bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perioperative management of Wolff–Parkinson-White syndrome – A case series
Authors: Kumar Prem , Manidas Robin 
Published: February 2022

Wolff-Parkinson-White (WPW) syndrome is a type of pre-excitation syndromewhere part of cardiac ventricles are activated too early by virtue of an accessory pathway, that directly attaches atria and ventricles, thereby allowing electrical activity to bypass AV node, thus leading to episodes of tachycardia which can be either asymptomatic or may present with dyspnoea on exertion or with palpitation. As it’s a rare condition, we report 3 cases of WPW Syndrome which adds more evidence to the current literature. The anaesthetic management can be challenging and has to be customized to the nature of the surgery and the patient to avoid life-threatening tachyarrhythmias. Perioperative management of WPW syndrome is challenging and requires good pre-operative planning and adequate preparation for intraoperative and post-operative period.
Anaesthetic management of a parturient with Takayasu’s arteritis coming for emergency caesarean section
Authors: Shalini A  , Srinivas V Y  , Bharadwaj Nagashree J 
Published: February 2022

Takayasu’s arteritis (TA) also known as pulseless disease is a rare disease that involves aorta and its main branches. It can cause inflammatory reaction of tunica media and adventitia of the arteries involved causing stenosis, occlusion or aneurysm., Anaesthesia for caesarean section in a parturient with Takayasu’s arteritis is complicated by associated hypertension, end organ dysfunction, stenosis of major blood vessels and overall vasculopathy.The optimal anaesthetic management in a parturient with Takayasu’s arteritis is controversial, but avoidance of regional anaesthesia has been recommended by some authors because of the risk of hypotension and the subsequent need for vasopressors., We herein report the use of general anaesthesia in a term parturient with Takayasu’s arteritis coming for emergency Lower segment caesarean section (LSCS).
Anesthetic implications in Poland syndrome
Authors: Sharma Keerty , Kumar Neera Gupta , Arya Mona , Kumar Rakesh , Gupta Lalit 
Published: February 2022

: Poland Syndrome (PS) is a rare birth defect described as unilateral absence of pectoralis major, pectoralis minor, serratus anterior and external oblique muscles and upper limb anomalies. It is also associated with variable thoracic muscle, chest wall and lower limb deformities. Dextrocardia, diaphragmatic hernia, liver and GIT anomalies, renal agenesis have also been reported in literature. In addition, there is association of PS with patient’s susceptibility to malignant hyperthermia (MH). For patients requiring general anesthesia, special preparation and execution are recommended.We share our anesthesia management in a child with PS posted for ear reconstruction and described that patients with PS requires special preparation and attention in intraoperative and post-operative period. In patients of PS requiring general anesthesia adequate preparation must be made keeping in mind not only the anatomical changes but also the much higher possibility of MH in such patients.
Microbiological surveillance of operation theatres of a tertiary care hospital in Mizoram, north eastern part of India: 4 years retrospective analysis
Authors: Hmar Vanlalhmangaihi , Vanlalruati RSC , Khiangte Lalbiakmawia , Vanlalchhanhimi L V , Chongthu Joseph Lalrindika , Hmar Lalhmachhuana , Sailo Lalrinmuani 
Published: February 2022

Healthcare associated infections are important cause of patient morbidity and mortality. Microbiological contamination of air and environment in the operation theatres (OTs) are major risk factor for surgical site and other hospital-associated infections. To identify bacterial colonization of surfaces, equipments and to determine the microbial contamination of air in the OTs of a tertiary care hospital in Lunglei, Mizoram which is in north eastern part of India. Four years (January 2016 – December 2020) retrospective analysis of a data obtained from routine microbiological surveillance of the OTs. Surface samples were taken with wet swabs from different sites and equipments, and Settle plate method for air in the OTs. Bacterial species were isolated and identified by conventional method. The colony forming unit (CFU) count/plate was expressed as CFU/m3 by Omeliansky formula. The culture positivity rate of surface swab samples was 6.4% (60/937). Bacillus spp. with 45 (67.16%) isolates was the most common baterial isolates. The bacterial CFU/m3 counts of air in the two OTs were in the range of 90 to 166 before fumigation. Staphylococcus aureus with 43(42.16%) was the predominant species obtained and the least common species obtained was Enterococcus faecalis with13 (12.74%). The bacterial CFU/m3 counts of air was one in both the OTs after fumigation. Settle plate method for air and swabbing technique for surfaces are proved to be valuable techniques in detecting the contamination level in our set up with limited resources.
Evaluation of microbial infections of ear and their susceptibility pattern in a tertiary care hospital
Authors: Kumar P Kennedy , Sunil Anisha , L Somu , Sridharan K S 
Published: February 2022

Nearly 0.065-0.33 billion people suffer from ear infections leading to loss of hearing in 60% of them. As the middle ear is in close proximity to the brain, infections can lead to intracranial complications. Inappropriate use of antibiotics in these situations can lead to multi drug resistant bacterial strains. Hence, the knowledge of commonest bacteria causing these infections along with its susceptibility pattern remains a key to unravel the void left in otological microbiome.: Aretrospective analysis of samples obtained from middle ear infections were analyzed for a period of 4 months (2019) at the Department of Microbiology, SRIHER using Hospital information system. The results of microbiological profile and their susceptibility pattern were tabulated and statistically analyzed.: Out of 325 samples enrolled, 302 samples grew pathogens(GPC:122,GNB:186, Fungi:17 & 23 of them grew more than 1 pathogen). The microbiological profile of 325 pathogens were: Pseudomonas aeruginosa 41.8%, Staphylococcus aureus 27.6%, CONS 7.6%, Klebsiella pneumoniae 4.6%, Proteus species 4.6%,Candida species 3.3%, Streptococcus species 2.2%,Escherichia coli 1.8%, Aspergillus species 1.8%, Acinetobacter species 1.2%, Enterobacter species 1.2%, Citrobacter species 0.9%, Morganella species 0.6%, Providencia species 0.3%. Multi-drug-resistant strains were seen in 17 of GNB 9.1%(n=186), predominantly in Pseudomonas species 8.8%(n=136). Methicillin resistance among the Staphylococcus species was 22%(n=115), predominantly in CONS 64%(n=25). Pan-drug resistance was not reported.Based on our study, a total of 43(13.2%) isolates were MDR strains, hence it is imperative to do a culture and sensitivity pattern of ear infections for efficacious management, thereby reducing further complications.
Bacterial profile of diabetic foot infection in a tertiary care centre
Authors: Singh Sudhir , Junaid Mohd , Farooq Umar , Sharma Shweta R , Sharma Vasundhara , Ahmad Imran 
Published: February 2022

Diabetes foot infections are one of the most dangerous and common drawbacks of diabetes. Amputations are resulting from other atherosclerosis of the arteries. Furthermore, intrinsic traumas are also understood without any complication as they result from foot deformities and also associated with modified foot biomachenisms. To study bacterial profile of diabetic foot infection. To find the possible aerobic bacterial pathogens in diabetic foot infection. To observe the antibiogram of isolated microorganisms. In our observational study the isolates were identified by standard biochemical tests and antibiotic performed by Kirby-Bauer disc diffusion method and interpreted as per the clinical and laboratory Standards Institutes (CLSI) guidelines. A total of 82 cases with 50 males and 32 females were included. 64 specimens yielded positive growth with total 87 isolates. 73.43% showed single isolate and rest 2 or 3 isolates. Gram negative organisms were more predominant than gram positive organisms. Proper use of drugs based on antibiotic pattern helps the medical practitioner to reduce the risk of diabetic foot and ulcer. It will ultimately decrease the rate of amputations. Vancomycin, Linezolid and colistin are more susceptible drugs.
Prevalence of intestinal parasitic infections in a tertiary care hospital in Kashmir India-five year retrospective study
Authors: Mir Rumana Farooq , Peerzada Bushra Yousuf , Samad Lubna , Shah Aliya 
Published: February 2022

Intestinal parasitic infections represent a grave public health problem especially in developing nations like India, leading to malnutrition, growth retardation, anaemia’s and vitamin deficiencies in early childhood. As such the burden of these intestinal parasitic infections in the society needs to be focussed at the right time which will in turn lead to enhanced health and improved economic conditions of the country. To find out the prevalence of intestinal parasitic infections in a tertiary care hospital in Kashmir. A retrospective study was carried out in the Parasitology division in the department of Microbiology of Government Medical College, Srinagar for a period of five years. Routine stool examination was studied to detect the parasitic infections among the patients attending various outpatient departments of our hospital. A total of 2159 stool samples were examined in five years out of which 165 (7.6%) revealed the presence of parasites. The most common parasite identified was (71.9%) followed by Giardia lamblia (16.4%).Intestinal infection due to was the most common parasite identified in our study. The prevalence of these infections can still be higher as these parasites are excreted intermittently in stool samples. As such taking repeat samples from same patients suffering from intestinal parasitic infection is important followed by concentration methods, which together will help and enhance better retrieval of intestinal parasites reflecting the total burden of these infections in our community.
Invitro susceptibility of Imipenem by E-test in different conditions of Methicillin resistant Staphylococcus aureus
Authors: V V Vindhya , Sohanlal  
Published: February 2022

MRSA infections have been confined to health care centres for decades, which is recognised as one of the major pathogen in Hospital as well as community settings. MRSA infections are associated with high morbidity and mortality. However, nowadays MRSA infections are increasingly seen in young healthy individuals with no exposure to health care centres, ie;CA-MRSA infections are seen increasingly. 50% to 70% of Staphylococcus aureus isolates submitted to area labs are methicillin resistant. MRSA is a major threat to patient safety. There are antibiotics that can kill MRSA germs. MRSA are resistant to most of the beta lactam antibiotics, not only to beta lactam but also to several other agents which is used for treatment. Imipenem is the most important antibiotic of Carbapenem, it is bactericidal for most aerobic and anaerobic pathogenic bacteria except MRSA. But in several studies its action against MRSA was shown. Here in this study, invitro susceptibility testing indicated that Imipenem is active against MRSA at different conditions, ie; at a physiological pH 7.4 & pH 5.5 an abscess condition and at two temperature 370c and 300c .Since the methicillin resistance is enhanced at 300c, the MIC of Imipenem detected at two temperature. Imipenem has a low molecular weight so it has a better penetration effect, than vancomycin and Daptomycin which is used for the treatment of MRSA. In, invitro study Imipenem spread in the medium more rapidly, and kill bacteria. So in MIC testing by Epsilometri test there is wide zone will be seen. Imipenem is the most important antibiotic of Carbapenem, it is bactericidal. To detect the in-vitro susceptibility of Imipenem by E test in different conditions of Methicillin Resistant Staphylococcus aureus. Malabar Institute of Medical Sciences, Calicut; Randomized controlled trial. Sample collection, Confirmation of MRSA by latex agglutination and cefoxitin e-test, detection of MIC of Imipenem by E-test at different conditions of MRSA, Detection of combination effect of Imipenem and Daptomycin against MRSA by E-test. paired sample t test
Evaluation of ozone, PM2.5 and NO2 concentrations and estimation of attributed health effects based on AirQ+ on residents of Ahvaz, Iran (2012-2018)
Authors: Jalili Naghan Davood , Neisi Abdolkazem , Goudarzi Gholamreza , Dastoorpoor Maryam , Fadaei Abdolmajid , Ahmadi Angali Kambiz 
Published: February 2022

Introduction: Inadequate air quality is one of the environmental hazards factors imposing a significant number of deaths and complications of diseases on society. Therefore, it is highly important to determine the extent of its effects on health in communities. This study sought to assessment the concentration and additional short- and long-term mortality attributed to Particulate Matter less than 2.5 µm (PM2.5), Nitrogen Dioxide (NO2) and Ozone (O ) were observed in Ahwaz from 2012 to 2018 using AirQ+.
Materials and methods: Daily and hourly concentrations of PM2.5, ozone and NO2 were obtained from Department of Environment in Ahvaz. Then, the mean concentration of 2.5 PM2.5 for 24 h, the mean concentration of NO2 for 1 h and the maximum concentration of O3 for 8 h daily were calculated using Excel 2010. Finally, to calculate the annual sum of maximum daily 8-h ozone means over 35 ppb (SOMO35) index, concentrations above 35 were collected and entered into the software.
Results: The mean seven-year concentrations of PM2.5, NO2 and O3 were respectively. The death rates of Ischemic Heart Disease (IHD), Chronic Obstructive Pulmonary Disease (COPD), lung cancer and Acute Lower Respiratory tract Infections (ALRI) and stroke related to PM2.5 were 2023, 128, 110, 23, 802, respectively. The number of respiratory deaths attributed to ozone was 68.
Conclusion: The results show a high number of deaths due to bad weather in Ahvaz. It can be concluded that by designing and implementing appropriate and correct solutions and decisions, both health and economic losses are prevented.
Overcoming Reproductive and Psychological Concerns of Breast Cancer Survivors: A Randomized Controlled Trial
Authors: Barjasteh Samira , Farnam Farnaz , Abumustafa Elsous Aymen Mustafa , Nedjat Saharnaz , Razavi Dizaji Saeid , Khakbazan Zohreh 
Published: February 2022

Objective: After developing breast cancer, women experience changes in their sexuality, femininity, and fertility. These changes lead to poor mental health and increased psychological stress. Therefore, this study aimed to investigate the effects of Good Enough Sex (GES)-based, couple-centered group counseling on reproductive and sexual concerns of breast cancer survivors.
Materials and methods: This was a quantitative randomized controlled clinical trial (RCT) conducted at Omid Hospital, West Azerbaijan, Urmia, Iran from March 2018 to October 2020. After completing the informed consent forms, 100 women were assigned to the intervention and control groups (50 individuals per group) using a randomized block design. The intervention included four 90-120-minute sexual counseling sessions with 2 and 3 month follow-ups. The data were collected using the socio-demographic and clinical characteristics, the Persian version of Depression, Anxiety and Stress Scale (DASS-21), Reproductive Concerns after Cancer (RCAC) scale, and Female Sexual Function Index adaptation for Breast Cancer patients (FSFI-BC). Data were collected, from control and intervention groups, at three intervals; before, besides two months and three months post intervention, then were analyzed in SPSS 20 using descriptive and repeated measures analysis of variance (ANOVA) test.
Results: Significant reduction in the mean score of DASS-21, RCAC and improvement of FSFI-BC is reported between the intervention and control groups in favor of intervention group (P<0.001). However, no significant differences are observed within intervention group over two- and three-months post intervention (P > 0.05).
Conclusion: The designed Good Enough Sex (GES)-based, couple-centered group counseling effectively reduced reproductive and sexual concerns of females’ breast cancer survivors. Therefore, these training and counseling programs can be organized by relevant service centers to promote the reproductive health of women with breast cancer.
Employees’ Behaviors Concerning Metabolic Syndrome Prevention: A Cellphone-Based Text Message Education Intervention
Authors: Didehban Shabnam , Dehdari Tahereh , Janani Leila , Masoudkabir Farzad 
Published: February 2022

Background: The prevalence of metabolic syndrome (MetSyn) is increasing in Iran. This study was an attempt to determine the effects of a short message service (SMS)-based education intervention on knowledge, attitude, and the adoption of preventive behaviors concerning MetSyn among a sample of employees of Iran University of Medical Sciences (IUMS).
Methods: In this randomized controlled trial, conducted from January through April 2021, 144 IUMS staff members were assigned either to the intervention group (n=72) or to the control group (n=72). Thirty-two text messages were designed, pretested, and sent to the participants’ phones in the intervention group in 32 days. Knowledge, attitude, and the adoption of preventive behaviors vis-à-vis MetSyn were measured in the intervention group before and 1 month after the intervention and compared with those in the control group at the same time points. The data were analyzed using paired t tests and ANCOVA.
Results: The mean age of the employees in the intervention and control groups was 42.97±8.80 and 40.81±9.58 years, respectively. The results showed that the mean scores of knowledge (P<0.001), attitude (P<0.001), and the adoption of preventive behaviors regarding MetSyn (P=0.009) were significantly different between the intervention and control groups after the intervention was done via SMS.
Conclusions: The results of the present study showed that SMS-based interventions might improve knowledge, attitude, and the adoption of preventive behaviors pertaining to MetSyn among employees.
Bibliometric Analysis of Studies on Mental Health Status of Health Workers During Covid 19 Outbreak: Inputs for Health Policy and Human Resources Management
Authors: ŞİMŞİR İsmail , KILIÇ KIRILMAZ Selma 
Published: February 2022

Objective: The purpose of this research is to reveal the mental problems experienced by healthcare professionals during the Covid 19 Pandemic. It is also intended to provide inputs for health policies and human resource management.
Method: The research was carried out with the bibliometric analysis method. Within the scope of the research, 4043 articles published in the Web of Science Core Collection database between 2020 and 2021 were examined.
Result: It was found that the articles examined within the scope of the research were published in 1329 sources (journals, books, etc.), the citation rate per article was 9.97, the number of articles with a single author was 200, and the ratio of articles with a single author to all articles was 0.049. In addition, as a result of the research, the most important effects of the Covid 19 Pandemic on the mental health of healthcare workers; anxiety, depression, stress, insomnia, and burnout.
Conclusion: In order to reduce or eliminate the negative mental problems experienced by healthcare professionals, increasing the psychological resilience of their employees, improving their working conditions, improving their communication with each other and with the managers, coping with stress, managing anxiety, etc. Providing expert support on their issues and carrying out activities that support morale and motivation will help reduce the negative effects experienced. Improving the mental health of health workers will have a positive effect on the health system and will ensure the correct implementation of human resources policies.
Impact Assessment on Maintenance of Essential Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition Services in the Context of COVID-19: Insight from North-Central Nigeria
Authors: ALHASSAN Gloria Nnadwa , ALHASSAN Felicia Bodi , BOSNAK Ahmet Sami 
Published: February 2022

Objective: In the context of COVID-19 in North Central Nigeria, a qualitative interview study was conducted to assess the impact on the maintenance of essential sexual, reproductive, maternal newborn, child, adolescent healthy plus nutrition serves (RMNCAH+N).
Methods: This proposition aligns with the global crusade of the United Nations Sustainable development goals (UNSDGs 2.3.8) that highlights good nutrition (zero hunger) access to quality healthy and sustainable economic growth path. To this end, a field survey design was done qualitatively. Key informant interviews (KIIs) and focus group discussions (FGDs) were used in the qualitative analysis, which was based on typical interview schedules. During the study period, a total of 258 people from six different communities participated in the KII and FGD interviews.
Results: Key study findings outline eight major master essential concepts, such as healthcare workers reporting a variety of tough emotions and psychological issues. These included insufficient medical equipment’s, dissatisfaction with members of the public who did not observe social distancing norms, concerns about protecting their loved ones from infection, increased workload, and changing working conditions, insufficient personal protective equipment kits (PPE), and a sense that their frontline work was being undermined.
Conclusion: There was also a significant increase in gender-based violence. Further policy suggestions are outlined in the concluding section.
PERPUSTAKAAN KOMPREHENSHIF DALAM TEKNOLOGI PENDIDIKAN (Analisis Kitab Al-Maktabat As Syaamilah Fi Tiknulujiyya At-Ta’lim Karya Dr. Ibrahim Abdul Fattah Yunus)
Authors: Ramzi Muhajirin - 
Published: February 2022

Teknologi Pendidikan sebagai sebuah pengembangan teknologi dalam dunia pendidikan baik dalam sebuah perencanaan, aplikasi dan lain sebagainya atau dengan kata dengan adanya teknologi maka sebuah pendidikan akan lebih baik dalam perencaan dan mengevaluasi suatu pembelajaran. Pemahaman tentang perpustakaan bagi sebagian masyarakat umum, nampaknya masih konvensional atau masih berangkapan bahwa perpustakaan hanya sebuah gedung tempat penyimpanan berbagai macam buku sebagai bahan bacaan atau referensi. Padahal dengan semakin berkembangnya ilmu pengetahuan dan teknoloagi, fungsi dan tugas perpustakaan juga ikut berkembang sesuai dengan zaman. lembaga pendidikan Islam mempunyai tanggung jawab membersiapkan dan menghasilkan sumberdaya manusia yang mampu menghadapi semua tantangan perubahan yang ada disekitarnya yang berjalan sangat cepat. Bahkan sebagai dampak globalisasi mengakibatkan terjadinya persaingan secara bebas dalam dunia pendidikan maupun tenaga kerja. Kondisi tersebut menuntut perlu adanya suatu sistem pendidikan yang bermutu yaitu sistem pendidikan yang mampu menyediakan sumberdaya manusia yang dapat bersaing. Makalah ini akan lebih fokus menganalisis Al-Maktabat As Syaamilah Fi Tiknulujiyya At-Ta’lim karya Dr. Ibrahim Abdul Fattah Yunus yang membahas secara konfrehenshif tentang “Al-Maktabat As Syaamilah” teknologi pendidikan.