bluuebunny/crossref_metadata_2025_split huggingface dataset:
The delay in the diagnosis and treatment of newly diagnosed bladder cancer patients during COVID 19 pandemic
Authors: Dogan Cagri , Murat Yazici Cenk , Murat Akgül Haci , Cinar Onder , Ateş Hüseyin , Yaz İlyas 
Published: November 2022

Background: To evaluate the newly diagnosed bladder cancer(BC) patients during the pandemic period and compare them with the corresponding last4 years.
Objectives: To document the time schedules of BC patient evaluation and define the possible delays and investigate the reasons.
Methods: Newly diagnosed BC patients who underwent transurethral resection of bladder tumour in the last5 years were retrospectively included to study.The patients were divided into 5 groups.Group-1 was composed of patients diagnosed betweenMarch, 1,2016 -March-1,2017. The patients who were diagnosed in the further corresponding years formed group 2,3 and 4. The last group(Group-5) was composed of patients who were diagnosed during the pandemic period which was between March,1,2020 and March,1,2021. The clinicodemographic properties and diagnostic time schedules of the patients were compared between the groups.
Results: There were56 patients in Group-1,60 patients in Group-2,61 patients in Group-3,68 patients in Group-4,and58 patients inGroup-5. The mean hospital admission period was 102.5±179.0days during the pandemic period which ranged between24.5±32.0 and38.3±69.1days before thepandemic.(p=0.002)The diagnosis-anesthesia period was significantly higher during the pandemic pandemic period.(p=0.034)
Conclusions: The pandemic period has caused some delays in the diagnosis and treatment of BC patients. Telemonitoring systems may be useful to prevent the possible diagnostic and treatment delays for newly diagnosed BC patients.
Keywords: COVİD-19; bladder cancer; pandemic; treatment.
Examination of exercise benefit/barrier perceptions of individuals with diabetes and affecting factors
Authors: Ersin Fatma , Tülüce Derya , Enzin Fatih 
Published: November 2022

Background: Exercise, which is one of the health promotion behaviors, is extremely important in healthy life. This study was conducted to examine exercise benefit/barrier perceptions of individuals with diabetes and influencing factors.
Method: This descriptive study was conducted in the Endocrine Polyclinics of a University Hospital with 285 individuals with Type 2 Diabetes between January and June 2020.
Results: In this study, the average score of the exercise benefits subscale was 61.69 +14.79, the barriers subscale was 35.83 + 5.99, and the total score of the exercise benefits/barriers scale was 99.79 + 12.58. The total self-efficacy scale score was reported to be 59.74 + 9.46. A significant relationship was reported between the total mean score of the exercise benefits/barriers scale and having the opportunity to exercise, exercising regularly, and having a disease that prevents exercising. A significant difference was reported between the total mean score of the self-efficacy scale and the regular exercise status.
Conclusion: Because of this study, the number of individuals who regularly exercised is insufficient, the mean exercise benefits/barriers scale score is not at the desired level, and exercise benefit/barrier perceptions are positively affected by the self-efficacy level.
Keywords: Individuals with diabetes; exercise benefit/barrier.
Effect of atrial septal dilation tumor and patent foramen rotundus on cryptogenic ischemic stroke in young and middle-aged patients
Authors: Ling Tengtao , Xie Dongxing 
Published: November 2022

Objective: To investigate the effect of atrial septal aneurysm (ASA) and patent foramen ovale (PFO) on cryptogenic ischemic stroke in young and middle-aged patients.
Methods: A case-control study was conducted to select 96 young and middle-aged patients with cryptogenic ischemic stroke in the Department of Neurology of our hospital from January 2015 to January 2020 (observation group). A total of 192 patients with non-ischemic stroke were selected as the control group. The clinicadata and transthoracic echocardiography (cTTE) results were compared between the two groups.
Results: The ASA depth and tumor wall thickness in the observation group were 15.50 (12.40, 19.80) mm and 3.90 (2.80,4.50) mm, respectively, which were significantly higher than those in the control group ( P < 0.05 ). Logistic regression analysis showed that PFO, and PFO combined with ASA were the influencing factors of cryptogenic ischemic stroke in middle-aged and young people OR = 1.923 and 1.384, P < 0.05 ).
Conclusion: Atrial septal aneurysm combined with PFO and PFO are independent influencing factors factor for the occurrence of cryptogenic ischemic stroke in young and middle-aged people, which is worthy of further study.
Keywords: Atrial septal aneurysm; Cryptogenic ischemic stroke; Influencing factors; Patent foramen ovale; Young and middle-aged.
Influence and significance of bilateral upper-extremity training on recovery of upper-extremity motor function for hemiplegic patients with mild-moderate cerebral apoplexy: a randomised controlled study
Authors: Li Hongmei , Han Yuanyuan , Sheng Feng , Kong Fanliang , Dong Jing 
Published: November 2022

Background: The recovery of coordination ability of both hands is conductive to improving the activity of daily living for hemiplegic patients.
Objective: To explore the influence and significance of bilateral upper-extremity training on recovery of upper-extremity motor function for hemiplegic patients with mild-moderate cerebral apoplexy.
Methods: Patients were divided into control group and experimental group. The patients in the control group only exercised the upper limbs on the affected side, while the patients in the experimental group exercised the upper limbs on both sides. The Fugl Mayer Assessment Upper Extremity Scale (FMA-UE), Upper Extermities Functional Test (UEFT), modified Barthel index (MBI) and Brunnstrom scores were evaluated in the two groups before and after treatment.
Results: After four weeks, six weeks and eight weeks of treatment, scores of FMA-UE, UEFT, MBI and Brunnstrom for patients increased with the extension of training time, and FMA-UE, UEFT, MBI and Brunnstrom scores for patients of the two groups after four weeks six weeks and eight weeks of treatment showed a significant difference (P<0.05).
Conclusion: The improvement of upper-extremity motor function can be facilitated via relatively conventional training of bilateral upper-extremity training adopted by hemiplegic patients with mild-moderate cerebral apoplexy.
Keywords: Mild-Moderate Cerebral Apoplexy; Bilateral Upper-Extremity Training; Upper-Extremity Motor Function.
Empagliflozin for the treatment of non-alcoholic fatty liver disease: a meta-analysis of randomized controlled trials
Authors: Tang Xue , Zhang Huaping , Wang Xin , Yang Dan 
Published: November 2022

The efficacy of empagliflozin for non-alcoholic fatty liver disease remains controversial. This meta-analysis aims to explore the influence of empagliflozin versus placebo on the treatment of non-alcoholic fatty liver disease and we have searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through July 2021 for related randomized controlled trials (RCTs). Three RCTs involving 212 patients are included in the meta-analysis. Compared with control group for non-alcoholic fatty liver disease, empagliﬂozin treatment has no improvement in controlled attenuation parameter (CAP) score, hepatic steatosis and liver stiffness measurement (LSM) score, alanine aminotransferase (ALT), aspartate-aminotransferase (AST), low density lipoprotein (LDL) or triglyceride (TG). These indicate that empagliflozin treatment may be not effective for non-alcoholic fatty liver disease.
Keywords: Empagliflozin; non-alcoholic fatty liver disease; randomized controlled trials; meta-analysis.
Physiotherapy management of a rare variant of Guillain Barre Syndrome, acute motor and sensory axonal neuropathy (AMSAN) along with COVID-19 in a 35-year-old male –a case report
Authors: Vishnuram Surya , Abathsagayam Kumaresan , Suganthirababu Prathap 
Published: November 2022

Introduction: COVID-19 emerged as a novel pandemic with serious illness. Acute motor and sensory axonal neuropathy, a Guillain-Barré syndrome variant also results in ventilator support, and bed-ridden state. Presence of COVID-19 along with GBS will cause serious complications if left untreated.
Objective: To report the effect of physiotherapy in acute motor and sensory axonal neuropathy along with COVID-19 in Intensive care unit.
Case description: A 35-year-old-male with AMSAN, alcoholic hepatitis, and hyponatremia, came with paraparesis, ventilated due to poor oxygen saturation, diagnosed to have COVID-19, reduced muscle power in right wrist extensors, hand grip and diaphragm.
Method: 30 minutes physiotherapy session, thrice a day for a period of 4 weeks. The vital signs were taken as a primary outcome measure. Medical Research Council muscle power grading and Hughes functional grading scale were taken as secondary outcomes. All the outcome measures were assessed for 4 weeks.
Results: The 4 weeks of physiotherapy program show significant improvements on health status, muscle power, and functional status of an AMSAN patient with COVID 19.
Conclusion: From the results, it can be concluded that physiotherapy will be beneficial in AMSAN patients with COVID-19 in Intensive care units and further studies have to declare evidence-based practice.
Keywords: Acute motor-sensory axonal neuropathy; Intensive care unit; COVID-19; Gullian Barre syndrome.
Impact of COVID-19 on non-communicable disease management services at selected government health centers in Addis Ababa, Ethiopia
Authors: Mekonnen Abiyu , Destaw Zelalem , Derseh Dejene , Gadissa Eshetu , Ali Solomon 
Published: November 2022

Background: The global pandemic of COVID-19 forced the world to divert resources and asked the public to shelter-in-place, so the diagnosis surveillance system and management of non-communicable diseases has become more challenging.
Objective: To identify the impact of COVID-19 on non-communicable diseases management services at government health centers in Addis Ababa, Ethiopia.
Methods: Health facility based cross-sectional study was conducted from August to September, 2020. A total of 30 health centers were included in this study. Bivariate and multiple logistic regression models were used to assess association between the outcome and independent variables
Results: The majority, 24 (80%), of the study participants perceived that the COVID-19 pandemic severely disrupted the non-communicable disease management services. There was a statistically significant association between a decrease in outpatient volume at non communicable disease (NCD) management services (25 (83.3%), P-value: 0.006), closure of population level screening programs of NCDs (22 (73.3%), P-value: 0.007), and closure of disease specific NCD clinics and the occurrence of the COVID-19 pandemic (23 (76.7%), P-value: 0.013).
Conclusion: The most critical health-care services for non-communicable diseases management were severely disrupted by the COVID-19 pandemic. Therefore, during public health emergencies, policymakers should ensure continuation of critical clinical services and inform the public about proper service utilization.
Keywords: COVID-19; non-communicable diseases; Ethiopia.
Knowledge, risk-perception, and uptake of COVID-19 prevention measures in sub-Saharan Africa: a scoping review
Authors: KB Matovu Joseph , Mulyowa Alex , Akorimo Rogers , Kirumira Daniel 
Published: November 2022

Background: The COVID-19 pandemic has almost affected the entire globe and is currently in a resurgent phase within the sub-Saharan African region.
Objective: This paper presents results from a scoping review of literature on knowledge, risk-perception, conspiracy theories and uptake of COVID-19 prevention measures in sub-Saharan Africa.
Methods: We used the following search terms: ‘COVID-19’, ‘knowledge’, ‘perceptions’, ‘perspectives’, ‘misconceptions’, ‘conspiracy theories’, ‘practices’ and ‘sub-Saharan Africa’. Basing on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) guidelines, we identified 466 articles for review; 36 articles met the inclusion criteria. We extracted data on knowledge, risk-perception, conspiracy theories and uptake of COVID-19 primary prevention measures.
Results: Knowledge of COVID-19 was high (91.3-100%) and associated with age and education; risk-perception was equally high (73.3-86.9%) but varied across studies. Uptake of hand-washing with water and soap or hand-sanitizing ranged between 63-96.4%, but wearing of face masks and social distancing fared poorly (face masks: 2.7%-37%; social distancing: 19-43%).
Conclusion: While knowledge of COVID-19 is nearly universal, uptake of COVID-19 prevention measures remains sub-optimal to defeat the pandemic. These findings suggest a need for continued health promotion to increase uptake of the recommended COVID-19 prevention measures in sub-Saharan Africa.
Keywords: COVID-19; prevention; sub-Saharan Africa.
Ivermectin treatment response in two rural villages with a high prevalence of onchocerciasis and epilepsy, Mahenge Tanzania
Authors: Bhwana Dan , P Mmbando Bruno , Dusabimana Alfred , Mhina Athanas , P Challe Daniel , N Siewe Fodjo Joseph , H Makunde Williams , Colebunders Robert 
Published: November 2022

Background: Despite 20 years of ivermectin mass distribution in the Mahenge area, Tanzania, the prevalence of onchocerciasis and epilepsy has remained high in rural villages.
Objectives: We investigated the efficacy of ivermectin in reducing Onchocerca volvulus microfilariae and predictors for parasitic load following ivermectin treatment in persons with (PWE) and without epilepsy (PWOE).
Methods: Between April and September 2019, 50 PWE and 160 randomly selected PWOE from Msogezi and Mdindo villages participated in a follow-up study. Skin snips were obtained pre (baseline) and three months post-ivermectin treatment.
Results: The overall prevalence of O. volvulus positive skin snips at baseline was 49% (103/210), with no significant difference between PWE (58.0%) and PWOE (46.3%); p=0.197. The overall mean microfilarial density was significantly higher at baseline 1.45(95%CI:0.98-2.04)) than three-month post-ivermectin treatment (0.23(95%CI:0.11-0.37), p<0.001. Three months after ivermectin, the microfilarial density had decreased by ≥80% in 54 (81.8%, 95%CI: 72.3-91.4) of the 66 individuals with positive skin snips at baseline. High microfilarial density at baseline was the only significant predictor associated with higher microfilarialdensity in the post-ivermectin skin snips.
Conclusion: Our study reports a decrease in microfilarial density following ivermectin treatment in most individuals. Optimizing ivermectin coverage will address the ongoing onchocerciasis transmission in Mahenge.
Keywords: Onchocerciasis, ivermectin; treatment response, epilepsy; Tanzania.
Leishmaniasis prevalence, awareness and control in Saudi Arabia
Authors: A Kumosani Taha , J Al-Bogami Turkyah , K Barbour Elie , H Alshehri Sharifah , S Yaghmoor Soonham , A Alshareef Nouf , M El-Say Khalid , S Moselhy Said 
Published: November 2022

Background: Leishmaniasis is a widespread skin protozoan infectious disease. It is an intracellular parasitic microorganism that develops in the body of infected female phlebotomine sandflies vector, prior to its transmission to human or animal host by the vector bite. The objective of this review is to highlight the current prevalence of Leishmaniasis in the Kingdom of Saudi Arabia, and the direction in research for its control.
Materials: The update literature covered The infection of the host with this trypanosome starts with a skin bite from the infected sand fly, followed by penetration of the parasite into cellular structures of the skin, or its infiltration to the circulatory system, targeting the internal organs. Different research groups are experimenting on construction of recombinant Leishmania antigens, compiled from this protozoa and from antigens recovered from the saliva of sand flies, in an attempt to immunize the host for protection against this disease.Conclusion: The benefits behind such a review is to support the personnel involved in developing evidence-based policy guidelines, strategies and standards for disease prevention and management of their implementation; in addition, it provided a technical support to member states to collaborate on establishment of an effective systems to handle the Leishmaniasis.
Keywords: Review; Leishmaniasis; prevalence; control; Saudi Arabia.
Factors motivating intent to leave amongst radiographers employed by public tertiary hospitals in the Gauteng Province, South Africa
Authors: Nokuthula Sibiya Maureen , Emmanuel Khoza Thandokuhle , Pauline Nkosi Busisiwe 
Published: November 2022

Background: The elements of job satisfaction can be categorized into intrinsic and extrinsic factors. The presence of a higher level of intrinsic factors will result in increased motivation amongst employees, whilst extrinsic factors will result in job dissatisfaction. Decreased job satisfaction levels amongst healthcare professionals are known to create an intent to leave. Hence the need to explore these factors amongst radiographers employed by tertiary hospitals in the Gauteng province of South Africa.
Objective: To determine the influence of intrinsic and extrinsic factors of job satisfaction on intent to leave amongst radiographers employed by public tertiary hospitals in the Gauteng province.
Methods: A quantitative cross-sectional survey guided the study, and a self-administered questionnaire was used to collect data. The sampling technique used for this study was disproportional stratified sampling.
Results: The study had a response rate of 62%. A significant number of the participants (50%) were between the ages of 21-33 years. Also, worth noting that 51% of the participants were newly qualified, 28% were employed for a period of 10-20 years and only 20% were employed for a period greater than 20 years. Diagnostic radiography had the most number of participants at 55%, followed by radiation therapist at 24%, nuclear medicine radiographers at 13%, mammography radiographers at 5% and only 3% were sonographers. Pearson’s correlation showed a significant negative correlation with the following extrinsicfactors: supervision, r= -.344, p=.000; satisfaction with PMDS, r=-.302, p=.000; human resources processes, r=-.249, p=.001; infrastructure, r=-.236, p=.001; the OSD policy, r=-.233, p=.002; satisfaction with remuneration, r=-.202, p=.006; satisfaction with CPD activities, r=-.201, p=.007; and satisfaction with equipment, r=-.163, p=.029.
Conclusion: Both intrinsic and extrinsic factors are associated with an intent to leave amongst radiographers employed by public tertiary hospitals in the Gauteng province.
Keywords: Intent to leave; radiographers; public tertiary hospitals.
Hand hygiene practices among Jordanian nurses in Amman
Authors: M Saleh Ahmad , M Alrawaili Saud , Kamal Abdelbasset Walid 
Published: November 2022

Background: Hand hygiene is a simple and effective practice that helps to reduce the spread of hospital-acquired infections. However, health care professionals' adherence to hand hygiene guidelines is low. The purpose of this study is to evaluate hand hygiene practices among Jordanian nurses working in hospitals.
Methodology: The standardized version of the World Health Organization (WHO) questionnaire was given to Jordanian nurses from two hospitals in Amman.
Result: The response rate was 76 percent, with 173 nurses contacted to enroll 226 participants. According to the study, 65.5 percent (113) of the participants have a good practice hand hygiene, while 11 percent (19) practiced poor hand hygiene. The percentage of female participants who practiced good hand hygiene was found to be significantly higher (70 percent) than the percentage of male participants (30 percent).
Conclusion: To improve compliance with hand hygiene practices, male nurses and nurses working in the department of internal medicine and pediatrics need in-service educational intervention. Posters and other visual aids emphasizing the importance of hand hygiene should be displayed in all departments to raise awareness of the importance of hand hygiene among nurses.
Keywords: Hand hygiene; Health care professionals; Alcohol-based hand rub; Hand washing.
Analisis Prisip-Prinsip Pengelolaan Dana Bantuan Oprasional Sekolah (BOS) Reguler dalam Program Merdeka Belajar
Authors: Winaya I Made Astra , Putu Edy Purna Wijaya  , I Nengah Sudiarta  , I Made Sutika  
Published: November 2022

Abstrak - Penelitian ini bertujuan untuk mengetahui penerapan prinsip fleksibilitas, efektivitas, efisiensi, akuntabilitas dan transparansi dalam pengelolaan dana BOS pada Tahun Anggaran 2021 di SD Negeri 1 Selanbawak. Metode pengumpulan data yang digunakan dengan melakukan wawancara dengan Kepala Sekolah dan Bendahara BOS. Selain itu dilakukan observasi langsung ke lokasi sekolah. Hasil penelitian ini menunjukan bahwa pengelolaan dana BOS SD Negeri 1 Selanbawak telah taat juknis yang tertuang dalam Permendikbud No. 6 Tahun 2021, tertib administrasi, memiliki SDM pengelolaan yang kompeten, serta menerapkan prinsip fleksibilitas, efektivitas, efisiensi, akuntabilitas dan transparansi pada tahap perencanaan, pengelolaan dan pertanggungjawaban dana BOS. Namun, ada beberapa kendala yang dihadapi sekolah yaitu keterbatasan sumber daya manusia yang dimiliki sekolah dan belum optimalnya keterlibatan komite dalam perencanaan, pengelolaan dana BOS, dan kurangnya inovasi.

Kata Kunci: BOS, Pengelolaan Keuangan, Sekolah Dasar.

Abstract- This study aimed at investigating the implementation of the principles of flexibility, effectiveness, efficiency, accountability and transparency in the management of BOS funds at SD Negeri 1 Selanbawak for the 2021 fiscal year. The data were collected by conducting interviews with the Principal and Treasurer of the BOS. In addition, direct observations were made to the school location. The results of this study indicated that the management of BOS funds at SD Negeri 1 Selanbawak has complied with the technical guidelines contained in Permendikbud No. 6 of 2021, managed to conduct orderly administration, employed competent human resources for the management, and applied the principles of flexibility, effectiveness, efficiency, accountability and transparency on the planning, management and accountability stages of BOS funds. The obstacles faced by schools are limited human resources, non-optimal involvement of the committee in planning, managing BOS funds, as well as lack of innovation.

Keywords: BOS, Financial management, Elementary School
CLUSTER PRODUTIVO DA CACHAÇA UM ESTUDO NO MUNICÍPIO DE ORIZONA – GOIÁS
Authors: Otoni Junior Osvaldo Ribeiro , Moura Cunha George Henrique de 
Published: November 2022

Este artigo apresenta uma revisão bibliográfica acerca da formação de cluster da produção da cachaça. Um cluster, é uma cadeia interligada entre organizações de um mesmo setor, podendo ser informal ou formal, e quando há uma organização gestora, envolve a cooperação entre elas, os concorrentes diretos, os membros da cadeia produtiva, investidores, a geração de novos produtos, serviços e estímulo a inovação. Esse ambiente é fundamental para que ocorra a troca de informações e conhecimentos por meio de estruturas formais ou informais e que possam ocorrer de forma natural ou forçada por meio de ações e projetos em cooperação. A presente pesquisa possui como objetivo geral de estudar o cluster produtivo da cachaça no município de Orizona, Goiás. Como objetivos específicos, analisar as abordagens teóricas e os conceitos sobre cluster, os benefícios proporcionados pelas inovações do cluster à região produtora de cachaça, levantamento bibliográfico da cadeia produtiva da cachaça. Apresentar uma análise dos dados levantados sobre o setor agropecuário no município de Orizona, Goiás, e a participação da produção de cachaça no PIB local.

Palavras Chave: Clusters. Cachaça. Inovação. Cadeia Produtiva.