bluuebunny/crossref_metadata_2025 huggingface dataset:
Laparoscopic Excision of Normotensive Variant Pheochromocytoma in a Case of Triple Vessel Coronary Artery Disease: The Anaesthesia Challenge
Authors: Diwakar Anitha , Geetanjali T , Punetha Pankaj , Hiremath Channabasavaraj
Published: October 2023

Pheochromocytomas are catecholamine-secreting tumours arising mostly from the adrenal medulla. With the advancement in surgical and anaesthetic techniques, the incidence of severe morbidity and mortality associated with surgery is low. However, concurrent coronary artery disease and pheochromocytoma continue to be a challenge due to the risk of adverse cardiovascular events. We describe the successful management of pheochromocytoma excision in a patient with coronary artery disease.
Effect of Transesophageal Echocardiography Probe on Tracheal Perfusion Pressure and Ventilatory Parameters in Pediatric Patients Undergoing Cardiac Surgery Using Cardiopulmonary Bypass: A Prospective Observational Study
Authors: Verma Abhishek , Singh Guriqbal , Trivedi Visharad , Ramkiran KS , Babu Mittapalli Jeevan , Pandya Himani , Pujara Jigisha
Published: October 2023

Background:

Overinflation of cuffed endotracheal tubes and transesophageal echocardiography (TEE) probe causes increased intracuff pressure (CP) compromising tracheal perfusion pressure (TPP). Primary objective of the study was to assess CP, TPP on TEE probe insertion and examination during pediatric cardiac surgeries. Secondary objectives were to evaluate the effect of the probe on peak airway pressures (Ppeak), mean airway pressures (Pmean) and to monitor CP, TPP on cardiopulmonary bypass (CPB).

Materials and Methods:

This prospective observational study included fifty patients, aged 1–5 years undergoing cardiac surgeries using CPB. Following induction, TEE probe was introduced. CP, TPP, Ppeak, Pmean were measured before insertion of TEE probe (T1), during probe insertion (T2) and examination at mid-esophageal (T3), transgastric level (T4), and on removing probe (T6). CP, TPP were monitored on CPB (T5). Statistical analysis was done using paired t-test.

Results:

CP, Ppeak and Pmean increased significantly, while TPP decreased significantly from T1 to T2, T3, T4 (P < 0.001). CP, TPP decreased significantly at T5 in comparison to T6 (P < 0.001). In 48% of the patients CP increased above 30 cm H2O at T2.

Conclusion:

TEE probe causes an increase in CP and decreases TPP. Constant monitoring and maintaining CP, TPP in optimum range is recommended.
A Lung Ultrasound-Based Comparison of Postoperative Respiratory Outcome after Pediatric Congenital Heart Surgery in COVID-19 Recovered and COVID-19 Unaffected Children-A Pilot Study
Authors: Munaf Mamatha , Palamattam Don J. , Menon Sabarinath , Dharan Baiju S. , Koshy Thomas
Published: October 2023

Background:

COVID-19 is known to affect the alveolar-capillary membrane and interstitial tissue. Cardiopulmonary bypass (CPB) is proven to cause “pump-lung” syndrome. Little is known about the subgroup of COVID-19-recovered children undergoing cardiac surgeries under CPB.

Aim:

To compare the lung ultrasound score (LUSS) and morbidity of COVID-19-recovered children to those without COVID-19 after congenital cardiac surgery.

Setting and Design:

Prospective observational pilot study at a tertiary care institution.

Materials and Methods:

The study was carried out on 15 COVID-recovered children and 15 matched controls (Group B) posted for congenital cardiac surgery. COVID-recovered children were further divided into those who received in-hospital care for COVID (Group C) and those who did not (Group A). LUSS measured immediately after cardiac surgery was compared between the groups. PaO₂/FiO₂ ratio, incidence of pulmonary infection, re-intubation rate, duration of ventilation, in-hospital mortality, and 30-day mortality were also compared between the groups.

Results:

LUSS was comparable between Groups A and B (mean difference = 1.467, P = 0.721). Compared to the control group, Group C showed higher LUSS (mean difference = 11.67, P < 0.001), lower PaO2/FiO2 ratio (207.8 ± 95.49 Vs 357.6 ± 63.82, P = 0.003), and one in-hospital mortality. A significant negative correlation was seen between LUSS and PaO2/FiO2 ratio (rs = - 0.75, P < 0.001).

Conclusion:

LUSS was not higher in COVID-recovered children. Children with a history of severe COVID-19 recorded higher LUSS, in-hospital mortality, duration of ICU stay, and duration of ventilation.
Comparison of Noninvasive Cardiac Output Monitoring by Electrical Cardiometry with Transthoracic Echocardiography in Postoperative Paediatric Cardiac Surgical Patients - A Prospective Observational Study
Authors: Pedgaonkar Raj A. , Singh Naveen G. , Dhananjaya Manasa , Nagaraja PS , Nagesh KS , Prabhakar V
Published: October 2023

Aim:

The present study was conducted to validate cardiac output (CO) and cardiac index (CI) obtained from electrical cardiometry (EC) ICON ® with transthoracic echocardiography (TTE) in postoperative pediatric cardiac surgical patients.

Materials and Methods:

A prospective observational study was conducted in 25 pediatric patients with age < 10 years who underwent elective cardiac surgery.

Data Analysis:

BlandAltman plot was constructed for interchangeability and Polar plot was constructed to know trending ability.

Results:

A total of 250 datasets were analyzed. Spearman’s correlation coefficient for CO between ICON ® and TTE showed good positive correlation (r = 0.850, 95% confidence interval 0.81 to 0.881, P <.0001). Moderate positive correlation was observed between ICON ® and TTE for CI (r = 0.60, 95% confidence interval 0.515 to 0.674, P <.0001).

Linear regression equations for CO and CI between ICON ® and TTE were: y = 0.5230 + 0.8078 X (R2 = 0.6597, P <.001) and y = 1.8350 + 0.5869 X (R2 = 0.3985, P <.001) [y- ICON ®; X - TTE], respectively.

BlandAltman plot for CO between ICON ® and TTE showed a bias of 0.3012 with limits of agreement (LOA) being -0.69 to 1.3 and for CI bias was 0.6939 with LOA-2.1 to 3.5.

Polar plot analysis showed an angular bias of 8.1750, with radial LOA being −13.74° to 30.08° for CO and angular bias of 6.6931, with radial LOA being −15.69° to 29.07° for CI.

Conclusion:

ICON ® monitor-derived parameters are not interchangeable with the values derived from TTE. However, the ICON ® monitor demonstrated a good trending ability for both CO and CI.
Impact of fluid and haemodynamic management in cytoreductive surgery with hyperthermic intraperitoneal chemotherapy on postoperative outcomes – A systematic review
Authors: Solanki Sohan Lal , Maurya Indubala , Sharma Jyoti
Published: October 2023

Background and Aims:

Cytoreduction surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an extensive surgery associated with significant fluid shift and blood loss. The haemodynamic management and fluid therapy protocol may impact postoperative outcomes. This systematic review was conducted to find the effect of haemodynamic monitoring and perioperative fluid therapy in CRS-HIPEC on postoperative outcomes.

Methods:

We searched PubMed, Scopus and Google Scholar. All studies published between 2010 and 2022 involving CRS-HIPEC surgeries that compared the effect of fluid therapy and haemodynamic monitoring on postoperative outcomes were included. Keywords for database searches included a combination of Medical Subject Headings terms and plain text related to the CRS-HIPEC procedure. The risk of bias and the certainty assessment were done by Risk of Bias-2 and the methodological index for non-randomised studies.

Results:

The review included 16 published studies out of 388 articles. The studies were heterogeneous concerning the design type and parameter measures. The studies with goal-directed fluid therapy protocol had a duration of intensive care unit (ICU) stay that varied from 1 to 20 days, while mortality varied from 0% to 9.5%. The choice of fluid, crystalloid versus colloid, remains inconclusive. The studies that compared crystalloids and colloids for perioperative fluid management did not show a difference in clinical outcomes.

Conclusion:

The interpretation of the available literature is challenging because the definitions of various fluid regimens and haemodynamic goals are not uniform among studies. An individualised approach to perioperative fluid therapy and a justified dynamic index cut-off for haemodynamic monitoring seem reasonable for CRS-HIPEC procedures.
Comparison of ultrasound-guided transversalis fascia and posterior transversus abdominis plane block for postoperative analgesia following caesarean delivery: A double-blinded randomised controlled trial
Authors: R Sripriya , G Janani , T Sivashanmugam
Published: October 2023

Background and Aims:

Posterior–transversus abdominus plane (TAP) block and transversalis fascia plane (TFP) block have been used for postoperative analgesia following caesarean delivery. We compared the analgesic efficacy of the TAP vs TFP plane blocks in patients undergoing elective caesarean delivery.

Methods:

We randomised 90 women undergoing caesarean delivery under spinal anaesthesia to receive either a posterior-TAP (Group-TAP), TFP (Group-TFP) or no block (Group-C) postoperatively. The primary objective was the postoperative analgesic requirements. Secondary objectives were duration of analgesia, pain scores and infra-umbilical sensory loss, which were recorded at specific intervals for 24 h. Statistical analysis was carried out using Statistical Package for Social Sciences version 16.0 software.

Results:

The patients requiring one, two or nil rescue analgesics were comparable between the interventions and the control (P = 0.32). The duration of analgesia was longer in Group-TAP when compared to Group-C, 4.76 (1.2) vs. 6.89 (2.4); P < 0.001, whereas Group-TFP, 5.64 (2.1) h, was not significantly different from Group-C. The static pain score in Group-TAP was significantly less than that in Group-C at 4 h and beyond 12 h (P < 0.001), whereas Group-TFP was comparable with Group-C at all time points except at 4 h and 24 h (P = 0.002). Only Group-TAP demonstrated midline infraumbilical sensory loss.

Conclusion:

TAP and TFP blocks did not decrease the rescue analgesic requirement compared with the control group. The posterior-TAP block prolonged the duration of analgesia by 2 h, maintained the median static pain score at 0 beyond 12 h, and demonstrated sensory loss at the infraumbilical dermatomes.
Association between fitness tracker use, physical activity, and general health of adolescents in Eastern Province of Saudi Arabia
Authors: AlSayegh Layla A. , Al-Mustafa Maria S. , Alali Ali H. , Farhan Manal F. , AlShamlan Nouf A. , AlOmar Reem S.
Published: October 2023

BACKGROUND:

Physical inactivity is a major problem of adolescents worldwide. Fitness trackers are widely used technologies that assess physical activity and allow self-monitoring of daily activities. Thirty-five percent of the Saudi population is made up of adolescents, which makes them an important target population. Few studies have evaluated the association of fitness trackers with physical activity levels of adolescents. This study aimed to evaluate physical activity among adolescents and its relationship to their use of fitness trackers and overall health.

MATERIALS AND METHODS:

A cross-sectional study was carried out among adolescents in middle and high schools in the Eastern Province. Data was collected using a structured questionnaire and physical activity was assessed using International Physical Activity Questionnaire for Adolescents. Chi-square test and ANOVA were performed to test for statistical significance. Unadjusted and adjusted odds ratios (ORs) were obtained through ordered logistic regression models. Model diagnostics were run as post hoc analyses.

RESULTS:

Majority of participants (82.6%) had low physical activity levels, 12.2% had moderate and 5.2% had vigorous activity level. The model revealed that as participants’ ages increased, the odds of having higher levels of physical activity decreased (OR = 0.92; 95% confidence interval [CI]: 0.85–0.99). Moreover, participants who did not go to a gym regularly or own a fitness tracker were less likely to have higher physical activity levels (OR = 0.43; 95% CI:0.30–0.61, and OR = 0.44; 95% CI: 0.33–0.59, respectively). Motivation for using fitness trackers was mostly “no specific reason” for females. However, “luxury and esthetics” were mostly reported by males.

CONCLUSION:

Physical activity tends to be higher in younger adolescents who use fitness trackers, or go to the gym regularly, with no significant difference between males and females. However, the motivation behind adolescents’ use of fitness trackers varied by gender.
Risk factors associated with fatal thrombosis in hospitalized coronavirus disease 2019 (COVID-19) patients on anticoagulant therapy
Authors: Kaliyeva Sholpan , Yukhnevich Yekaterina , Myasnikova Zhanna , Simokhina Natalya , Dyussembaeva Nailya , Bikbatyrova Yuliya , Drobchenko Yelena , Sagadatova Torgin , Semenikhina Polina
Published: October 2023

BACKGROUND:

The purpose of this study was to determine the factors that increase the risk of fatal thrombotic events in hospitalized coronavirus disease 2019 (COVID-19) patients receiving standard therapy according to the National Clinical Practice Guidelines (National Guidelines).

MATERIALS AND METHODS:

In this case–control study, cases included 83 adults with COVID-19 who had died from thrombosis and controls comprised 83 COVID-19 patients with comparable criteria who survived. Data was abstracted by reviewing the medical records of selected patients and analyzed using Statistica. Parametric and non-parametric tests, as appropriate, were used to compare continuos variables between cases and controls, whereas Chi-square test was employed to compare categorical variables. Odds ratio (OR) was also calculated to measure the strength of association of case status and various independent variables.

RESULTS:

Fatal outcomes were higher in patients with chronic tubulointerstitial nephritis, (OR = 2.4, 95% CI 1.2–4.9); obesity, (OR = 2.1, 95% CI 0.5–8.6); and coronary heart disease (OR = 1.6, 95% CI 0.8–3.2). In the group with a D-dimer level from 250 to 1000 ng/ml, a statistically significant moderate positive correlation was found between the day of death and D-dimer level (P = 0.026). The lack of use of the PADUA Prediction Score for the risk of venous thromboembolism scale (PADUA Scale) and control of laboratory parameters (APTT and D-dimer) were associated with increased risk of fatal outcome. Overall, 19.2% cases and 8.4% of controls had no coagulation control; (OR = 2.6, 95% CI 1–6.7).

CONCLUSION:

Chronic tubulointerstitial nephritis, obesity, and coronary heart disease were associatied with fatal thrombosis. A slight elevation of D-dimer level, lack of the PADUA Scale and laboratory monitoring in the management of hospitalized patients with COVID-19. was associated with an increased risk of thromboembolism.
Accuracy of body mass index compared to whole-body dual energy X-ray absorptiometry in diagnosing obesity in adults in the Eastern Province of Saudi Arabia: A cross-sectional study
Authors: Alqarni Amani M. , Aljabr Abdullah S. , Abdelwahab Moataza M. , Alhallafi Ahmed H. , Alessa Mustafa T. , Alreedy Abdullah H. , Elmaki Sara A. , Alamer Naheel A. , Darwish Magdy A.
Published: October 2023

BACKGROUND:

Obesity is a major health concern that requires accurate diagnosis and management. Body mass index (BMI) commonly used to diagnose obesity, has limitations in accurately assessing body fat. Body fat percentage (BF%) from whole-body dual energy X-ray absorptiometry (DEXA) scans is gaining popularity as a more accurate method in diagnosing obesity.

MATERIALS AND METHODS:

This cross-sectional study included 319 adult patients who underwent whole-body DEXA scans in the Eastern Province of Saudi Arabia from May 2016 to December 2021 were recruited from three medical centers, where data for whole-body DEXA were available. Body fat percent was obtained from the whole-body DEXA scan reports and were compared to BMI to evaluate prevalence of obesity. Data was extracted by reviewing patients’ records using a structured data collection tool. BMI was defined using WHO criteria, and diagnostic performance was assessed by estimating specificity, sensitivity, likelihood ratios, and predictive values, and by constructing receiver operating characteristic (ROC) curves for BMI to detect obesity by age group.

RESULTS:

The gender-specific BF% cutoff points revealed a higher prevalence of obesity than BMI cutoff points. BMI misclassified 40.6% of participants, and optimal cutoff points yielding highest area under the curve were 24 kg/m2 and 24.3 kg/m2 for males and females, respectively.

CONCLUSION:

The study underscores the importance of using accurate and comprehensive diagnostic tools such as whole-body DEXA scans to assess obesity.
„In vitro“ and „in silico“ assessment of anti-inflammatory activity of cocoa powders
Authors:   University of Kragujevac, Institute for Information Technologies, Serbia, Katanić Stanković Jelena S. , Todorović Vanja ,   University of Belgrade, Faculty of Pharmacy, Serbia, Đorović Jovanović Jelena ,   University of Kragujevac, Institute for Information Technologies, Serbia, Marković Zoran ,   University of Kragujevac, Institute for Information Technologies, Serbia, Krstić Sanja ,   University of Graz, Institute of Pharmaceutical Sciences, Austria, Dabetić Nevena ,   University of Belgrade, Faculty of Pharmacy, Serbia, Šobajić Slađana ,   University of Belgrade, Faculty of Pharmacy, Serbia, Bartoszek Agnieszka ,   Gdansk University of Technology, Faculty of Chemistry, Department of Food Chemistry, Technology and Biotechnology, Poland, Maksimović Zoran ,   University of Belgrade, Faculty of Pharmacy, Serbia, Bauer Rudolf ,   University of Graz, Institute of Pharmaceutical Sciences, Austria
Published: October 2023

Plants are considered the major sources of biologically active compounds, which provide unlimited opportunities for their use either as medical treatments or as novel drug formulations. Cocoa powder is frequently used in nutrition and is known to have many benefits thanks to its wide range of biological activities. The presented study was focused on the evaluation of the anti-inflammatory potential of extracts obtained from cocoa powder. In vitro assays were employed to evaluate the level of inhibition of cyclooxygenases-1 and -2 activities (COX-1 and COX-2) by tested extracts. Molecular docking was used for in silico prediction of cyclooxygenase isoforms inhibition by selected cocoa powder constituents. The results showed that all tested extracts exerted much higher potential in inhibiting COX-2 activity and may be considered in use as selective inhibitors of COX-2 enzyme. On the other hand, in silico study shows quercetin and clovamide as the compounds with the highest potential to inhibit both COX-1 and COX-2.
Prevalence of radon and metals in natural springs in the Sokobanja area
Authors:   University of Pristina in Kosovska Mitrovica, Faculty of Sciences and Mathematics, Serbia, Vučković Biljana , Penjišević Ivana ,   University of Pristina in Kosovska Mitrovica, Faculty of Sciences and Mathematics, Serbia, Todorović Nataša ,   Univesity of Novi Sad, Faculty of Science, Department of Physics, Serbia, Nikolov Jovana ,   Univesity of Novi Sad, Faculty of Science, Department of Physics, Serbia, Gulan Ljiljana ,   University of Pristina in Kosovska Mitrovica, Faculty of Sciences and Mathematics, Serbia, Stajić Jelena M. ,   University of Kragujevac, Institute for Information Technologies, Serbia, Nikić Biljana ,   University of Kragujevac, Institute for Information Technologies, Serbia
Published: October 2023

In this study, radon concentrations in natural springs were measured at 9 locations in the area of Sokobanja, using a RAD-7 radon monitoring system (DURRIDGE Co., USA). The average value of radon concentration was 19.6 Bq/l. Annual effective doses due to ingestion and inhalation of radon in water were calculated. Concentrations of metals were measured using the ICP OES technique by EPA 200.7:1994 method and their mean values were: Ca – 80.8 mg/l, Na – 8.7 mg/l, Mg – 8.6 mg/l, K – 1.8 mg/l and Pb – 0.002 mg/l. Based on the results obtained in the study and the reference levels recommended for the parameters under consideration, water from Sokobanja natural sources can be considered safe for drinking.
Investigation of the possibility of interaction between lithium fluoride clusters and boron using LDI MS
Authors:   University of Belgrade, Department for Physical Chemistry, VINČA Institute of Nuclear Sciences - National Institute of the Republic of Serbia, Serbia, Veljkovic F. , Drakulic D. ,   University of Belgrade, Department for Molecular Biology and Endocrinology, VINČA Institute of Nuclear Sciences - National Institute of the Republic of Serbia, Serbia, Todorovic A. ,   University of Belgrade, Department for Molecular Biology and Endocrinology, VINČA Institute of Nuclear Sciences - National Institute of the Republic of Serbia, Serbia, Pejic S. ,   University of Belgrade, Department for Molecular Biology and Endocrinology, VINČA Institute of Nuclear Sciences - National Institute of the Republic of Serbia, Serbia, Bobic K. ,   University of Belgrade, Department for Molecular Biology and Endocrinology, VINČA Institute of Nuclear Sciences - National Institute of the Republic of Serbia, Serbia, Stajcic I. ,   University of Belgrade, Department for Physical Chemistry, VINČA Institute of Nuclear Sciences - National Institute of the Republic of Serbia, Serbia, Pajovic S. ,   University of Belgrade, Department for Molecular Biology and Endocrinology, VINČA Institute of Nuclear Sciences - National Institute of the Republic of Serbia, Serbia, Velickovic S. ,   University of Belgrade, Department for Physical Chemistry, VINČA Institute of Nuclear Sciences - National Institute of the Republic of Serbia, Serbia
Published: October 2023

It is known that the “superalkali” cluster Li2F can significantly improve the hydrogen storage capabilities in carbon materials; boron compounds play a similar role. However, the possibility of interactions of lithium fluoride clusters with boron and hydrogen has not been investigated so far. In this work, a laser desorption/ionization mass spectrometry (LDI MS) was used for this purpose. Preliminary results showed that the interaction between the “superalkali” Li3F cluster, boron and six hydrogen atoms is possible; the ion Li3FBH6+ was detected. Non-stoichiometric clusters of lithium fluoride can also combine with boron and hydrogen in the following manner: Li5F2BH5+ Li5F3BH2+ Li4F5BH4+ Li6F2B6H+, and Li8F6H+.
Dose compensation algorithm in radiotherapy planning
Authors:   University of Kragujevac, Faculty of Medical Sciences, Serbia, Milosavljević Neda , Živković Radojević Marija ,   University of Kragujevac, Faculty of Medical Sciences, Serbia, Stojanović Darko ,   University Clinical Center Kragujevac, Kragujevac, Sebia, Spasić Marko ,   University of Kragujevac, Faculty of Medical Sciences, Serbia
Published: October 2023

Pauses in radiotherapy treatment is a significant problem that affects overall treatment time – a predictor of tumor proliferation and definitive patient outcome and demands a decision-making tool for optimizing doses between healthy tissue and target volumes. During prolonged radiotherapy interruptions, linear-quadratic model showed inadequacy in predicting tumor proliferation. We have developed a radiobiology algorithm applied for dose compensating, providing multiple options for dose compensating due to prolonged pauses. Based on linear-quadratic (LQ) model providing, in specific cases, orientational values for tumors and organs at risk (OAR), we developed a radiobiology calculator that can be used in dose compensation, giving more than one option in correcting biological effective dose (BED) due to prolonged pauses. Generic OAR offers the opportunity to individualize α/β ratio for any organ at risk or tumor. Seven cancer patients who experienced radiotherapy treatment delays, for more than two weeks, are included in this research. The developed algorithm offers the radiation oncologist optimal modality choice and can be a helpful tool for overcoming long delays, except for patients whose treatment interruptions occur at the end of radiation treatment and for patients with fast proliferating tumors. During this course of treatment, none of the included patients manifested severe acute radiotherapy adverse events. The dose compensating algorithm can be a useful tool for dose calculations with optimal healthy tissue sparing, but large prospective studies are necessary to confirm the benefit.
The Impact of COVID-19 on Patient Preferences in an Orthopaedic Clinic
Authors: Carreira Dominic S
Published: October 2023

Introduction/Purpose: Patient preferences for physician greeting method and attire are impactful but often overlooked aspects of the patient experience, which may be affected by the COVID-19 pandemic. In addition, the use of telemedicine as an alternative to clinical care has become increasingly relevant to follow social distancing guidelines. This study evaluates the effects of the COVID-19 crisis on patient preferences for an orthopaedic surgeons’ attire, greeting and perception of telemedicine during outpatient visits.

Methods: A multi-center collaboration prospectively collected surveys to evaluate patients presenting with an orthopaedic pathology to one of five outpatient orthopaedic clinics in the United States from June 2020 through August 2020. This survey assessed patient opinions regarding physician attire, greeting method and willingness to use telemedicine. A cross-sectional cohort analysis evaluates these preferences and the effect of the COVID-19 pandemic on them.

Results: 412 patients were surveyed. 46% of patients reported preferring a no-contact greeting and 40% of patients stated no preference. 57% of patients reported that COVID-19 affected their preferred greeting. Almost 50% of respondents noted neither like nor dislike regarding physician attire options presented and 89% stated that this preference was not impacted by COVID-19. Although most patients or a family member had not utilized a telemedicine visit (65%), 56% of patients reported a willingness to use telemedicine in the future.

Conclusion: This study highlights the impact of the COVID-19 pandemic on patient preferences. Most patients preferred a no-contact greeting or had no preference, responses that were influenced by the COVID-19 pandemic. COVID-19 did not impact patient preferences for specific doctor attire, but patients favored options including a white coat. A majority of patients expressed willingness to utilize telemedicine.
OSMANLI DEVLETİ'NDE BOLŞEVİZM ALGISI ve BOLŞEVİK TESİRLER
Authors: BAYTAL Yaşar
Published: October 2023

1917 Bolşevik Devrimi, Rusya’nın bir iç meselesi olarak doğmuş ve zamanla birçok devleti derinden etkilemiştir. Savaşın başından itibaren Rusya’daki genel durum hakkındaki bilgilere yer veren Osmanlı basını, Devrimin çıkışıyla birlikte Rusya’daki iç durumla daha yakından ilgilenmeye başlamıştır. Ancak basın, olayları bütüncül bir yaklaşımla ele almaktan ziyade sulh ve Osmanlı-Rus ilişkileri çerçevesindeki değerlendirmelere daha çok yer vermiştir. Bu durum, Rusya’daki Devrimin temel ideolojisinin anlaşılmasını güçleştirmiştir.

İşgale karşı ulusal direnişin başlamasıyla birlikte Bolşeviklerin Anadolu’ya ilgisi giderek artmıştır. İşgalcilere karşı direnen Türk ulusalcıları için Bolşevik yardımlar, kritik öneme sahiptir. Bu yüzden Bolşevik yönetimle iyi ilişkiler kurulmak istenmiştir. Bu süreçte Anadolu’da sola yatkın davranışlar, Bolşeviklerin de etkisiyle yayılma imkânı bulmuştur. Ancak Bolşevik düşünceyi gayrı milli bulan Mustafa Kemal Paşa, bu tür davranışların Anadolu’da vücut bulmasına izin vermemiştir. Bolşeviklerle olan ilişkiler, iki müstakil devletin ittifak esasları çerçevesinde yürütülmesine özen gösterilmiştir.

Bu çalışmada Bolşevik Devrimin Osmanlı Devleti üzerinde bıraktığı tesirler üzerinde durulmuştur. Bu tesirlerin, işgal dönemi İstanbul ve Anadolu’daki yansımaları ayrı ayrı ele alınmış; Bolşevik düşüncesinin etkisi ve kapsamı değerlendirilmeye çalışılmıştır. İşgale karşısında Anadolu’da ulusal direnişin başlamasıyla birlikte Bolşeviklerin Anadolu’ya yönelmesinin temel nedenleri yine bu çalışmada ele alınmıştır. Anadolu’daki bağımsızlık mücadelesinin yankıları sürerken Bolşeviklerin Anadolu’daki faaliyetleri ve sonuçları üzerinde durularak Sakarya Savaşına kadar Türk-Bolşevik ilişkilerinin genel seyri hakkında genel değerlendirmeler yapılmıştır.
ATATÜRK’ÜN PERSPEKTİFİNDEN TBMM VE 1921 TARİHLİ TEŞKİLÂT-I ESÂSİYE KANUNU
Authors: DEMİR Enes
Published: October 2023

Birinci Dünya Savaşı sonrası Osmanlı toprakları, birçok cihetten işgal edilmiş; başkent İstanbul’un da resmen işgaliyle hükûmet işlevsiz bırakılmıştır. Bunun üzerine, Millî Mücadele Hareketi’nin öncülüğünde Ankara’da Büyük Millet Meclisi (TBMM) 23 Nisan 1920’de açılmıştır. Kritik bir dönemde önemli görevler üstlenen TBMM, 20 Ocak 1921’de egemenliğin millete ait olduğunu resmileştiren Teşkilât-ı Esâsiye’yi yürürlüğe koymuş; böylece Cumhuriyet’e giden yolu da açmıştır.

Bu kapsamda makalede, Millî Mücadele’nin icra organı TBMM’nin üstlendiği fonksiyon ile hazırladığı Teşkilât-ı Esâsiye’nin yeri ve önemi, bu mücadelenin lideri Mustafa Kemal Paşa’nın (Atatürk) perspektifinden ele alınmıştır. Böylece Millî Mücadele’de TBMM ve Anayasasının, Cumhuriyete giden yoldaki belirleyici etkisinin ortaya konulması hedeflenmiştir. Nitel analiz yöntemiyle hazırlanan çalışmanın kaynaklarını Atatürk’e ilişkin başvuru eserleri ile bu alandaki literatür ihtiva etmektedir.
ATATÜRK DÖNEMİ KILIK KIYAFET DÜZENLEMELERİ VE TOPLUM ÜZERİNDEKİ ETKİLERİ
Authors: YILDIRIM Tuncay
Published: October 2023

Kılık kıyafet; insanların tutum ve davranışları üzerinde önemli bir göstergedir. İklim,

coğrafya, tabiat şartları, dini inanışlar, kültürel değerler kılık kıyafeti etkileyen unsurlardır.

Ayrıca, Kılık kıyafet insanların, mevkiini, cinsiyetini, milliyetini, bölgesini, ait olduğu

kabilesini, medeniyetini, inanç, duygu ve düşüncesini de ortaya koymaktadır.

Mustafa Kemal Atatürk Türkiye Cumhuriyeti’ni kurduktan sonra toplum düzenini

değiştiren köklü inkılâpları hayata geçirmiştir. Bunlardan biride Kılık Kıyafet inkılâbıdır.

Kılık kıyafet inkılâbının amacı toplumu çağdaşlaştırmak, dış görünüşü ile de modernleştirmek

olduğu kadar bu dönemde kıyafetteki karmaşayı da ortadan kaldırmaktır. Atatürk

gerçekleştirdiği inkılâpları, Osmanlı İmparatorluğunu geri bıraktıran doğu zihniyetini

değiştirmek için araç olarak kullanmıştır. Kılık kıyafet inkılâbının halka benimsetilmesi de

bunun bir örneğidir. Zihniyetin değiştirilmesi insanların tutum ve davranışlarının yani

kültürel değerlerinin değiştirilmesi demektir. Kültür değişiminde ise kimliğin, özgünlüğün ve

bütünlüğün değiştirilmemesi önem arz etmektedir.

Bu çalışmada; Eski Türklerden Atatürk döneminin sonuna kadar geçen sürede kılık

kıyafette yapılan reformlar, değişiklikler ile çıkarılan kanunlar ve yöntemler konu edinilmiş

bu inkılâp gerçekleştirilirken kişi ve toplum üzerindeki psikolojik ve sosyolojik etkileri ele

alınmıştır.
MAINTENANCE BRIGADE STRATEGIC PLANNING AND ORGANIZATIONAL CHANGE
Authors:   Department of Mechanical and Aerospace Engineering, University of Uyo, Nigeria, Akpan W.A. , Usungurua E.O. ,   Department of Mechanical Engineering, Akwa Ibom Polytechnic,Ikot Osurua, Ikot Ekpene, Nigeria, Ukut A.I. ,   Department of Mechanical Engineering, Akwa Ibom Polytechnic,Ikot Osurua, Ikot Ekpene, Nigeria, Hanson A.E. ,   Department of Mechanical and Aerospace Engineering, University of Uyo, Nigeria
Published: October 2023

This research paper addresses the problem of maintenance planning and scheduling in hospital maintenance. It discusses the effective utilization of mechanics in strategic maintenance planning advocates the use of relay-type of maintenance brigade system (MBS), a system-based mechanic assignment techniques based on self-balancing bucket system created by Bartholdi and Eisenstein was thus adopted and tested. The MBS was compared to traditional assignment techniques via mechanic availability and mechanic utilization each at different levels according to maintenance performance assessment values. The results obtained with MBS showed some improvements compared to the traditional method of maintenance. The MBS had performance, utilization and productivity scores of: 91.7%, 92.3%,93.2% respectively compared to 71.4%, 69.2%, 69.2% respectively. The replacement time to service power generating set1 using MBS was approximately eleven hours lesser than the actual time compared to the traditional method.
Asherman's Syndrome: A Comprehensive Review of Pathophysiology, Diagnosis, and Treatment Strategies
Authors:   Universidad Autonoma de Guadalajara. Guadalajara, Jalisco, México., Ruvalcaba Aranza Vazquez , Melendres Miriam Pineda ,   Universidad Autonoma de Guadalajara. Guadalajara, Jalisco, México., Gutierrez Fitzgerald Osuna ,   Universidad Autonoma de Guadalajara. Guadalajara, Jalisco, México., de Alba Saulo Emmanuel Gomez ,   Universidad Autonoma de Guadalajara. Guadalajara, Jalisco, México., Vazquez Flores Carlos Eduardo ,   Universidad Autonoma de Guadalajara. Guadalajara, Jalisco, México.
Published: October 2023

Asherman's Syndrome, also known as intrauterine adhesions or synechiae, is a rare but clinically significant condition characterized by the formation of fibrous tissue within the uterine cavity, resulting in adhesions and obliteration of the endometrial cavity. This condition often leads to a spectrum of menstrual disturbances, infertility, and recurrent pregnancy loss. The purpose of this comprehensive review article is to elucidate the multifaceted aspects of Asherman's Syndrome, encompassing its pathophysiological mechanisms, diagnostic challenges, and various treatment modalities. A thorough understanding of this syndrome is crucial for healthcare providers to offer optimal care and management options to affected patients, ultimately improving their reproductive outcomes and quality of life.
Juridical Review of International Law Aspects Regarding the Failure of the Lawsuit to Ban Indonesian Nickel Exports in WTO Filed by the European Union
Authors:   Master of Laws, Faculty of Law, Diponegoro University, Indonesia, Samosir Risna Theresia Br , S.H., M.Hum Dr. Joko Setiyono, ,   Master of Laws, Faculty of Law, Diponegoro University, Indonesia
Published: October 2023

The conflict that occurred between the European Union, which sued Indonesia at the WTO regarding the nickel export ban, is an issue that can be analyzed from an international law perspective. The analysis aims to examine the failure of the lawsuit against Indonesia's nickel export ban filed by the European Union and its implications under international trade law for Indonesia. This research adopts a normative legal research approach. The impacts felt by Indonesia due to the failure of the lawsuit filed by the European Union at the WTO include effects on mining downstream industries, consequences for foreign investors, and environmental impacts resulting from meeting nickel export demands. Consequently, in conclusion, the trade dispute between Indonesia and the European Union has not reached a final resolution. However, Indonesia hopes that the resolution of the trade dispute between Indonesia and the European Union does not escalate to the retaliation stage and ultimately results in a win-win solution for both parties.
Deliberative Security: Policy Making for the Police Based on Deliberative
Authors:   The Member of National Police Indonesia, Tabrani Dedy
Published: October 2023

The paper puts forward of approache which will help to promote Evidence Based Policy (EBP) in decision about of security policy.The aim of this paper is to identify lessons and approaches from EBP in developing democratic security. In a deliberative security framework, the policy formulation process not only emphasizes the protection and fulfillment of human rights, but also provides public space for society to be actively involved in the formulation and evaluation of policies in the security sector. This article uses the Evidence Based Policy (EBP) approach which to informs the policy process, rather than aiming to directly affect the eventual goals of the policy. Security is related to socio-political values and security is a process of negotiation and contestation, so a process involving society or deliberative security is needed.
The Reform of Customary Law of Succession Act in contemporary South Africa
Authors: Osman Fatima
Published: October 2023

Historically, the customary law of intestate succession was a flexible system of law that prioritised the well-being of the family. The law was distorted during the colonial and apartheid eras to focus on the individual inheritance of property. In 2010, the South African legislature passed the Reform of Customary Law of Succession and Regulation of Related Matters Act 11 of 2009 – which applies the Intestate Succession Act 81 of 1987 – to regulate the devolution of estates of individuals who live according to customary law and die intestate. This article examines whether the current framework adequately addresses the needs of contemporary South African society. It argues that the prioritisation of the nuclear family for inheritance may be out of sync with the myriad ways in which families are formed and that the Master of the High Court should be given a discretion in the distribution of an estate. This will undoubtedly result in uncertainty but may ameliorate some of the shortcomings of a fixed, rules-based system of inheritance that does not reflect contemporary society. Tshivenḓa: Ḓivhanizwakale, mulayo wa mbingano ya tshirema wa uri muthu a lovha ndaka yawe i ḓo kovhiwa vhukati ha mufumakadzi, vhana, vhabebi na vharathu wo vha u sisiṱeme ya vhutepe ya mulayo une wa vhea phanḓa mutakalo na mvelaphanḓa ya muṱa. Mulayo wo khakhiswa nga tshifhinga tsha koloni na tsha khethululo u itela u sedzesa kha vhuḽaifa ha ndaka ha muthu muthihi. Nga 2010, vhusimamilayo ha Afurika Tshipembe ho phasisa Mulayo wa Khakhululo ya Mulayo wa Mbingano ya Tshirema wa Vhuḽaifa na Ndaulo ya Mafhungo a re na Vhushaka nazwo wa 11 wa 2009 – une wa shumisa Mulayo wa u Kovha Ndaka Vhukati ha Vhaḽaifa wa 81 wa 1987 – u laula u fhiriselwa ha ndaka ya vhathu vho lovhaho vhane vha tshila u ya nga mulayo wa mbingano ya tshirema vha lovha vha so ngo sia wiḽi. Athikili iyi i ṱola arali muhanga wa musalauno u tshi dzudzanya zwavhuḓi ṱhoḓea dza tshitshavha tsha MaAfurika Tshipembe tsha musalauno. U ṱaṱa uri u vhewa phanḓa ha tshigwada tsha muṱa u itela u vhuḽaifa a zwi tsha tendelana na nḓila dzine zwigwada zwa miṱa zwa vhumbwa ngayo na uri Ṱhoho ya Khothe ya Nṱha u fanela u ṋewa maanḓa a u dzhia tsheo kha u kovha ndaka ya mufu. Izwi zwi hu si na u timatima zwi ḓo ḓisa u sa vha na vhuṱanzi fhedzi zwi nga ḓisa u fushea kha zwiṅwe zwa vhukolikoli ha sisiṱeme yo vhewaho, yo ḓisendekaho kha milayo ya vhuḽaifa vhune ha si bvisele khagala tshitshavha tsha musalauno.
Pengaruh Harga dan Kualitas Produk terhadap Loyalitas Pelanggan Melalui Kepuasan Pelanggan sebagai Variabel Intervening
Authors: Asma'ul Khusna Elda Fitra , Nirawati Lia
Published: October 2023

This study aims to determine the effect of price and product quality on customer loyalty through customer satisfaction as an intervening variable on @vivo_indonesia Instagram followers. This type of research is quantitative research, while in this study, the population used is the @vivo_indonesia Instagram account which has 857,171 followers, with the sampling technique using purposive sampling. Data was collected through a questionnaire with descriptive and inferential statistical analysis techniques using the Smart-PLS 4.0 program. Based on the results of this study, it is concluded that price has a positive and significant effect on customer satisfaction. Product quality has a positive and significant effect on customer satisfaction. Customer satisfaction has a positive and significant effect on customer loyalty. Price has a positive and insignificant effect on customer loyalty. Product quality has a positive and significant effect on customer loyalty. Price has a negative and significant effect on customer loyalty through customer satisfaction. Product quality positively and significantly affects customer loyalty through customer satisfaction.

Keywords: Price, Product Quality, Customer Satisfaction, Customer Loyalty
Pemulihan Ekonomi Kota Pontianak melalui Digitalisasi UMKM Berbasis Ekonomi Kreatif
Authors: Suhedi Suhedi , Alfarisi Muhammad Adib
Published: October 2023

Economic issues within society become subjects of rigorous debate, especially in times of crisis such as the COVID-19 pandemic. Various recovery initiatives are undertaken by both governmental entities and the private sector, aimed at expediting the process of digital transformation within the micro, small, and medium enterprises (MSMEs) sector. This research is specifically focused on Pontianak City, situated in West Kalimantan, with the primary objective of fostering economic growth by harnessing the potential of MSMEs as a vehicle for swift recovery and the facilitation of a digitalized creative economy. This study employs William F. Gluk's theory on the economic marketing strategies employed by companies operating within the specific environmental challenges they face to attain their objectives. The authors employ qualitative research methods to comprehensively analyze and interpret the social and community issues associated with this endeavor. The findings of this research indicate that MSMEs in Pontianak City possess considerable potential for augmenting productivity and enhancing competitiveness. Consequently, the local products and services generated exhibit a distinctive competitive advantage, rendering them capable of penetrating the national-scale market. Furthermore, the authors contend that Pontianak City, being the provincial capital and a prominent business hub within West Kalimantan, enjoys the support of numerous factors, including its sizable population and the accelerating digitalization trend. This, in turn, catalyzes the growth of the local wisdom economy within a digital marketplace framework. Consequently, the economy of Pontianak City is poised for long-term development, driven by the rapid and sustained transformation ushered in by digitalization.
Analisis Literasi Keuangan dan Self Efficacy terhadap Personal Financial UMKM di Bangkalan Madura
Authors: Camelia Nabila Putri , Sudarsono Bambang , Kurniawan Moh. Zaki
Published: October 2023

The large number of MSMEs in Indonesia means that micro and medium scale businesses drive 60.51% of the economy, although it is not uncommon to find MSMEs who end up going out of business due to lack of financial management of their businesses. The conditions that occur in MSMEs in Indonesia are the focus of the problem in this research. Therefore, this research aims to examine and discuss the influence that the level of financial literacy and self-efficacy has on an individual's financial behavior. Along with the use of the purposive sampling method, the analysis used in this research is multiple linear regression analysis in the form of classic assumption tests, validity tests, reliability tests, hypothesis tests. In this research, it was found that financial literacy and self-efficacy have a significant influence on personal finance in MSMEs located in Bangkalan, Madura.
Akuntansi Hak dan Kewajiban: Refleksi Akuntansi Nelayan Juragan Muslim di Kawasan Teluk Tomini
Authors: Niswatin Niswatin , Yusuf Nilawaty , Arsyad Nur Fadilah , Olatapa Mohamad Yuda , Bahsuan Siti Aisyah
Published: October 2023

This research aims to reveal the meaning of accounting for muslim skipper fishermen in the tomini bay area. Symbolic interactionism is the research method used in this research. The symbolic interactionist approach is also used as a data collection technique as well as a unit of analysis. The data used are (1) the results of interviews with the boat owner as ship owners and retainers (2) results of observations of fishermen's activities and interactions with crew members and their environment (3) documents such as worksheets and financial reports. This research determines that there is a mutual need for interaction between the boat owner and the captain or crew member. Boat owner who has the right to share business profits fairly to the crew in the form of transparent accounting records and crew members who have the obligation to carry out their responsibilities to the boat owner.
Risk Management Strategies for Healthcare Organizations: A Comparative Analysis of Patient Safety Measures in Kenya
Authors: Kimani Peter
Published: October 2023

Purpose: The study sought to investigate the Risk Management Strategies for Healthcare Organizations: A Comparative Analysis of Patient Safety Measures in Kenya

Materials and Methods: The study adopted a desktop methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library

Results: The results revealed that risk management strategies play a crucial role in improving patient safety within healthcare organizations. By comparing different strategies, the research may highlight which ones are particularly effective in reducing errors and enhancing overall safety. The study also concludes that leadership styles and organizational culture have a significant impact on the success of risk management strategies. Healthcare organizations with supportive leadership and a culture of safety tend to perform better in patient safety measures.

Unique contribution to theory, practice and policy: The study recommends that there should be a culture of safety that encourages reporting of errors and near misses, learning from mistakes, and implementing solutions to prevent recurrence. A culture of safety can foster trust, transparency, and accountability among healthcare staff and patients. Conduct regular risk assessments to identify potential hazards, vulnerabilities, and threats to patient safety and organizational performance. Risk assessments can help prioritize areas for improvement, allocate resources, and monitor progress.
Contrastive Stress as an off-Record Politeness Strategy: An Analysis of Swahili and Lubukusu Languages
Authors: Neyole Eunice Nafula , Miruka Fridah , Amukowa Deborah N.
Published: October 2023

Interpretation of the intended meaning is an important factor to be considered by the interlocutors in any communicative event. Although a speaker chooses a strategy that enables the communication of the message in a well-interpreted manner, there by eliminating ambiguity, the same does not arise in the use of contrastive stress. Contrastive stress is a strategy that communicates off record politeness by giving out hints. This paper discusses contrastive stress as an off-record politeness strategy with reference to Kiswahili and Lubukusu languages. The Politeness theory founded by Brown & Levinson (1978) and later developed by them in 1987 was adopted for this study. Manguliechi’s oration from the Babukusu community and Bi. Msafwari’s oration from the Swahili community were the basis for analysis. This study relied on library recordings of Manguliechi’s orature and YouTube files of Mawaidhana Bi. Msafwari (Bi. Msafwari’s counsel). Analysis indicates that contrastive stress can function as an indirect politeness strategy through it’s characteristic use of free stress. Contrastive stress changes the intonation of the word in use thus giving a basis for more than one interpretation of meaning. The unusual emphasis is a hint which the speaker deliberately gives to the hearer in a given context. The paper concludes that identifying the intended meaning in contrastive stress is complex. The complexity arises due to the fact that contrastive stress has opposing functions within the same statement. This paper recommends that detection of the presuppositions in contrastive stress can reduce ambiguity and direct the hearer’s interpretation toward the intended meaning.