bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of Drug Use on Patient Symptom Score and Quality of Life in Benign Prostatic Hyperplasia Patients
Authors: Patel Harshank Vishnubhai , Patel Kamlesh P. , Rajguru Ketan B. , Malhotra Supriya D. 
Published: August 2022

Introduction:
To assess the drug use pattern for treating benign prostatic hyperplasia (BPH) patients and its impact on patient symptom score and quality of life (QoL) of these patients.

Materials and Methods:
After getting approval from the Indian Council of Medical Research, Institutional Ethics Committee and after obtaining written informed consent from 103 BPH patients, their demographic data, drugs prescribed to them, and scores of International Prostate Symptom Score (IPSS) and Benign Prostatic Hyperplasia Impact Index (BII) were recorded. Patients were reassessed for changes in scores of IPSS, BII, and drug prescription (if any) on the 15th, 30th, and 60th days.

Results:
68.93% of patients received drug as a single entity. Patients were classified according to their presenting symptoms as severe, low moderate, and mild with a mean total IPSS score of 16.73% ± 6.6. 37.86% of patients were dissatisfied with QoL and 24.27% of patients had mixed opinion with a mean score of 3.39 ± 1.08. There was a low, medium, moderate, and high total score of BII with a mean BII score of 4.02 ± 2.51. Significant changes were seen in total BII score and frequency of urination on day 15; weak stream, nocturia, total score, and QoL on day 30; and intermittency and urgency on day 60. Incomplete emptying of bladder and straining showed nonsignificant changes. Age and total IPSS score, age and QoL, and age and total BII score showed a negative correlation. Total IPSS score and QoL, total IPSS and BII score, and QoL and total BII score showed a positive correlation.

Conclusion:
Nonsurgical pharmacological intervention had a positive impact on the IPSS and BII score and health-related QoL in BPH patients.
Prevalence and Co-Morbidities of Adult-Onset Otitis Media With Effusion
Authors: Sogebi Olusola Ayodele , Oyewole Emmanuel Abayomi 
Published: August 2022

Background:
Adult-onset otitis media with effusion (AO-OME) is relatively difficult to characterize, because of its associated co-morbidities.

Objectives:
To quantify the burden, assess co-existing diseases, and management of patients with AO-OME.

Design of the Study:
A descriptive observational prospective study.

Setting:
Clinical department in a tertiary hospital.

Materials and Methods:
Adult patients with conductive hearing impairment without ear discharge (excluding other pathologies) nor external ear pathology were eligible. The patients also had tympanometry with type B tracings (tympanograms).

Interventions:
Clinico-demographic characteristics, history of otologic symptoms, affected ear, and hearing impairment were obtained. Pure-tone audiometry (PTA), tympanometry, and radiological investigations were performed. Other existing diseases (co-morbidities) were noted. The main outcome measure was audiologically confirmed AO-OME.

Results:
Prevalence of AO-OME was (110/3452) 3.2%. Young adults (age group 18–30 years) constituted 33.7% (28/83), mean age was 37.3 ± 11.5 years, and 46/83 (55.4%) were males and 37/83 (44.6%) were females. The common otologic symptoms were feeling of fullness in the ear in 27.7% (23/83), hearing loss in 24.1% (20/83), and bilateral ear involvement in 32.5% (27/83). PTA revealed 8.2% (9/110) had normal hearing, whereas 62.7% (69/110) ears had conductive hearing loss. Patients had radiological investigations, namely plain X rays in 67.5% (56/83) and computerized tomography scan of sinuses in 10.8% (9/83). Three (3/83) patients (3.6%) each had nasoendoscopy, and nasal and nasopharyngeal examination under anaesthesia and biopsy. The major associated diseases (co-morbidities) were allergy in 38.6% (32/83), infective rhinosinusitis in 24.1% (20/83), and upper respiratory tract infection in 14.5% (12/83).

Conclusion:
Prevalence of AO-OME was 3.2%. AO-OME co-existed commonly with allergy and other inflammatory diseases of the upper respiratory tract. The management was conservative medical management.
Comparative Doppler Ultrasound Findings of Foot Arteries in Patients with Type 2 Diabetes Mellitus and Normoglycaemic Patients
Authors: Oduola-Owoo Latifat Tunrayo , Adeyomoye Adekunle Ayokunle , Olowoyeye Omodele Abosede , Odeniyi Ifedayo Adeola , Idowu Bukunmi Michael , Oduola-Owoo Badmus Babatunde , Aderibigbe Adeniyi Sunday 
Published: August 2022

Aim of the Study:
The aim of this study was to investigate lower extremity peripheral artery disease (LEPAD) in the foot arteries of patients with type 2 diabetes mellitus, with and without clinical symptoms of arterial insufficiency, using triplex Doppler ultrasound.

Materials and Methods:
Forty-seven consecutive adult subjects with type 2 diabetes mellitus (T2DM) and 47 age-matched and sex-matched non-diabetic controls were recruited (94 limbs each). Ankle-brachial index (ABI), fasting blood glucose assay, glycated haemoglobin assay and triplex sonography of the dorsalis pedis artery (DPA) and the distal posterior tibial artery (PTA) in both feet were performed.

Results:
The mean age of the subjects and controls were 60.21 ± 7.68 years and 56.81 ± 9.05 years (P > 0.05). The mean duration of diabetes mellitus was 10.4 ± 5.8 years. Crampy calf pain was the most common presenting symptom. Twenty-one (22.3%) of the 94 limbs of T2DM subjects had an abnormal ABI. Abnormal triplex Doppler waveform was seen in more than half of the PTA (57/94; 60.6%) and DPA (55/94; 58.5%). Forty-one (43.6%) of the 94 diabetic limbs had plaques in the PTA, while plaques were present in the DPA of 52 (55.3%) diabetic limbs.

Conclusion:
LEPAD is common in T2DM with a higher prevalence on triplex Doppler sonography compared to ABI values.
Pattern of Ametropia, Presbyopia, and Barriers to the Uptake of Spectacles in Adult Patients Attending a General Hospital in Kaduna State
Authors: Abdulsalam Halima Olufunmilola , Muhammad Nasiru , Pam Victoria , Oladigbolu Kehinde Kabir 
Published: August 2022

Aim:
The aim of the study was to assess the pattern of ametropia, presbyopia, and the barriers to the uptake of spectacles among adult patients attending Hajiya Gambo Sawaba General Hospital (HGSGH), Zaria, Nigeria.

Materials and Methods:
This study was a descriptive hospital-based study. The study population was selected by systematic sampling over a 3-month period (July–September, 2016). A questionnaire was administered for sociodemographic data, patients’ history, and refraction. Patients with visual acuity less than 6/12 or who required at least +1.00DS to read N8 were given spectacle prescriptions and assessed after 2 months to confirm if they purchased the spectacles.

Results:
Two hundred and nine patients were assessed: 124 (59.3%) females and 85 (40.7%) males. The age ranged from 18 to 75 years with a mean of 45.5. One hundred and seventy-five (83.7%) had ametropia, 100 (47.8%) had presbyopia, and patients having both were 66 (31.6%). Astigmatism was the most common ametropia, 118 (67.4%), followed by hypermetropic astigmatism 33 (18.9%) and myopia 24 (13.7%). Only 97 (46.6%) patients purchased their spectacles, and 92 of them were using their spectacles. One hundred and twelve (52.2%) patients did not buy their spectacles, with cost being most common barrier to the uptake of spectacles.

Conclusion:
There is a high burden of ametropia and presbyopia among patients attending HGSGH, Zaria. Cost of spectacles and ‘no felt need’ were found to affect spectacle uptake. Health information and availability of low-cost spectacles are important strategies in reducing the burden of uncorrected ametropia and presbyopia in Kaduna State.
Adenoid and Tonsil Hypertrophy in Zaria, North Western Nigeria
Authors: Shuaibu Iliyasu Yunusa , Usman Mohammed Aminu , Ajiya Abdulrazak , Chitumu Dotiro , Mohammed Ibrahim Babatunde , Abdullahi Hamisu , Adebola Shofoluwe Nurudeen , Adamu Auwal 
Published: August 2022

Background:
Adenotonsillar hypertrophy is one of the most common childhood disorder that necessitates presentation to the ear nose and throat specialist. The disorder may be managed conservatively or by surgery.

Aim:
To highlight the clinical presentation and surgical treatment outcome of patients managed for adenoid and tonsillar hypertrophy at Ahmadu Bello University Teaching Hospital Zaria, Nigeria.

Materials and Methods:
The case records of patients managed for adenoid and tonsil hypertrophy were reviewed from January 2013 to December 2017 at the Division of Otorhinolaryngology, Department of Surgery Ahmadu Bello University Teaching hospital Zaria, - Northwestern Nigeria. Case notes with incomplete information and /or missing pages were excluded. The data were analyzed using IBM SPSS (for windows, version 23)

Results:
There were 56 (55.4%) males and 45 (44.6%) females with male to female ratio of 1.2:1. Their ages ranged from 2–16 years with a mean and standard deviation of 4.0 and 3.2 respectively. The most common symptom at presentation was snoring 85 (84.2%) followed by rhinorrhea 81(80.2%). Findings from the radiologic investigations revealed that majority of the patients had severely narrowed nasopharyngeal air column 83(82,2%) Adenotonsillectomy was the most common surgery performed on most of the patients 63(62.4%) who presented with adenotonsillar hypertrophy. Majority of the patients 95(94.1%) had resolution of symptoms within the period of follow up. Four (4.0%) of them had recurrent adenoidal growth.

Conclusion:
Snoring, rhinorrhea and mouth breathing were the most common symptoms of adenotonsillar hypertrophy. The outcome of adenotonsillar surgeries in our patients is good, with the majority having resolution of symptoms.
Prevalence of vulvar intraepithelial neoplasia
Authors: Bucu Mikaela Erlinda M. , Domingo Efren J. 
Published: August 2022

Abstract
Vulvar intraepithelial neoplasia (VIN) is a precancerous lesion involving the squamous epithelium of the vulva. This retrospective descriptive study aims to determine the prevalence of VIN in a tertiary government hospital in a developing country. Medical records of outpatient consultations with the diagnosis of VIN from January 2000 to June 2012 were reviewed. The prevalence of VIN was 1.6/100,000 women over the 12 years. The diagnosis was based on biopsy results of an incidental finding of vulvar lesions on physical examination. The profile of a patient with VIN was a woman aged 40 years old and above, married, multigravid, nonsmoker, high school graduate, and unemployed. Vulvar lesions noted were multiple hyperpigmented papules located at the posterior labia majora. VIN was associated with abnormal colposcopy findings, and 40% were associated with concomitant cervical disease. Treatment was wide local excision. Prompt diagnosis and appropriate treatment of VIN aim to prevent its progression to vulvar carcinoma. Although vulvar carcinoma is a rare condition, there has been a notable rise in prevalence in recent years. Hence, gynecologists should be vigilant and have a high index of suspicion to detect the disease early in its course.
Profile of women admitted with a history of induced abortion at a tertiary government hospital from 2013 to 2017
Authors: Vista Genevieve A. , Madamba Helen V. 
Published: August 2022

Abstract

INTRODUCTION:
Unsafe abortion is one of the major medical and public health problems in developing countries. However, there is a lack of up-to-date and reliable information on induced abortion distribution and its determinant factors in the country.
OBJECTIVES: This study determined the sociodemographic and clinical profile of women admitted for abortion at a tertiary government hospital in Cebu city from 2013-2017.

METHODS:
This study reviewed the charts in medical records of women diagnosed with abortion admitted at a government tertiary hospital from January 2013 to December 2017 with key words “abortion” in the final diagnosis.

RESULTS:
The results of this study showed that 86% of patients who had induced abortion discharged improved from this institution, 2 patients died due to medical complications and 12% were discharged against medical advice. Majority of abortions were within early ages of gestation. Primigravidas and primiparas had the highest incidence of induced abortion 20.44% and 27.73%respectively. Of the treatments employed, the major method of abortion employed was mechanical. Majority of induced abortions did not develop septic complications.

CONCLUSION:
The trend in admission of induced abortions from 2013 to 2017 showed a downward trend. This decrease in incidence may be attributed to improved access to family planning methods since the Reproductive Health Law was implemented in 2014 and the introduction of the Maternal Perinatal Statistics quarterly conferences headed by Department of Health (DOH) Region 7 and the different DOH-retained hospitals as well as BEMONC/SEMONC facilities in Cebu Province. 17. These statistical events focuses the spotlight on the importance of health education and further improvement in the provision of health care in the local setting. Moreover, further improvement in post abortive care and adequate coverage should be provided to patients with abortion to reduce the incidence of complications and potential mortality.
The Repercussions of Representation
Authors: Mittal Navyaa , Sharma Mritunjay 
Published: August 2022

Representation in the media has, to a great degree, shaped people’s views of communities they have not had personal interaction with. With growing awareness about the lives and rights of transgender individuals, a concern is raised about how they are showcased in media. This research study aims to evaluate the impact of depicting gender and related themes in media on the lives of urban transgender Indian youth belonging to the age group of 15 to 19 years old. This was accomplished through conducting focus group sessions to understand the participants’ views furthermore thematic analysis was carried out to interpret and thematise the findings. The study illuminated feelings of alienation, from the rest of the community and from society as a whole. The participants showed signs of internalised transphobia that linked to the vision of them shown in the media. While moving forward, media seeking to represent the transgender, or any minority, community need to consider the impacts of their representation. In particular, having members from the community oversee their work and be involved in the production of the same would ensure authentic and relatable representation. This would create job opportunities for transgender individuals in the film industry, thereby increasing their livelihood and leading to betterment in the functioning of the industry. In addition, it would help secure the place of gender minorities in a society that currently either refuses to acknowledge their existence or has a warped perception of them.
Keywords - transgender, representation, media, internalised transphobia, nonbinary
Motivating Employees
Authors: Giasson Michel 
Published: August 2022

AbstractMotivation of employees starts with a well motivated manager. The manager will have to generate his own motivation by developing a good attitude towards himself and his goals. This will have to take into account the equilibrium required among the demands made by his work, his health, his family, and his personal finances. His rewards will come from his successes and his ability to spring into action. The manager will motivate his employees by showing a proper attitude towards them and their goals. He will look for their equilibrium with active listening and will develop a program of active communication.
The Value of Patient Registries: Common Needs for Rare Diseases
Authors: Mittmann Nicole , Varette Oliver 
Published: August 2022

Rare disease registries platforms serve an important function in assembling and linking real-world data for a broader population of patients—they collect real-world data to evaluate natural histories of disease, outcome measures, standards of care, and drug safety and effectiveness.
Several barriers remain that impede the widespread use of rare disease registries for real-world data, including concerns over data quality, governance, and implementation of the assembled real-world evidence for decision-making purposes.
A report published in this issue of the journal is the first in a series of case studies that CADTH is pursuing that focus on registries for rare diseases, with the goal of leveraging the power of registries to improve the portrait of care for several rare diseases and support the decision-makers responsible for enacting these changes.
Performance Analysis of 3 Arms Without Signal Access (Case Study Jl. Raya Bogor-Sukabumi, Jl. Siliwangi-Cibolang, Jl. Perintis Kemerdekan)
Authors: Nurul Aen  , Daniel Ari Susanto  , Dio Damas Permadi  , Isaeva Tatyana Evgenevna  
Published: August 2022

One of the types of intersections is the type of unsignalized intersection, the unsignalized intersection which is on Jl. Raya Bogor-Sukabumi, Jl. Siliwangi- cibolang, Jl. Independence pioneer. is the intersection of three arms. This study aims to determine the value of cur/hour and the performance of unsignalized intersections at the intersection. This research method is a field survey, which is carried out by researching directly in the field to obtain the required data. calculation of unsignalized intersection performance data using the 1997 Indonesian Highway Capacity manual method. Results the analysis obtained, the value of capacity from seven days of observation obtained a value of….cur/hour, the value of the degree of saturation DJ=….., too high occurred on the day… at WIB and the value of the delay is obtained by…. sec/cur. The queue probability value ranges from….% -….%
Behandling av alkoholbrukslidelse: pasientfaktorers betydning for gjennomføring og utfall
Authors: Høiland Kristoffer , Egeland Jens 
Published: August 2022

Alcohol use disorder (AUD) is among the three most common mental disorders in Norway. In general, treatment is provided by interdisciplinary specialized substance use disorder clinics. However, a substantial portion of AUD patients do not receive effective treatments, and we need to develop more efficient treatments that are tailored to the patient. This article presents findings from a clinically situated literature search on the significance of patient factors for completion and outcomes of AUD treatment. We found that severity of alcohol dependence, social network, personality disorders and cognitive impairments were significant factors for completion and outcomes in AUD treatment. Demographic factors such as gender and age were of minor importance. This can be useful hands-on knowledge for clinicians working in the field of addiction treatment when providing and adapting treatment to AUD patients.
Keywords: alcohol use disorder, evidence-based practice, patient factors, treatment outcome, psychotherapy.
Thermal and mechanical study of polymeric composites prepared from epoxy with iron filings
Authors: Al-Atrash Maysam K. Jassem , Halim Ebtahag Z. Sulyman Al 
Published: August 2022

Through this research, polymeric composites were prepared from Addition of epoxy resin with iron filings in certain weight ratios (0.5%,1%,1.5%,2%,2.5%,3%,4%,4.5%,5%) as a reinforcement material. The comparison was made between polymeric composites Before and after the cementing process , After a series of experiments, it was found that the best weight percentage was (1%),This addition was done at different temperatures (8,25,55) °C, The results when compared before and after the reinforcement process for the composites showed that the thermal conductivity the thermal conductivity increased after the strengthening process, for the mechanical properties, Impact test, Hardness and compressive strength, they increased at 25°C and increased at processing temperatures(8.55)°C.
Physiological, hematological and some biochemical alterations during pregnancy
Authors: Saleem Hiba Muwafaq , Muhammed Thikra Majid , Al-Hetty Hussein Riyadh Abdul Kareem , Salman Dina Akeel 
Published: August 2022

The mother's body undergoes several changes in all organ of the bodily systems to stimulate the growth and development of the fetus; hence, the clinical laboratory play an important role in the management of pregnant women. A total number of 90 sample were (60 pregnant and 30 control) from the general women population that were referrals from al-Ramadi of obstetrician – gynecologist hospital in the period November 2021 to June 2022. The result of statistical analysis of the present study showed there were no significantly differences between age of pregnant and control group and the gestation period time the pregnant women was 15 % in 1st trimester of gestation, 35 % in 2nd trimester of gestation and 50 % in 3rd trimester of gestation , in addition complete peripheral blood count examination ( leukocytes , Neutrophils , Lymphocytes ,Erythrocytes , Hemoglobin , Hematocrit , and Platelet) revealed significantly lower rates of pregnancy compared to the control group while (Neutrophil) were revealed significantly increase between pregnant and control group.
availability of body language skills for philosophy and psychology teachers for the fifth literary grade from the students’ point of view
Authors: Ismail Kamal Jassim , Al-Rubaie Abdul Razzaq Mohsen 
Published: August 2022

The goal of the current research is find out how much the body language skills is available in the teachers of philosophy and psychology for the fifth literary grade from the students’ point of view, as well as knowing the differences in body language skills according to the gender variant, and the specimen included (400) students male and female selected by the simple random method of the fifth literary grade in third Karkh education schools that belongs to the governorate of Baghdad divided equally by gender and the questionnaire consisted of (41) paragraphs divide to (5) fields which are (head movement, facial expressions, hand and foot movement, distance between the teacher and student, exterior look and, body movement), and the virtual validity was extracted by showing the questionnaire to a group of experts and arbitrators, then the consistency was extracted for all of the fields by using Pearson correlation coefficient whereas the total consistency coefficient reached (0.84) as for the five fields it was (0.82, 0.77, 0.84, 0.94, 0.86) sequentially and by using fisher’s equation and Chi-square equation.
Flexural strength of heat polymerized acrylic resin repaired with different reinforcing materials
Authors: Mundada Yogita , Gajare Susheen , Jankar Ajit , Nagargoje Yogesh , Kamble Suresh , Chinchansure Pranoti , Ghuge Jayshree 
Published: August 2022

Purpose: Heat cure methyl methacrylate has been the denture base material of choice for the fabrication of conventional complete dentures and transitional removable partial dentures. One of the factors that cause fracture is considered to be low resistance to impact, flexural or fatigue. However, dentures repaired with auto-polymerizing acrylic resin alone often experience a re-fracture at the repaired site. This study aimed to evaluate flexural strength of heat polymerized acrylic resin repaired with different reinforcing materials.
Methods: 48 samples were prepared and divided into four groups. 12 samples were considered as controls, and 36 were divided into 3 experimental groups. The samples were sectioned into two halves from the middle, and were then repaired with rapid repair material, and reinforcing material. Each group was divided into 4 subgroups: unreinforced, reinforced with metal wire, metal mesh, and glass fiber. All specimens were subjected to a 3-point bending test, and the flexural strength was calculated. Results: all the reinforcement groups namely Stainless steel wire, metal mesh and glass fiber improves flexural strength of heat cured acrylic resin samples and glass fiber reinforced samples had the greatest flexural strength when compared with all other groups.