bluuebunny/crossref_metadata_2025_split huggingface dataset:
Adherence to Different Treatment Modalities among Patients on Maintenance Hemodialysis
Authors: Abdul-Jabbar Maha Amer , J. Kadhim Dheyaa 
Published: June 2022

End Stage Renal Disease is a well-known global public health problem. Maintenance hemodialysis is considered a life-saving treatment for patients with such disease. This treatment method that requires patients to be adherent to hemodialysis attendance, dietary and fluid recommendations as well as adherence to prescribed medications to ensure success. The aim of the current study was to assess adherence, perception, and counseling among hemodialysis patients to different modalities of treatment (fluid restriction, dietary recommendations, medications, and hemodialysis schedules). A cross-sectional study carried out on hemodialysis patients who attended to the dialysis centers at al- Karama teaching hospital and Madinat Al- Imamain Al- Kadhimain teaching hospital. The Arabic version of the “ end stage renal disease-adherence questionnaire ” was used in assessing adherence, perception, and counseling. The number of recruited patients were 200 adult patients (113 men and 87 women). The average of the total adherence score lies within the moderate adherence (984.9 ±174.2). Patients adherence to the hemodialysis session was good as representing by high scores of adherence for (hemodialysis-attendance, episode of hemodialysis-shortening and duration of hemodialysis-shortening) while the lowest adherence score (126.0 out of 200) was for following the fluid restriction. In terms of adherence categories, the majority (61%) of the patients had good adherence, 33.0% had moderate adherence with 6% had poor adherence. Age had significant positive association with the total adherence score. All patients perceived their hemodialysis management as highly/very important. On the other hand, some patients perceived their adherence to the recommended diet as moderately (7%) or less important (7%). Regarding the frequency of counseling received by patients for different treatment modalities. The negative answers represented 58.5% of answers about the how important is to follow a proper diet, and 25.0% of answers about the importance of taking prescribed medications as ordered. Accordingly, the overall adherence of hemodialysis patients to different treatment modalities was less than optimum with fluid and diet adherence representing most challenging tasks in the health care of hemodialysis patients.
Embolization after internal carotid artery injury secondary to transsphenoidal pituitary surgery and delayed intranasal coil protrusion: illustrative case
Authors: Tas Abdurrahim , Bozan Nazim , Akin Ramazan , Aycan Abdurrahman 
Published: June 2022

BACKGROUND
The authors presented a case of spontaneous nasopharyngeal coil migration that occurred 3 years after a patient had undergone transsphenoidal resection due to pituitary macroadenoma and was treated with coil application because of internal carotid artery injury secondary to transsphenoidal resection of the pituitary macroadenoma.

OBSERVATIONS
In the literature, eight cases of coil migration that occurred between 2 and 120 months after coil application have been reported, most of which were treated with surgical removal of the coil in a same-day surgery setting.

LESSONS
The case presented emphasized that coil protrusion and migration may lead to destruction in the skull base, thereby leading to serious consequences if left untreated, even in the absence of history of trauma. To the authors’ knowledge, this is the first case in the literature that required additional invasive procedures due to recurrent bleeding that occurred several months after surgical removal of coils. Also, this report underlined the need for careful and long-term follow-up of coil materials used for the treatment of pseudoaneurysms caused by vascular injuries secondary to skull base injury during surgery.
Sacral myolipoma with involuntary contraction causing tethered cord syndrome: illustrative case
Authors: Fujimoto So , Agari Takashi , Komori Takashi , Takai Keisuke 
Published: June 2022

BACKGROUND
Spinal lipomas sometimes involve various ectopic tissues originating from the ectoderm, mesoderm, and endoderm in the process of morphological development.

OBSERVATIONS
A 29-year-old male patient with myolipoma of the conus medullaris at the S2 and S3 levels was described. The unusual finding, involuntary muscle contraction, was presented in an operative video and a literature review. In the present case, sacral myolipoma with involuntary contraction caused tethered cord syndrome in adulthood, and untethering surgery resolved continuous buttock and leg pain.

LESSONS
This rare finding is considered a surgical indication for adult patients with myolipoma.
МОДЕЛЮВАННЯ ТА СТАТИСТИЧНА ОЦІНКА РІВНЯ ЕФЕКТИВНОСТІ ФІНАНСОВОЇ ДЕЦЕНТРАЛІЗАЦІЇ БЮЖДЕТІВ ОТГ В УКРАЇНІ
Authors: Хрущ Ніла , Форкун Ірина , Гордєєва Тетяна 
Published: June 2022

Стаття присвячена аналізу проблеми впровадження реформи децентралізації в Україні. Досліджено загальні принципи реформування, проаналізовано фінансово-економічні та соціальні результати фінансової децентралізації. Запропоновано концептуальну модель організації процесу фіскальної децентралізації. Оцінка ефективності фіскальної децентралізації в Україні здійснюється за допомогою набору показників, таких як: показник децентралізації за доходами, показник децентралізації за видатками, узагальнюючий показник фіскальної децентралізації. Розраховані результати можуть бути використані при прийнятті рішень під час впровадження реформи фінансової децентралізації бюджетів ОТГ в Україні.
New approaches to deformalization of evidence in the criminal procedure of the Republic of Kazakhstan
Authors: Akhpanov A. N. , Khan A. L. 
Published: June 2022

На сучасному етапі розвитку кримінального судочинства в Республіці Казахстан явно намітилася тенденція до максимального зближення процедур кримінального процесу до англосаксонської системи права та, як наслідок, спроби деформалізації доказування. Вирішення зазначених завдань правозастосовник і деякі представники наукового світу вбачають у посиленні дії принципу змагальності сторін на досудових стадіях процесу та збільшенні обсягу повноважень сторони захисту, у тому числі шляхом надання їм права на проведення самостійних слідчих дій. Своє бачення вони виклали у розроблених інститутом парламентаризму РК Концептуальних підходах удосконалення вітчизняного кримінального процесу, винісши їх на обговорення розширеного засідання Правової ради.
Метою статті є обґрунтування позиції авторів у контексті модернізації кримінального судочинства в Республіці Казахстан.
Наукова новизна полягає у проведенні правового аналізу запропонованих Концептуальних підходів, розгляді наслідків їх реалізації, розкритті причин авторської незгоди з викладеною позицією.
Висновки. Вважаємо, що саме відсутністю системного підходу, у тому числі в запропонованому Концептуальному підході Інституту парламентаризму, обумовлена нестабільність поточного законодавства, зростання правового нігілізму серед населення, а також таке, що нав’язується, волюнтаристське і непрофесійне тлумачення розробниками названого Інституту положення Концепції правової політики РК до 2030 року в частині продовження розвитку принципу змагальності та рівноправності сторін.
Translational framework for implementation evaluation and research: Protocol for a qualitative systematic review of studies informed by Normalization Process Theory (NPT)
Authors: May Carl R , Albers Bianca , Desveaux Laura , Finch Tracy L , Gilbert Anthony , Hillis Alyson , Girling Melissa , Kislov Roman , MacFarlane Anne , Mair Frances S , May Christine M , Murray Elizabeth , Potthoff Sebastian , Rapley Tim 
Published: June 2022

Background:Normalization Process Theory (NPT) identifies mechanisms that have been demonstrated to play an important role in implementation processes. It is now widely used to inform feasibility, process evaluation, and implementation studies in healthcare and other areas of work. This qualitative synthesis of NPT studies aims to better understand how NPT explains observed and reported implementation processes, and to explore the ways in which its constructs explain the implementability, enacting and sustainment of complex healthcare interventions.Methods:We will systematically search Scopus, PubMed and Web of Science databases and use the Google Scholar search engine for citations of key papers in which NPT was developed. This will identify English language peer-reviewed articles in scientific journals reporting (a) primary qualitative or mixed methods studies; or, (b) qualitative or mixed methods evidence syntheses in which NPT was the primary analytic framework. Studies may be conducted in any healthcare setting, published between June 2006 and 31 December 2021. We will perform a qualitative synthesis of included studies using two parallel methods: (i) directed content analysis based on an already developed coding manual; and (ii) unsupervised textual analysis using Leximancer® topic modelling software.Other:We will disseminate results of the review using peer reviewed publications, conference and seminar presentations, and social media (Facebook and Twitter) channels. The primary source of funding is the National Institute for Health Research ARC North Thames. No human subjects or personal data are involved and no ethical issues are anticipated.
Noise Induced Hearing Loss (NIHL):An Emerging Health Hazard Among Urban Children
Authors: Chakraborty Pragwa Permita , Chakraborty Rivu Raj , Bhattacharjee Sharmista , Dutta Hiranmoy , Barua Debjane , Jahan Iffat 
Published: June 2022

Background: Noise has been recognized for hundreds of years as hazardous to health. In big cities, the children are more prone to Noise Induced Hearing Loss (NIHL) due to high frequency sounds from different sources. Early reliable diagnosis of hearing loss is essential to adopt appropriate treatment to minimize potential developmental delays attributed to loss. This corner of child health hazards is less addressed ever before in our country.
Methodology: This study was designed as a cross sectional, observational study conducted in Chittagong metropolitan city of Chittagong district under the guidance of the Department of Physiology, Chattogram Medical College, Chattogram. The study was conducted among the children of 5 to 18 years of age. Sample size was 500. Study was conducted over 1 year of period from November 2009 to October 2010. Hearing status of all children were tested by pure tone audiometry at 250, 500, 1000, 2000, 4000 and 8000 Hz using sound intensity ranging from 0 – 120 dB.
Result: 268 (53.6%) samples were male and 232 (46.4%) were female. The average sound level of study area were 90dB (highest) and 60 dB (lowest) at peak hour. This was evident that Mild degree of NIHL was quite high in the study area (8%) and total affected children were 9.2%. Male (7.6%) children are more affected by NIHL than female (2.39%) children. Maximum respondents are affected bilaterally (89.13%).
Conclusion: Prevalence of NIHL was remarkably high in urban areas among children. All efforts of public health interventions such as education, training, audiometric testing, exposure assessment, hearing protection, noise control and community based awareness programme when feasible should be targeted to prevent the NIHL from childhood and to achieve the best hearing conservation of general population.
Central Medical College Journal Vol 5 No 1 Jan 2021 PP 7-12
Association between serum total cholesterol and migraine
Authors: Shill Sajal Kumar , Uddin Md Abbas , Imam Shah Didar , Hasina Ayesha 
Published: June 2022

Background: There is increasing evidence that migraine with aura is associated with increased risk of ischemic stroke and other vascular disease events. Furthermore migraine has been associated with increased prevalence of specific cardiovascular risk factors, such as hypercholesterolemia has been proposed.
Aims and objectives: The present study is aimed at to evaluate the association between serum total cholesterol and migraine.
Material and methods: This observational cross sectional study was carried out in Neurology Department in Mymensingh Medical College from December 2016 to November 2018 for a period of 2 years. Patients were selected by purposive sampling. Among 100 patients, 50 grouped as migraineur and 50 grouped as non-migraineur for the study.
Results: Serum total cholesterol was significantly higher in migraine than non-migraine. Serum total cholesterol was significantly higher in late age of migraine group and migraine with aura.
Conclusion: Elevated level of serum total cholesterol was associated with migraine than non-migraine. Serum total cholesterol was significantly higher in late age of migraine group and migraine with aura.
Central Medical College Journal Vol 5 No 1 Jan 2021 PP 41-46
Prevalence and Antibiogram of Escherichia Coli Isolated from Urine Sample of Male UTI Patient.
Authors: Fardows Jannatul , Siddique Abu Bakar , Khatun Mst Nazma , Khatun Rehana , Ahmed Mohammad Ashraf , Dhar Uma 
Published: June 2022

Background: E. coli is found to be the commonest cause of Urinary Tract Infection (UTI). However, E. coli antibiotic resistance has escalated over the past many years. To observe the possible uropathogen from suspected UTI male outdoor patient, different pathogenic bacteria isolated and identified from urine sample by culture and biochemical tests. Out of 200 urine samples, 160 (80.00%) yielded significant bacterial growth. Among them E. coli was the most predominant bacteria 82 (51.25%) followed by Klebsiella 30 (18.75%), Pseudomonas 14 (8.75%), Proteus 10 (6.25%) and different Gram positive bacteria 10 (6.25%). Only antibiotic susceptibility test of E. coli was done. All (100%) E. coli were sensitive to imipenem and colistin sulphate and 100% resistant to ciorofloxacin. In conclusion, it can be said that antibiotic resistance against commonly using antibiotics is an alarming sign for us to treat the outdoor patients.
Central Medical College Journal Vol 5 No 1 Jan 2021 PP 47-50
Neonatal Umbilical Myiasis - Our experience
Authors: Hasina Ayesha , Uddin Md Abbas , Sajalkumarshill - 
Published: June 2022

Background: Myiasis is an infestation of live vertebrates (humans and/or animals) by larvae of dipterous fly. Although, it usually infects domestic and wild animals but humans may be rarely affected if they are reared in unhygienic condition. Although adult cases have beenreported, neonatal myiasis is a rare condition and there are few reports aboutthis subject. Common sites of myiasisare exposed areas of the body such as extremities, scalp, and back. Herein, we report a case of umbilical myiasis, a 13days old neonate visited to outpatient department with complaint of worms coming out from umbilicus for 2 days. On examination, periumbilical erythema and umbilical discharge was present. The umbilical stump was irrigated with providine iodine, hydrogen per oxide and topical application with turpentine oil was given then worms were coming out from umbilicus. Umbilical myiasis is a very rare presentation indicating poor hygiene and a preventable condition.
Central Medical College Journal Vol 5 No 1 Jan 2021 PP 59-62
Eflúvio telogeno pós-COVID
Authors: Almeida Mayara Gabrielle Miranda , Almeida Carla Beatriz Miranda , Vasconcelos Tiberio Cesar Lima de 
Published: June 2022

Introdução: O cabelo possui uma vasta importância na aparência e autoestima, o eflúvio telógeno aumenta a queda, de 100 a 400 fios/ dia, podendo associado a COVID-19, por causa dos medicamentos, estresse emocional e alteração do ciclo capilar por causa do vírus SARS-CoV-2. Objetivo: Revisão de literatura sobre a relação do Eflúvio telógeno pós COVID-19. Assim como associar a relação dos sintomas tem a relação com a queda de cabelo. Método: Para o desenvolvimento da seguinte revisão integrativa foram utilizadas as seguintes bases de dados: BVS, PubMed. Os critérios de inclusão foram: artigos com texto completo disponível para leitura, publicados em inglês, português ou espanhol. Resultado: Os artigos encontrados tiveram várias opiniões não achando a causa exatas do qual o vírus induz a queda de cabelo, podendo ser relacionado ao medicamento, estresse emocional, sintomas da própria doença como febre alta. Mesmo o vírus não distinguindo sexo é mais relatado em mulheres. Conclusão: Que não se sabe a causa exata do eflúvio telógeno pós COVID-19, não existe um tratamento específico para os casos devendo seguir as mesmas orientações já existentes para o eflúvio telógeno em dermatologia.
Endoscopic submucosal tunnel dissection in the treatment of large benign colon neoplasms. Immediate results
Authors: Yugai O. M. , Veselov V. V. , Mtvralashvili D. A. , Likutov A. A. , Abdulzhalieva E. U. , Mainovskaya O. A. , Chernyshov S. V. , Sushkov O. I. 
Published: June 2022

Aim: to evaluate the early results of endoscopic submucosal tunnel dissection (ESTD for large benign colon neo-plasms. Patients and methods: a prospective non-randomized comparative study included 100 patients with large benignepithelial colon neoplasms (more than 3 cm in diameter). The main group included 50 patients who underwentendoscopic submucosal tunnel dissection. The control group included 50 patients who underwent traditional endo-scopic submucosal dissection (ESD). Results: Four (4 %) patients (1 in the main and 3 in the control group) were excluded from the study due to theconversion of endoscopic procedure. The incidence en bloc removal of neoplasms and the negative resection margins were significantly higher in the main group than in the control one — 98 % and 87.2 % (p = 0.04) and 89.8 % and 70.2 %, respectively (p = 0.01). Conclusion: ESTD for large benign epithelial colon neoplasms shows better radicalness in comparison with endo-scopic submucosal dissection.
Juvenile polyposis in a family with «familial adenomatous polyposis» - an accidental find or a natural phenomenon?
Authors: Pikunov D. Yu. , Loginova A. N. , Kuzminov A. M. , Toboeva M. Kh. , Barinov A. A. , Tsukanov A. S. 
Published: June 2022

Aim: based on literature data and our own experience, to demonstrate the need for a meticulous family history harvesting in patients with suspected hereditary polyposis syndrome, as well as the importance of conducting a complex molecular genetic study. Materials and methods: the most known among hereditary polyposis syndromes is familial adenomatous polyposis (FAP).At the same time, according to the literature, one of the hamartomatous polyposis syndromes- juvenile polyposis - may mimic endoscopic picture of adenomatous polyposis. The article presents a clinical observation of a family whose members have been suspected of having FAP for several years, and only whole-exome sequencing helped to establish the diagnosis of juvenile polyposis syndrome. Results: based on the family history, as well as the clinical picture of the disease, which was somewhat unusual for FAP, the patient underwent whole-exome sequencing, which revealed a previously undescribed pathogenic variant in the SMAD4 gene - c.705dupA (p.Gly236ArgfsTer28). The presence of a similar mutation was also confirmed in 3 close relatives of the patient. Conclusion: taking into account the wide phenotypic variability of manifestations of juvenile polyposis, molecular genetic study of the SMAD4 and BMPR1A genes is of particular importancein patients with a clinic of adenomatous polyposis syndrome and the absence of mutations in the APC and MutYH genes.
Results of surgical treatment for familial adenomatous polyposis
Authors: Kit O. I. , Gevorkyan Yu. A. , Soldatkina N. V. , Kolesnikov E. N. , Kolesnikov V. E. , Bondarenko O. K. , Khabzhokov E. K. 
Published: June 2022

Aim: to analyze the results of surgery for familial adenomatous polyposis (FAP). Patients and methods: the case series study included 20 patients with FAP, 85 % of procedures with anastomosis and 15 % with a permanent ileostomy. Laparoscopic approach was used in 35 %. Results: the mean time of operation time was 243 minutes, the mean intraoperative blood loss was 244 ml, and the mean hospital stay was 17.2. Three (15.0 %) patients developed postoperative complications. Laparoscopic pro­cedures were advantageous in terms of intraoperative blood loss and faster recovery. The first polyps were detected in the rectal stump within 6-8 months after surgery, desmoid tumors within 24.3 months. Most patients had an acceptable quality of life with an mean number of stools per day 11.1. Conclusions: FAP is a complex problem of modern medicine requiring the teamwork of various medical specialists. Minimally invasive interventions for FAP have advantages over open procedures.
Molecular-genetic profiling of patients with adenomatous polyps of the gastrointestinal tract
Authors: Lisitsa T. S. , Danishevich A. M. , Khakhina A. O. , Ibragimova A. S. , Shagina A. D. , Valeeva A. E. , Bodunova N. A. , Abramov I. S. , Shipulin G. A. 
Published: June 2022

Aim: to reveal hereditary mutations in patients with adenomatous polyps of the gastrointestinal tract. Patients and methods: a retrospective cohort study included 8 patients with adenomatous polyps of the gastrointestinal tract (ranging from 4 to several hundred). The APC, AXIN2, BMPR1A, BRCA2, CDH1, CHEK2, EPCAM, GALNT12, GREM1, MLH1, MLH3, MSH2, MSH3, MSH6, MutYH, NTHL1, PMS2, POLD1, POLE, SMAD4, STK11 genes were studied using new generation sequencing. Results: five patients were found to have pathogenic mutations in the genes APC (3 patients with > 100 polyps), POLE (1 patient with < 10 polyps), MutYH (1 patient with 2 mutations with > 28 polyps; 1 patient with monoallelic mutation in combination with a mutation in the APC gene with a number of polyps > 100). Conclusion: the probability of detecting a pathogenic mutation increases with an increase in the number of polyps in a patient.
Colon polyps in children
Authors: Ionov A. L. , Pichugina M. V. , Myzin A. V. , Luka V. A. , Kostomarova T. D. , Sulavko Ya. P. 
Published: June 2022

Aim: to evaluate the results of bowel polyposis in children. Patients and methods: the retrospective study included children, aged 1 to 17 years. The clinic manifestations, diagnostics and treatment approach are described. Patients with adenomatous polyposis (n = 38) and juvenile polyposis (n = 16) are presented in details. Results: options for surgical procedure are described due to early and late results, morphological data and diagnostic findings (colectomy with ileorectal anastomosis and formation of seromuscular cylinder, n = 8; colproctectomy with ileal pouch, n = 10). Conclusions: the detection of colorectal polyps requires a wide range of diagnostic and treatment approaches depends on a clear understanding of the nosological form of polyposis, which allows to determine the optimal period and method of surgical treatment.