bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pilot Study Analyzing Combination of Point-of-Care Echocardiography and Clinical Correlation in Unveiling Cryptic Multi-Inflammatory Syndrome in Neonates during Coronavirus Disease 2019 Pandemic
Authors: Chaudhuri Maitri , Tomar Munesh , Gaonkar Seema , Rastogi Anuj , Shenoi Arvind 
Published: August 2022

Introduction:
Coronavirus disease 2019 (COVID-19), an extremely contagious pandemic, caused by the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), originated from Wuhan, Hubei province, in China in December 2019. From April 2020, pediatric epicenters in Europe and the USA reported a new clinical spectrum called “pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2” or “multisystem inflammatory syndrome in children,” respectively. The unique feature was immune-mediated multiorgan dysfunction in response to previous COVID exposure. This case series aims to prospectively analyze the incidence, severity, and patterns of cardiac involvement in sick neonates exposed to perinatal SARS-CoV-2 in India.

Methods:
Twelve neonates presenting with very early-onset multi-inflammatory syndrome in neonates (MIS-N) at two tertiary care centers in India were included. Their clinical profiles, echocardiography findings, and treatment details were recorded.

Results:
Clinical presentations varied from loss of fetal movement, perinatal depression, prematurity, unusual respiratory distress syndrome, cardiogenic shock, arrhythmias, and multi-organ dysfunction. Echocardiographic markers were severe pulmonary hypertension, significant valvular regurgitation, cardiomegaly, biventricular dysfunction, neonatal coronary artery aneurysms, intracardiac thrombus, pericardial effusion, and arrhythmias. All babies, except one, had positive COVID IgG antibody and high inflammatory markers. Two mothers had antenatal primary contact with COVID patients 4–6 weeks prior to delivery, while 3 (25%) had documented mild COVID infection. All neonates were started on immunosuppressive therapy. Clinical stabilization and declining inflammatory markers were observed within 48–96 h of targeted therapy. All neonates (except one) recovered and were discharged in a stable condition. Follow-up available up to 9 months demonstrated persistent clinical, laboratory, and echocardiographic recovery in all survivors.

Conclusion:
Infection of pregnant mothers during community transmission during the two COVID-19 waves in India appears to have caused significant immune dysregulation and cardiac damage in neonates. Echocardiography detected significant damage to coronary arteries, pulmonary arterial hypertension, intracardiac thrombus, ventricular dysfunction, and incompetence of valve apparatus in MIS-N. Aggressive immunomodulators with antiplatelet drugs proved lifesaving. Echocardiography is an inexpensive, readily available imaging modality. It should be utilized to save this fragile, extremely special cohort.
Treatment and Control of Diabetes in India
Authors: Daniel Roy Arokiam , Mani Kalaivani , Aggarwal Praveen , Gupta Sanjeev Kumar 
Published: August 2022

Background:
Diabetes is a major contributor to hospital admissions, out-of-pocket expenditure, and premature mortality in India. Proper treatment and adequate control rates are needed to reduce the complications and deaths due to diabetes. Hence, we conducted a systematic review and meta-analysis of community-based studies to estimate the treatment and control rate of diabetes among adults in India.

Methods:
A systematic electronic search was conducted in PubMed, Embase, Cochrane Library, and Google Scholar to retrieve community-based studies which reported the prevalence of treatment and control of diabetes among adults in India, without any date or language restriction. To estimate the pooled prevalence and heterogeneity, the random-effects model and I2 statistic methods were employed. We did subgroup analyses based on study setting and type of blood test.

Results:
We included seven studies in this meta-analysis, which comprised a total of 9,033 participants. The pooled prevalence of treatment and control of diabetes among adults in India was 75.9% (95% confidence interval [CI]: 63.8%–86.2%) and 56.4% (95% CI: 44.7%–67.9%), respectively. There was significant heterogeneity between the studies (P < 0.001). The subgroup analysis based on the study setting revealed a decrease in heterogeneity among the urban studies for the control of diabetes.

Conclusions:
Three-fourths of the diagnosed (self-reported) diabetic patients were on treatment. Of these, half of the patients had adequate glycemic control. Targeted actions need to focus on the determinants of adherence to medication and follow-up.
Intraocular Pressure Elevation Following the Use of Topical Dexamethasone Ointment After Squint Surgery
Authors: Ugalahi Mary O. , Ibukun Folahan A. , Olusanya Bolutife A. , Baiyeroju Aderonke M. 
Published: August 2022

Purpose:
To describe the pattern of intraocular pressure (IOP) changes after squint surgery in eyes of black Africans at the University College Hospital, Ibadan, Nigeria.

Materials and Methods:
This was a retrospective review of the clinical records of patients who underwent squint surgery between 2010 and 2019. Data on demographic characteristics, preoperative and postoperative intraocular pressure values, co-existing ocular pathology, type of strabismus, surgery performed, frequency and duration of postoperative topical steroid use and treatment received for elevated intraocular pressure were collected and descriptively summarised.

Results:
Thirty-six (39.1%) out of 92 patients who had squint surgery during the study period met study inclusion criteria. Mean age was 20.5 ± 13.6 years. All patients were administered Maxitrol® ointment postoperatively. Baseline, peak and net change in IOP were 12.9 ± 2.6 mmHg, 21.3 ± 6.8 mmHg and 8.39 ± 7.2 mmHg respectively. Thirty-one (86.1%) patients had elevation in IOP from baseline; 21 (67.7%) of these had significant IOP elevation. Topical steroid therapy was tailed off rapidly for all patients with significant IOP elevation. Twelve patients were commenced on topical IOP lowering medications, with normalization of intraocular pressure in majority of them by three months after surgery.

Conclusion:
Elevated intraocular pressure with the use of topical dexamethasone ointment after squint surgery was common in this study and majority of the patients had significant elevation in intraocular pressure. Close monitoring of the intraocular pressure of black patients, especially children, on topical steroid medication after squint surgery is strongly recommended.
Prevalence and Spectrum of Eye Disorders Among Patients with Rheumatoid Arthritis and Systemic Lupus Erythematosus in a Tertiary Hospital in Northern Nigeria
Authors: Abdullahi Maryam H. , Pam Victoria , Oladigbolu Kehinde Kabir , Umar Abdul Aziz , Muhammad Rilwan Chiroma 
Published: August 2022

Purpose:The aim of this study was to determine the spectrum of eye disorders in patients with rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE).Materials and Methods:A cross-sectional hospital-based study was conducted among 100 consecutive patients with RA and SLE. A semi-structured questionnaire was used to obtain details of patients’ sociodemographics, type of rheumatic disease, and prescribed medications. Each patient had a detailed examination of the anterior and posterior segments of the eye. Refraction, intraocular pressure measurement, Schirmer’s test, tear breakup time, gonioscopy, and dilated fundoscopy were also done. Fundus photograph, central visual field assessment, and optical coherence tomography were done as necessary. Analysis was done with the Statistical Package for Social Sciences (SPSS) version 25. Statistical significance was set atP< 0.05.Results:A total of 100 patients consisting of 74 RA and 26 SLE patients were evaluated. The female: male ratio was 4.3: 1 for RA, and all SLE patients were females. The prevalence of eye disorders was 42% in all patients; it was 41.9% and 42.3% among RA and SLE patients, respectively. The most common eye disorders were dry eye (38), refractive errors (18), and cataract (16). The mean age of RA patients with eye disorders (52.19 ± 16.17 years) was significantly higher than those without eye disorders (42.30 ± 13.14 years) (P= 0.005).Conclusion:Eye disorders are common in RA and SLE. Comprehensive eye examination should be done on all RA and SLE patients at diagnosis and before commencement of medications, and patients should be referred promptly for evaluation when they have eye complaints.
Ultrasound Measurement of Placental Thickness
Authors: Olaleye Omolara A. , Olatunji Olubunmi O. , Jimoh Kamaldeen O. , Olaleye Abiola O. 
Published: August 2022

Purpose:
The aim of this article is to evaluate the accuracy of placental thickness (PT) in determination of gestational age (GA) in normal singleton foetuses.

Materials and Methods:
The study was a cross-sectional descriptive study which recruited consecutively a total of 406 pregnant women with singleton pregnancies (at 15–40 weeks of gestation), referred for routine obstetric ultrasound (US) scan at the National Hospital, Abuja from October to December 2019. Biparietal diameter (BPD), femur length (FL), head circumference (HC), abdominal circumference (AC), and PT were measured using standard protocols. All measurements were calculated by taking three best measurements, and the mean of the measurements was taken and recorded for each participant. Pearson’s correlation analysis was computed to determine linear relationships between variables. A significant statistical level was determined at a critical value of P < 0.05.

Results:
The mean age was 31.8 ± 4.8 years. The mean PTs in the second and third trimesters were 23.2 ± 3.1 and 34.1 ± 3.7 mm, respectively. PT had a linear relationship and a statistically significant positive correlation (r=0.99, P = 0.00) with GA. There was also a statistically significant positive correlation between PT on the one hand, and BPD, AC, HC, FL, PT, and GA, on the other hand.

Conclusion:
There was a significant and strong positive correlation between PT and GA. The study shows that US measurement of PT is a reliable method of estimating GA in singleton pregnancies in Nigeria.
Timing of urinary catheter removal after radical hysterectomy for cancer of the cervix and uterus
Authors: Billod Jimmy A. 
Published: August 2022

Abstract

BACKGROUNDAND OBJECTIVE:
Radical hysterectomy remains to be the first surgery for early-stage cervical and selected stage 2 endometrial carcinoma. Functional disorders of the lower urinary tract are the foremost common complications following radical surgery necessitating catheterization. This study was undertaken to determine the number of postoperative days (POD) of the removal of urinary catheters after hysterectomy and assess the practicability of earlier removal of the catheter without compromising the bladder function.

METHODOLOGY:
A descriptive observational study of patients who underwent Type 2 or 3 hysterectomy for cervical or endometrial carcinoma. Clinical, intraoperative, and anesthesia records and results of the histopathologic reports of every patient were reviewed. Demographic, clinical, and histopathologic data needed during this review were recorded. Descriptive statistics were used.

RESULTS:
Between January 2016 and December 2019, a complete 45 patients underwent radical hysterectomy (43 patients for cervical cancer and a pair for endometrial carcinoma), with a median age of 50 years. The mean operative time is 2.5 h and also the average blood loss is 500 ml. The mean size of the cervical tumor was 2.2 cm, the mean length of the vagina was 2.5 cm, and the mean lateral width of parametria was 3.6 cm. Catheters were removed between the 3rd and 20th (mean = 6 days) POD. All patients had adequate spontaneous void within 6 h after removal. Five patients had their catheters removed beyond 7 days, 3 patients between POD 8 and POD 14, and 2 patients between days POD 15 and POD 20. All patients were able to return to bladder function within 3 weeks of catheterization.

CONCLUSION:
The outcome showed that earlier removal of catheter seems to be a practical and safe option compared to long-term catheterization for patients who underwent radical hysterectomy without causing morbidities.
The Ways of preservation of Indian music for Generation X and Generation Z
Authors: Faisal Simra , Sharma Mritunjay 
Published: August 2022

Overtime, there has been a loss of appreciation for music, as many people choose to listen to different types of songs and stay in their comfort zones. Due to this, many important pieces of art are being lost and remain unexplored. The present study focuses on identifying ways to preserve Indian music in order to conserve the feeling of home and familiarity which they instill. Thus, it also aims to bring people closer, explore uncharted genres, find ways to bridge their differences and form bonds. The research consisted of six Hindi songs out of which three were from generation X (40-50) and the rest from generation Z (15-20) living in Delhi NCR (Gurgaon). The main focus was to gather participants’ views on each song and use their opinions to identify methods of preservation. It was observed that many of the participants of both generations had similar viewpoints on each song. Through this, the study was able to shed light on the main factors which can affect a person’s thought process on how music stirs different emotions for everybody. The findings were different from the assumption that there was a large gap between generations' music tastes. Music for people is about comfort, happiness and emotional support, over just being a means of superficial entertainment. It is a very subjective and immersive experience for people from both the generations and it shouldn't be simply confined to any one era or relatability factor, as it transcends thresholds.
Sensitivity and Specificity of Magnetic Resonance Cholangiopancreatography against Endoscopic Retrograde Cholangiopancreatography in Diagnosing Choledocholithiasis
Authors: Shahid Rija , Fatima Sana , Ahmed Talia , Khan Eiraj , Mir Bakhtawar , Mughal Muhammad Arslan , Khan Tayyab Mumtaz 
Published: August 2022

Background: Various imaging modalities including EUS (Endoscopic ultrasound), CT abdomen (Computed tomography), MRCP (Magnetic resonance cholangiopancreatography), and ERCP (Endoscopic retrograde cholangiopancreatography) are used for diagnosis of choledocholithiasis. ERCP allows direct visualization of bile duct through endoscope, and it also helps in retrieval of stones. On the other hand, MRCP is a noninvasive procedure which uses strong magnetic field to visualize hepatobiliary system. In patients with choledocholithiasis calculi appear as dark filling defects within high signal intensity fluid at MRCP. This study compares the diagnostic accuracy of MRCP in comparison to ERCP in patients with choledocholithiasis. This study aims to compare sensitivity and specificity of MRCP in comparison to ERCP in diagnosing choledocholithiasis.
Methodology: This comparative cross-sectional study included 170 patients with clinical diagnosis of choledocholithiasis who presented in Liver Center, Holy Family Hospital, Rawalpindi, during the year 2017. Non-probability consecutive sampling technique and a set of established inclusion and exclusion criteria was used to enroll patients. Data was collected by a self-structured questionnaire. Information about the demographic details and findings of ERCP and MRCP were noted on that questionnaire. Data analysis was done using SPSS 25.
Results: Out of 170 patients, 111 (65.29%) were females and 59 (34.71%) were males. The mean of age for study population was 45.68 with standard deviation (SD) of ±12.40. ERCP confirmed stones in 95 patients while in case of MRCP 87 true positives, 55 true negatives, 20 false positives, and 8 false negatives cases were noted. According to these results, the sensitivity and specificity were 91.6% and 73.3% respectively for MRCP against ERCP. Whereas positive predictive value and negative predictive values were 81.3 and 87.3% respectively for MRCP in comparison to ERCP.
Conclusion: MRCP has 91.6% sensitivity compared to ERCP. Although MRCP is a comparatively noninvasive procedure, but ERCP remains the diagnostic modality of choice for choledocholithiasis. MRCP could be used in diagnosis of choledocholithiasis instead of ERCP when there are contraindications of ERCP or when no therapeutic role of ERCP is required.
Recommendations: MRCP should be used when only diagnostic role of ERCP is needed. MRCP should be used when there are contraindications of ERCP. Level of expertise should be increased for MRCP and ERCP.
Job commitment, total quality management, information communication technology adoption and work-related stressors: A conceptual framework for student satisfaction
Authors: Koomson Samuel 
Published: August 2022

This paper aim to examine the direct effect of job commitment (JCT) on student satisfaction (SST), exploring the mediating roles of total quality management (TQM) and information communication technology adoption (ADT), and moderating roles of work-related stressors: toxic leadership (TLE) and job demands (JDD). The paper develops a conceptual framework along with postulations by combining both empirical and theoretical literature multidisciplinary fields. This paper proposes that JCT will be positively related to SST, and this positive relationship will be mediated by TQM and ADT. Additionally, work-related stressors: TLE and JDD will moderate the direct positive effect of JCT on SST. This paper provides implications for both researchers and practitioners in the areas of strategic decision-making and stress management in educational institutions for enhancing SST by applying JCT, TQM and ADT as strategic tools, while keeping work-related stressors: TLE and JDD under control. It lays the foundation for upcoming researchers to empirically test this conceptual framework in different educational settings. By boosting employees’ JCT, educational institutions stand the chance of improving SST via TQM and ADT. Additionally, JCT can foster SST under a working environment where work-related stressors: TLE and JDD are kept low. The paper offers unique insights into how TQM and ADT connect JCT to SST, and how JCT relates to SST under work-related stressors: TLE and JDD. It also highlights the theoretical contributions of the resource-based theory of a firm, affective events theory, and activation theory.
Analisis Performance Website Bima Kemendikbud Terhadap Kepuasan Pengguna Menggunakan Metode System Usability Scale
Authors: Ulfa Maria , Amir M. Amirudin 
Published: August 2022

Bima merupakan singkatan dari Basis Informasi Penelitian dan Pengabdian kepada Masyarakat. Sehingga saat ini belum pernah dilakukan evaluasi terhadap performace website tersebut. Memudahkan untuk mengetahui informasi website yang bertujuan untuk dari penelitian ini adalah melakukan suatu pengukuran kegunaan website untuk mengirim usulan, melaporkan progres kegiatan, dan hasil kegiatan penelitian berbasis online. Tujuan penelitian adalah mendapatkan nilai kepuasan pengguna dan mendapatkan hasil dari kuesioner yang mempengaruhi kinerja website bima kemendikbud mengukur performance website bima kemendikbud dilakukan dengan menganalisis performance website, interaksi dan pengguna website terhadap kepuasan pengguna. Analisis performance website ini dilakukan melalui beberapa tahapan yaitu pengumpulan data dengan hasil kepuasan pengguna. Kemudian analisis website Metode System Usability Scale dengan menyiapkan kuisioner berdasarkan dimensi dari System Usability Scale untuk menunjang penelitian. Penelitian melakukan obervasi, studi literatur dan survei sebagai pengumpulan data yang paling berpengaruh dalam pembentukan kepuasan performance website bagi pengguna bima kemendikbud adalah informasi yang diberikan.
BISFOSFONATOS: AVALIAÇÃO DO CONHECIMENTO DOS CIRURGIÕES-DENTISTAS
Authors: De Santana Sátiro Vittor Dorinato , Silva Jéssyca Hayanny , Manoel Lima Campos João Carlos , Rodrigues da Silva Filho Alex , Pereira Barbosa João Victor , Victor Bartasson Katryne , Noronha Rufino de Mello Najhara , Junqueira Campos Paranhos Débora , Christine Borges Moura Andressa , Maranhão Pereira Claudio 
Published: August 2022

Os Bisfosfonatos (BF’s) são medicamentos usados em amplo expecto na medicina, principalmente nas áreas para tratamento de câncer e osteoporose e outras doenças de osso. Eles atuam inibindo a atividade osteoclástica, assim alteram toda a remodelação óssea, esses se acumulam no osso e podem causar necrose. A lesão de osteonecrose relacionada com bisfosfonatos das mandíbulas normalmente são precedidas de tratamentos odontológicos, assim é papel fundamental do cirurgião-dentista (CD) diagnosticar e tratar essas patologias e principalmente preveni-las. Dessa maneira, a negligência dentro de uma anamnese em relação a esse medicamento deve ser evitada, assim diminuindo os riscos de grandes mutilações e perda de qualidade de vida para o paciente. Esse trabalho tem como objetivo avaliar o nível de conhecimento dos dentistas em relação aos Bisfosfonatos.
Analysis of Provincial Municipalities in the Framework of E-Municipalism Practices in Turkey
Authors: GÜVEN Ahmet 
Published: August 2022

Digital applications such as e-municipality and e-government are accepted as important tools that shape the service understanding of today's society. These tools provide important gains both to the public administration, which is the essential element of public service provision, and to the citizens who are the addressees of the service. Municipalities find the opportunity to respond to the expectations and demands of the people more quickly and appropriately, as well as their close relations with the public, with e-municipality applications. The developments in the field of communication and communication have helped this opportunity to arise. The contents of public services offered by municipalities online through their web addresses are getting richer day by day in this direction. Undoubtedly, the expectations of the citizens in this direction play an important role in this enrichment. With this study, it has been determined to what extent the e-municipality understanding can be realized through web sites, with the e-municipality practices at the provincial level, democratization in local governments, quality and efficiency in service delivery, fight against bureaucracy, economical use of resources, openness and transparency. It is aimed to reveal with a content analysis to be carried out over the web addresses of 81 provincial municipalities.
In this framework, first of all, the necessity of digital applications such as e-municipality and e-government and the emergence of them are conceptually discussed, then examples of e-municipality applications in Turkey are mentioned and the problems encountered in the implementation process are emphasized. In the application part, the cross-sectional, general survey model, which was carried out in quantitative methodology, is included. While the universe of the study was determined as the official web pages of all provincial municipalities in Turkey, the research was carried out on all 81 provinces without sampling. In the study, the data were collected with the help of the form prepared by the authors based on the literature review and analyzed in the SPSS program. The findings were compiled under the headings of general information on the web pages of municipalities, information on e-municipality, and information on the functionality of municipalities' e-municipality applications. As a result, it has been concluded that provincial municipalities have a tendency to show due diligence in e-municipality. It has been observed in the site analysis that this result is more concentrated in large and developed provinces and less reflected in the application in small and developing provinces.