bluuebunny/crossref_metadata_2025_split huggingface dataset:
A CT-based pelvic calcification score in kidney transplant patients is a possible predictor of graft and overall survival
Authors: Žuža Iva , Dodig Doris , Brumini Ivan , Tokmadžić Dorian , Orlić Lidija , Zgrablić David , Vukelić Ivan , Gršković Antun , Katalinić Nataša , Jakšić Ante , Miletić Damir , Rački Sanjin , Markić Dean 
Published: September 2022

Objectives Computerized tomography (CT) is the most accurate method for evaluating pelvic calcifications, which are of utmost importance for planning kidney transplantation (KT). The aim of our study was to evaluate the incidence and distribution of iliac artery calcifications and correlate the novel pelvic calcification score (PCS) with cardiovascular risk factors and graft and overall survival in KT patients. Methods We retrospectively included 118 KT patients operated at our institution with pretransplant pelvic CT. Calcification morphology, circumference and length of both common and external iliac arteries were independently scored by two uroradiologists. PCS was calculated as the total score sum of all three calcification features in all vessels. PCS correlation with graft and patient survival was performed. Results Calcification in at least one vascular segment was found in 79% of patients. PCS was significantly higher in male patients (p = 0.006), patients over 55 years (p < 0.001), and patients on haemodialysis (p = 0.016). Patients with a PCS >3 had significantly shorter graft and overall survival rates (p = 0.041 and p = 0.039, respectively). Conclusions The extent of iliac artery calcification in KT recipients quantified by PCS on pretransplant CT correlates with graft and overall patient survival. A PCS over three was associated with worse clinical outcomes and could become a possible prognostic factor. Advances in knowledge Our novel PCS is a robust method for quantifying iliac artery calcification burden. Since higher a PCS correlates with worse patient and graft survival, PCS has the potential to become a prognostic factor in kidney transplant patients.
Early-term outcomes of the pulmonary embolism response team
Authors: Ozen Yucel , Ugur Murat , Ozbek Ismail Cihan , Yalcinkaya Emre 
Published: September 2022

Objective: Treatment of pulmonary embolism varies according to the different clinical presentations. Pulmonary embolism response teams (PERT) might improve outcomes of pulmonary embolism with faster evaluation and increased usage of advanced treatment methods. In this study, the effects of PERT for the treatment of pulmonary embolism were investigated.
Methods: In this retrospectively analyzed study, patients diagnosed with PE in our hospital between March 1st, 2019 and February 28th, 2022 were included. Patients’ medical records were evaluated according to the treatment procedures and early outcomes.
Results: Ninety-eight patients with pulmonary embolism were evaluated by the PERT during the study period. The mean age was 62.8+16.4 years and 59% were male. All patients with intermediate-low risk were treated medically. About 59.2% of the patients were hospitalized. The rate of catheter-directed thrombolysis was 37.8% (n=37). Systemic thrombolytic therapy was performed on two patients. One patient with a metastatic brain tumor was treated with low-molecular-weight heparin. Catheter-directed procedures were performed in 37 patients. The time from diagnosis to reperfusion was 243 minutes. There was one pericardial effusion and one mortality. In the 30-day follow- up there was no re-hospitalization and mortality.
Conclusion: PERT might help early triage and treatment of patients with pulmonary embolism. Experienced specialists in this team might contribute to clinical recovery by performing advanced treatment methods and decreasing the risk of chronic thromboembolic pulmonary hypertension in the long term.
doi: https://doi.org/10.12669/pjms.38.8.6541
How to cite this:Ozen Y, Ugur M, Ozbek IC, Yalcinkaya E. Early-term outcomes of the pulmonary embolism response team. Pak J Med Sci. 2022;38(8):---------. doi: https://doi.org/10.12669/pjms.38.8.6541
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Bad Touch in Childhood is associated with unexplained Gastroenteritis
Authors: Sultan Hina , Ghulam Ishaq  
Published: September 2022

doi: https://doi.org/10.12669/pjms.38.8.6854
How to cite this:Sultan H, Ishaq G. Bad Touch in Childhood is associated with unexplained Gastroenteritis. Pak J Med Sci. 2022;38(8):---------. doi: https://doi.org/10.12669/pjms.38.8.6854
Snowfall and Carbon Monoxide Poisoning in Murree Pakistan
Authors: Meo Muhammad Zain Sultan , Sultan Meo Muhammad Omair , Meo Anusha Sultan 
Published: September 2022

doi: https://doi.org/10.12669/pjms.38.8.6936
How to cite this: Meo MZS, Meo MOS, Meo AS. Snowfall and Carbon Monoxide Poisoning in Murree Pakistan. Pak J Med Sci. 2022;38(8):---------. doi: https://doi.org/10.12669/pjms.38.8.6936
Is sexual identity associated with the risk of premature ejaculation?
Authors: Grabski Bartosz , Kasparek Krzysztof , Kania Zofia , Koziara Karolina 
Published: September 2022

Cel pracyCzęść badań sugeruje, że tożsamość homoseksualna może być związana ze zmniejszonym, w stosunku do heteroseksualnej, ryzykiem rozpoznania wytrysku przedwczesnego (WP). Celem badania było u sprawdzenie takiego związku wraz z eksploracją możliwych odpowiedzialnych za niego mechanizmów.MetodaW prezentowanym badaniu wykorzystano bazę danych uzyskaną w ramach przekrojowego, internetowego badania dotyczącego seksualności polskich mężczyzn heteroseksualnych (MH; N = 1121), homoseksualnych (MG; N = 1789) i biseksualnych (MB; N = 743). Zmienną zależną było rozpoznanie WP postawione na podstawie wyniku kwestionariusza PEDT. Zmiennymi wyjaśniającymi były: charakterystyka wzorców seksualnych i partnerskich, zdrowie, a w grupie MG i MB stres mniejszościowy. Przeprowadzono statystyczne analizy jedno- i wieloczynnikowe.WynikiTożsamość homoseksualna okazała się być niezależnym negatywnym predyktorem rozpoznania WP. Preferowanie insertywnej aktywności penetracyjnej (w tym pochwowej), lęk zadaniowy i trudności finansowe zwiększały ryzyko WP, z kolei doświadczenie insertywnych i receptywnych form seksu oralnego i analnego, ale nie pochwowego, wyższy poziom wykształcenia, lepsze ogólne funkcjonowanie seksualne i regularna aktywność fizyczna takie ryzyko zmniejszały. Znaczenie predykcyjne tożsamości homoseksualnej zanikło w modelach wieloczynnikowych w grupie mężczyzn w związkach.WnioskiTożsamość homoseksualna związana jest z niższym ryzykiem rozpoznania WP. Może to wynikać z odmienności seksualności MG i MH oraz innych czynników psychospołecznych.
Patterns of Care Utilization and Hepatocellular Carcinoma Surveillance: Tracking Care Across the Pandemic
Authors: Serper Marina , Tapper Elliot B. , Kaplan David E. , Taddei Tamar H. , Mahmud Nadim 
Published: September 2022

INTRODUCTION:
We studied longitudinal trends in mortality, outpatient, and inpatient care for cirrhosis in a national cohort in the first 2 years of the coronavirus disease-2019 pandemic. We evaluated trends in hepatocellular carcinoma (HCC) surveillance and factors associated with completion.

METHODS:
Within the national cirrhosis cohort in the Veterans Administration from 2020 to 2021, we captured mortality, outpatient primary care provider, gastroenterology/hepatology (GI/HEP) visits, and hospitalizations. HCC surveillance was computed as percentage of time up to date with surveillance every 6 months (PTUDS). Multivariable models for PTUDS were adjusted for patient demographics, clinical factors, and facility-level variables.

RESULTS:
The total cohort was 68,073; 28,678 were eligible for HCC surveillance. Outpatient primary care provider and GI/HEP appointment rates initially dropped from 30% to 7% with a rebound 1 year into the pandemic and steady subsequent use. Telemedicine monthly visit rates rose from less than 10% to a peak of 20% with a steady gradual decline. Nearly 70% of Veterans were up to date with HCC surveillance before the pandemic with an early pandemic nadir of approximately 50% and 60% PTUDS 2 years into the pandemic. In adjusted models, use of a population-based cirrhosis dashboard (β 8.5, 95% CI 6.9–10.2) and GI/HEP visits both in-person (β 3.2, 95% CI 2.9–3.6) and telemedicine (β 2.1, 95% CI 1.9–2.4) were associated with a higher PTUDS.

DISCUSSION:
Outpatient utilization and HCC surveillance rates have rebounded but remain below at baseline. Population-based approaches and specialty care for cirrhosis were associated with a higher completion of HCC surveillance.
Assessing the Risk of Further Decompensation and Survival in Patients With Cirrhosis With Variceal Bleeding as Their First Decompensation Event
Authors: Gupta Anany , Rana Randeep , Agarwal Samagra , Sharma Sanchit , Gopi Srikanth , Mohta Srikant , Gunjan Deepak , Saraya Anoop 
Published: September 2022

INTRODUCTION:
Limited data exist on long-term outcomes of patients with compensated cirrhosis presenting with acute variceal bleeding (AVB) as an index and lone decompensating event. This study aimed to evaluate the incidence of further decompensation, survival, and risk factors of mortality in these patients.

METHODS:
Patients with otherwise compensated cirrhosis presenting with AVB as their index decompensating event (n = 463) were analyzed in this single-center retrospective study. The incidence of individual decompensation events and survival was estimated using competing risk analysis. Risk factors for poor outcomes were identified.

RESULTS:
The mean age was 47.4 (13.2) years, with most patients (86.5%) being males. Alcohol-related liver disease (42.3%) and viral cirrhosis (22.4%) were the main etiologies with a median Model for End-Stage Liver Disease score of 14 (11–15) at baseline. Over a median follow-up of 42 (24–62) months, 292 patients experienced further decompensations: ascites (n = 283; 96.9%), rebleeding (n = 157; 53.8%), and hepatic encephalopathy (n = 71; 24.3%). Most events occurred with similar frequency across different etiologies, except acute-on-chronic liver failure, which was more common in nonviral cirrhosis (Gray test, P = 0.042). Patients with viral and nonviral cirrhosis had similar survival (5-year survival: 91% and 80.1%, respectively; P = 0.062). Patients with early further decompensations (onset <6 weeks of index AVB event) (n = 40) had a higher mortality (52.5% vs 20.2% for late decompensations; P < 0.001). Active alcohol consumption (hazard ratio [HR]: 9 [5.31–15.3], P < 0.001), high white blood cell count at presentation (HR: 2.5 [1.4–4.4], P = 0.001), and early decompensation (HR: 6.2 [3.6–10.6], P < 0.001) predicted poor survival.

DISCUSSION:
Despite a high incidence of further decompensation, 5-year survival of patients at this stage of cirrhosis is more than 80% across all etiologies in the absence of early further decompensation and active alcohol consumption.
Pendidikan Keluarga Berwawasan Gender Dalam Persfektif Islam
Authors: Syukron Mahbub  
Published: September 2022

Pendidikan pertama bagi anak merupakan pengenalan terhadap lingkungan keluarga terutama pemahaman tentang orang tua. Dalam pendidikan ini, orang tua membentuk watak dalam kemampuan kognitif dan sikap anak. Namun, keluarga menghadapi beberapa problem dalam konteks Pendidikan kesenjangan gender. Oleh karena itu, keluarga dituntut mampu memahamkan pendidikan berbasis gender kepada anak. Hal ini bersamaan dengan upaya Pemerintah dalam program pendidikan keluarga berwawasan gender (PKBG) dengan Inpres No. 9 tahun 2000 tentang pengarusutamaan gender. Program ini menyadarkan pemahaman hak dan kewajiban pada peran laki-laki dan perempuan pada institusi keluarga. Dalam pendidikan Islam, peran laki-laki dan perempuan memiliki akses dan kesempatan yang setara dengan kemapuan yang dimiliki. al-Qur’an mengisyaratkan kesetaraan laki-laki dan perempuan. Hal ini termaktub dalam surah al-Hujurat ayat 13. Keluarga menjalankan fungsi-fungsi alami terutama fungsi pendidikan keluarga yang mengajarkan kesetaraan dan keadilan antara laki-laki dan perempuan.

[The first education for children is an introduction to the family environment, especially an understanding of parents. In education, parents shape the character in the cognitive abilities and attitudes of children. However, families have several problems in the context of gender gap education. Therefore, families have a role required to be able to understand gender-based education to children. In issues, The Government's efforts in the gender-oriented family education program (PKBG) with family law with Number No. 9 of 2000 on gender mainstreaming. The program raises awareness of the rights and obligations of the roles of men and women in the family daily role. In Islamic education, the roles of men and women have access and opportunities that are equal to their abilities. The Qur'an implies the equality of men and women in surah al-Hujurat 13. The family carries out natural functions, especially the function of family education which teaches equality and justice between men and women.]
Relative dose-response from solid-state and gel dosimeters through Monte Carlo simulations
Authors: Alva-Sánchez Mirko Salomón , Souza Neto Ney , Quevedo Ana 
Published: September 2022

The present work compared the relative absorbed dose of some dosimetric materials, for energies of 250 kV and 6 MV, using PENELOPE and MNCPX codes. The composition of each material GD-301, TLD-100, MAGIC, and MAGAT were simulated and disposed of in a phantom filled with water following reference conditions recommended by the TRS-398 protocol. Percentage depth dose was used as a parameter of comparison. Since the obtained results with both codes were found a maximum difference of up to 2 % when compared the water material with experimental data before 6cm were found to a maximum difference of up to 2.2% for 6 MV and 5.5 % for 250 kV. Ratios between simulated PPD and experimental PDD values showed a maximum difference in the build-up region, for 6 MV, due to highsensitivityive from the incident fluency in the simulated and experimental conditions. The ratios for 250 kV showed significant differences from the simulated solid-state rather than gel dosimeters, due to its low energy, depth angular dependence from the solid-state dosimeter, as corroborating by literature. Even the differences showed for both codes, especially for lower energy, due to cross-the section database that implied the interaction probability for each Monte Carlo code, this method has been widely used to model radiation transport in several applications in medical physics, especially in dosimetry.
A brief history of Accident Chernobyl: Simulation of the influence of Neutron Absorbing Poisons and temperature feedback effects by Point Kinetics Equations
Authors: Barros Schaun Natália Barros , Tumelero Fernanda , Zen Petersen Claudio 
Published: September 2022

In this paper, the solution of the Neutron Point Kinetics model is presented, adding the effects of temperature and absorbers poisons within a historical and technical context to simulate the preliminary characteristics of the Chernobyl accident. The Point Kinetics model was able to extract physical information consistent with what was expected to predict the reactor situation until the accident. It was also possible to verify, given the results, that the Rosenbrock method was able to overcome the degree of stiffness of the ODE system, besides solving a non-linear problem. Thus, this study has contributed to highlighting the importance of temperature effects and especially absorbers poisons in the final power behavior, extremely relevant for decision making in the operation and safety of a nuclear power plant.
Analisis Niat Beli Wanita terhadap Kosmetik Halal Berdasarkan Theory of Planned Behaviour (TPB)
Authors: Fetrina Elvi , Utami Meinarini Catur 
Published: September 2022

Indonesia merupakan salah satu pasar kosmetik yang cukup besar potensinya. Kosmetik dapat dikatakan halal jika produk kosmetik tersebut sudah memenuhi syarat kehalalan sesuai syariat Islam dan sudah disertifikasi MUI. Penelitian ini bertujuan menginvestigasi sejauh mana wanita Indonesia khususnya para mahasiswi tertarik untuk membeli produk kosmetik halal. Populasi penelitian ini adalah mahasiswi baik yang muslim dan non-muslim di perguruan tinggi negeri maupun swasta di Indonesia. Penelitian ini menggunakan model dari framework Theory of Planned Behaviour yang sudah dikembangkan, dengan teknik analisis data menggunakan PLS-SEM dengan bantuan tools SMARTPLS untuk perhitungan data. Pengumpulan data dilakukan menggunakan survey dengan melakukan penyebaran kuesioner secara tidak langsung kepada responden dengan bantuan googleform. Didapat hanya satu saja hipotesis dari delapan hipotesis yang dibuat ditolak karena terbukti tidak memiliki pengaruh yang signifikan. Hipotesis yang ditolak tersebut yaitu variabel Subjective Norms terhadap Intention, karena didapat nilai koefisien regresi sebesar -0.079 dengan p-value sebesar 1.429. Sementara tujuh varibel lainnya yang terbukti berpengaruh signifikan dan diterima diantaranya adalah Attitude, Perceived Behavioral Control (PBC), Perceived Value terhadap Intention dan Social Influence, Knowledge, Religiousity terhadap Attitude, serta Brand Value terhadap Perceived Value.
Vitamin D Supplementation in women with Diminished Ovarian Reserve: A Randomized Controlled Trial
Authors: Halder Suravi , Ishrat Shakeela , Rahman Farzana , Nasrin Ivy , Amir Mumtahena , Majumdar Bipul Kumar 
Published: September 2022

Background: Diminished ovarian reserve (DOR) predicts decreased ovarian response to stimulation. Low serum anti-Mullerian hormone (AMH) is associated with DOR. AMH is a marker of ovarian reserve and acts as a predictor of ovarian response to ovarian stimulation protocol. The AMH is up regulated by vitamin D via vitamin D response elements that bind the vitamin D receptor. Vitamin D supplementation has a role in increasing serum AMH. The objective was to compare the combined effect of vitamin D and DHEA vs DHEA alone on serum AMH in DOR. Methods: This randomized controlled trial was conducted in the Department of Reproductive Endocrinology and Infertility, Bangabandhu Sheikh Mujib medical University (BSMMU), Dhaka, from March 2021 to February 2022. A total of 44 infertile women with DOR, 20 to 39 years were allocated into two groups, one received vitamin D plus DHEA for 8 weeks and the other received DHEA alone for the same duration. After 8 weeks of treatment, both groups had repeat assessment of AMH, FSH and transvaginal sonography for AFC. Results: There was no significant difference in serum AMH after vitamin D supplementation in women with DOR. But the spontaneous pregnancy during intervention was 2.57 times more in those given vitamin D supplementations in addition to dehydroepiandrosterone (DHEA).Conclusions: Short term vitamin D supplementation adds little to the effect of increasing AMH but favors spontaneous pregnancy in women with DOR.
Spondylocostal dysplasia: a rare cause of respiratory distress in term neonates
Authors: Bhargava Anshul , Susnerwala Sukena J. , Kaur Samandeep , Krishna Akshaya 
Published: September 2022

Jarcho-Levin syndrome (JLS) also known as spondylocostal dysplasia is a rare congenital dysplastic disorder involving ribs and vertebrae. It as an autosomal recessive form of inheritance however dominant forms have also been reported. Multiple genes have been postulated to be causative, however exact genetic basis is not known. Infants usually present at birth with respiratory distress and have varying degree of thoracic and vertebral anomalies. We present a case of term male infant with a clinical diagnosis of JLS. The infant presented at birth with distress with no significant antenatal risk factors. On examination he was found to have a short neck, short trunk, accessory nipple with asymmetrical chest wall. X-ray suggested absent ribs (2-8) on left side with hemivertebrae (T3-T8). The baby was managed conservatively and is being followed up with neonatologists, orthopaedicians and pediatric surgeons.
Oral and dental manifestations in chronic renal failure with type 2 diabetic patients receiving hemodialysis
Authors: Gowher Jabeena 
Published: September 2022

The significance of oral health care, in management of chronic renal failure with type 2 diabetes mellitus (CRF with T2DM) has been widely acknowledged. However, attention to the oral health care has been lacking, especially in developing countries like India because of high burden of renal diseases. To assess the prevalence of oral and dental manifestations in chronic renal failure with type 2 diabetic patients receiving hemodialysis and healthy individuals.: This study was conducted in department of oral pathology, Vydehi Institute of dental sciences, Bangalore. A total of 51 subjects comprising of 24 chronic renal patients with type 2 diabetes mellitus and 27 healthy individuals were considered for the study. Oral examination was performed using diagnostic instruments as described by Kerr, Ash, and Millard. Oral lesions such as gingivitis 14(52%), and periodontitis 4(15%) were most frequently seen lesion in CRF with T2DM when compared to healthy individuals. Candidal infection were found to be 4(17%) in CRF with T2DM and 2(7%) in healthy individuals. Other findings were uremic fetor showed highest prevalence followed by xerostomia, halitosis and so forth. The difference between the group were found to be statistically significant (P&#60;0.005).The study showed the increase in prevalence of oral manifestations in CRF with T2DM as compared to Healthy controls. As the incidence of CRF cases continues to rise worldwide, early diagnosis of oral manifestations and their appropriate management can improve the quality of life.
Investigating the Relationship between Social Capital and Mental Health in the Provinces of Iran
Authors: Mohammadian Mansoor Sahebe , Golkhandan Abolghasem 
Published: September 2022

Background: Social capital has an effective role in promoting the mental health of people in the community by providing emotional and psychological support. Accordingly, the main purpose of this study is to investigate the effect of social capital on mental health in provinces of Iran.
Methods: This was a descriptive-analytical and applied study. It investigated the long-term relationship between mental health index, social capital, per capita income, unemployment, education and urbanization from 2006 to 2019 using the panel data of Iran's provinces. The data used were collected from Central Bank and Statistics Center of Iran. For this purpose, based on Putnam and Colman's approach to measuring social capital, 3 levels of participation, trust and unity have been considered. In order to combine the indicators used in these levels, factor analysis method has been used. Model estimation was also conducted using the Generalized Method of Moment (GMM) and data analysis was performed using Eviews 9 and Stata 12 software.
Results: Based on the results obtained from the model estimation, increasing social capital will improve the mental health index in the provinces of the country in the long term. 1 percent increase in social capital in the long run, reduces the suicide rate in the provinces of the country by 0.27 percent. Based on other results, in the long term, per capita income and education have a positive and significant effect and the unemployment rate has a negative and significant effect on mental health in the provinces of the country.
Conclusion: Based on the findings of this study, authors can conclude that the greater amount of social capital in the provinces of the country leads to higher mental health.