Miracle-dz/UniFAR-FTUs huggingface dataset:
Radiofrequency Ablation and Microdebrider-Assisted Turbinoplasty: 5-Year Postoperative Outcomes

Background and Objectives: Turbinoplasty may be an option in patients with persistent symptoms of allergic rhinitis (AR) despite adequate medication. The two most frequently used surgical techniques for turbinoplasty are radiofrequency ablation and microdebriderassisted turbinoplasty. This study compared the outcomes of these two surgical techniques and assessed the long-term treatment effects.Methods: This study included patients with AR who underwent turbinoplasty between January 2010 and June 2017. We examined the medication scores, overall treatment satisfaction scores, and medical records. Based on the type of surgery, patients were classified into microdebrider and coblator groups. A telephone survey was conducted to collect data on the 5-year post-treatment efficacy parameters. Scores for allergic symptoms, prescription medicines taken after surgery, and general satisfaction were compared.Results: Of the total 241 patients, 192 (79.7%) and 49 (20.3%) underwent microdebrider-assisted turbinoplasty and radiofrequency ablation turbinoplasty, respectively. Both the microdebrider and coblator groups showed remarkable improvements in AR symptoms at the 5-year follow-up (p<0.001). Although the degree of symptom improvement did not differ significantly between the two groups, the coblator group did show significant improvements in medication scores when compared with the microdebrider group (p<0.05), and there were significant differences in postoperative satisfaction scores between the two groups.Conclusion: In terms of 5-year postoperative outcomes, radiofrequency-ablation turbinoplasty and microdebrider-assisted turbinoplasty were equally beneficial for reducing nasal symptoms and enhancing medication ratings in patients with AR.
ULTRASONOGRAPHY AND MR ARTHROGRAM IN DETECTION OF SHOULDER JOINT DISORDERS

Background: Ultrasonography and Magnetic Resonance Imaging (MRI) are widely used to detect a lot of the shoulder joint pathologies as rotator cuff, labral, and capsular abnormalities. Objective: to detect role of ultrasonography and MR Arthrogram in detection of shoulder joint disorders in comparison to conventional MRI. Patients and methods: Thirty patients underwent ultrasound examination, conventional MR imaging of the shoulder and MR shoulder arthrography for clinically suspected labral or rotator cuff abnormalities. This study was done at the Radiodiagnosis Department, Al-Azhar University Hospitals during the period between October 2019 and October 2020. Results: MR arthrography was found superior over conventional MRI in its sensitivity regarding specifically labral tears Whereas 0% of patients were found positive by conventional MRI, 10% of patients were detected by magnetic resonance arthrography (MRA), followed by bankert lesion being positive in 7% by conventional MRI, whereas 27% were proved positive by MRA, anterior labrum periosteal sleeve avulsion (ALPSA) was negative in 100% of patients who underwent conventional MRI, 3% positive result was detected by Magnetic Resonance Angiogram (MRA), and finally compared to 3% positive superior labral anterior posterior (SLAP) cases detected by conventional MRI, 7% positive cases were proved by MRA. Conclusion: Ultrasound together with MR arthrography enhanced the accuracy of MR in the evaluation of the glenoid labrum and rotator cuff tendon.
Case report: prolonged durable clinical benefit and low toxicity from combination endocrine therapy in a patient with recurrent endometrial carcinoma

Background Endometrial carcinoma is the most common gynecologic cancer, with increasing incidence and mortality. Combination endocrine therapy comprised of tamoxifen and progestational agents has demonstrated promising results in treating recurrent disease. This case report describes the prolonged clinical benefit of treatment with tamoxifen and megestrol acetate in a woman with recurrent, metastatic endometrial endometrioid carcinoma positive for estrogen (ER) and progesterone receptors (PR). Case A 71-year-old gravida 1 para 1 woman presented with postmenopausal bleeding and vaginal discharge. Pelvic ultrasound and magnetic resonance imaging confirmed a 4.7 cm endometrial mass. The patient underwent a total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, pelvic and para-aortic lymphadenectomy, and cystoscopy; pathology revealed a FIGO stage IA grade 1 ER/PR-positive endometroid endometrial adenocarcinoma. She continued under active surveillance for approximately 42 months until she experienced bone metastases in her pelvis, for which she received radiation therapy. Five months later, pulmonary metastases were detected, and she received six cycles of carboplatin and paclitaxel. She then started megestrol acetate and tamoxifen and has remained clinically stable with minimal side effects and reasonable quality of life for approximately 57 months. Conclusion Our case suggests that combination endocrine therapy has the potential to provide substantial long-term clinical benefit in women with recurrent endometrial cancer and bone metastases, despite multiple prior treatments, allowing patients to experience stable disease and quality of life. In patients with recurrent endometrioid, ER/PR-positive disease, endocrine therapy alone or in combination with other targeted therapies are regimens that may be considered due to their low overall toxicity.
Relation between Hemodialysis and Oxidative Stress Markers’ blood levels in End Stage Renal Disease on Regular Dialysis

Background: Chronic kidney disease (CKD) is a common medical problem in elderly. The progressive worsening of renal function in CKD induces numerous biological and clinical dysfunctions including augmentation of synthesis of inflammation and oxidative stress mediators. Aim of the Work: The aim was to study relation between frequency of hemodialysis and oxidative stress markers’ blood levels in end stage renal disease (ESRD) patients on regular dialysis. Patients and Methods: This is a cross-sectional study that was done on a convenience sample of 80 cases of elderly patients,60years and older, who had ESRD and on regular dialysis. The study was conducted in the hemodialysis unit at Ain Shams University Hospital (El-Demerdash). The study period was from the first of May 2021to the end ofNovember2021. Results: We found a statistically significant positive correlation between hemodialysis related factors, namely duration of hemodialysis, number of sessions, and duration of each session and the blood levels of oxidative stress markers. Conclusion: Patients with ESRD on regular hemodialysis are at increased risk of oxidative stress risks as they are shown to have higher oxidative stress biological markers which are directly related to duration of being on hemodialysis, number of hemodialysis sessions and the duration of each session.
How good are ocean buoy observations of radiative fluxes?

Satellite‐derived surface shortwave radiation (SWR) has been extensively evaluated against ground observations over land but to a lesser extent over oceans that cover larger portion of the Earth surface. In this study new surface radiative flux estimates from the Moderate Resolution Imaging Spectro‐radiometer (MODIS) are evaluated against buoy measurements of downwelling SWR in the tropical oceans. As a benchmark for achievable accuracies from satellites, similar evaluation is performed over land against the Baseline Surface Radiation Network (BSRN) observations, believed to be of highest available quality. Comparable accuracy of the new satellite SWR data is found over land and over oceans.
Personalized Learning Strategies in Higher Education in Saudi Arabia: Identifying Common Approaches and Conditions for Effective Implementation

The aim of the study is to identify the most commonly used personalized learning strategies in higher education in Saudi Arabia and explore the conditions for effective implementation of these strategies. In this study, a mixed-methods approach was employed, which involved conducting a survey of 390 students and conducting interviews with 18 students across three universities in Saudi Arabia. The findings reveal that the most commonly used personalized learning strategies are tailoring instruction to individual needs and preferences, providing one-on-one support and guidance, and allowing for student choice and autonomy. Flexible pacing and learner agency were also identified as important strategies, while adaptive assessment was found to be the least commonly used strategy. The study suggests that adequate resources, training and support, collaboration and communication, flexibility and adaptability, assessment and feedback, and clear goals and expectations are necessary for effective implementation of personalized learning strategies. These findings provide insights into the prerequisites for the successful execution of personalized learning approaches in tertiary education in Saudi Arabia and can serve as a blueprint for formulating impactful policies and practices that improve student-learning results.
Pengaruh Bermain Game Online Terhadap Minat Belajar Peserta Didik Dalam Pembelajaran Pendidikan Agama Islam

This study aims to determine the effect of playing online games on students' learning interest in learning Islamic Religious Education at SMP Negeri 25 Padang. This research is associative quantitative research. The population in this study were students of class IX SMP Negeri 25 Padang. The sample used was 72 people, the sampling technique was cluster random sampling. The data analysis technique uses the t-test, so normality and linearity tests are needed. Based on the analysis of the research results, it can be concluded that: playing online games has a significant effect on interest in learning with t count -5.189 > t table -1.666, with a significant level of 0.05. The significant value of motivation is 0.000 and the value is smaller than the probability of 0.05 (0.000 <0.05). It can be concluded that Ha = accepted, which means that there is a significant influence between playing online games on interest in learning at SMP Negeri 25 Padang.
The Family Environment as a Source for Creating the Dietary Attitudes of Primary School Students—A Focus Group Interview: The Junior-Edu-Żywienie (JEŻ) Project

The family environment plays a crucial role in creating the health behaviours of children and youth. This study aimed to explore the attitudes of parents with children aged 7–12 who represent an influential environment for creating the eating behaviours of children. A qualitative study was conducted using focus-group interviews (FGI) involving 101 parents from various socioeconomic backgrounds. Three categories of parents were identified based on their level of involvement and awareness of nutrition: ‘aware’, ‘determined’, and ‘relaxed’. Among parents of 10–12-year-old students, an additional category, ‘distanced’ parents, was identified. The study revealed that parents require support in terms of providing compelling arguments and practical recommendations related to meals and reducing or eliminating their children’s consumption of sweets, snacks, fast food, and, in the case of older students, energy drinks. Parents reported that their children had a moderate understanding of the principles of proper nutrition. The majority of respondents viewed this knowledge as primarily theoretical and expressed a need for practical guidance and activities, which they believe should be offered by schools. To achieve positive outcomes in educational activities related to food and nutrition, it is essential to involve children, parents, guardians, teachers, and other school staff in these efforts.
Metamorphism of carbonaceous material in the Tono contact aureole, Kitakami Mountains, Japan

Abstract Optical and X-ray studies of carbonaceous material in the Tono contact metamorphic aureole, Kitakami Mountains, northeast Japan, have revealed that metamorphic graphitization proceeded through two discontinuous changes: first, optically anisotropic domains develop within the coaly phytoclast, forming transitional material, and then, ordered graphite crystallizes by the decomposition of pre-existing carbonaceous materials. Coaly material disappears in the uppermost chlorite zone. Transitional material appears in the middle of the lower chlorite zone. Graphite appears in the upper chlorite zone and its modal abundance increases across the andalusite iso-grad to the cordierite isograd where all the carbonaceous materials have converted to graphite. The apparently continuous variation in the crystallographic parameters of the bulk carbonaceous material during graphitization is largely due to variation in the modal proportions of three types of carbonaceous materials. The temperature of graphitization in the present area is at least 100°C higher than the temperature in the Sanbagawa and New Caledonia high-pressure metamorphic terrains, probably due to the slow reaction rate of metamorphic graphitization and to the short duration of contact metamorphism.
Computed tomography measured epicardial adipose tissue and psoas muscle attenuation: new biomarkers to predict major adverse cardiac events and mortality in patients with heart disease and critically ill patients. Part II: Psoas muscle area and density

Sarcopenia is a syndrome characterised by loss of skeletal muscle mass, loss of muscle quality, and reduced muscle strength, resulting in low performance. Sarcopenia has been associated with increased mortality and complications after medical interventions. In daily clinical practice, sarcopenia is assessed by clinical assessment of muscle strength and performance tests and muscle mass quantification by dual-energy X-ray absorptio-metry (DXA) or bioelectrical impedance analysis (BIA). Assessment of the skeletal muscle quantity and quality obtained by abdominal computed tomography (CT) has gained interest in the medical community, as abdominal CT is performed for various medical reasons, and quantification of the psoas and skeletal muscle can be performed without additional radiation load and dye administration. The definitions of CT-derived skeletal muscle mass quantification are briefly reviewed: psoas muscle area (PMA), skeletal muscle area (SMA), and transverse psoas muscle thickness (TPMT). We explain how CT attenuation coefficient filters are used to determine PMA and SMA, resulting in the psoas muscle index (PMI) and skeletal muscle index (SMI), respectively, after indexation to body habitus. Psoas muscle density (PMD), a biomarker for skeletal muscle quality, can be assessed by measuring the psoas muscle CT attenuation coefficient, expressed in Hounsfield units. The concept of low-density muscle (LDM) is explained. Finally, we review the medical literature on PMI and PMD as predictors of adverse outcomes in patients undergoing trauma or elective major surgery, transplantation, and in patients with cardiovascular and internal disease. PMI and PMD are promising new biomarkers predicting adverse outcomes after medical interventions.
Prevalence of Cervical Human Papillomavirus (HPV) Infection Among Women in Some Areas of North-central Nigeria

Background: The prevalence of cervical human papillomavirus (HPV) infection varies worldwide with Sub-Saharan Africa having the highest prevalence (12.0%) and Nigeria having the highest prevalence in Sub-Saharan Africa. The polymerase chain reaction (PCR) is the conventional assay for HPV detection using type-specific primers that allow the accurate typing of HPV infections. The poor diagnosis of HPV infection and its associated risk factors in Nigeria have led to inadequate records and the distribution of HPV genotypes hence, the spread of the infection/cervical cancer. There is a need to fight cervical cancer through HPV testing using methods that allow particular typing of the HPV infections and are sensitive to detecting high-risk HPV genotypes as an alternative to cytology. Objectives: Consequent to this, the study is aimed at determining the prevalence of cervical HPV infections and its associated risk factors among women in some parts of North-central Nigeria. Method: Cervical swab samples were collected from 250 women who consented and attended cervical cancer screening units of three tertiary health institutions in Plateau and Nasarawa States and Abuja, Nigeria. Socio-demographic and risk factor information was obtained through structured questionnaires while HPV DNA was detected using Nested PCR. Result: An HPV prevalence of 82.6% was revealed in Nasarawa State, 30.9% in Plateau State and 30.3% in Abuja. The HPV prevalence observed shows increased virus transmission in Northcentral Nigeria. Demographic/ risk factors such as age (p=0.02; r=0.37), marital status (p=0.01; r= 0.45), age at first pregnancy (p= 0.04; r= 0.27), educational status (p=0.04; r=0.56), employment status (p=0.02; r=0.37), use of contraceptives (p=0.02; r=0.43) and history of STI (p=0.01; r= 0.35) were significantly associated with HPV infection. Conclusion: This study observed a high prevalence of HPV infection and its associated risk factors in all three study locations. Therefore, public health education and campaigns about associated risk factors and cervical cancer screening are essential for preventing and controlling the Human papillomavirus (HPV).
Multi-Institutional Development and Validation of a Radiomic Model to Predict Prostate Cancer Recurrence Following Radical Prostatectomy

The use of multiparametric magnetic resonance imaging (mpMRI)-derived radiomics has the potential to offer noninvasive, imaging-based biomarkers for the identification of subvisual characteristics indicative of a poor oncologic outcome. The present study, therefore, seeks to develop, validate, and assess the performance of an MRI-derived radiomic model for the prediction of prostate cancer (PC) recurrence following radical prostatectomy (RP) with curative intent. mpMRI imaging was obtained from 251 patients who had undergone an RP for the treatment of localized prostate cancer across two institutions and three surgeons. All patients had a minimum of 2 years follow-up via prostate-specific antigen serum testing. Each prostate mpMRI was individually reviewed, and the prostate was delineated as a single slice (ROI) on axial T2 high-resolution image sets. A total of 924 radiomic features were extracted and tested for stability via intraclass correlation coefficient (ICC) following image normalization via histogram matching. Fourteen important and nonredundant features were found to be predictors of PC recurrence at a mean ± SD of 3.2 ± 2.2 years post-RP. Five-fold, ten-run cross-validation of the model containing these fourteen features yielded an area under the curve (AUC) of 0.89 ± 0.04 in the training set (n = 225). In comparison, the University of California San Fransisco Cancer of the Prostate Risk Assessment score (UCSF-CAPRA) and Memorial Sloan Kettering Cancer Center (MSKCC) Pre-Radical prostatectomy nomograms yielded AUC of 0.66 ± 0.05 and 0.67 ± 0.05, respectively (p < 0.01). When the radiomic model was applied to the test set (n = 26), AUC was 0.78; sensitivity, specificity, positive predictive value, and negative predictive value were 60%, 86%, 52%, and 89%, respectively. Accuracy in predicting PC recurrence was 81%.
EMPLOYING MALE ANNIHILATION OR BAIT APPLICATION TECHNIQUES TO SUPPRESS THE PEACH FRUIT FLY, BACTROCERA ZONATA (DIPTERA: TEPHRITIDAE)

Guava (Psidium guajava) is one of the important crops of tropical regions and a major source of antioxidants and fibers. Peach fruit fly (PFF) Bactrocera zonata is a pest of many fruit crops like guava. The purpose was to extract the most efficient method among MAT, BAT, or Botanicals by considering their mortality in 24, 48, 72, and 96-hour intervals. In both BAT and Botanicals, the efficiency of extracts of Neem (A. indica), Moringa (Moringa oleifera), Citrus, and Parthenium (Parthenium hysterophorus) at concentrations (100%, 50%, and 25%) was observed. We placed 39 traps in the field with 4 different treatments, 3 concentrations having 3 replicates along with control. Maximum mortality after 24 hours at 100% concentration of Neem was 69.91% and minimum mortality (13.91%) was observed at 25% concentration of Parthenium. While mortality ranged for A. indica (58.12% - 31.78%), M. oleifera (44.01 - 22.68), Citrus (40.21 - 19.67) and P. hysterophorus (34.11 - 13.91). Citrus and moringa showed moderate mortality. In the present study, the percentage of mortality was much higher at the highest concentration of neem when compared with the control treatment. The study revealed that all the measures gave satisfactory results and proved to be more efficient, while botanicals were least significant.
Serum Vitamin B12 Level of Children and Its Clinical Relationship with Febrile Seizures

Objective: In the present study, our aim was to investigate the correlation between vitamin B12 levels and febrile seizures (FS) in the pediatric population. Method: The study included a total of 104 patients, comprising 50 children who were admitted with FS and 54 healthy children who served as the control group. Demographic characteristics, seizure types, biochemical parameters (glucose, Na, K, Ca, Mg, P), infection markers (C-reactive protein, procalcitonin) and the serum levels of vitamin B12 in the patients were retrospectively examined by reviewing the records in the hospital database. Results: Demographic parameters were similar between groups. The median age of the children in the FS group was 21.6±11.6 months. The mean temperature of the patients measured by tympanic thermometer during the seizure was 38.3±0.29, 76% of the patients presented with simple FS, 22% with complex FS. In the etiology, upper respiratory tract infections was defined as the most common (72%) cause. The serum vitamin B12, sodium, potassium, calcium, magnesium, phosphorus and platelet values of the febrile convulsion group were statistically lower than the control group. Conclusion: In the course of our research, we observed a significant decrease in vitamin B12 levels among the FS group compared to the control group. These findings suggest that low levels of vitamin B12 may contribute to an elevated risk of FS.
Improving University Students’ ESP Writing Skills through a Process-Based Portfolio Approach

Abstract Today’s employers expect university graduates to possess appropriate written ESP skills, which are most effectively taught through individualized ESP writing skills development. This paper provides an account of the ways a self-developed portfolio approach may be exploited to improve EFL learners’ ESP writing skills in a university environment. Through a quasi-experimental research design (N = 168), this project hypothesised that, and tested whether, our process-writing-based portfolio approach has a beneficial impact on participants’ ESP writing skills and examined if the portfolio approach in question was an effective means of improving participants’ ESP writing skills. For the testing of this hypothesis, a quasi-experimental research design was used with an experimental (N = 84) and a control group (N = 84), and participants’ test results were compared to examine the effectiveness of the applied portfolio approach. The findings of the study show that the portfolio approach applied in the scope of the present research project proves to be an efficient way of improving students’ ESP writing skills and can thus justifiably be applied at other institutions of higher education for improving such skills.