bluuebunny/crossref_metadata_2025_split huggingface dataset:
Complications of Dengue Infection in Admitted Patients at Rehman Medical Institute: A Retrospective Study
Authors: Achakzai Humaira , Kundi Rizwan Ameen , Bibi Huzaima , . Zala , Huma Zilli , Farooq Layma , Wali Haseena , Shah Danish , Ahmed Naseer 
Published: April 2022

Dengue infection is an arthropod-borne Flavivirus infection that spread through female mosquitoes (Genus Aedes). Dengue infection is a major health challenge in the tropical and subtropical parts of the world. Methods: This is a retrospective study conducted at Rehman Medical Institute (RMI). Data were retrieved from the Clinical test reports of confirmed dengue infection during the timeline; June to October (monsoon season) of the year 2021. Clinical as well as biochemical parameters were considered during the data assembling and assessment process. Results: Out of 156 suspected cases of dengue infection, 94 were confirmed through laboratory testing. 83 patients tested positive with Dengue NS1 antigen while after re-screening 94 cases (54 male patients and 40 female patients) were confirmed by Dengue serology (IgM antibodies) test. According to our study results, among a set of varied symptoms, malaise (99%) was the most common clinical presentation, along with 94% fever. Some patients with severe dengue infection developed serious illnesses including encephalopathy (8.5%), hypokalemic paralysis (6.3%). Moreover, 8.5% of patients were presented with Cholecystitis seen as Edematous Gallbladder wall on ultrasound scans, and 1% of the patient developed acute Pancreatitis. Fortunately, no casualty was reported due to dengue at RMI-General hospital. Conclusion: In our setup, Fortunately, no death was reported but a substantial number of patients suffered from serious complications such as neurological and hemorrhagic conditions along with communal clinical manifestations. Despite much reported data still, further investigation and monitoring are needed to comprehend the contemporary condition of the prevalence of dengue infection in Khyber Pakhtunkhwa, Pakistan.
Need of ICU in Obstetrical Complications
Authors: Mumtaz Uzma , Kousar Naseem , Siddique Atia , Choudhary Sadia , Jawaid Hina , Nazim Uzma 
Published: April 2022

To elaborate on the role of the Intensive Care Unit (ICU) in Obstetric patients, their clinical properties, interventions, and the research results. Study Design: A Case-control study is performed to get the medical history of obstetric patients admitted to Hospital from 2018 to 2021. Location of Study: Aziz Bhatti Shaheed hospital, Gujrat, Pakistan. Results: From the patients admitted to Hospital, 87% out of 195 were kept on Ventilator. At the postnatal stage, there were no significant death rates were observed. Most of the admitted patients were 34-year-old, maximally survive for 53 days and minimally for one day only. Out of the total population admitted to hospital, 61% are with organ failure. The significant death rate of those patients is ~26%. Patients with gastrointestinal complications have the highest death rate. Haematological affected patients have a large number ~29%. Conclusion: In case of haemorrhage, hypertensive, sepsis, and infectious disorders, primary screening of patients is required before there is a need for ICU. The outcome of high-risk pregnant women is improved by increasing their alertness and stabilizing their condition before intervention is offered. Maternal morbidity could be reduced by improving the quality of care provided before and after being admitted to the ICU.
CORRELATION OF SCAPULAR POSITION AND NECK PAIN AMONG AUTO DRIVERS
Authors: Khalid Shanza , Sharif Faiza , Ahmad Ashfaq , Gilani Syed Amir 
Published: April 2022

Mechanicalneckpainisalsoreferredasnon-specificneckpain.Itmaydefineaspainwhich is aggravated by movement, relived by rest and that is not associated with serious underlying pathology.Among drivers, complaintsconcerningthemusculoskeletalsystemaremostfrequentlyreportedfromtheneck,shoulderand lower back. The driving sitting position is featured by non-neutral spinal postures, generally a reduction in neutrallumbarlordosisandanincreasedordecreasedneckflexion. Objective: To find out the association of neck pain and scapular position among auto drivers.Methods: It was a cross sectional study. Data was collected by 160 auto drivers on basis of inclusion and exclusion criteria. VAS was used for pain intensity and distance between scapula and spinous process was measured by Vernier caliper. Data was entered and analyzed using IBM SPSS version 21.0. Descriptive statistics was given in form of mean and standard deviation.Result: The results of current study showed that the mean value of scapular protraction of right side when hands at rest was 6.96, when hands on hip was 7.56 and when 90 degree glenohumeral abduction with internal rotation was 7.19. For visual analog scale scoring for right side when hands at rest the mean score was 5.84 and when hands on hip it was 6.84, and when 90o degree abduction the score was 6.44. When we discuss about the scapular protraction for the left side when hands were at rest the mean value was 6.87 and when hands on hip it was 7.53 and 90o glenohumeral abduction with internal rotation was 7.5. Similarly, VAS scoring for left side hands at rest is 5.61, for hands on hip was 6.65 and 90pglenohumeral abduction.Conclusions:This study explains that there is significant difference on hand in different of three positions in drivers who worked for long hours in abnormal posture. Scapular protraction is high when hand placed at hip, also a VAS for neck pain is high in both right and left side
Frequency of Work Related Musculoskeletal Disorders of Lower Extremity Among Construction Workers
Authors: Bashir Fatima , Afzal Muhammad Waqar , Ahmed Ashfaq , Gilani Syed Amir 
Published: April 2022

Musculoskeletal lower extremity pain constitutes one of the main professional hazards among construction workers. Because laborers require heavy lifting, repetitive bending, twisting, prolong standing and sitting in awkward position.Objective: To find out the prevalence of work related musculoskeletal disorders of lower extremity among construction workers. Method: A self administered questionnaire was undertaken to detect the occurrence of work related musculoskeletal disorders of lower extremity among 151 construction workers. Data was analyzed statistically by SPSS version 21.0. Results: Mean age of respondents was 31.13 years with only males. Hip pain prevalence was found to be 20 (13.2%), knee pain 25(16.6%) and ankle/foot pain 29(19.9%).There was significant association of lower extremity pain with age, type of occupation and p-value was less than (0.05). Conclusion: This study concluded that lower extremity musculoskeletal pain is very common among construction workers due to their nature of work.
Assessment of Health Related Quality of Life in Post Traumatic Brain Injury
Authors: Anam Afshan , Sharif Faiza , Chugtai Arsalan Saleem 
Published: April 2022

Traumatic brain injury (TBI) occurs as a result of an outside force, e.g. a blow to the head in a fall or traffic accident, and is a major cause of death and disability all over the world, especially in children and young adults.Objective: To determine the Assessment of health related quality of life in post traumatic brain injury. Methods:It was the cross-sectional observational study. Data was collected by 40 TBI patients on basis of inclusion and exclusion criteria. Quality of life after traumatic brain injury questionnaire was used in this study to see the QoL in post TBI patients.Results: In general males were more affected then females and main reason of TBI was motor bike. The quality of life much affected in feeling, physical work and social relationship. The QoL didn’t depend upon time since injury but depend on severity of injury. Conclusion: Physical work issue was the fundamental predictive factor of hundered personal satisfaction of TBI individuals perhaps, there was no relationship among impairment and QoL. This change of QOL has clinical implications and features the need of more endeavors to improve the rehabilitation interventions.
The Impact of Polycystic Ovary Syndrome on the Sporting Performance of Female Players
Authors: Ahmad Bilal , Zahra Syeda Maryam 
Published: April 2022

Polycystic Ovary Syndrome (PCOS) is perhaps the most widely recognized endocrine issues in females of reproductive age, influencing up to 20% of individuals of this populace. Many recent studies indicate that testosterone, which can increase muscle mass and strength, stimulates erythropoiesis, promotes competitive behavior, and enhances sporting performance of female athletes. Methods: The comparative study was designed and conducted in which a sample of female athletes (n=40) who had been diagnosed with PCOS by a qualified gynecologist based on clinical features and lab tests. At the same time, a healthy group of female athletes (n=40) was selected from participants of the same population and having regular menses and showing no clinical features of PCOS. The main objectives of the study included: 1) to compare both the groups of female athletes on clinical features of PCOS, and 2) to compare both the groups on self-perceived sports performance. Data was collected from The University of Central Punjab, The University of Lahore, and The University of Lahore College for Women. Data collection was done using two different instruments involving “Polycystic Ovary Syndrome Questionnaire (PCOSQ)” and “Athlete’s Subjective Performance Scale (ASPS)”. Data analyses involved descriptive analysis followed by “Independent Sample t test’ to compare the physical and psychological impact of PCOS and ANOVA was applied to analyze the impact of PCOS on sports performance. Results: There were significant differences between female athletes with PCOS and those with Non-PCOS on physical and psychological conditions. Weight issues t (78) =15.104, (p= .000), Body Hair t (78) =25.108, (p= .000), Menstrual Problems t (78) =20.976, (p= .000), Helplessness t (78) =17.775, (p= .000), and Low mood t (78) =8.449, (p= .000). Significance value (p = .000), which is below 0.05 and, therefore, there is a statistically significant difference in the mean sporting performance. Conclusion: Based on the results, it can be concluded that female athletes with PCOS were more concerned about their physical and psychological conditions. Moreover, their sporting performance was statistically significantly higher than Non-PCOS athletes, which is attributed to higher energy level caused by PCOS itself. Future research must focus on measuring energy level of female athletes with PCOS and Non-PCOS.
How Do We Go About Singing a New Song About Migration?
Authors: Caruso Fulvia 
Published: April 2022

This article provides an overview of the questions that emerged from an action research project in the centre of the Padana Plain - Cremona Province and some surrounding provinces – in which the author, together with some students and former students, has been engaged since 2014. The aim of the still ongoing project is to understand the various levels of inclusion of migrants and asylum seekers in analysing their musical behaviours. The project is threefold: to document and analyse if and how the different migrant groups can perform their rites; to organise musical workshops in middle schools in order, at the same time, to collect data about the musical listening and practices of children and to introduce them to transculturality through world and folk music; to organise musical workshops in Reception Centres for asylum seekers to understand if and how music has a role in their suspended lives and to try to use it for resilience. Considering that it is a right for migrants to be able to express their own culture and with the conviction that music is a strong tool in processes of dialogue and diversity acceptation, the project also envisages cultural events to create occasions of dialogue between the cultures that animate the area.
FUNCTIONAL AND RADIOLOGICAL OUTCOME OF TIBIAL PLATEAU SCHATZKER TYPE V AND TYPE VI TREATED WITH DUAL PLATING
Authors: Rijal Sanjeeb , Sitaula Jyoti , Basel Suman , Sharma Bishnu Dev , Dawadi Tej Prakash , Lohani Suman 
Published: April 2022

Background: The bicondylar fractures are common fractures. These high Energy fractures are associated with the various complications like malalignment, Varus collapse, Postoperative Stiffness, Wound complication. This Study aims to Study the Functional Outcome and stability of Dual Plating for these fractures.
Methods: Total 25 cases of tibial plateau fractures V and VI treated with Dual Plating from 1st January 2016until 30th December 2019 in Chitwan Medical College Nepal were included in the Study. These fractures were operated with Anterolateral approach and Medial approach and Dual Plating was done. Clinical and Radiological Outcome was evaluated.
Results: The functional outcome of our patients was assessed with Rasumssens functional score which showed excellent (60%), good (36%) and fair in (4%) of the patient. 4 cases had superficial infection. There was no secondary loss of reduction, malalignment in the study. The Medial Proximal Tibial plateau angle (MPTA) of the Last visit and uninjured Limb had no significant statistical differences, However Proximal Posterior Tibial Plateau angle (PPTA) showed Significant difference p=0.025.
Conclusion: The open reduction and Internal fixation with Dual plating for Bicondylar Proximal Tibia fracture is Biomechanically efficient in Preventing collapse and malalignment, however an accurate intraoperative reduction is the most. The Stable fixation allows Early ROM and Rehabilitation and thus provide Excellent to Good Functional outcome with minimal Complication.
PROFILE OF WOMEN WITH RUPTURED ECTOPIC PREGNANCY IN A TERTIARY CARE CENTRE IN CHITWAN, NEPAL
Authors: Tamrakar Renuka , Shrestha Madhu , Paudel Binod , Sitaula Deekshanta 
Published: April 2022

Background: Ectopic pregnancy is one of the leading causes of maternal morbidity and mortality during early pregnancy. Ruptured ectopic pregnancy can be a life-threatening emergency. The aim of the present study was to know the admission rate, clinico-demographic profile and outcomes of ruptured ectopic pregnancy in Chitwan Medical College Teaching Hospital, a tertiary level hospital in Nepal.
Methods: A retrospective study was conducted in Chitwan Medical College Teaching Hospital, Chitwan, Nepal. All the patients diagnosed with ruptured ectopic pregnancy were included in the study. The relevant information of patients was obtained in pre-designed pro forma. The retrospective data were entered and simple statistical analysis was done using Statistical Package for the Social Sciences version 20.
Results: The rate of ruptured ectopic pregnancy was 1.69%. Mean age was 28.33 ± 5.78 years. Most of the patients presented with abdominal pain (99.0%), amenorrhea (98.0%) and bleeding per vagina (51.9%). The most common site of rupture was ampulla (50%) followed by infundibula (16.3%). The commonest associated risk factor was pelvic inflammatory disease (24%) followed by medical termination of pregnancy (19.23%), All the patients were managed surgically and there was no mortality.
Conclusions: Pelvic inflammatory disease was the leading associated risk factor. Surgical management was the modality of treatment in all the cases.
FUNCTIONAL AND RADIOLOGICAL OUTCOME OF LOCKING PLATE IN DISPLACED FRACTURE OF DISTAL END RADIUS
Authors: Bidary Suraj , Pandey Suresh , Gupta Hemant  Kumar , Das Manoj , Aryal Roshani , Ghimire Pradeep , Bhattarai Kushal 
Published: April 2022

Background: Distal radius fracture is the most common fracture of upper extremity. There are wide variety of treatment options including plaster, ligamentotaxis, percutaneous pinning and plating for the treatment of displaced distal end radius fracture in the adult. Each option has got its own pros and cons. This study was designed with an objective of assessment of functional and radiological outcome of displaced distal end radius fracture treated with volar locking plate.
Methods: This was a retrospective study of closed displaced fracture of distal end radius managed with volar locking plate from January 2018 to September 2020. Data were collected from the case chart and included patient’s demography, fracture characteristics, radiological parameters, range of motion and complications. Data analysis was done using Statistical package for social science 20.0 software. Descriptive statistics for categorical variable was used and mean of the continuous data was compared using student’s t-test. P-value <0.05 was considered as statistically significant.
Results: The mean age of patient was 35.87 years after analysis of total of 30 patients with mean follow up of 12.87 months. Road traffic accident (76.7%) was the most common mode of injury. There were 36.7% Association of Osteosynthesis (AO) type B and C injuries, each. The mean Quick Disabilities of Arm, Shoulder and Hand (DASH) score was 1.13 (range 0 - 6.81) at the final follow up. The mean union time of the fracture was 6.6 weeks. One patient had stiffness and one developed reflex sympathetic dystrophy.
Conclusions: Functional and radiological outcome of the displaced distal end radius in adult treated with open reduction and internal fixation with locking plate was found good to excellent in most of the cases.
ACUTE GLOMERULONEPHRITIS IN CHILDREN: A HOSPITAL-BASED STUDY IN A TERTIARY CARE CENTRE IN NEPAL
Authors: Adhikari Sudhir , Sitaula Deekshanta , Regmi Shanti , Parajuli Biraj , Poudel Sumita 
Published: April 2022

Background: Acute glomerulonephritis is a common pediatric kidney disease which places a huge burden in developing countries. This study aimed to evaluate causes, clinical manifestations, laboratory findings and complications of acute glomerulonephritis in children presented to a tertiary care center of Nepal.
Methods: This was a retrospective review of records of children admitted with acute glomerulonephritis at Chitwan Medical College from April 2018 to February 2021. Socio-demographic data, clinic-laboratory profile and outcomes were obtained from medical records and descriptive analysis was carried out.
Results: Among 48 recruited children with acute glomerulonephritis, 60.4% were male and the mean age was 9.5 ± 3.7 years. Post infectious glomerulonephritis including post streptococcal glomerulonephritis (48%) was the main cause of acute glomerulonephritis. The major clinical features were edema (81.3%), hypertension (72.9%), dyspnea (29.2%) and hematuria (25%). ASO titer was positive in 45.8%. The complications noted were acute kidney injury (6.3%), hypertensive emergency (6.3%) and congestive cardiac failure (2.1%).
Conclusions: Most of the patients were above 5 years of age and presented most commonly during autumn and summer season. The complications of acute glomerulonephritis were acute kidney injury, hypertensive emergency and congestive cardiac failure.
PATIENTS’ SATISFACTION TOWARDS EYE CARE SERVICES AT TERTIARY EYE HOSPITAL IN WESTERN PART OF NEPAL
Authors: Khadka Thapa Saraswati , Thapa Hari Bahadur , Upadhyay Hari Prasad 
Published: April 2022

Background: Patient satisfaction is the level to which the patients’ experience that their needs and expectations are being met by the service provided. The aim of the study was to measure and improve the quality of eye care services at Lumbini Eye Institute and Research center (LEIRC)/Shree Rana Ambika Shah Eye Hospital (SRASEH) both pediatric and adult groups.
Methods: A cross sectional study with descriptive analysis was done from November 2018 to April 2019 at LEIRC, Bhairahawa Nepal. Five hundred seventeen (517) patients were enrolled by systematic random sampling, segregating 201- In patients, 205 – adult and elder patients and 111 pediatric patients. Interview was taken from the patients using the questionnaire which was already used in Arvind Eye Care System, India after validating in our context. Data was entered and analyzed using IBM SPSS -20 version.
Results: Among 517 respondents Female (54%) respondents were more than male. Overall patient satisfaction was almost ninety-eight percent were satisfied. Similarly, more than eighty (83.94) percent felt the reasonable cost in service charge and almost sixty five percent respond the reasonable waiting time. Ninety percent patients expressed their interest to recommend their friends or relatives to the hospital.
Conclusions: Majority of the patients were satisfied with the overall services of the LEIRC. However, there is need to reduce longer waiting time of the patients.
PATTERN, MANAGEMENT AND OUTCOME OF ACUTE INTESTINAL OBSTRUCTION AT CHITWAN MEDICAL COLLEGE TEACHING HOSPITAL
Authors: Bhattarai Abhishek , Devkota Pragya , Shrestha Anup , Chand Manoj , Timalsina Santosh , Tamrakar Kishor Kumar , Neupane Harish Chandra 
Published: April 2022

Background: Acute intestinal obstruction is one of the commonly encountered emergencies in surgical practice. Gynecological surgery, especially adnexal surgery and hysterectomy has a higher incidence of bowel obstruction as compared to bowel surgery. Conservative management can be done in patients with post-operative adhesive bowel obstruction if there is no evidence of ischemia, bowel necrosis, or perforation. Therefore, a correct diagnosis is essential for appropriate management. We conducted a study to evaluate the etiology, clinical presentation as well as management and outcome of patients presenting with Acute intestinal obstruction at our center.
Methods: This was a retrospective study of all the patients with a diagnosis of Acute intestinal obstruction from January 2015 to December 2019. The diagnosis of Acute intestinal obstruction was made by a combination of clinical and radiological parameters. The data were analyzed using Statistical Package for Social Sciences (SPSS) for Windows version 16. The data were expressed in number and percentage.
Results: During the study period, 178 patients were admitted with the diagnosis of Acute intestinal obstruction. Abdominal pain and vomiting were the main complaints seen in 98.3% (n=175) and 84.8% (n=151) respectively. Hernia (n=49, 27.5%) was the most common cause of acute intestinal obstruction in adults, and Intussusception (n=15, 8.4%) was the leading cause of Acute intestinal obstruction in a pediatric age group. Majority of the patients’ needs (n=148,83.1%) operative intervention to relieve the obstruction. The overall mortality rate was 6.7% (n=12).
Conclusions: Hernia was the most common cause of Acute intestinal obstruction in adults while intussusception was the commonest in the pediatric age group.
CUSTOS INTERORGANIZACIONAIS DE UMA CADEIA DE SUPRIMENTOS MOVELEIRA DO OESTE DE SANTA CATARINA
Authors: Pacassa Francieli , Zanin Antonio 
Published: April 2022

Esta pesquisa teve por objetivo identificar os fatores condicionantes da Gestão de Custos Interorganizacionais presentes em uma cadeia de moveleira do oeste de Santa Catarina. Metodologicamente caracteriza-se como uma pesquisa exploratória e descritiva, de estudo de caso e com abordagem qualitativa. Para a coleta de dados, foram utilizadas entrevistas semiestruturadas em diferentes empresas da cadeia de suprimentos. A análise de dados foi realizada através da técnica de Análise de conteúdo, com a utilização do software de análise de dados qualitativo Atlas TI. Os resultados evidenciaram fatores atrelados aos constructos gestão interna de custos, gestão de custos interorganizacionais e nível de interdependência incentivam a aplicação da GCI na cadeia de suprimentos, em contrapartida a questão da cooperação e da confiança mostram-se como fatores que inibem sua pratica. Como limitações da pesquisa, destaca-se impossibilidade de generalizar os achados a outros relacionamentos interorganizacionais e o fato de a pesquisa ter analisado apenas o ponto de vista de poucas empresas da cadeia a montante e a jusante. Para estudos futuros, sugere-se a utilização de mais de uma forma de coleta de dados a fim de confirmar os relatos dos respondentes.