bluuebunny/crossref_metadata_2025 huggingface dataset:
The Relationship between Game Addiction and Aggression among Adolescents with Mediating Role of Narcissism and Self-Control
Authors: Pan Yifei , Motevalli Saeid , Yu Lifang
Published: June 2024

Objective: With the increase of game addiction, the problem of aggression as one of the most serious issues confronting today’s society is affecting the mental health of the young generation. While available research has clarified the relationship between game addiction and aggression, this research contributes to future literature through examining the mediating role of narcissism and self-control in this relationship.
Method: This study is a quantitative, cross-sectional, correlational research conducted in 2023 on Malaysian adolescents aged 12 to 18 years. Volunteer adolescents completed self-report questionnaires including the Buss and Perry Aggression Questionnaire, Gaming Addiction Scale, Childhood Narcissism Scale, and Brief Self-Control Scale. All questionnaires were prepared through a Sojump link posted on social media platforms. Descriptive statistics, Pearson correlation analysis, and path analysis were used for statistical analysis.
Results: N = 595 adolescents were participated in this survey. According to correlation analysis, there were significant positive correlations between game addiction and aggression (r = 0.777, P < 0.001), game addiction and narcissism (r = 0.785, P < 0.001) as well as a significant negative correlation between game addiction and self-control (r = -0.668, P < 0.001). Besides, narcissism and self-control could significantly partially mediate the relationship between game addiction and aggression. The mediation model discovered a significant path from game addiction to narcissism (β = 0.785, CI = [0.7692, 1.0293], P < 0.001) and from narcissism to aggression (β = 0.442, CI [0.7731, 1.7244], P < 0.001). The total effect of game addiction on aggression was found to be statistically significant (β = 0.777, P < 0.001).
Conclusion: The findings of this research reveal a captivating profile, indicating that specific psychological attributes such as aggression, self-control, and narcissistic tendencies might make certain individuals more susceptible to developing an addiction to online games.
The Relationship between Resilience, locus of Control, and General Health with the Academic Performance among Students of Yazd University of Medical Sciences
Authors: S Mirzaei , M Gholinataj Jelodar , A Aboei , MH Dehghani , KH Nasiriani , A Eftekhari , F Rashidi , Z Hesani , Z Yazdani , AH Ahmadi
Published: June 2024

Introduction: Improving students' academic performance is related to various factors. Identifying and modifying these factors can improve academic performance. The study investigated the relationship between resilience, locus of control, and general health with students' academic performance.
Method: The study is a cross-sectional descriptive-analytical study consisting of 415 students. Resilience, source of control, and public health were investigated by using standard questionnaires, and the correlation of these scores with the academic performance of the students was evaluated.
Results: A comparison of the average scores of resilience, locus of control, and general health with the student's academic status showed that those who had a GPA higher than 16.92 had a higher score of resilience, locus of control, and general health, but it was not reported significant. In comparing the internal and external control dimensions of the source of control, it was shown that people with an external source have a significantly higher grade point average. Also, there is a relationship between the variables of resilience, source of control, and general health with academic performance, and between the variables of source of control and resilience with academic performance. Significant was reported.
Conclusion: It is recommended to organize practical education areas and workshops to enhance resilience, general health, and life skills based on the findings of the academic progress study.
Research in medical education, reflection on the most basic challenge
Authors: P Rezaei Gazki , M Salajegheh
Published: June 2024

The Article Abstract is not available.
Knowledge translation; a big step to stakeholder participation in health systems
Authors: Arab-Zozani Morteza
Published: June 2024

Knowledge translation (KT) is defined as an intermediary process between researchers and stakeholders. Knowledge translation means the exchange, synthesis and application of research findings through a complex system of communication between researchers and users of knowledge. The ultimate goal of KT is to change the behavior. In this process, the most important findings and research results are expressed in a simple and understandable language for the general public.
Structural Model of the Effect of Organizational Climate on Life Satisfaction with the Mediating Role of Job Satisfaction among Employees of Emergency Medical Centers in Ahvaz
Authors: Jahanbani Effat , Kaidkhordeh Mohammad , Tahmasebi-Ghorrabi Ahmad , Zahiri Mansour , Latifi Seyed Mahmoud
Published: June 2024

Background: Today, human power has a deep connection with organization, and the dimensions of personal and organizational life of people are intertwined in a complicated way. The present study was conducted with the aim of designing a structural model of the effect of organizational climate on life satisfaction with the mediating role of job satisfaction among employees of emergency medical centers.
Methods: The present descriptive-analytical study was conducted cross-sectionally in 2021. The statistical population of the research included 270 employees of emergency medical centers in Ahvaz city, including the headquarters, urban and road bases, who were all included in the study using the census method. Data collection tools consisted of Halpin and Croft's organizational climate questionnaires, life satisfaction and Spector's job satisfaction. Data were analyzed using structural equation modeling technique in Smart PLS 3 software.
Results: The findings showed that there was a significant and positive relationship between organizational climate and job satisfaction and job satisfaction and life satisfaction in emergency medical workers in Ahvaz city. Organizational climate has a significant and positive effect on life satisfaction through the mediation of job satisfaction. According to the path coefficients, the job satisfaction variable plays a mediating role in the relationship between organizational climate and life satisfaction with 0.51 units (0.776 x 0.663). The values of Standardized Root Mean Square Residual (SRMR) and Normed Fit Index (NFI) index were 0.089 and 0.571, respectively, which indicated the suitability of the presented model regarding the relationship between organizational climate, life satisfaction, and job satisfaction.
Conclusion: Considering the effect of organizational climate on life satisfaction and the mediating role of job satisfaction, it is possible to increase employees' life satisfaction by providing a favorable environment in the organization and improving job satisfaction.
Evaluation of Service Quality of Clinical Diagnostic Using the SERVQUAL and SERVPERF Models in Two Simple and Weighted Types
Authors: Mohebbi Hossein , Meybodi Zahra Abbasi , Eslami Saadat
Published: June 2024

Background: Recently,  a number of papers have discussed the importance of evaluating service quality provided to customers. The purpose of this study is evaluating service quality of clinical diagnostic in Yazd Central Laboratory from customers’ point of views using the SERVQUAL and SERVPERF models in two simple and weighted types, and also, identifying the most suitable model for service quality evaluation.
 
Methods: The present research was applied research in terms of purpose and descriptive-analytical in terms of method. According to Morgan's table, the statistical sample of this research included 250 people who referred to Yazd central laboratory in September 2023; they were selected by simple random sampling method and a valid and reliable questionnaire with 33 items which was distributed among them. In the next step, to analyze the data collected from the questionnaire, SPSS 16 software was used to analyze Kolmogorov–Smirnov test, Student's t-test, analysis of variance, Fisher's Z test, and least squares method.
 
Results: The findings indicated that the expectations of service recipients are greater than their perceptions of the quality of the services received. The correlation coefficient between the overall satisfaction of the clients and the services and the level of service quality in the SERVPERF model (r = 0.7060) has a higher value than the weighted SERVPERF model (r = 0.6913), SERVQUAL model (r = 0.6890) and weighted SERVQUAL model (r = 0.6344). Moreover, the most valid models for measuring the quality of medical diagnosis services were respectively as follows: SERVPERF, weighted SERVPERF, SERVQUAL and weighted SERVQUAL.
 
Conclusion: Based on the research findings, it is recommended that managers consider the needs and demands of the clients in their future planning in order to improve the quality of services in medical diagnosis services, which are relatively more difficult to evaluate. Also, the level of standards required to provide health services in clinical diagnosis laboratories should be explained to the clients so that they have correct expectations and perceptions of the quality of services.
Investigation of Pneumococcus, Influenza, Covid-19 Vaccination Rates and Affecting Factors in Patients aged 65 and over
Authors: Çelik Dönmez Aslıhan , Çelik Güzel Eda , Topçu Birol
Published: June 2024

Objective: This study was planned to determine the vaccination rates and related factors with Pneumococcal, Influenza and Covid-19 vaccines in adults aged 65 and over who applied to the Family Medicine Outpatient Clinic.
Methods: The sample of the descriptive study consisted of 200 volunteer adult patients aged 65 and over who applied to the Family Medicine outpatient clinic between May and October 2021. The data were collected by applying a face-to-face interview with descriptive features.
Results: The mean age of the participants was 71.21±5.97 years. Influenza vaccination rate of all participants in the last 1 year was 24.50%, Pneumococcal vaccination rate in the last 5 years was 42%, and Covid-19 vaccination rate was 86%. In our study, having a chronic disease was the factor that increased the rate of influenza vaccination, it was determined that the factor determining the pneumococcal vaccination rate was affected by the habit of going to the family doctor regularly (p
Family Physicians' Knowledge, Attitudes, and Practices Regarding Adult Immunization in Turkey: A Systematic Review
Authors: Ayhan Başer Duygu , Gümüştakım Raziye Şule
Published: June 2024

Objective: This systematic review aims to investigate the knowledge, attitudes, thoughts, and behaviors of family physicians (family medicine specialists, family doctors, family medicine assistants) in Turkey regarding adult vaccinations.
Methods: In this systematic review, data were obtained through a retrospective search of descriptive studies published in Turkish and English between 2013-2023 in the databases of " PubMed, Google Scholar, National thesis center." The PICOS method was used to determine the eligibility of included studies, and the methodological quality of the studies within the systematic review was assessed using the The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols Checklist (PRISMA) checklist flow diagram.
Results: 177 selected by title for abstract analysis; among which 55 articles and theses were considered to be examined for the full-text review. As a result of the detailed examination of them, a total of 23 articles and theses were selected to be included in the study. Influenza vaccine and HPV vaccine knowledge of family doctors were higher and followed by hepatitis B. COVID-19, hepatitis B, tetanus, influenza were the mostly recommended vaccines by family doctors to adults.
Conclusion: In conclusion, this systematic review emphasizes the critical role of family physicians in promoting vaccination among adult populations. By addressing knowledge gaps, addressing concerns of family doctors, promoting a culture of vaccination within the healthcare community, we can enhance vaccine uptake and ultimately contribute to improved public health outcomes and disease prevention efforts.
Rhythm and Conduction disturbances in patients with COVID-19 and their significance in family medicine practice
Authors: Ivanova Nevena
Published: June 2024

SARS-Cov-2 (Severe acute respiratory syndrome coronavirus 2) belongs to the group of viruses containing ribonucleic acid (RNA). The most common clinical manifestations include fever, upper and/or lower respiratory tract involvement of varying severity. As the incidence of the disease increases and information about its course accumulates, it is known that there is an increased mortality from cardiovascular complications, including as a result of arrhythmias. It is assumed that the main mechanisms by which they occur are the entry of the virus into the heart cell through the expression of angiotensin-converting enzyme receptor 2, which leads to increased levels of angiotensin 2 and its many-sided negative effects, the development of a systemic inflammatory over-response (cytokine storm), directly cardiac damage, hypoxia, electrolyte disturbances, water imbalance. The disorders that are registered are tachyarrhythmias and bradyarrhythmias. In the conditions of the emerging COVID-19 (coronavirus disease of 2019) pandemic, general practitioners in Bulgaria played a significant role in the diagnosis and treatment of this disease. Of particular importance is their competence regarding the establishment of possible complications from the cardiovascular system. Knowledge of the most common rhythm and conduction disorders, as well as the mechanisms of their occurrence, are decisive for the correct management and their potential outcome.
Comparative Analysis of Kivy and Other Mobile Development Platforms
Authors: Aliyev Murad
Published: June 2024

This paper presents a comprehensive comparative analysis of Kivy, an open-source Python framework for developing multitouch applications, against other leading mobile development platforms such as React Native, Flutter, and Xamarin. The study aims to evaluate and contrast these platforms across various critical aspects, including development environment, programming language, ease of use, performance, community support, and flexibility. Kivy's unique Pythonic approach is examined in the context of its suitability for rapid prototyping and cross-platform application development. Conversely, the paper also delves into the performance-oriented design of platforms like React Native and Flutter and the native integration capabilities of Xamarin. The analysis is grounded in a combination of qualitative assessments and quantitative data, including developer surveys, performance benchmarks, and case studies. This comparative study seeks to provide valuable insights for developers and organizations in making informed decisions about choosing the most appropriate mobile development platform based on their specific project requirements, resource availability, and long-term development goals.
Level of Physical Activity and Sedentary Behavior towards Physical Well-Being of Secondary Teachers
Authors: Layag Mylene J. , Ofrin Darwin D.
Published: June 2024

In contemporary society, characterized by technological advancements and sedentary lifestyles, the significance of physical activity for overall well-being cannot be overstated. Despite global initiatives to promote physical activity and mitigate sedentary behavior, educators, particularly secondary teachers, face unique challenges due to their demanding profession and prolonged periods of sedentary work. The World Health Organization underscores the importance of regular physical activity for maintaining health and well-being, yet many teachers struggle to meet recommended activity levels. The study used a descriptive-correlational research design participated by 60 secondary teachers from Buenavista National High School who are currently teaching during the 2023–2024 school year. Based on the tallied responses, teachers varied widely in age, ranging from 25 to 64 years old, with fewer respondents in their late 50s and 60s. The most common age group was 25 to 34 years old, making up 48.33% of the total sample, and most of them were single. There are more female teachers than male teachers, with females comprising a larger proportion (58.33%) of the total compared to males (41.67%). As revealed, teachers have a moderate level of physical activity and have sedentary behavior. So, even if a person engages in enough physical activity to meet the guidelines, they may still be considered sedentary if they spend a significant portion of their day sitting or lying down at work, at home, for study, travel, or in their leisure time. In teachers' perceptions to physical well-being, they believed that they didn’t have a normal weight, waist, enough sleep, and good posture. They believe that low physical activity and sedentary behavior have a negative impact on their physical well-being, while at the same time, physical activity and avoiding sedentary behavior are essential for physical well-being. Further, it is depicted that there is no significant correlation between the profile of the respondents and physical well-being and no significant correlation between physical activity and sedentary behavior to physical well-being as well.
Malignant Leydig Cell Tumor of Testis: Case Report
Authors:   Junior Resident, Department of Pathology, IGMC Shimla, Thakur Dr Himani
Published: June 2024

Testicular tumors accounts for % of the tumors in men. 5% of which are the sex cord stromal tumors and the remaining are of germ cell origin. Leydig cell are the common subtype of Sex cord stromal tumors and accounts for 1%-2% of all the testicular tumors. Tumor arises from the leydig cells that normally reside in the interstitium of testicles and secrete testosterone in the presence of leutenizing hormone. They show a bimodal distribution with peaks in the prepubertal age group and between 30-60yrs of age. Leydig cell tumor being a hormonally active tumor often presents with precocious puberty, breast tenderness and gynaecomastia. Histopathology reveals a well circumscribed mass .Cut surface shows golden brown homogenous appearance. Microscopically, tumor cells are large to polygonal with round to oval nucleus with deeply granular cytoplasm. Cytoplasm shows characteristics rod sghaped crystals referred to as “ crystalloids of Reinke”. Leydig cell tumors are mostly follow a benign course but approximately 5-10% of these have malignant potential. Regional lymph nodes, lungs , liver and bones are the commonest sites of metastsis. Due to aggressive difficult to treat nature of metastatic disease it is essential to differentiate benign leydig cell tumor from its malignant counterpart in order to guide its initial surgical and radiological management. Assessment of the clinicopathological features of Leydig cell tumor allows for its optimal management.
A Comparative Study between Laparoscopic Varicocelectomy and Open Varicocelectomy in the Treatment of Varicocele
Authors:   PCPS, MCPS, FACS, FICS, FMAS, Surgical Specialist, Department of Surgery Combined Military Hospital Bogura, Bangladesh, Sarder Md. Atiqul Haque
Published: June 2024

Background: Varicocele is a vein anomaly affecting 15% of adult males, with prevalence increasing to 35% in men seeking infertility evaluation and 81% in those with secondary infertility. It is primarily due to a prevalent and remediable factor. Objective: The objective of this study is to do a comparative analysis of the post-operative outcomes between open inguinal varicocelectomy and laparoscopic varicocelectomy. Methods: The present investigation was undertaken within the surgical department of (Hospital name) over a duration of two years, spanning from December 2019 to December 2021. This study employed a prospective design and involved the inclusion of a cohort comprising 50 patients diagnosed with clinically severe varicocele. The participants were allocated into two distinct groups. Group A consisted of 25 individuals who underwent laparoscopic surgery, while Group B consisted of 25 individuals who received an open approach. Results: In our study comprising a cohort of 50 patients, we observed a range of ages from 20 to 49 years. Among these patients, 19 reported experiencing scrotal pain, 25 exhibited testicular swelling, and 7 presented with infertility. The mean operation time for laparoscopic varicocelectomy was 48 minutes, while for open surgery it was 57 minutes. Interestingly, we found that the postoperative analgesic requirement was similar in both groups. Furthermore, the average duration of hospital stay was 35.6 hours for laparoscopic procedures and 50.6 hours for open procedures. The duration of the operative procedure in Laparoscopic Varicocelectomy was found to be 17.25 ± 2.1 minutes in cases where the condition was unilateral, whereas it was 29.32 ± 2.8 minutes in situations where the condition was bilateral. The average length of surgery for unilateral cases in Open Varicocelectomy was found to be 42.5 ± 3.4 minutes, whereas for bilateral presentations, it was 67.25 ± 2.5 minutes. The observed difference between the two groups was found to be statistically significant, with a p-value of less than 0.001 . The recurrence rate was higher in laparoscopic group. Conclusion: Laparoscopic varicocelectomy offers similar outcomes to open techniques, with minimal morbidity and shorter hospitalization periods. It treats bilateral varicoceles without extra incisions and has a higher recurrence rate, but overall patient satisfaction makes it a preferred surgical technique. Keywords: laparoscopic varicocelectomy, Open varicocelectomy, Infertility.
The Burden of Drug-Resistant Tuberculosis among Kenya's Devolved Health Units and Associated Treatment Outcomes
Authors:   Department of Public & Global Health, University of Nairobi, David Mutabari
Published: June 2024

Background: A devolution is a form of decentralisation or the transfer of authority and responsibility from central to lower levels of government for a range of public functions. The drafters of the 2010 Kenyan constitution chose to devolve functions to 47 newly created counties. In Kenya, health is a devolved function that county governments run. Tuberculosis is managed at the county level in coordination with the National Leprosy Tuberculosis and Lung Disease Program (NLTP) with a mission of End TB Strategy to achieve a 95% decline in deaths due to tuberculosis compared with the 2015 baseline and reach an equivalent 90% reduction in tuberculosis incidence rate. Methods: This was a retrospective cohort study that collected data from health facilities accredited by the NLTP for drug-resistant tuberculosis treatment. The study population included patients who tested positive for drug-resistant tuberculosis from 2014 to 2019. Data was sourced from NLTP Electronic Medical Records (TIBU-System). After abstraction, the data was entered into Excel and analysed through STATA software version 13. Results: Of the 2674 enrolled patients in total, there were more males affected with DRTB at 64 % compared to the female patients. The public facilities carried the immense burden of diagnosis and treatment of the patient, having a cumulative number of 83 %, while the prison sector had the lowest number. For the resistance pattern, the new, relapse, and failure of first-line drugs accounted for most drug-resistant cases at 80 %, with only 65 % of the total cases having been done a gene-expert test at the point of screening. Conclusion: With a devolved health unit in Kenya, there needs to be a more coordinated support system from the national government to the county health units in terms of surveillance of TB disease. Regional centralised laboratories for diagnosis and monitoring of TB would reduce the time it takes for samples to come to Nairobi for testing, which takes time before patents are initiated on treatment.
A Study on Refractive Outcome Following Manual Small Incision Cataract Surgery with Rigid PCIOL
Authors:   epartment Of Ophthalmology, Rajarajeswari Medical College and Hospital, Mysore Road, Kengeri, Kambipura, Bengaluru, Karnataka – 560074, Dr Thirunahari Venkat Sainethra Dr Kaushal Kumar, Dr Bhogi Rahul, Dr Parvathareddy Sushma,
Published: June 2024

Introduction: Cataract is a significant and increasing global problem with vast economic and social implications[1]. It is the principal cause of blindness in India accounting for 62.6% (92). The prevalence of blinding cataract will only increase as people live longer, so cataract will continue to be, by far, the most important treatable cause of blindness. It is estimated that the present number of 20 million of cataract blind will double by year 2030.[2] . Materials and Methods: Study design: Cross sectional observational study Source of data: All the patients admitted with small incision cataract surgery (SICS) with PCIOL implant, in the department of Ophthalmology Rajarajeshwari Medical College and Hospital, Bangalore Study period: 18 months (Jan 2021- June 2022) Sample size: 200 patients. Results and Observations: In our study, at 1st post operative week, most patients had visual acuity score of better than 6/9 and least had less than 6/60 score. A follow up of patients at 2nd week, 6th week and end of 6th week showed that visual acuity improved at 2nd and 6th post-operative weeks.. Most patients were in the refraction range of < -0.50. Conclusion: From our study we conclude that the uncorrected visual acuity of cataract patients improved in the early and late post-operative weeks, after undergoing Manual Small Incision Cataract Surgery with Rigid PCIOL (MSICS) to a great extent. MSICS can be accepted as an alternative to phacoemulsification in developing countries like India. Keywords: Cataract, Small incision, Astigmatic, Visual outcome
Innovative cell transplant advancement A Research breakthrough by Chinese doctors for diabetes management
Authors:   Department of Health Sciences, Kaloji Narayan Rao University, Warangal, Ugandhar. T Smriti A , Renuka. G
Published: June 2024

This study presents a groundbreaking advancement in diabetes treatment achieved by Chinese scientists through an innovative cell transplant technique. Traditional diabetes management, typically involving regular insulin injections and constant monitoring, imposes a significant burden on patients. However, this new therapy promises to revolutionize diabetes care. A team of researchers from Shanghai Changzheng Hospital, the Centre for Excellence in Molecular Cell Science under the Chinese Academy of Sciences, and Renji Hospital successfully cured a 59-year-old patient with type-2 diabetes using cell therapy. The patient, whose blood sugar levels remained uncontrolled despite regular insulin injections, underwent a cell transplant in July 2021. Peripheral blood mononuclear cells from the patient were reprogrammed into "seed cells" that act like pancreatic islet cells and then implanted. Within eleven weeks, the patient no longer required insulin injections, and after a year, he stopped all diabetes-related medications. Follow-up examinations confirmed the restoration of pancreatic islet function, and the patient has been insulin-free for 33 months, highlighting the long-term efficacy of the treatment. This therapy harnesses the body's regenerative capabilities, marking a significant milestone in regenerative medicine. The innovative approach not only cures the patient but also offers the potential for preventing diabetes. With China facing a substantial healthcare burden due to its high diabetes prevalence, this technique could significantly alleviate the burden by reducing dependency on lifelong insulin injections.
Biogenic Copper Oxide Nanoparticles Synthesized from Whole Plant Extract of Nicotiana plumbaginifolia Viv.: Characterization, Antibacterial, and Antioxidant Properties
Authors: Pawar Abhimanyu , Mungole Arvind , Naktode Kıshor
Published: June 2024

Nanoparticles crafted through biological processes show potential for advancing medicine. Plant-derived compounds, produced through environmentally friendly green synthesis, present distinctive and beneficial applications in the field of nanomedicine. This study describes an easy, sustainable, environmentally friendly, and cost-efficient method to create copper oxide nanoparticles (CuO NPs) using whole part of Nicotiana plumbaginifolia Viv. extract. The characterization involved various techniques like solid UV-Visible-DR analysis, Fourier transform infrared (FTIR), EDAX analysis, X-ray diffraction (XRD), transmitted electron microscopy (TEM), and scanning electron microscopy (SEM). The copper oxide nanoparticles (CuO NPs) were found to be quasi-spherical pattern, with sizes ranging from 12 to 14 nm, and exhibited a crystal structure identified as monoclinic. The resulting copper oxide nanoparticles (CuO NPs) were examined for antimicrobial and antioxidant properties. It showed suppressing bacterial growth against tested human pathogenic bacteria, emphasizing their potential as antimicrobial agents. Results revealed that the maximum zone of inhibition was observed when the concentrations (25, 50, and 100 μL,) of NPs is increased against S. aureus i.e. 17 mm, 20 mm and 22 mm respectively. Whereas findings also reveal potent antioxidant activity, with escalating CuO nanoparticle concentrations correlating to increased percentage inhibition 50 μg/mL – 1.68%, 100 μg/mL – 10.45%, 150 μg/mL – 18.54%, 200 μg/mL – 37.83%, and 250 μg/mL – 51.72%. The highest activity, at 51.72%, occurs at 250 μg/mL.
Evaluation of post cardiopulmonary resuscitation patıents followed in intensive care unit: A one-year retrospective analysis.
Authors: Arıkan Müge , Meriç Emre , Yeşilkaya Abdullah , Taşdelen Büşra Nur , Akhan Ayşe
Published: June 2024

Aim: Post Cardiopulmonary Resuscitation (CPR) patients are a critical patient group. Despite the development of treatment options and guidelines, mortality and morbidity rates in these patients are still high. We aimed to obtain a descriptive data for post CPR patients admitted to Intensive Care Unit (ICU).
Material and Methods: This single-center, retrospective observational study was conducted in the mix ICU’s at the Karabuk University Hospital in Karabuk, Turkey, from Jan 2023 to Jan 2024. Demographic data of the post-CPR patients, Acute Physiology and Chronic Health Evaluation II (APACHE II) and Glasgow coma scores (GCS), length of stay in the ICU and mortality were recorded through our hospital database.
Results: During the study period,78 patients were evaluated. The mean age of the patients was 75.01 ± 9.6 years, and 42 of them were female (53.84%). The mean APACHE II scores on ICU admission was 21.15 ± 7.2, and mean GKS was 8.29 ± 2.4. Comorbid disease was present in 96.15% of the patients, and 35 patients had 3 or more comorbid diseases. Twenty-six patients survived whereas 52 died in ICU. APACHE II scores and. the lactate level were higher, whereas GCS score was lower in nonsurvivors.
Conclusion: High mortality rates have been reported for post CPR patients. There are many factors that have been suggested to be prognostic for these patients. In our died patients, the lactate level and their APACHE II score were higher and their GCS scores were lower.
Short-term results of soft tissue balance obtained with 'manual gap balancing' in varus knees; a prospective study supported by gait analysis
Authors: Doğruöz Fırat , Yapar Aliekber , Eğerci Ömer Faruk , Köse Özkan , Özcan Özal
Published: June 2024

Aim: The aim of this study was to investigate the contribution of medial ligament release using the manual gap balance method in patients with varus deformity to alignment and functional outcomes.
Materials and Methods: The study included 14 female and 8 male patients who underwent total knee arthroplasty. Telemetric radiographs of the lower extremities and valgus stress radiographs of the knees to be operated on were taken for each patient one day before and 1.5 months after the operation. The functional evaluation of patients was conducted using the HSS (Hospital for Special Surgery, 1970) scoring system. Simultaneously, gait analyses were conducted. The patients were divided into groups based on their stress radiographs.
Results: The mean valgus angle in postoperative static radiographs was 2.5 degrees. A statistically significant change in rotational deformity was observed in both swing and stance phases after surgery compared to preoperative values. Improvement in coronal plane varus knees was statistically significant. No significant change was found in the flexion-extension angles of sagittal plane kinematics. It was found that there was a statistically significant difference in the data for single support, double support, and stance percentage (p
Warfarin in the Emergency Service: Drug Interactions and Clinical Considerations
Authors: Uskur Tugce , Güven Oya , Demireller Merve
Published: June 2024

Aim: Drug-drug interactions (DDIs) are common occurrences where one drug influences the blood concentrations or efficacy of another. Warfarin, known for its narrow therapeutic index, carries a heightened risk of severe drug interactions.
Material and Methods: We retrospectively analyzed the records of 211 patients using warfarin at the Emergency Health Services clinic of Kırklareli Training and Research Hospital from January 1, 2020, to December 31, 2020. Patient demographics and drug regimens were documented, and drug interaction assessments were conducted using the drugs.com database.
Results: Among the 211 patients, 17 exhibited signs of bleeding, including 5 with major bleeding and 12 with minor bleeding. Of these, 129 had INR values exceeding 2.5, while 82 had INR values below 2.5. Notably, 11 of the 17 bleeding patients had INR values above 2.5, with an average INR of 3.69. Analysis revealed that the 211 patients collectively used 111 different drugs, with an average of 3.81 drugs per prescription. Intriguingly, 33 of these drugs exhibited major, moderate, or minor inter-actions and were prescribed to 174 patients.
Conclusion: In conclusion, cautious and selective prescription of medications is warranted for patients receiving warfarin due to the potential for significant drug interactions.
Internetowe public relations w komunikacji marketingowej przedsiębiorstw
Authors: Woźniakowski Mariusz
Published: June 2024

Zachodzące zmiany rynkowe doprowadziły do przesycenia komunikacji marketingowej reklamą i innymi środkami tradycyjnej promocji. Klienci coraz częściej nie zwracają uwagi na komunikaty komercyjne, przez co trudniej jest zdobyć miejsce w ich świadomości przez poszczególne marki. Wobec powyższego firmy starają się szukać nowych możliwości i narzędzi do komunikacji, które w odbiorze klienta są mniej inwazyjne, stawiają na autentyczny dialog, a jednocześnie z punktu widzenia działań marketingowych zachowują charakter promocyjny. W taki schemat komunikacji marketingowej wpisują się działania z zakresu public relations prowadzone z wykorzystaniem Internetu. Ich głównym celem jest kreowanie pozytywnego wizerunku marki w odbiorze klienta, co w konsekwencji ma się przełożyć nie tylko na pozytywne postrzeganie i zajęcie istotnej pozycji w świadomości konsumenta, ale głównie na wzrost sprzedaży.
Podstawowym celem monografii jest przedstawienie potencjału narzędzi internetowego public relations w komunikacji marketingowej marek/przedsiębiorstw z otoczeniem rynkowym.
Wybory bez wyborów
Authors: Stępień Paweł
Published: June 2024

Poruszana w publikacji problematyka dotyczy zjawiska tzw. wyborów niespornych, a więc elekcji rozgrywanych w warunkach braku politycznej konkurencji (ang. uncontested seats). Książka obejmuje zagadnienia związane z miejscem rywalizacyjnych wyborów w państwach demokratycznych i ma na celu wyjaśnienie przyczyn spadającego poziomu wyborczej rywalizacji na poziomie lokalnym.
Elekcje niekonkurencyjne, choć spełniają podstawowe wymogi stawiane demokratycznym wyborom, stanowią bolesną weryfikację postulatów wysuwanych przez teoretyków demokracji chcących widzieć w rywalizacyjnych wyborach jej podstawowy, a zarazem niezbywalny element. Praktyka polityczna pokazuje jednak, że nawet skonsolidowane demokracje nie są wolne od problemu wyborów niekonkurencyjnych.
Oddawana do rąk Czytelników książka jest próbą znalezienia odpowiedzi na pytanie, dlaczego obywatele nie chcą ubiegać się o ważne urzędy obierane w drodze demokratycznych wyborów i – w konsekwencji – rezygnują z największego demokratycznego przywileju, jakim jest możliwość kandydowania w wyborach. Autor swoją uwagę koncentruje na coraz częściej występujących przypadkach elekcji niekonkurencyjnych na poziomie lokalnym w Polsce, w szczególności skupia się na wyborach niekonkurencyjnych do organów stanowiących jednostek samorządu terytorialnego.
A Content Analysis of English Teaching Module Entitled “Practical English”
Authors: Munfaati Farid , Nasihah Mutiatun , Ni’mah Ulin , Senta Alfiah Nur , Tsuroyah Nurul Aini
Published: June 2024

Providing fruitful instructional material is essential to enhancing the learning process. One of the instructional materials is in the form of a teaching module. This qualitative study aimed at analyzing the content of an English teaching module entitled “Practical English” which was used by non-English majoring students. The evaluation checklist proposed by Chunningsworth was adopted to examine some aspects of the teaching module including the organization of the teaching module, grammar, language skills, listening, speaking, reading, writing, topic and subject content, learner needs, and learning/teaching procedures. In addition, a post-use evaluation was carried out to find the strengths and the shortcomings of the book, which gave an invaluable overview that could be applied to prepare further instructional materials. The results of the present study revealed that the book met most criteria of the evaluation checklist. The teaching module was well organized and presented integrated language skills including listening, speaking, reading, and writing in a meaningful context by providing authentic materials to engage students in realistic contexts. The vocabulary development material in the teaching module, however, was its weak point. The book lacked an index of language terms as well as any clear explanation of vocabulary based on semantic links. In short, the findings of the present study could be valuable for EFL teachers in providing teaching modules as instructional materials to boost successful learning
INTERLANGUAGE CONCERNING FOSSILIZATION AND UNIVERSAL GRAMMAR: A LITERATURE REVIEW ON SECOND AND FOREIGN LANGUAGE ACQUISITION
Authors: Shiddiq Salma Mu’min , Oktaviani Lulud
Published: June 2024

The phenomenon of fossilization as the feature of interlanguage has been acknowledged and studied many times since the emergence of the theory proposed by Selinker which came into existence in the field of SLA in 1972. The premise of interlanguage as a separate language system used by second language learners as well as foreign language learners in learning their target language is credited to Selinker. Fossilization in interlanguage is coined by Selinker and is generally defined as a cessation of learning the target language. Nevertheless, the notion that interlanguage is fossilized is still open to question. Thus, this present study aims to provide insight to the reader about the concept of fossilization by defining and characterizing interlanguage and fossilization in second and foreign language acquisition, discussing the causes of fossilization in interlanguage development, as well as examining the relationship between interlanguage development and Universal Grammar principle in an attempt to help the reader better grasp and comprehend the phenomenon.
Improving Student Activity And Learning Outcomes in English Course in Writing News Item Text through Discovery Learning Model in Class XII IPA 1 SMAN 12 Banjarmasin
Authors: Ralin Ronny , Ralin Ronny
Published: June 2024

Lack of students in learning to write is the lack of activity and motivation of students so that learning to write becomes a problem. The application of the discovery learning model is very appropriate to solve this problem. Learning with discovery learning model with news item text material in the first cycle there were 18 students (72%) who completed the increase in the second cycle to 23 students (92%).
Exploring Students’ Perceptions of the Padlet Application as a Media to Learn Narrative Text
Authors: Hertiki Hertiki , Fransiska Ajeng Aprilia
Published: June 2024

The narrative text is an interesting type of text because it contains a lot of knowledge for writers or readers. Narrative text types are divided into 4. They are fairy tales; folk tales; fables; and legends. Most students like stories that are accompanied by pictures and narrative texts used. This research aims to introduce students to technology-based media as narrative text media. The learning process application supports narrative text to make it more accessible and more attractive to students by using the Padlet Application. The researcher used a qualitative method, and the data source was students in grade 11 IPA 1 at SMAN 1 Wringinanom. Data collection techniques using interviews, observation, and documents. Data analysis techniques using thematic analysis. This research indicates that students prefer to write narrative texts using the Padlet Application rather than the conventional method. The Padlet Application can make time more efficient, easy, interesting, and fun. This is demonstrated through interviews, observations, and documents conducted by the researcher.
English Extracurricular Activities in Developing Language Intelligence at SMP Plus Al Munawaroh Jember
Authors: Aliyah Sofiatil , Machfudi Moch. Imam , Suratinah Suratinah
Published: June 2024

Extracurricular activities are educational activities that take place outside of traditional classroom settings. These activities take place inside and/or outside of the school environment in order to broaden knowledge, improve skills, and internalize religious values or laws, as well as local, national, and global social norms. This is a qualitative study, which stresses the meaning and process of an activity rather than the outcome of an activity. By referring to the data taken from teacher and students’ involvement in the extracuricular activities and based on the results of observations and interviews, this study reveals  that the majority of students are engaged in the extracuricular activities and benefit greatly from them. Aside from that, the activity facilitated teachers in carrying out coaching, direction, care, and supervision in order to achieve the desired results. Students' language intelligence in learning English at SMP Plus Al Munawaroh Tempurejo Jember was formed by an acivity to communicate with others, both with their peers and with their teachers, using English even though it was often mixed up with their native language. Students were also engaged to perform their learning outcomes in many stages of learning.
TRAJECTORIES OF CHINESE-MUSLIM STUDENTS’ CULTURAL IDENTITY IN INDONESIA
Authors: Rosi Rois Imron , Yousif Ahmad F
Published: June 2024

Studying cultural Identity among students is considered a very important aspect in improving learning qualities. This research is an effort to discuss trajectories of identities among Chinese-Muslim students in Malang. By understanding this identity, a person will be able to fully understand his/her position in the society where he/she lives in. it’s also expected that citizen and student will have better tolerant attitude toward other cultures. In the educational realm, understanding cultural identity is extremely important to both teacher and student who interact each other in the teaching and learning process. In this research, researcher examines four Chinese-Muslim student’s experience in the process of constructing their cultural identity by using qualitative design. The result of the research stated that Chinese-Muslim students in Malang are Hui ethnic. Physically, they have close similarity with Han Chinese majority ethnic and identify themselves as being pure Chinese rather than identifying their ethnical background. In the context of Indonesia, they feel as an outsider because of their face characteristic. Chinese students learning identity is mostly passive and more individual compared with Indonesian. Because of its individual based learning, class discussion and working in group are being their barrier factors in education while self and parental motivations are being their supporting factors.
ANALYZING DE-ISLAMOPHOBIA FACTORS IN NEW YORK, USA
Authors: Taraki Muhammad Dhiya , Pamuji Muhammad Abdul Azis , Surwandono Surwandono
Published: June 2024

Recently, there has been a phenomenon of reducing the level of Islamophobia of the world community towards Muslims around the world, including Muslims in the United States. Allowing Muslims to carry out worship in public or open space, and the election of Muslim politicians in a government and congressmen are clear evidences to this phenomenon. This research aims to deeply analyze the de-islamophobia factors in New York City, The United States from 2017 to 2023. The phenomenon of Islamophobia, rising sharply since the 9/11 tragedy, has now begun to experience a significant decline, especially in the 2017-2023 period. A qualitative method was applied with literature studies. The data were taken from online books, online journals, and other relevant references such as online news. The study found various causes of the decline: socio-culture, demographic, and political events that contribute to the acceptance of Islam in the United States. Especially since Joe Biden was inaugurated as the U.S. President, the decline in Islamophobia is increasingly visible, particularly in the political fields.
THE NATSIR INTEGRAL MOTION IN GEOPOLITICAL PERSPECTIVE
Authors: Fauzan Pepen Irpan , Fata Ahmad Khoirul , Ananda Rifki Abror
Published: June 2024

The peaceful transformation of the Republic of the United States of Indonesia (RIS) into the Unitary State of the Republic of Indonesia (NKRI) stands as a pivotal moment in the nation's history. This momentous event was orchestrated by a prominent Islamic figure, Mohammad Natsir, who spearheaded the Integral Motion. Through this motion, Natsir skillfully lobbied RIS and states leaders to reunite under NKRI. Employing historical analysis, this research delves into the political and diplomatic strategies implemented by Natsir. Additionally, the research explores the motivations and moral commitments that underpinned Natsir's actions. A qualitative approach grounded in social-scientific history is utilized in this study. The research integrates historical analysis with socio-political science theories, particularly structuralism. This approach facilitates a deeper understanding of the internal and external challenges faced by Indonesia during that era. The findings of the research underscore Natsir's dual role. He not only served as a political leader but also as an architect of the integrative movement. In this capacity, Natsir effectively addressed both internal and external conflicts that arose during the reunification process. Natsir's unwavering efforts ultimately paved the way for Indonesia's transition towards political stability and national unity in the aftermath of independence.