bluuebunny/crossref_metadata_2025 huggingface dataset:
Safety assessment: Cannabidiol (CBD) isolate as a novel food for use in a range of food categories including food supplements
Authors: Regulated Products Risk Assessment Team
Published: May 2024

An application was submitted to the Food Standards Agency (FSA) and Food Standards Scotland (FSS) in February 2021 from Cannaray Brands Ltd (“the applicant”) for the authorisation of cannabidiol (CBD) isolate as a novel food. The novel food is a >98% pure form CBD isolate which is intended to be used as a food ingredient in food supplements, beverages, and confectionary for adults. For CBD a provisional Acceptable Daily Intake (ADI) of 10 mg/day has been published by the FSA and was considered in assessing this novel food. The provisional ADI (section 2.7) was recommended, subject to the existing advice to consumers that pregnant and breastfeeding women and people taking any prescription medication should avoid the consumption of CBD. Consumers on regular medications should seek advice from a medical professional before using any type of CBD food product. In addition, children and prospective parents trying for a baby are advised against consumption of CBD, as are those who are immunosuppressed, due to remaining data gaps and residual uncertainties concerning the safety of CBD for these groups of consumers. These contraindications would also apply to this novel food. To support the FSA and FSS in their evaluations of the application, the Advisory Committee on Novel Foods and Processes (ACNFP) were asked to review the dossier and supplementary information provided by the applicant. Please note the Committee did not consider any potential health benefits or claims arising from consuming the food, as the focus of the novel food assessment is to ensure the food is safe, and not putting consumers at a nutritional disadvantage. The FSA and FSS concluded based on the advice of the ACNFP, that the applicant had provided sufficient information to assure the novel food, CBD isolate, was safe under the proposed conditions of use. The anticipated intake levels and the proposed use in foods and food supplements was not considered to be nutritionally disadvantageous. The views of the ACNFP have been taken into account in the regulatory assessment which represents the opinions of the FSA and FSS.
Analysis Study of Change Contract Order (CCO) Management on Construction Project Implementation Performance in Central Lombok Regency
Authors: Sayfuddin Sayfuddin , Syakirin Syakirin
Published: May 2024

In construction projects, both in the public and private sectors, the occurrence of risks, such as Contract Change Orders (CCOs), is common, posing challenges to project implementation. CCOs, reflecting uncertainties in project execution, can manifest at any stage of the project, from inception to completion. Within the construction projects undertaken by the Central Lombok PUPR Office, serving as the project owner, organizer, or government project stakeholder, CCOs frequently occur, indicating a significant area of concern. This study aims to identify the primary causal factors and influences of CCOs through the utilization of questionnaire surveys, bolstered by statistical analysis employing SPSS for Windows. Our findings reveal that the predominant causal factor contributing to CCOs is the 'increasing volume according to field needs,' representing 6.61% of the total factors identified. Furthermore, the influence of CCOs on project performance is notably impacted by 'increasing daily production,' accounting for 17.4% of the total influence observed. This research not only sheds light on the specific factors driving CCOs but also underscores their implications for the successful execution of construction projects in Central Lombok Regency. By understanding these dynamics, stakeholders can implement proactive measures to mitigate risks, enhance project management practices, and ultimately improve project outcomes.
Analysis of Factor Causing Nomophobia in Adolescents: A Meta- Analysis Study
Authors: Rahmah Aisya Alifa , Mustikawati Irma Finurina , Septianawati Paramita , Immanuel Glorio
Published: May 2024

This study aims to provide more in-depth knowledge of the underlying reasons, possible risk factors, and protective variables associated with nomophobia in this demographic group by combining data from various studies. The word “nomophobia” describes a group of actions or symptoms associated with smartphone use. It is considered a contemporary phobia caused by society's interaction with mobile information and communication technology, especially cell phones. Nomophobia, the fear or worry that arises when someone is separated from their smartphone, has become a problem in today's digitally connected culture. This research uses meta-analysis research methods. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) were used in this study. Studies published between 2013 and 2023 were the focus of the search. Factors that influence nomophobia include Duration of Smartphone Use, Dependence on Social Media and the Internet, Compulsive and Obsessive Behavior, Social Relationships and Mental Health, Mindfulness, and Demographic Factors such as gender, employment status, parental education, and level of education. The results of this search provide in-depth information about the characteristics and causes of nomophobia, highlighting the need for focused treatment and support networks to address this increasing problem among adolescents. This meta-analysis seeks to close this gap by methodically investigating the elements that lead to adolescent nomophobia.
Pengaruh Beban Kerja, Stres Kerja, dan Work-Life Balance terhadap Kepuasan Kerja serta Dampaknya pada Organizational Citizenship Behavior
Authors: Firdaus Regina Yusticia , Wiharno Herma , Fitriani Lili Karmela
Published: May 2024

In achieving success for a company/organization, human resources are one of the most important assets. Employees are not only required to be able to carry out work according to their duties, but employees are also required to have abilities outside of their duties which is called Organizational Citizenship Behavior. This research aims to analyze the influence of workload, work stress, and work-life balance on job satisfaction and its impact on organizational citizenship behavior (Study at PT. Global Jet Express, East Cirebon Region). The type of research used in this research is quantitative research with descriptive and verification methods, and the total sample was 288 employees of PT Global Jet Express in the East Cirebon Region with using non-probability sampling techniques. The analysis tool used is Structural Equation Modeling (SEM) with the help of the SmartPLS 4.0 program. The results of the research show that workload and work stress have no effect on job satisfaction or Organizational citizenship behavior, work-life balance and job satisfaction have a positive effect on job satisfaction and Organizational citizenship behavior, job satisfaction is not able to mediate between workload and Organizational citizenship behavior, job satisfaction unable to mediate between work stress Organizational citizenship behavior, and job satisfaction able to mediate between work-life balance and Organizational citizenship behavior.
EFFECT OF KECEMCEM (Spondias pinnata) EXTRACT ON ANGIOGENESIS OF GINGIVA AFTER CURETASE OF WISTAR RATS
Authors: Ramadhany Eka Pramudita , Adibah Media Sukmalia , Yanta I Ketut Suandika Dharma
Published: May 2024

Background: Curettage procedure cause wounds that require adjuvant therapy. One of adjuvant therapies used is hyaluronic acid. However, recently, several studies have focused on antioxidant and anti-inflammatory properties of various natural products such as the bark of  kecemcem tree (Spondias pinnata) which has protective effect against oxidative and inflammatory changes occurs during development of mucositis. Based on this, researchers were interested examining effect of giving kecemcem bark extract on formation of new blood vessels (angiogenesis) in gingiva after curettage.
Materials and Methods: Wistar rats were divided into 3 groups, negative control, positive control, and treatment group. Previously, rats had induced periodontal pockets by tying silk threads on mandibular incisors and after that they were curettage using a gracey curette. Negative control group was given CMC-Na, positive control group was given hyaluronic acid and treatment group was given 70% kecemcem bark extract gel. Rats were sacrificed on day 3, 5 and 7 and then histological preparations were made.
Results and discussion: Average number of new blood vessels in the treatment group was higher than  control group and positive control with  two-way ANOVA test showed that average number of new blood vessels in each group had significant difference (p<0.05). This supports hypothesis that compounds found in the bark of the kecemcem tree such as beta-sitosterol, phenols, and flavonoids have effect on increasing angiogenesis in gingival wounds after curettage of Wistar rats.
Conclusion: 70% kecemcem bark extract gel has effect on increasing angiogenesis in gingival wounds after curettage of Wistar rats.
QUANTITATIVE ANALYSIS OF THE COMPLETENESS OF GENERAL POLY OUTPATIENT MEDICAL RECORD DOCUMENTS AT COMMUNITY HEALTH CENTER I EAST DENPASAR
Authors: Adnyaswari Anak Agung Putri , Farmani Putu Ika , Wirajaya Made Karma Maha
Published: May 2024

Introduction:A medical record is a document containing data on the identity of the patient, examination, treatment, action, and other services that have been provided to the patient. The availability of medical records is also very influential in the process of services performed by the medical officer and can affect the quality and quality of the service of a means of health care. The purpose of the research is to find out the completeness of the completion of medical records on the general poli in Primary Health Care of East Denpasar I.
Materials and Methods: The design of research that uses quantitative descriptive in the UPTD Puskesmas I Department of Health Department of Eastern Denpasar district. A sample of as many as 100 medical records of street treatment on the general police. Indicators in quantitative analysis methods on medical record completion consist of identification review, report review, record review, and authentication review. Sampling technique using the method of systematic random sample (SRS). Data collection using checklist instruments.
Results and Discussions: A total of 100 samples of medical record documents in this study were filled in by 3 counter officers, 3 doctors and 3 nurses. The characteristics of the officers were 66.6% male, 100% had a bachelor's degree, 66.6% had worked <5 years, and 86.6% had attended training in filling out medical records. The results of the quantitative analysis show that the identity review is 100% complete, the reporting review is 0% complete, and the recording review is 76% complete, the authentication review is 100% complete. Incompleteness in the initial (subjective) assessment is low due to the biological, psychosocial, cultural and spiritual history not being filled in. Incompleteness in the initial (objective) assessment was low due to the items inspection, palpation, auscultation, abdominal circumference and Glasgow Coma Scale (GCS).
Conclussion: The lowest completeness was obtained in the review of both subjective and objective initial assessment reporting.
LASER-ASSISTED CROWN LENGTHENING: CLINICAL EFFICACY AND ADVANTAGES OVER CONVENTIONAL TECHNIQUES (SYSTEMATIC REVIEW)
Authors: Rieska Rachmasari , Fatimah Maria Tadjoedin
Published: May 2024

Introduction: Crown lengthening is a widely recognized dental procedure with both aesthetic and functional purposes. It involves the reduction of periodontal hard and soft tissues to obtain supracrestal tooth length, resulting in longer clinical crowns and adequate supracrestal tissue attachment. Laser therapy has emerged as a promising alternative that is currently developing in the field of periodontics and offers several advantages. This review aims to synthesize the current research on the clinical efficacy of laser-assisted crown lengthening procedures and highlight their advantages over conventional methods.
Review: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search was conducted in electronic databases PubMed, Scopus, Embase, and Google Scholar for human studies published from 2017 to April 2023. Out of 213 identified and screened studies, three original articles were included in the analysis. Two clinical trial studies used Er,Cr:YSGG while one study used Er:YAG for crown lengthening procedures involving gingiva and alveolar bone reduction, with a 3-month follow-up period. Compared to conventional crown lengthening, the laser-assisted approach showed comparable increases in clinical crown length. However, the laser-assisted group demonstrated better gingival margin stability, improved soft tissue healing, and minimal damage to adjacent tissues. Furthermore, there was a statistically significant lower bacterial load and less post-surgery pain with laser-assisted crown lengthening compared to the conventional method.
Conclusion: In cases where both gingival and bone reduction are required, laser-assisted crown lengthening using Er,Cr:YSGG and Er:YAG can be considered a minimally invasive alternative with several advantages over conventional procedures.
THE EFFECTIVENESS OF PLATELET RICH FIBRIN, CONNECTIVE TISSUE GRAFT AND THEIR COMBINATION IN THE CLOSURE OF GINGIVAL RECESSION: A SYSTEMATIC REVIEW
Authors: Anggraini Dian , Ervina Irma , Nasution Aini Hariyani
Published: May 2024

Introduction: Connective Tissue Graft (CTG) is one of the techniques in gingival recession treatment, but considering the morbidity of using CTG, biomaterials such as Platelet Rich Fibrin (PRF) can be an alternative in gingival recession closure treatment. This systematic review aims to compare and evaluate the use of PRF, CTG and their combination in gingival recession closure.
Review: An electronic literature search in Medline (PubMed), Google Scholar, and Elsevier (Sciencedirect) was conducted to identify Randomized Clinical Trial (RCT) reporting on the treatment of gingival recession using PRF, CTG or a combination of both from 2018 to 2023 in English. This systematic review was conducted following the Preferred Reporting Items for Systematic review (PRISMA) guidelines. The parameters assessed in the RCTs were: recession depth (RD), clinical attachment level (CAL), keratinized gingival width and height (KTW, KTH), probing depth (PD), gingival thickness (GT) and patient discomfort after surgery assessed by VAS (Visual Analog Scale). Based on the 1,152 articles retrieved, there were only five RCTs eligible for systematic review. Four articles compared the use of PRF with CTG, and one article compared the use of CTG with the combination of CTG + PRF in gingival recession closure.
Conclusion: The use of PRF, CTG, and a combination of both were effective in closing gingival recession. The use of CTG gave better results in increasing gingival thickness and keratinized gingival width compared to the use of PRF, but the combination of CTG and PRF gave significant results in keratinized gingival height and decreasing recession depth compared to the use of CTG alone. Thus, the combination of CTG and PRF may be a more promising gingival recession closure treatment option.
FIXED DOSE COMBINATION OF MECOBALAMIN AND PREGABALIN IN THE TREATMENT OF OROFACIAL NEUROPATHIC PAIN
Authors: Lugito Manuel Dwiyanto Hardjo
Published: May 2024

Introduction: orofacial neuropathic pain is extraordinary disease in character with its complicated management. Mecobalamin has been used to provide regeneration of traumatized nerves. Pregabalin with its analgesic activities relieves the clinical signs of neuropathic pain. The aim of this case report is to explain fixed dose combination of Mecobalamin and Pregabalin as the treatment of neuropathic pain caused by inferior alveolar nerve and facial nerve neuropathy.
Case: First case was an inferior alveolar nerve neuropathy experienced by 63 years old female with complaints of persistent pain and numbness around the left chin and left lower lip the day following the procedure of surgery for the treatment of dentoalveolar abscess on left second premolar of mandibula. Second case was facial nerve neuropathy experienced by 54 years old female had persistent pain and numbness of the anterior two-thirds of the tongue after total thyroidectomy and 1,100 MBq (30 mCi) activity of Radioactive iodine (RAI) therapy, followed with two 131I whole body scans.
Case Management: Mecobalamin 500 µg and Pregabalin 75 mg twice daily for 5 weeks were given with tolerable side effects and improvement symptoms.
Discussion: Pregabalin combined with Mecobalamin can reduce orofacial neuropathic pain. Pregabalin possess analgesic property and reduce neuropathy-related pain symptoms while Mecobalamin facilitates myelinogenesis and nerve regeneration.
Conclusion: Fixed Dose Combination of Mecobalamin and Pregabalin has the potential analgesic effect, reduced neuropathic orofacial pain at a below than determined dosage in case of inferior alveolar and facial nerve neuropathic pain.
EFFECT OF 4 wt% HYDROXYAPATITE PASTA ON DENTAL EMAIL HARDNESS
Authors: Santoso James Hartono , Prahasti Anastasia Elsa , Elline
Published: May 2024

Introduction: Dental erosion can affect the dental demineralization due to the pH level that is below the critical pH of 5,5 resulting a decrease in dental enamel hardness. Remineralization is needed to bring back the mineral loss. Hydroxyapatite is similar to inorganic components in dental enamel dan have biocompatible properties. Hydroxyapatite with 4 wt% concentration has a Ca/P molar ratio close to 1,67, which is similar to the human enamel and can regenerate enamel. This study is aimed to analyze the effects of 4 wt% hydroxyapatite paste on dental enamel hardness for 7 and 14 days.
Material and Methods: 20 maxillary premolars were divided into 4 groups. Group A1 were applied with 4 wt% hydroxyapatite paste for 30 minutes each day for 7 days, group A2 were applied with 4 wt% hydroxyapatite paste for 30 minutes each day for 14 days, group B1 were immersed with artificial saliva for 7 days, and group B2 were immersed with artificial saliva for 14 days. All groups were immersed with artificial saliva and was incubated for 24 hours at 37°C. Hardness measurements were carried out at the start, after erosion, and at the end of the experiment. Dental enamel hardness was measured with Vickers Hardness Tester (Shimadzu HMV G-21 Series). Dental enamel hardness data were analysed with GLM Repeated Measure ANOVA test (p<0,05) and One-way ANOVA test (p<0,05).
Results and Discussions: The result showed dental enamel hardness number after 4 wt% hydroxyapatite paste application showed significant difference than untreated group, which was immersed in artificial saliva. Dental enamel hardness number after 4 wt% hydroxyapatite paste application for 14 days showed significant difference than 7 days.
Conclusion: It can be concluded that 4 wt% hydroxyapatite paste application for 14 days resulted in an increase of dental enamel hardness as in normal condition of dental enamel before erosion
CONVOLUTIONAL NEURAL NETWORK (CNN) BASED ON ARTIFICIAL INTELLIGENCE IN PERIODONTAL DISEASES DIAGNOSIS
Authors: Danial Nurul Huda , Setiawati Dian
Published: May 2024

Introduction: The main problem by many clinicians is the correct diagnosis of periodontal disease. Usually, conventional clinical measurements such as measuring probing depth, attachment loss, presence of plaque and calculus are the way to diagnose and classify periodontal disease. However, clinical examination has limited reliability for periodontitis screening. Likewise, the ability of dentists to read radiographs using conventional methods increases the risk of misdiagnosis. Due to the diversity of existing clinical criteria and the increase in knowledge about human health, changes in the diagnostic criteria for periodontal disease that have occurred in recent decades have led to several updates. Recent research has focused on developing artificial intelligence tools to assist in diagnostic and therapeutic roles. This literature review aims to determine the use of artificial intelligence-based convolutional neural network (CNN) in diagnosing periodontal disease.
Review: Artificial intelligence (AI) can make more accurate and efficient diagnoses, thereby reducing the workload of dentists. The use of the convolutional neural network (CNN) system in diagnosis and treatment planning allows dentists to reduce diagnostic errors that arise. Several studies have found that the CNN algorithm can assist in detecting alveolar bone loss, gingival abnormalities, and assisting early intervention in implantology. The CNN system can also capture details that dentists miss in diagnosis, especially radiographic diagnosis.
Conclusion: Implementing an AI system is effective in helping to analyze periodontal disease. The CNN algorithm outperforms other AI techniques that can be used to facilitate diagnosis and treatment planning by dentists in the future.
Pengaruh Faktor Budaya Patriarki pada Pembagian Kerja Rumah Tangga: Studi Kasus Desa Buluh Cawang, Ogan Komering Ilir
Authors: Sartika Dewi , Waty Evy Ratna Kartika , Nurrizalia Mega , Ananda Yola , Masyiroh Uchie , Junirahmawati Nuriyah
Published: May 2024

Studi kualitatif ini menyelidiki dampak faktor budaya patriarki terhadap pembagian pekerjaan rumah tangga di Desa Buluh Cawang, Ogan Komering Ilir. Melalui wawancara mendalam dan metode observasi, penelitian ini mengungkap wawasan penting tentang bagaimana norma-norma patriarki membentuk pembagian kerja dalam rumah tangga. Peran gender dan ekspektasi tradisional muncul sebagai faktor penentu utama yang mempengaruhi praktik sehari-hari. Temuan-temuan ini menyoroti pengaruh kuat struktur patriarki terhadap tanggung jawab rumah tangga dan menggarisbawahi perlunya pendekatan yang berbeda untuk mengatasi ketidaksetaraan gender. Dengan mengenali dinamika ini, para pembuat kebijakan dan praktisi pembangunan dapat merancang intervensi yang lebih efektif yang bertujuan untuk mendorong kesetaraan gender dan mendorong pembangunan berkelanjutan. Penelitian ini berkontribusi pada pemahaman yang lebih luas tentang interaksi yang kompleks antara budaya, gender, dan dinamika rumah tangga di masyarakat pedesaan, sehingga menawarkan wawasan berharga untuk intervensi sosial dan perumusan kebijakan.
Article RETRACTED due to manipulation by the authors Biomechanical Analyses of Scoop in Field Hockey
Authors: Chaeroni Ahmad , Husain Ikram , Ahmed Mottakin , Singh Agam Pratap , Sayed Md Abu , Okilanda Ardo , Ihsan Nurul , Padli Padli , Kumbara Hengki , Haryanto Jeki , Febrian Mario
Published: May 2024

Field hockey is an Olympic sport played all over the world. Hockey is played with a stick where one requires endurance, agility, balance coordination, and high skill to convert the shot. There are various kinds of skills i.e. hitting, dribbling, scooping, tackling etc. Only scoop was selected for the study in different phases (stance phase, execution phase, follow through phase). Field hockey scoop is the aerial passing by lifting the ball from the ground inserting head of hockey stick under the ball. Scoop plays vital role in competitive field hockey games.  The aim of the study was to find out the kinematic difference in the elbow joint, knee joint, and ankle joint. The objective of the study was to find out the angular differences of elbow joint, knee joint, and ankle joint in different phases of delivery of field hockey scoop shot. Researchers hypothesised that there are significance differences in elbow joint angle, knee joint angle, and ankle joint angle during delivering of field hockey scoop shot. Six males inter university players aged from 20-24 years were selected for the study and at least they represented at inter university games /national level. Set of the camera is at 1.10 m in height and 3.70 meters. The focal length is 5.6, the resolution is 1080, and the frame rate is 100 per sec. A Sony FRD-AX700 camera was placed 3.7 meters apart on the right side of the hockey player. Angle of elbow joint, angle of knee joint, angle ankle joint, cadence, stride length, and numbers of frames were analysed using Kinovea 0.9.5 software. This research will help the players to execute scoop after knowing elbow joint angle, knee joint angle, and ankle joint angle.
Key Words: Field Hockey, Scoop, Elbow, Ankle, Knee.
Blue Ocean Strategy in the Soccer Sector: A Real Madrid Case Study
Authors: Pìlatti Luiz Alberto , Pereira Gabrielly de Queiroz , Herrera Cantorani José Roberto , De Lara Luiz Marcelo , Renaux Douglas Paulo Bertrand
Published: May 2024

The present study aims to analyze the management actions adopted by the Real Madrid club through the lens of the Four Actions Framework of the Blue Ocean Strategy. It is a systematic literature review using the methodology Methodi Ordinatio and employs content analysis as the analytical approach. Searches were conducted in the Web of Science, Science Direct, and Scopus databases in May 2023. The research portfolio included 19 articles. The analytical content analysis procedure was carried out using NVivo Pro 14 software. Applying the Blue Ocean Four Actions Framework provided insights into Real Madrid's management strategies and business success. The findings illuminate various aspects of Real Madrid's operations, encompassing website structure, values, communication strategies, management approaches, financial performance, and areas for potential enhancement.
Keywords: Blue Ocean Four Actions Framework, Real Madrid club de fútebol, management strategies, soccer club management.
Vertical jump performance in athletes with cerebral palsy
Authors: Casteleti de Souza João Paulo , Winckler Ciro , Santos Luiz Gustavo , Lourenço Thiago Fernando , Arruda Miguel
Published: May 2024

The principal difference between an Olympic and a Paralympic sport is the classification structure of the sports in which the athlete competes. The Paralympic Classification System subsidizes such a structure. This study aimed to investigate possible height differences in six vertical jumps in Para athletics athletes with cerebral palsy from classes T35 to T38 to contribute to the Paralympic Classification System. They participated in this study, and forty-one athletes were divided into the experimental group (thirty-five with cerebral palsy T35= 6; T36= 10; T37 = 12; T38 = 7) and the Control Group. The athletes were evaluated using the OptoJump Next equipment (OJ). The protocol sequence of the Vertical Jump battery included squat jump, single left leg one jump, single right leg one jump, both leg seven jumps, single left leg seven jumps, and single right leg seven jumps. We found significant differences between all classes and the control group (p<0.001). This study indicates that the battery of vertical jump tests not only identifies the athletes' eligibility but also helps to allocate different classes of athletes with cerebral palsy. To develop a technical assessment that contributes to implementing evidence to the Classification System of World Paralympic Athletics - WPA.
Keywords: Para athletics; evidence-based classification, jump test, and cerebral palsy.
Mental Toughness May Have an Impact on Athlete’s Performance: Systematic Review
Authors: Aditya Ronal Surya , Rahmatika Qory Tifani , Solikhah Fitriana Kurniasari , AlMutairi Reem Iafi , Alruwaili Abdullah Saleh , Astuti Erlina Suci , Fadila Rizki
Published: May 2024

Psychological health spans several domains, including mental health and quality of life. Mental Toughness is the most widely used but its understanding is limited when applied in sports psychology. Mental Toughness can affect athlete’s performance, Mental Toughness plays an important role in maintaining overall athlete performance during intense matches. The total number of articles obtained at the beginning of the search matched the keywords that has been set is 33 articles. Furthermore, of the remaining 12 articles were identified after an extensive search of the literature in accordance to the PRISMA guidelines, there were four articles included in the exclusion criteria with details, two articles included in the qualitative articles, one article was a duplicate article, and one article was a case study article after a critical appraisal was carried out. The results of a systematic review on twelve articles, the authors found an effect of mental toughness on improving athlete performance. Each of the results found resulted in three major themes, namely: (1) the relationship between mental toughness, mindfulness, and psychological skills in athletes. (2) factors impact athletes' performance, well-being, and ability to handle challenges in sports. (3) the influence of various demographic and educational factors on mental toughness in athletes. The study emphasizes Mental Toughness's impact on both physical performance and mental health in athletes, highlighting its role in managing stress and pressure during sports challenges. Additionally, it underlines the importance of implementing Mental Toughness and mindfulness training programs, along with providing robust psychological support, to enhance athletes' mental strength and overall well-being in sports.
Keywords: Adolescent, Child, Mindfulness, Quality of Life, Athletic Performance, Athletes, Anxiety.
Relationship exercise motivation levels on quality of life during retirement from elite sport
Authors: Nurhidayah Dewi , Prasetyo Yudik , Sutapa Panggung , Mitsalina Dinan , Yuliana Ela , Pambudi Titis , Nurhidayah Dewi
Published: May 2024

There is not much research examining the lives of athletes in retirement. This research aims to determine the level of training motivation in retirement, the quality of life in former athletes and the relationship between training motivation and quality of life in former athletes.The subjects in this research were retired athletes aged 25-60 years. The subjects involved in this research were 81 retired pencak silat athletes consisting of 42 men and 39 women.This research is a quantitative descriptive research with a survey approach. The instrument used in this research used the Exercise Regulations Questionnaire (BREQ-3) to determine the level of exercise motivation and The World Health Organization Quality of Life (WHOQOL)-BREF to determine quality of life. Questionnaires were distributed from November 25 2023 to January 5 2024. The data analysis technique uses simple correlation. The results show a significance value < 0.005, meaning it is correlated or related. The correlation value between motivation to exercise and quality of life is 0.974, the correlation value is > from r table. This means that there is a positive relationship between exercise motivation and quality of life. In this way, it can be concluded that the higher the motivation of retired athletes to train, the better the quality of life of former athletes.
Keywords: training motivation, quality of life, former athlete, pencak silat, martialart.
Clinical applications of AI-prediction tools in spine surgery: a narrative review
Authors: Mohammad Hamza Bajwa  , Areeba Ahmed Samejo  , Akbar Jaleel Zubairi
Published: May 2024

Spine surgery has grown into a wide, complex field encompassing trauma surgery to deformity to tumours. Artificial intelligence (AI) based technology has been particularly useful in improving imaging-reporting and detection of predictive patterns. The purpose of this narrative review is to present practical approaches towards implementing upcoming AI spine research for clinicians to help improve practices, clinical throughput, and surgical decision-making.
Keywords: Artificial Intelligence, Acute Care Surgery, Neoplasms, spine deformity, scoliosis, prediction
Robotic-assisted free flap harvesting for diverse soft tissue reconstruction: a PRISMA scoping review of clinical outcomes over the last decade
Authors: Fizzah Arif  , Owais Ahmed  , Mohammad Fazlur Rahman  , Sobia Yasmeen  , Safdar Ali Shaikh
Published: May 2024

Introduction: The aim of our study was to assess the advantages and limitations of robotic technology in diverse reconstructive procedures.Methods: A scoping review was conducted in Oct’23, on published studies from 2013 to 2023, focussing onIntroduction: The aim of our study was to assess the advantages and limitations of robotic technology in diverse reconstructive procedures. Methods: A scoping review was conducted in Oct’23, on published studies from 2013 to 2023, focussing on robotic-assisted free flap harvesting. Three databases Ovid-MEDLINE, Scopus, and PubMed were searched. Original research studies reporting robotic-assisted free flap harvest were included. Studies on lesion excision, microvascular anastomosis, local flap harvest, roboticassisted flap inset, review articles, abstract-only studies, non-English documents, and animal studies were excluded from this review.
Results: Sixteen studies met the inclusion criteria out of a total of 318, searched initially. These studies included a total of 128 patients, who underwent robotic-assisted free flap harvest for the reconstruction of various defects, with 140 free flaps harvested. The most common flaps harvested by robotic technique were deep inferior epigastric artery perforator (DIEP) flap 120 (85.7%), radial forearm free (RFF) flap 11 (7.9%), latissimus dorsii flap 4 (2.9%), rectus abdominus flap 4 (2.9%), and omental flap 1 (0.7%). Breast reconstruction was the major procedure done i.e. 120 (85.7%) followed by head and neck 11 (7.9%) and limb defects 9 (6.4%) reconstruction procedures. The reported clinical outcomes were acceptable in all the studies with a 99% flap success rate and minimal complications. Variability in operating time was observed depending upon surgical steps undertaken with robotic systems.
Conclusion: This scoping review highlights the role of robotic-assisted free flap harvesting in plastic surgery and its potential benefits on clinical outcomes, due to its high precision and minimal invasiveness. However, challenges like cost effectiveness, resource distribution and learning curve are there.
Keywords: Tissue Flaps, Epigastric Arteries, Rectus Abdominis, Robotic Surgery, Plastic Mammaplasty, Anastomosis, Surgical, Bibliometrics, Reconstructive Surgery.
Artificial intelligence- image learning and its applications in neurooncology: a review
Authors: Malaika Javed  , Mohammad Hamza Bajwa  , Saqib Kamran Bakhshi
Published: May 2024

Image learning involves using artificial intelligence (AI) to analyse radiological images. Various machine and deeplearning- based techniques have been employed to process images and extract relevant features. These can later be used to detect tumours early and predict their survival based on their grading and classification. Radiomics is now also used to predict genetic mutations and differentiate between tumour progression and treatment-related side effects. These were once completely dependent on invasive procedures like biopsy and histopathology. The use and feasibility of these techniques are now widely being explored in neurooncology to devise more accurate management plans and limit morbidity and mortality.
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Integrating artificial intelligence techniques for advancements in colorectal cancer management: navigating past and predicting future direction
Authors: Zeeshan Raza  , Sabah Uddin Saqib  , Adeel Ahmad Bajwa
Published: May 2024

Artificial Intelligence (AI) in the last few years has emerged as a valuable tool in managing colorectal cancer, revolutionizing its management at different stages. In early detection and diagnosis, AI leverages its prowess in imaging analysis, scrutinizing CT scans, MRI, and colonoscopy views to identify polyps and tumors. This ability enables timely and accurate diagnoses, initiating treatment at earlier stages. AI has helped in personalized treatment planning because of its ability to integrate diverse patient data, including tumor characteristics, medical history, and genetic information. Integrating AI into clinical decision support systems guarantees evidence-based treatment strategy suggestions in multidisciplinary clinical settings, thus improving patient outcomes. This narrative review explores the multifaceted role of AI, spanning early detection of colorectal cancer, personalized treatment planning, polyp detection, lymph node evaluation, cancer staging, robotic colorectal surgery, and training of colorectal surgeons.
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Comparison of the results of early and elective endoscopic retrograde cholangiopancreatography in patients with mild cholangitis
Authors: Cankurtaran Rasim Eren , Ersoy Osman
Published: May 2024

Aims: The optimal duration of endoscopic retrograde cholangiopancreatography (ERCP) in patients with mild cholangitis and when it should be performed is unclear. This study aimed to compare the results of patients with mild cholangitis who underwent early and elective ERCP.
Methods: This study was designed as a retrospective study to compare the results of elective (time from admission to ERCP>72 h) and early (time from admission to ERCP≤72 h) ERCP in patients with mild cholangitis according to the Tocyo 18 (TC18) guideline. The study included patients with naive papillae and mild cholangitis who underwent ERCP between February 2019 and 2023 at a single tertiary center’s gastroenterology clinic.
Results: A total of 432 mild cholangitis patients were included in our study. The mean age and ASA score of the elective ERCP group was slightly higher than the other group (respectively, p=0.039 and p=0.025). No significant difference was found between the two groups in terms of technical and clinical success, mortality, ERCP-related adverse events, organ failure and intensive care unit admission. Length of hospital stay (LHS) was significantly (p
Evaluation of metabolic parameters of microsatellites stable and instable colorectal cancer patients via PET/CT
Authors: Altun Tuzcu Şadiye , Çetin İlbey Erkin , Güzel Fatih , Çetinkaya Erdal , Taşdemir Bekir , Büyükbayram Hüseyin
Published: May 2024

Aims: Microsatellite instability has been determined as an important indicator in selecting chemotherapy drugs in colorectal cancer. Within the scope of this research, we aimed to elucidate the pathology reports and determine whether the metabolic parameters detected by PET/CT differ in MSI-positive and negative patients.
Methods: A total of 35 patients were analyzed retrospectively. The patient population consisted of patients who applied to the Nuclear Medicine Department with a diagnosis of colon or rectum cancer, underwent PET/CT imaging for staging purposes, and were operated on.
Results: A total of 35 colon or rectum cancer patients were included in this retrospective analysis. When microsatellite instability was analyzed among the patients, it was found that female patients comprised 4 microsatellite instability-positive and 16 microsatellite instability-negative individuals. On the other hand, 5 of the males were microsatellite instability positive, and 10 were microsatellite instability negative. The mean SUVmax value was 16.4±8.2, SUVmean was 8.1±1.9, TLG was 392.4±520.8, and MTV was 26.5±25.4 in the microsatellite instability-positive individuals. On the other hand, the mean SUVmax value
was 22.7±9.7, SUVmean was 5.2±2.2, TLG was 316.4±325.7, and MTV was 21.7±21.7 in the microsatellite instability-negative individuals.
Conclusion: With the advancement of image analysis technology, MTV, and TLG, volumetric indexes derived from 18F-FDG PET have been proposed for risk stratification of cancer patients. Regarding the outcomes of this research, the semiquantitative and metabolic parameters obtained by PET/CT are not different in colorectal cancer cases with instable and stable microsatellites.
Thoracale adenopathieën en neutropenie: een onverwachte diagnose
Authors: Depover A. , Serry G. , Degrande E. , Wilmes P. , Steenkiste E. , Van Damme V.
Published: May 2024

Thoracic lymphadenopathies and neutropenia: an unexpected diagnosis

A 68-year-old patient, known with rheumatoid arthritis (RA) and treated with TNF-alpha antagonists, presents with a persistent cough with coloured sputum. Further examination reveals neutropenia and thoracic adenopathies. Histopathologic examination shows non-necrotizing granulomas in the thoracic lymph nodes and bone marrow.

After infectious and malignant evaluation, the diagnoses of sarcoidosis and sarcoidosis-like granulomatosis by TNF-alpha antagonists are made. The clinic, imaging, laboratory findings and histopathology do not allow the doctors to distinguish between the 2 diagnoses. Several arguments point in the direction of sarcoidosis-like granulomatosis due to TNF-alpha antagonists. First, there is a temporal relationship between the initiation of the antagonists and the finding of granulomas. Additionally, the association of RA and sarcoidosis is extremely rare. Sarcoidosis-like granulomatosis due to TNF-alpha antagonists may be considered as a form of drug-induced sarcoidosis.
Transition from traditional to innovative approaches in learning L2
Authors: Даулетбаева Замира
Published: May 2024

The use of cutting-edge pedagogical and information technologies in foreign language instruction is becoming more and more popular these days. This is partly because, unlike traditional education, which taught students to acquire only pre-existing knowledge, modern technology’ enables them to search for, independently study, analyze, and even draw conclusions about their level of foreign language proficiency. During this process, the teacher serves as a leader and a guide while also establishing the conditions necessary for the individual's growth, formation, acquisition, and raising. In the process of learning, the learner takes center stage. Because of this, the practice of instructing students in a contemporary manner using cutting-edge techniques is spreading rapidly. Additionally, this article addresses cutting-edge techniques for teaching foreign languages.
Authentic Materials And Their Use In The Process Of Forming The Type Of Searching Reading
Authors: Джумабаева Венера
Published: May 2024

This article is devoted to the development of search reading skills through the use of authentic material. The article provides examples of authentic materials and techniques for working with them.
Cursory Review Of The Material Teaching Abstracting In The Process Of Learning English
Authors: Кубейсинова Даметкен
Published: May 2024

It is customary to call an abstract a summary of the main provisions of a book, a scientific theory. Therefore, setting ourselves the goal of laying down the elementary foundations of this skill, we must teach students to determine what the main thing in a given text is, and to separate this main from the secondary, highlight the details and determine their meaning in this context. But, first of all, it is necessary to develop in students the ability, after a cursory glance at an article or book, to determine what it is about and whether it will be able to answer the questions that interest him. At the same time, it is very important to be able to bypass incomprehensible places. [1]
Authentic Materials In Teaching Methods
Authors: Кулниязов Т , Аитбаева М
Published: May 2024

This article devoted the variety of existing approaches to understanding authenticity in the methodology of teaching a foreign language, we will use the traditional interpretation when by authentic it is customary to understand materials that were created by native speakers and found application in the educational process, focused on a communicative approach to teaching a foreign language outside the language environment.
Automatic Water Pumping System for Smart Greenhouse Using Renewable Energy Resources
Authors: D Rajeshwari , K.B Manasa , B.S Shruthi
Published: May 2024

This paper proposes an automatic water pumping system for a smart greenhouse, optimizing plant irrigation using renewable energy. It features sensors monitoring soil moisture, a pump powered by solar or wind, and a control unit adjusting pump operation based on sensor readings. The system, linked to the Internet, enables remote monitoring and control. Expected benefits include reduced manual watering, decreased reliance on non-renewable energy, and enhanced greenhouse efficiency. Smart greenhouses aim to enhance plant cultivation sustainability, with a crucial role played by the automated irrigation system, comprising a control unit, pump, and moisture sensors. Internet connectivity facilitates remote monitoring and adjustment for informed greenhouse operation.
ESTADO DA ARTE DO TUMOR ODONTOGÊNICO ADENOMATÓIDE COM ÊNFASE PARA SEUS ACHADOS CLÍNICO PATOLÓGICOS E IMAGINOLÓGICOS
Authors: De Oliveira Amanda Raquel , Alexandre Soares Wallisson , Bessa de Carvalho Arthur Cesar , Menezes Dias Heitor , Marangon Júnior Helvécio , Da Mota Martins Victor , Moraes Rocha Aletheia
Published: May 2024

O tumor odontogênico adenomatóide (TOA) é uma neoplasia benigna, assintomática e incomum dos maxilares, de comportamento não agressivo e crescimento lento. O objetivo deste trabalho é realizar uma revisão narrativa de literatura acerca do tumor odontogênico adenomatóide. Foi realizada uma pesquisa bibliográfica nas bases de dados Pubmed, Scielo e Google Acadêmico no período de 2012 a 2023 usando as seguintes palavras chave: “Características clínicas e radiográficas”, “Tumor odontogênico adenomatóide” e “Neoplasia benigna”. Clinicamente a lesão se apresenta como um aumento de volume dos maxilares, de crescimento lento e progressivo. Acomete principalmente a região anterior da maxila, em pacientes do sexo feminino, na segunda década de vida. Suas características principais são abaulamento da cortical óssea com expansão do vestíbulo, mobilidade dental, deslocamento de dentes, reabsorções dentárias, com atraso ou não da erupção do dente permanente, sendo seu tratamento de eleição a enucleação cirúrgica e curetagem, apresentando prognóstico favorável, geralmente sem recidiva.
Factores culturales y lateralización hemisférica cerebral: Importancia para los métodos de neuromodulación en desarrollo
Authors: Cremaschi Fabián
Published: May 2024

En la presente comunicación vamos a introducir conceptos actuales de dominancia hemisférica cerebral (DHC) y cuál es su importancia en el manejo neuroquirúrgico de los pacientes a tratar con patología cerebral, especialmente en el área del lenguaje. Asimismo, demostraremos la importancia de aspectos culturales en la formación del cerebro, utilizando como ejemplo las características del idioma japonés.
Primera Jornada de Capacitación en Medicina del Dolor
Authors: Forden Jones Roberto M.
Published: May 2024

El 12 de marzo de este año 2010, se realizó en el salón auditorio del Hospital Alta Complejidad en Red El Cruce, la 1ª Jornada de Capacitación en Medicina del dolor.Con una concurrencia de 70 profesionales, este acontecimiento marcó un hito en el desarrollo de la medicina del dolor en nuestra área de influencia.La medicina del dolor es eminentemente multidisciplinaria, por ello la jornada fue abierta a médicos detodas las especialidades que se desempeñan en los hospitales de la localidad y en el sistema municipal de salud.