystectomy.

MATERIALS AND METHODS:
This study included a total of 627 patients who had undergone laparoscopic cholecystectomy during 2017-2019 at King Fahd Hospital of the University (KFHU). Records of both emergency and elective cases were reviewed from Quadra-med (software package). All demographic data of the patients, presenting complaint, laboratory and inflammatory marker, type of the operation, intraoperative complications, procedure time, conversion rate from laparoscopic to open cholecystectomy, postoperative period, length of hospital stay, and pathological diagnosis were entered into an Excel sheet. The data was analyzed using SPSS 23.0. Qualitative variables were described as frequencies and percentages, and continuous variables were summarized with mean and standard deviation (SD). Chi-square test, t-test, and the Mann–Whitney U-test were applied to test for statistical significance at P ≤ 0.05.

RESULTS:
The mean age for patients undergoing elective LC was 39.94 years (SD=13.56) whereas, mean age of patients undergoing emergency LC was 40.64 years (SD=13.02). About 71% of cases in elective LC group were females compared to 55% in the emergency LC group. There was a significant difference in C-reactive protein (CRP) in relation to the type of surgery where P < 0.05. Twelve (1.9%) patients had subtotal cholecystectomy and two cases converted from LC to open. There was a significant association between postoperative complication and the type of surgery. The length of hospital stay (LOS) was also found to be significantly more in patients having emergency LC (6.0 vs. 4.5 d; P < 0.05).

CONCLUSION:
The relation between conversion to an open procedure and type of surgery (elective or emergency) in our study was nonsignificant. There was a significant association between preoperative CRP, postoperative complication, length of hospital stay, and type of surgery. Further multicenter studies are required for further investigation.
The degree of nicotine dependence among users of different tobacco and nicotine products in Madinah City, Saudi Arabia
Authors: Almutairi Rami M. , Al-Dubai Sami A. R. , Almutairi Mai M. , Alharbi Hani H. , Alshlahi Hatim M. , Albadrani Muayad S. 
Published: August 2023

Abstract:

BACKGROUND:
Nicotine addiction has many consequences. The World Health Organization has classified nicotine dependence as a disorder of substance use. This study aimed to assess the dependence in users of different tobacco and/or nicotine-containing products (TNPs).

MATERIALS AND METHODS:
This analytical, cross-sectional study involved 211 TNP users in Madinah, Saudi Arabia. The data was collected using a self-administered questionnaire that consisted of two main sections. The first section included sociodemographic domain, TNP status domain, and the Stages of Change model domain. The second section of the instrument included the ABOUT dependence construct comprising 12 items. Independent t-test, analysis of variance, and correlation analysis were used to assess the relationship between the study variables.

RESULTS:
Most users of TNPs exclusively used tobacco cigarettes (53.1%). Total dependence score was significantly associated with gender, marital status, age group, monthly income, nicotine concentration in electronic cigarettes (e-cigarettes) liquid, and the number of cigarettes smoked per day (P < 0.05). Total dependence score was correlated with the duration of TNP usage (r = 0.24, P < 0.001), Switching attempts to another TNP (r = 0.16, P = 0.020), attempts of quitting TNPs (r = 0.25, P < 0.001), and willingness to quit (r = −0.37, P < 0.001).

CONCLUSION:
Dependence was associated with gender, marital status, age group, monthly income, nicotine concentration in e-cigarette liquid, and the number of cigarettes smoked per day. It was also associated with duration of TNP usage, Switching attempts to another TNP, attempts of quitting TNPs and the willingness to quit.
Trends, characteristics, and impact of global scientific production on mental health of health workers in the context of coronavirus disease 2019 (COVID-19)
Authors: Puchuri-Lopez Javier , Galvez-Sandoval Manuel , Guerrero Maria E. , Munive-Degregori Arnaldo , Mauricio-Vilchez Cesar , Barja-Ore John , Mayta-Tovalino Frank 
Published: August 2023

Abstract:

BACKGROUND:
Healthcare workers are under significant constant stress as a result of the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study, therefore, was to analyze bibliometrically the impact, trend, and characteristics of scientific production related to the mental health of health professionals during the COVID-19 pandemic.

MATERIALS AND METHODS:
A bibliometric analysis of the scientific production on the mental health of health professionals and COVID-19 in Scopus from December 2019 to December 2021 was performed. An advanced search was designed using Boolean operators in Scopus and applied in April 2022. The metadata was entered into Microsoft Excel for the elaboration of the tables, SciVal to obtain the bibliometric indicators, and VosViewer to plot collaborative networks.

RESULTS:
A total of 1393 manuscripts, 1007 of which met the eligibility criteria, were found on the mental health of health workers and COVID-19.The country with the highest academic production was the United States and Harvard University with 27 manuscripts as the most productive institution. The scientific journal with the highest scientific production was the International Journal of Environmental Research and Public Health with 138 manuscripts and 1580 citations, and the author with the most citations per publication was Carnnasi Claudia with 69.8.

CONCLUSION:
The countries with the highest economic income occupy the first places in scientific production on the mental health of health workers during the COVID-19 pandemic, with the United States as the leader. There is a gap in the scientific knowledge on the mental health of healthcare workers during the COVID-19 pandemic in middle- and low-income countries.
Skull-base temporal encephalocele: Hidden cause of temporal lobe epilepsy
Authors: Pillai R , Chheda A , Agrawal S , Ravat S , Sankhe S , Muzumdar D 
Published: August 2023

ABSTRACT
In the present study patients with previously diagnosed MRI-negative temporal lobe epilepsy (TLE) on long-term video electroencephalography (VEEG) monitoring were re-evaluated with high resolution 3T MRI brain to look out for a skull base temporal lobe encephalocoele (TE). A total of 234 VEEGs were analyzed. TLE had been diagnosed in 104 patients based on semiology, ictal, interictal EEG data, and brain positron emission tomography (PET) studies. Of these, 99 patients had temporal lobe abnormality (78 had mesial temporal sclerosis, 8 had tumor, 3 had focal cortical dysplasia, and 10 had mixed pathology). Out of the five 1.5T MRI-negative TLE patients, two patients were diagnosed with TE on subsequent 3T MRI brain scans and one patient underwent electrocorticography-guided tailored resection for complete removal of epileptogenic tissue; with Engels class I seizure freedom at one year follow-up. We propose that TE should be carefully searched for, as a cause of refractory TLE, using high-resolution MRI sequences.
Pré-eclâmpsia: características e o papel do enfermeiro no diagnóstico e assistência
Authors: Cerilo-Filho Marcelo , Edvirgens Lima da Cruz Lais , Constância Feitosa Marinho Julyana , Stefany Rocha do Nascimento Bruna , Nascimento Soares Mirelly , Vieira do Nascimento Wiris , José dos Santos Adriano , Dos Santos Nunes Erika 
Published: August 2023

A pré-eclâmpsia constitui um grande problema de saúde pública em todo mundo, sendo responsável por altas taxas de morbimortalidade materno-fetal. O enfermeiro, por ser um dos profissionais a realizar o acompanhamento pré-natal de baixo risco, deve atentar-se às alterações no estado de saúde da mulher, que indiquem necessidade de encaminhamentos e maior acompanhamento. Diante do exposto, o presente estudo teve por objetivo descrever o papel do enfermeiro na assistência e diagnóstico da pré-eclâmpsia, bem como as principais características desta patologia. Para tal, realizou-se uma revisão bibliográfica da literatura no formato narrativo-exploratório; a busca por evidências ocorreu no período de janeiro a abril nas bases de dados: Scielo, Lilacs, Medline, NIH, Cochrane e Google Scholar. Foram encontrados 6012 artigos, após aplicação dos critérios de seleção restaram 27, correspondendo à amostra da revisão. Estes relataram que a pré-eclâmpsia é caracterizada pela tríade sintomática: edema, hipertensão e proteinúria. O enfermeiro é imprescindível no diagnóstico da pré-eclâmpsia, pois é na Atenção Primária que é identificada esta enfermidade e, com isso, deve-se estar atento aos fatores de riscos e sintomatologia de cada gestante, para que possa diagnosticar esta doença precocemente e prescrever os cuidados de enfermagem. Posto isso, é notório que a pré-eclâmpsia é uma doença multifatorial e com amplo aspecto, sendo o enfermeiro um profissional imprescindível no diagnóstico e assistência a gestantes portadoras desta enfermidade
Staging Decadence
Authors: Alston Adam 
Published: August 2023

Why are so many theatre makers staging their experiences of going nowhere fast? Runners stumbling atop treadmills, cyclists spinning on exercise bikes, torsos flailing wildly while feet remain rooted to the spot. ‘Frenetic standstill’ identifies the strange paradox of racing to keep up with an accelerating pace of life in stagnating economies. What happens if we take seriously the claim that theatre is both unproductive and decadent? What can performances of excess tell us about the apparent need for workers and consumers to be constantly productive? What might they lend to our understanding of ‘frenetic standstill’ as one of the most pressing issues of recent times – an issue that is only set to be worsened by the pandemic?
Staging Decadence: Contemporary Theatre and the End of Capitalism offers the first scholarly consideration of decadence in theatre, focusing on an international range of practitioners who embody, enact or subvert the excesses of 21st-century capitalism. It does so by introducing and ultimately embracing decadence as a valuable take on radical theatre in beleaguered economies, this having been considered the very antithesis of ‘productivity’ and ‘progress’ by many artists and writers across the world for over 150 years.
What emerges is an opportunity to consider decadence as a stage upon which cultural values are forged, appropriated, contested or undermined. This book presents a diverse range of examples including work by Wunderbaum (Netherlands), Marcel·lí Antúnez (Spain), Julia Bardsley (UK), Toco Nikaido (Japan), Martin O’Brien (UK), and jaamil olawale kosoko (USA). It is the primary output attached to the AHRC-funded Staging Decadence project, and will be a landmark text in the field and the discipline at large.