Miracle-dz/UniFAR-FTUs huggingface dataset:
The Use of Uterine Manipulator Versus Myoma Screw in total Laparoscopic Hysterectomy

Background: Laparoscopic hysterectomy was performed many years ago and gaining widespread acceptance as alternatives to standard abdominal hysterectomy from far years onwards. Objective: To compare between the use of uterine manipulator (UM) versus myoma screw (MS) in total laparoscopic hysterectomy (TLH) regarding to safety, cost and the operative time. Patients and methods: The study enrolled 60 patients in two groups: Group (I) 30 patients underwent total laparoscopic hysterectomy (TLH) using UM, while Group (II) 30 patients underwent TLH using MS and patients were randomly assigned to one of the two approaches. Results: Endometrial hyperplasia was the most common indication for both types of surgeries. There was a highly statistically significant difference between both groups regarding operative time as it was (105.5±11.5 minutes versus 88.4±7.6 minutes) for group (I) vs (II) respectively, (P<0.001). There was a highly statistically significant difference between both groups regarding blood loss during operation as it was (116.7 ±65.8 ml versus 78.8±15.5 ml) for group (I) vs (II) respectively (P<0.001), as it was much lower in myoma screw group (II). For intraoperative complications in uterine manipulator group (I), we had two cases of cervical tear, a case of vaginal laceration and a case of uterine perforation versus a case of bad oxygen saturation in MS group (II). Conclusion: The use of MS in TLH had less operative time and hence less morbidity, less intraoperative blood loss, less posperative pain and early recovery, than the use of UM. The TLH using MS and the TLH using UM could be a good option for hysterectomy if there are no contraindications.
Exploring Patients’ and Caregivers’ Perception of Healthcare Provision to Cancer Patients During the COVID-19 Pandemic: A Qualitative Study

Background: Patients with cancer are among the groups that are vulnerable to the COVID-19 crisis. Identifying the factors affecting the process of healthcare provision can improve the health services provided to cancer patients. Therefore, this study aimed to explain stakeholders’ perception of the healthcare services provided to cancer patients during the COVID-19 pandemic. Methods: The present qualitative study was conducted using the conventional content analysis method in Iran in 2021. Participants included cancer patients, their families, and healthcare providers, who were selected via purposive sampling. Data were collected through 19 individual interviews and two focus groups and then analyzed using the method proposed by Graneheim and Lundman. Results: Qualitative data analysis revealed seven main categories, including the disruption of care continuity, reduced quality of health services, poor provision of community-based services, lack of comprehensive care, lack of public education, predicting changes in cancer incidence and mortality trends, and ethical challenges. Conclusion: The COVID-19 pandemic has exposed cancer patients to many challenges, including limited access to health services. Therefore, there is a need to facilitate these patients’ access to safe healthcare services.
Discharge Plan: It’s Effect on Low Back Pain Disability and Activities of Daily Living for Patients Undergoing Herniated Lumbar Disc Surgery

: Background: One of the most common procedures performed worldwide is for herniated discs. The discharge plan for a patient having lumbar disc herniation (LDH) surgery expedites recovery, guarantees treatment efficacy, enhances activities of daily living (ADLs), and successfully prevents recurrence. Aim of the study : Was to evaluate the effect of implementing discharge plan on low back pain disability and activities of daily living for patients undergoing herniated lumbar disc surgery. Subjects and Methods: Research design : A quasi experimental research design was carried out in this study. Setting: The study was conducted at neurosurgery department at New Surgery Hospital and outpatient clinic at Zagazig University Hospital. Subjects: A purposive sample of sixty adult patients were selected from the mentioned setting. Tool of data collection: Three tools were used for collecting data: Patients’ Interviewing Questionnaire, Barthel Index Scale of ADLs and Low Back Pain (LBP) Disability Questionnaire. Results: Most (90.0%) of patients among study group were independent post implementation of discharge plan regarding total ability to perform ADLs compared to, half (50.0%) of patients among control group post implementation of discharge plan. Less than two thirds (63.3%) of patients among the study group had no disability post implementation of discharge plan regarding total LBP disability compared to, half (50.0%) of patients among the control group were completely disabled. Conclusion: Implementation of discharge planning regarding LDH surgery had a statistically significant effect in improving level of LBP, disability level, and ability to perform ADLs of patients in the study group compared to the control group. There was statistically significant positive correlation between total ability to perform ADLs and LBP disability among the patients in the study group post implementation of discharge plan, which supported the stated hypothesis. Recommendations: Replication of the study using a larger probability sample from different geographical regions for generalization of results. In addition, similar studies are needed to assess the long-term effects of such discharge plans.
The Effect of Parks on Proximate Home Values in College Station, Texas

The Effect of Parks on Proximate Home Values in College Station, Texas. (May 2011) Steven Patrick Cooksey, B.S., Texas A&M University Chair of Advisory Committee: Dr. John L. Crompton Parks provide a multitude of benefits to communities that, while intuitive and easy to describe, are difficult to quantify. With public park departments being increasingly scrutinized in terms of dollars spent rather than merit value contributed to communities, the difficulty in quantifying those benefits presents a problem. Finding a method to apply monetary values to the contributions of parks in a community has become a prominent need for public parks departments. One way to measure the monetary value of parks to a community is by examining the effects of those parks on the values of surrounding properties. This method assumes that the benefits offered by parks are capitalized into home prices such that prospective buyers are willing to pay premiums on properties that offer easy access to the parks and their benefits. This study utilizes hedonic price modeling and multiple regression analyses to isolate the incremental value conferred on a home based on its proximity to a park. Parks were separated into three categories (regional, community, and neighborhood). Their spatial proximity to homes was measured by Geographic Information Systems and included in regressions along with structural, time, and neighborhood variables for each property. A golf course was also examined so that its effect on proximate home values could be compared to that of the parks.
EXISTENCE OF ORGANIZATIONAL CITIZENSHIP BEHAVIOR OF MILLENNIAL EMPLOYEES IN THE ERA OF INDUSTRIAL REVOLUTION 4.0 USING A QUANTITATIVE APPROACH

In the context of the Industrial Revolution 4.0, the existence of Organizational Citizenship Behavior (OCB) of millennial employees is becoming increasingly relevant, and understanding of this phenomenon can be broadened by considering two important aspects: servant leadership and work-life balance. Servant leadership, emphasizing service and individual empowerment, motivates millennial employees to play an active role in positively contributing to the organization. The research aims to analyze the influence of servant leadership and work-life balance on organizational citizenship behavior. The sample in this study consisted of 160 millennial employee respondents who worked in the creative industry sector, determined using a convenience sampling approach. Data collection uses a questionnaire instrument, which is then distributed online. Data analysis uses the SPSS application by displaying data processing results through testing research instruments with validity and reliability tests, multiple regression analysis, coefficient of determination, and hypothesis testing. Based on the results of data analysis, it is stated that servant leadership and work-life balance have a positive and significant effect on organizational citizenship behavior. The research implications stated by reviewing it from the perspective of servant leadership and work-life balance significantly impact human resource management practices and organizational development.
A study of Collembola communities in cultivated and uncultivated sites of West Bengal in relation to three major soil factors

Etude menee sur trois ans. Les deux sites etudies different par la richesse et la diversite specifiques. Le nitrate, les matieres organiques et l'humidite du sol ont des effets significatifs sur la repartition des Collemboles dans ces deux types de champ
Financial Literacy and MSME Performance: Mediation and Moderation Analysis

This research examines the mediating role of access to finance, financial risk management, and competitive advantage in the relationship between financial literacy and Micro, Small, and Medium Enterprises (MSME) performance. This research also tests demographic factors such as the owner's gender, company size, company age, and number of employees in moderating the influence of the variables studied. The sample for this research is MSMEs in Jakarta Province, Indonesia. Five hundred and fifty MSMEs participated in the study using a web-based self-administered questionnaire. The data was analyzed using Partial Least Square Structural Equation Modeling (PLS-SEM). The research results show that financial literacy positively affects access to finance, financial risk management, competitive advantage, and MSME performance. Access to finance, financial risk management, and competitive advantage positively affect MSME performance and can mediate the relationship between financial literacy and MSME performance. The research also uncovers the moderating role of demographic factors, suggesting that the strength of the connections between financial literacy, access to finance, financial risk attitude, competitive advantage, and MSME performance may vary based on these factors. These findings carry significant implications for owners, managers, and governmental stakeholders, emphasizing the importance of enhancing financial literacy among MSMEs to enhance their performance.
Do the mechanisms of the program budget improve the consumption of credits allocated to the State budget? Evidence in ministerial departments in Cameroon

The objective of this article is to examine the effect of program budget mechanisms on the consumption of budget appropriations in Cameroon. To achieve this, on the one hand, we used the financial execution reports (commitment, liquidation and authorization rates for public expenditure) of the Cameroon State budget over the period 2003-2022. On the other hand, we used information from a survey carried out among 475 actors in the performance chain in the central services of 29 ministerial departments of the State of this country. The results obtained using descriptive statistics and the non-parametric Mann-Whitney mean comparison test indicate that the switch from the means budget to the program budget led to a significant improvement in the level of budget credit consumption. The results of the probit regression also show that, with the exception of the relaxation of financial controls, the effect of which on the level of credit consumption is negative, the other mechanisms of the program budget, namely the fungibility of credits and accountability of managers have a positive effect. The study recommends streamlining financial controls. Keywords: Program budget, budgetary appropriations, fungibility of appropriations, financial controls, Cameroon
A Comparative Study between Intrathecal Dexmedetomidine vs Ketamine with Intrathecal Bupivacaine in Orthopedic Lower Limb Surgeries

Background: Many adjuvants have been used to increase the analgesic duration of intrathecal bupivacaine. Objective: This work was aimed at comparing intrathecal ketamine vs dexmedetomidine for patients with lower limb surgery regarding advantages, efficacies, and hemodynamic stability. Patients and methods: This prospective randomized double-blind study involved 100 individuals whose ages ranged from eighteen to fifty years, both sexes, who underwent orthopedic lower limb surgeries. All participants went through an even categorization into two groups: Group D: administering calculated dosage of intrathecal hyperbaric bupivacaine 0.5 % according to body weight and 5μg dexmedetomidine and Group K: administering calculated dosage of intrathecal hyperbaric bupivacaine 0.5 % according to body weight and 0.1 mg/kg of ketamine. Results: Intraoperative HR as well as MAP measurements were significantly higher during 15 min, 30min, 45min and end of surgery within group K as opposed to group D (P value <0.05). Postoperative HR, MAP, SaO 2 as well as VAS measurements were significantly less during 30 min, 2h, 4h and 6h within group K as opposed to group D (P value <0.05). Time to first analgesic request was significantly delayed within group K as opposed to group D (P value<0.001). Complications
THE SYSTEMATIC REVIEW OF OPEN VERSUS LAPAROSCOPIC SURGERY IN THE MANAGEMENT OF PATIENTS WITH GALLBLADDER CANCER

Background: Gallbladder cancer (GBC) is a rare highly aggressive disease with a global prevalence of 2/100000 people, with women being 2-3 times more likely than men. Management requires a multimodal strategy, with surgery being the gold standard for curative intent. Nowadays, treating common gastrointestinal cancers with laparoscopic techniques is commonly recognized. However, there is still debate on the laparoscopic method for treating GBC. The aim: This study aims to show the differences between open and laparoscopic surgery for gallbladder cancer. Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like PubMed and ScienceDirect, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done. Results: In the PubMed database, the results of our search brought up 22 articles, whereas the results of our search on ScienceDirect brought up 85 articles. The results of the search conducted by title screening yielded a total 17 articles for PubMed and 12 articles for ScienceDirect. We compiled a total of 22 papers, 11 of which came from PubMed and 11 of which came from ScienceDirect. We excluded 3 review articles, 4 duplicate articles, 4 non-full text articles, 2 articles having ineligible subjects, and 1 article having insufficient outcomes. In the end, we included eight research that met the criteria. Conclusion: The outcomes of laparoscopic and open surgery in the management of gallbladder cancer are comparable in terms of post-operative complications, recurrence rates, survival rates, and disease free survival rates. However, laparoscopic approach shows benefit on length of hospital stay
Perceived Acceptance of Maternal Trust and Self-Oriented Perfectionism among High School Students

Maternal trust plays a central role in shaping various aspects of a individuals’ life whereas self-oriented perfectionism creates valuable insights and provides a better understanding of human behavior, motivation, and well-being. The current study aims to identify the correlation between perceived acceptance of maternal trust and self-oriented perfectionism in high school students. It also intends to measure differences of gender and public & private school affiliation in terms of perceived acceptance of maternal trust and self-oriented perfectionism among high school students. This study is comprised of a sample of 300 high school students (Male=150 and Female=150) from various educational institutions in Bahawalpur, Pakistan. In this quantitative, cross-sectional research design, data is collected by using a convenient sampling technique. Data was collected by using a set of questionnaires that included informed consent, a demographic sheet, The Inventory of Parent and Peer Attachment ([IPP] Gullone & Robinson, 2005) and the Child Adolescent Perfectionism Scale (Hewitt & Flett, 1991). The results of this study conclude a significant correlation between of maternal trust with self-oriented perfectionism. It is also found that the level of self-oriented perfectionism is higher among high school girls as compared to high school boys. The implications of these findings are reflective, as addressing the issue of self-oriented perfectionism in high school students can lead to improved well-being and better academic achievement.
PREVALENCE AND ANTIBIOGRAM OF KLEBSIELLA SPECIES DETECTED IN CLINICAL

Objectives: We evaluated the prevalence rate and antibiogram of Klebsiella species isolated in various clinical samples, for effective management. Methods: The prospective study was undertaken to evaluate various clinical samples received in the microbiology laboratory for culture and sensitivity testing. Culture showing Klebsiella species were further processed for antibiotic susceptibility testing by the Kirby−Bauer disk diffusion test. Results: During the study period, 332 Klebsiella species were isolated in various samples and out of which 98.7% were Klebsiella pneumoniae and were predominately from urine samples (37%). All isolates were processed to determine their antibiogram. The highest antimicrobial resistance was observed for third and fourth-generation cephalosporines (more than 85%). Conclusion: It is concluded from our study that multidrug resistance K. pneumoniae are the emerging superbugs which require close monitoring and should be reported regularly which will guide clinicians in effectful management and thus help in preventing the spread of multidrug resistance Klebsiella and future threat.
Evaluation of Empirical Prediction Methods for Liquefaction-Induced Lateral Spread from the 2010 Maule, Chile, M w 8.8 Earthquake in Port Coronel

Evaluation of Empirical Prediction Methods for Liquefaction-Induced Lateral Spread from the 2010 Maule, Chile, Mw 8.8 Earthquake in Port Coronel Nicole D. Williams Department of Civil and Environmental Engineering, BYU Master of Science Over the past several decades, empirical formulas have been developed and improved to predict liquefaction and lateral spread based on a database of case histories from observed earthquakes, such as Youd et al. (2002) and Rauch and Martin (2000). The 2010 Maule Chile earthquake is unique first of all because it is recent and was not used to develop recent liquefaction and lateral spread evaluation methods, and therefore can be reasonably used to evaluate the effectiveness of such equations. Additionally, the 8.8 magnitude megathrust event fills a significant gap in the databases used to develop these empirical formulas, which tends to under represent large magnitude earthquakes and events which occur along subduction zones. Use of case histories from this event will therefore effectively test the robustness and accuracy of these methods. As a part of this comparison, data will be collected from two piers in Port Coronel, Chile: Lo Rojas or Fisherman’s Pier, and el Carbonero. Lo Rojas is a municipally owned pier which failed in the 2010 earthquake. Dr. Kyle Rollins gathered detailed engineering survey data defining lateral spread displacements along this pier in a reconnaissance visit with other GEER investigators after the earthquake. El Carbonero was under construction during the earthquake, but no known lateral displacements were observed. Collaboration with local universities and personnel contributed a great deal of knowledge about the soil profile. In early April 2014, collection of SPT and CPT data began in strategic locations to fill gaps of understanding about the stratigraphy near the two piers. Additional testing will provide necessary information to carry out predictions of displacements using current empirical models, which can then be compared with observed displacements collected after the earthquake. Collected data will also be complied, and this alone will provide useful information as it represents a unique case history for future evaluation. The goals of this study are therefore: (1) Collect data for two piers (Lo Rojas and el Carbonero) in Port Coronel, Chile to provide a useful case history of lateral displacements observed; (2) Conduct a liquefaction and lateral spread analysis to predict displacement of the two piers in question, considering lateral spread and slope stability; (3) Compare predicted values with observed displacements and draw conclusions on the predictive capabilities of analyzed empirical equations for similar earthquakes (4) Make recommendations to improve when possible.
Correction of output from an internal load cell in a high-pressure triaxial deformation apparatus without a split-piston

©The Geological Society of Japan 2016 653 Abstract: Internal load cells can be used to measure the axial load applied to a sample during a triaxial experiment precisely, which is key to obtaining reliable mechanical data. However, the output from an internal load cell contains an offset, which is a function of the confining pressure, pore pressure, and temperature. For an apparatus without a split-piston, the sample column has a non-zero axial load supported by O-rings even before a hit-point. Thus, a simple zero setting before the hit-point would cause an error in the measured axial load. In this technical note, we present a method that can be used to estimate the offset and correct the output by using outputs from both internal and external load cells. This method does not require additional experimentation. Note