bluuebunny/crossref_metadata_2025_split huggingface dataset:
A cross-sectional study of persisting symptoms following 2 months post-COVID-19 and risk factors for delayed return to pre-COVID-19 health among patients attending a teaching hospital in Kerala
Authors: Chandy Navina P. , Kaimal Resmi S. 
Published: June 2022

ABSTRACT

Background:
A large number of people are being discharged from the hospital following COVID-19 without assessment of recovery. Systematic follow-up identifies the physical and physiological burden which could be used to inform the need for rehabilitation and/or further investigations.

Methodology:
A cross-sectional observational study of sample size 103 who were tested positive by TruNAAT in the month of August to September 2020 was conducted, whose data were collected from the medical records. Phone call interviews were conducted 2 months post-COVID-19, after ethical and institutional permission, and they were asked for any persisting symptoms at this point and the risk factors were noted. Data were analysed using various statistical methods.

Result:
The most common symptoms at onset were fever (49.5%), cough (28.2%), sore throat (18.4%) and loss of smell (17.5%). The most common comorbidities noted were diabetes mellitus (30.1%), hypertension (14.6%) and heart disease (7.8%). The cases with more than 14 days for COVID-19 to be negative are almost the same in cases with comorbidities (11.1%) and no comorbidities (16.3%). Around 43.7% had post-COVID-19 symptoms. The most common post-COVID-19 symptoms noted were fatigue (28.2%), breathing difficulty (12.6%) and body pain (4.9%). The post_COVID_19 symptoms are significantly higher in cases who took treatment from hospital(moderate to severe cases) (54.4%) compared to the cases who took treatment at home (35.7%). Persisting breathing difficulty is significantly higher in cases with pre-COVID-19 asthma/COPD compared to the cases with no pre-COVID-19 asthma/COPD, which makes COPD and asthma patients to be considered high risk for post-COVID-19 sequelae.

Conclusion:
Follow-up of COVID-19 patients should become an essential part of family physician’s clinical practice.
Renal stone prevalence and risk factors in Jeddah and Riyadh
Authors: Alblowi Shahad , Safdar Osama , Aboulola Neda , Alharazy Deena , Najem Noura 
Published: June 2022

ABSTRACT

Introduction:
Nephrolithiasis is a common problem worldwide, especially in hot areas like Saudi Arabia. This retrospective study investigated the current prevalence and risk factors of renal stones in Jeddah and Riyadh, Saudi Arabia.

Methods:
A non-interventional cross-sectional study was conducted from November 2018 to June 2019 at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. This study included 1031 participants (age ≥18 years) from Jeddah (n = 652, 63.30%) and Riyadh (n = 379, 36.80%). Of them, 169 (16.40%) had renal stones while 862 (83.60%) had no renal stones. All participants filled out a questionnaire distributed via social media, which contained questions regarding eating and drinking habits.

Results:
Significant differences were found between the groups regarding frequencies of intake of black tea and orange/lemon juice. The number of patients who consumed cow meat was significantly higher among those without renal stones than among those with renal stones. Significant high risk for renal stones was found in those who consumed energy drink >1 can/day, black tea >1 cup/day, and orange/lemon juice >1 glass/day.

Conclusion:
This study revealed that some eating habits play a major role in the development of urinary stones in the Saudi population. Therefore, a dietary intervention on a large scale and health, education in this regard may be helpful in preventing the 25 related to renal stones.
Nutritional assessment with skinfold thickness and body- fat proportion in tribal and urban schoolchildren in Nashik district: A cross sectional study
Authors: Ashtekar Shyam V. , Padhyegurjar Manasi S. , Padhyegurjar Shekhar B. , Powar Jagdish D. 
Published: June 2022

ABSTRACT

Context:
Skinfold thickness (SFT) and body-fat (BF%) are infrequently used for childhood undernutrition.

Aims:
(a) Estimation of SFT at peripheral and truncal sites (b) Estimation of BF% from SFTs (c) Correlate SFT estimates with MUAC, BMI and Waist. (d) Compare rural/tribal SFTs with urban schoolchildren.

Settings and Design:
Ashram schools in rural/tribal settings and one urban school.

Methods and Material:
Using three stage sampling, four tribal schools were randomly selected and an urban school was added for comparison. A sub sample of 405 students in the age group of 7 to 15 years were included. Height, weight, MUAC and SFTs were measured BF% was estimated with Slaughter equation.

Statistical Analysis:
Using Excel, Epi Info 7.1 and R software, appropriate t tests were applied for comparisons, and correlation was estimated between the quantitative variables.

Results:
Average SFT among schoolchildren (405) was 6.64 mm. Girls (n = 215) had a BF% of 13.1%, while boys (n = 190) had BF at 11.5%. Average SFT for boys (6.69) and girls (6.48) had no statistically significant difference (t = 1.3, P = 0.1929). Boys had higher average peripheral SFT than truncal SFT while girls had higher truncal SFTs. In girls subscapular SFT was higher than triceps SFT. Median BF% in rural was lower than urban schoolchildren. BF% correlated strongly with BMI (0.56), Waist (0.63), Hip (0.61) and MUAC (0.59).

Conclusion:
SFT and BF % can be effectively used to detect undernutrition. Geographical and Gender differences are observed. SFT and BF% correlated well with BMI and MUAC.
Maternal mental health and its determinants during COVID-19, experience from Kashmir, Northern India
Authors: Kawoos Yuman , Maqbool Masood , Amin Rehana , Wani Zaid , Farooq Zeenat , Margoob Mushtaq A. 
Published: June 2022

ABSTRACT

Background:
Since the start of the pandemic due to coronavirus 2019, stresses and anxiety have increased in all age-groups. We aimed to study the common mental disorders in pregnant and lactating females and study their fears and copings during the pandemic.

Materials and Methods:
Purposive sampling was employed in our study. We included all pregnant and lactating females who consented to participate in the study. A total of 95 females were included in our study. We used a semi-structured questionnaire with questions regarding socio-demographic variables and questions related to apprehensions due to COVID-19, belonging to high-risk group, and structured instruments like Edinburgh Postnatal Depression Scale, Hamilton Anxiety Rating Scale, Yale–Brown Obsessive Compulsive Scale.

Results:
The mean age of our study population was 30.8 ± 3.67 years. The majority of our patients were married (93) and homemakers (61) and studied up to 12th grade. Among our patients, 33 tested positive for COVID-19 and 12 patients were hospitalized for COVID-19-related symptoms. Thirty-nine females were pregnant and 56 were lactating. Preexisting medical illness was seen in 23, and psychiatric illness was already present in 19 patients. Major depression was seen in 43% of females, mild anxiety symptoms in 69%, severe anxiety in 8%, mild obsessive compulsive disorder in 16%, and moderate in 10% of cases.

Conclusion:
In our cases, anxiety and depression were seen in increased prevalence as compared to pre-pandemic levels. Being hospitalized for COVID-19 symptoms, social isolation and apprehensions regarding the baby increased the risk of depression.
Studying Public Perception about Covaxin Vaccination
Authors: Chinnaiyan Saravanan , Govindaraj Yogesh Kumar , Dharmaraj Aravind , Babu Bhavya 
Published: June 2022

Background:
After a year of the COVID-19 pandemic began, there are approximately 200 vaccine candidates in development. Ten of them have been approved by several countries or used in limited emergency situations. India is gearing up to launch its vaccination campaign on January, 16. Vaccination attitudes can significantly influence individual vaccination decisions. Measuring such feelings and their distribution in a population is a time-consuming and challenging task. Our objective of the study is to analyze the current sentiment of Covaxin vaccination on social media on Twitter. We have retrieved 4139 tweets posted from March 1, 2021, to March 31, 2021, by the Twitter program interface.

Results:
Our study results show that 38.8% of the respondents have neutral emotions toward the Covaxin vaccination, 35.4% believe positive, and 25.8% are negative have a negative perception. There was no significant association between tweets sentiments and users (P = 0.1976) at 0.05 level of significance.

Conclusions:
In the internet age, unsubstantiated vaccine safety concerns, the impact of fast rumors, and misinformation can spread quickly. It's up to policymakers to interpret the general questions as a plausible public reaction. Attempts should be made to combat vaccine misinformation through various platforms, such as newspapers, television advertisement, and social media campaign.
Strength, Weakness, Opportunities, and Threats Analysis of India's Nationwide Lockdown
Authors: Ramesh Seetharam Bhat Kulthe , Joseph Bobby 
Published: June 2022

Objective:
To study the impact of nationwide lockdown during severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Materials and Methods:
We performed a strength, weakness, opportunities, and threats analysis of this measure and its potential impact and the current preparedness of the society.

Results:
SARS-CoV-2 has led to extreme measures by many countries in the form of nationwide lockdown. India is the world's largest democracy with over 1.3 billion people was put under complete lockdown. This pandemic would test India's public health system, community participation, its capacity to innovative and its potential to overcome various challenges. With a lack of adequate testing, a lockdown is the only tool available.

Conclusions:
In the existing scenario, a complete lockdown is probably the best measure currently available; however, the post lockdown exit strategy is key to recover from this lockdown.
Challenges and Mitigation Strategies during Contact Tracing
Authors: Kapoor Suraj , Anand Vivek , Yadav Arun Kumar , Bhaskar S Vijay , Kumar Surinder , Faujdar Dharamjeet Singh , Teli Prabhakar 
Published: June 2022

Introduction:
Contact tracing can identify potentially infected individuals before severe symptoms emerge, and if conducted sufficiently quickly can prevent onward transmission from secondary cases. This study has been conducted to find challenges and mitigation strategies in contact tracing during the COVID-19 pandemic.

Methodology:
A cross-sectional descriptive study was conducted among health care professionals involved in contact tracing using an online questionnaire. The participants were asked about challenges faced during contact tracing and the usefulness of mitigation strategies.

Results:
A total of 302 health care professionals with a mean age of 34.69 ± 5 years participated in the study. Various strategies employed by agencies during contact tracing included measures to reduce stigma, community participation, and the use of digital tools and technology. Among the most common challenges faced by the study participants, 68% felt contacts being unreachable a major challenge, while 54.3% found difficulty in contact identification. Approximately 39% of doctors, 26% of nurses, and 17% of paramedical staff faced language/communication problems.

Conclusion:
Training health care professionals on the key aspects of contact tracing, the use of the latest technology, mitigation of stigma by health education may help in overcoming challenges during contact tracing in the COVID-19 pandemic.
Efficacy of Influenza-Like Illness Screening Outpatient Department for COVID-19 at a High-Volume Center
Authors: Mattoo Bhawna , Sarda Radhika , Kumar Arvind , Fatima Kaleem , Kaur Ravneet , Wig Naveet 
Published: June 2022

Background:
The impact of COVID-19 pandemic over nonessential health services has been massive. We initiated influenza-like illness (ILI) screening for resumption of outpatient services at a tertiary care center and this study attempted to gauge its efficacy in effectively pruning out COVID-19.

Methods:
We included all the patients who had visited for an outpatient department (OPD) appointment during the study period. Patient's details and ILI symptoms were noted. Patients were then followed up telephonically after 2 weeks. The telephonic follow-up was to ensure RT-PCR status and complaints of any newly developed ILI post-OPD visit (within the last 14 days).

Results:
Out of the 957 patients who were enrolled, 929 patients were successfully followed up telephonically after 14 days. Only 13 who were screened out as “possible ILI,” were either RT-PCR negative or did not follow-up with a confirmatory test. The telephonic follow-up to ensure RT-PCR status and complaints of any newly developed ILI post-OPD visit (within the last 14 days) was noted in the rest of the patients. Only one participant out of 957 screened, tested positive for COVID-19.

Conclusion:
The period in which the study was held, the national positivity rate was low (around 3%). Therefore, in a resource-limited country such as India, it is astute to restart the OPD services in the preexisting setup using basic precautions and a verbal questionnaire during the slope of the pandemic.
T2-weighted cardiovascular magnetic resonance and echocardiographic arterial elasticity criteria for monitoring cardiac siderosis in patients with beta-thalassemia major
Authors: Zavar Reihaneh , Hendimarjan Moien , Behjati Mohaddeseh , Yazdani Dalir 
Published: June 2022

Background:
Despite the availability of iron chelators, toxicity due to increased iron load is the leading cause of death in thalassemia major patients, especially in Iran. This study was performed to determine the association between cardiovascular magnetic resonance using T2-weighted sequences (CMR T2*) and diagnostic value of echocardiographic arterial elasticity in major beta-thalassemia patients without cardiac symptoms in Isfahan, Iran, in 2019 and 2021.

Materials and Methods:
This cross-sectional study assessed the association between CMR T2*, advanced echocardiographic arterial elasticity criteria, and serum ferritin in 67 patients with major beta-thalassemia patients without cardiac symptoms at Chamran Cardiovascular, Medical, and Research Center in Isfahan, Iran, in 2019–2021. Data analysis was performed among the 67 patients using SPSS, version 24.0 (Statistical Procedures for Social Sciences, Chicago, Illinois, USA). Spearman's rank test was used to assess the correlation between T2*CMR, echocardiographic arterial elasticity criteria, and ferritin. All parameters are presented as mean ± standard deviation. The results were considered statistically significant at P < 0.05.

Results:
There was a positive correlation between CMR T2* and arterial elastance index (P = 0.035, r = 0.258), according to the Spearman test. In addition, CMR T2* was not correlated with the serum ferritin (P = 0.158, r = 0.201).

Conclusion:
Totally, according to the obtained results, it may be concluded that the arterial elastance index from echocardiography and the CMR T2* may be indicators of myocardial iron overload in patients with major beta-thalassemia patients without cardiac symptoms.
Mental Health Legislation in the Philippines
Authors: Samaniego Rene M. 
Published: June 2022

Background:
The Philippines is an autonomous Southeast Asian country which has long been encumbered with the burden of mental health-related concerns. Aside from the commonly occurring psychiatric illnesses, it also has to contend with the dearth of epidemiological data on such disorders as well as the scarcity of mental health practitioners. On top of these, one enduring challenge is the absence of mental health legislation. Thus, the passage of Republic Act (R.A.) 11036 or the Philippine Mental Health Act has been considered one of the greater achievements in Philippine psychiatry in the recent years.

Methods:
In this review, the author examines the origins, highlights, and updates on the legislature of R.A. 11036.

Results:
This legislature (or the Philippine Mental Health Act) elaborates on its highlights which equitably covers the rights of patients and their families as well as that of the mental health professionals; the standards of psychiatric, psychosocial, and neurologic services that need to be upheld in both government and private hospitals; the promotion of mental health in educational institutions and in the workplace; the need for mental health providers to undergo capacity building and proper training in research and development; the duties and responsibilities of the government agencies involved; the creation of a council to serve as a policymaking, planning, coordinating, and advisory body to oversee the implementation of the law; and the penalty clauses involved with violations of the law. It also provides updates on the enactment of the law's implementing rules and regulations, namely, the upgrading of existing mental health facilities, the standardization of a community-based mental health program, the development of a national suicide prevention strategy, the integration of mental health into the educational system and the workplace, the first-ever Philippine national survey on mental health and well-being, as well as the augmentation of the practice of telepsychiatry to extend the reach of services to the geographically isolated Filipinos.

Conclusion:
The Philippines made a history through the passage of the first-ever Mental Health Act on June 21, 2018, now known as R.A. 11036. The Philippine Psychiatric Association and other related organizations spearheaded a multisectoral lobby in the drafting of the bill. It took 16 years, and 31 drafts before R.A. 11036 became a reality. We still need to monitor the implementation of the law closely. Future revisions are expected to better improve the mental health law for citizens to receive better rights of mental health treatment and human rights protection.
Long-read HiFi sequencing correctly assembles repetitive heavy fibroin silk genes in new moth and caddisfly genomes
Authors: Kawahara Akito Y. , Storer Caroline G. , Markee Amanda , Heckenhauer Jacqueline , Powell Ashlyn , Plotkin David , Hotaling Scott , Cleland Timothy P. , Dikow Rebecca B. , Dikow Torsten , Kuranishi Ryoichi B. , Messcher Rebeccah , Pauls Steffen U. , Stewart Russell J. , Tojo Koji , Frandsen Paul B. 
Published: June 2022

Insect silk is a versatile biomaterial. Lepidoptera and Trichoptera display some of the most diverse uses of silk, with varying strength, adhesive qualities, and elastic properties. Silk fibroin genes are long (>20 Kbp), with many repetitive motifs that make them challenging to sequence. Most research thus far has focused on conserved N- and C-terminal regions of fibroin genes because a full comparison of repetitive regions across taxa has not been possible. Using the PacBio Sequel II system and SMRT sequencing, we generated high fidelity (HiFi) long-read genomic and transcriptomic sequences for the Indianmeal moth (Plodia interpunctella) and genomic sequences for the caddisfly Eubasilissa regina. Both genomes were highly contiguous (N50 = 9.7 Mbp/32.4 Mbp, L50 = 13/11) and complete (BUSCO complete = 99.3%/95.2%), with complete and contiguous recovery of silk heavy fibroin gene sequences. We show that HiFi long-read sequencing is helpful for understanding genes with long, repetitive regions.
IMPLEMENTASI METODE LEARNING VECTOR QUANTIZATION (LVQ) PADA PENGENALAN BAHASA ISYARAT YANG MENGANDUNG KATA KERJA
Authors: Arnaz Arnaz Andri Pramana 
Published: June 2022

Objektif. Bahasa Isyarat (sign language) adalah salah satu bahasa yang paling alami dalam melakukan komunikasi, terutama bagi penyandang tuna rungu dan tuna wicara sehingga keduanya mampu saling memahami dan berkomunikasi dengan sesamanya dengan menggunakan bahasa isyarat Permasalahan yang diangkat dalam kasus penelitian kali ini dilatar belakangi oleh sedikitnya masyarakat umum yang mengerti bahasa isyarat sehingga akan lebih mudah dalam memahami bahasa isyarat yang mengandung kata kerja.
Material and Metode. Penelitian ini bertujuan untuk menerapkan metode Leaning Vector Quantization dalam melakukan pengenalan bahasa isyarat kata kerja berdasarkan pola.
Hasil. Hasil dari penelitian menggunakan metode Learning Vector Quantization didapat akurasi pengenalan sebesar 40% dengan menggunakan data uji sebanyak 15 data .

Kesimpulan. Berdasakan hasil dari penelitian Implementasi metode Learning vector quantization (LVQ) pada pengenalan Bahasa Isyarat yang mengandung Kata Kerja dapat disimpulkan bahwa metode Learning vector quantization pada Sistem / aplikasi pengenalan bahasa isyarat kata kerja dapat membantu untuk mengenali pola bahasa isyarat yang ingin dibaca dengan baik.
PERAN MODAL INTELEKTUAL SEBAGAI SUMBER PENCIPTAAN NILAI PELANGGAN DALAM PREFERENSI MEREK UNTUK KEUNGGULAN KOMPETITIF BERKELANJUTAN: STUDI EKUITAS MEREK PADA WIRAUSAHA MUDA
Authors: Kristanti Maria Mia 
Published: June 2022

Objektif. Penelitian ini menggarisbawahi bahwa kinerja organisasi ditentukan oleh Modal Kapital, yang menjadi sumber utama keunggulan kompetitif berkelanjutan, dan fondasi kesuksesan bisnis, yang terletak pada kemampuannya untuk menciptakan keunggulan kompetitif yang berkelanjutan, dengan menyediakan sumber diferensiasi nilai pelanggan yang sulit ditiru, dan tidak tergantikan.
Material dan Metode. Pendekatan kuantitatif dengan analisis data multivariat dan serangkaian uji regresi liner berganda dipergunakan untuk menyelidiki keterkaitan antara pengetahuan organisasi dan manajemen pembelajaran, nilai keuangan dan pengalaman pelanggan, termasuk keterlibatan merek
Hasil. Modal Kapital terbukti menjadi sumber daya utama yang memungkinkan organisasi untuk memanfaatkan pengetahuan, wawasan, serta keterlibatan penuh semua anggota organisasi untuk mengakuisisi nilai pelanggan yang unik, dan keunggulan kompetitif yang berkelanjutan pada posisi reputasi dan citranya di pangsa pasar.

Kesimpulan. Penelitian ini mengklarifikasi korelasi positif signifikan antara modal intelektual, pendekatan pemasaran berbasis nilai, dan preferensi merek pelanggan sebagai strategi keberhasilan inti untuk meningkatkan keunggulan kompetitif berkelanjutan organisasi.
Um experimento de construção de “intersubjetividade” entre dois ambientes radicalmente diversos na cidade de São Paulo, a favela e a universidade
Authors: Dabdab Roberta , Baitello Junior Norvala 
Published: June 2022

Nossa proposta inicial foi de aproximar dois ambientes culturais diversos, 2 grupos diferentes de jovens: os jovens alunos da graduação de Jornalismo e de Multimeios da PUC-SP e os jovens do coletivo Nofotofake da favela de Heliópolis (sujeitas e sujeitos da pesquisa da doutoranda Roberta Dabdab), para fotografarem juntos seus respectivos ambientes como apontamento para a construção de um “modelo intersubjetivo” de design social, capaz de induzir a criação de intersubjetividades entre eles. Estávamos vivendo a pandemia em seu maior pico (2021) e nossa hipótese não se confirmou em um primeiro momento, mas, aflorou e confirmou a importância de um modelo que possibilite desenhar novas configurações sociais, culturais logo, ambientais, um tipo de “biodesign”. A metodologia está alicerçada pela Teoria de Mídia de Harry Pross e suas considerações sobre a “mídia primária” e seguirá caminhos apontados por Vilém Flusser (intersubjetividade) e Baitello (iconofagia).