bluuebunny/crossref_metadata_2025 huggingface dataset:
Dynamic ultrasound control in the second stage of labor
Authors: Mikhailov A. V. , Chernov A. A. , Shman V. V. , Maksimenko A. N. , Yaskarayeva A. B.
Published: December 2024

Objective. To establish ultrasound characteristics of the dynamics of the fetal head descent along the birth canal during the uncomplicated second stage of labor in the occiput anterior and posterior positions.

Materials and methods. The prospective study included 198 women in labor. Spontaneous birth occurred in 180 of them, without the use of augmentation of labor or operative delivery. The remaining 18 women were excluded from the final analysis due to the use of augmentation of labor or operative delivery. The average gestational age was 39 3/7 weeks. The average weight of newborns was 3394 grams; all children were born with an Apgar score of 8 points or more at 5 minutes. All patients in the second stage of labor underwent hourly transperineal ultrasound to assess the angle of progression (AoP) and the delta angle of progression (ΔAoP). According to the AoP values, the following groups were formed: Group 1 - AoP less than 120°, which corresponds to the fetal head station on the parallel plane -1 to -2 cm; Group 2 – AoP 120-144 °, parallel plane 0 to +2; Group 3 – 145–170°, parallel plane from +2 to +5 cm, Group 4 – AoP more than 170°, parallel plane > +5 cm. Statistical analyses were carried out with the use of IBM SPSS Statistics 27 software; the significance of differences between the groups was confirmed by the Long Rank test (p < 0.001) and the Kruskal–Wallis criterion (p < 0.005).

Results. In cases of delivery with occiput anterior position, the time to birth was 177 (177–250) min in group 1, 100 (35–240) min in group 2, 75 (30–170) min in group 3, and 35 (15–75) min in group 4. There was no significant difference in ΔAoP between the groups — 16.6 ± 8.5 (10.1–27.1°). In the cases of delivery with posterior occipital position, no patient in group 1 had spontaneous labor with AoP <120°, while the time to birth was 110 (45–240) min in group 2, 75 (110–170) min in group 3, and 65 (18–110) min in group 4. ΔAoP was 12.5 ± 8.5 (11–15.6°).

Conclusion. The management of labor with dynamic ultrasound control provides the possibility to obtain objective criteria for the normal course of the second stage of labor, to improve the quality and reliability of the information received, to eliminate unnecessary interventions, and to reduce the number of vaginal digital examinations during childbirth, which has a positive effect on perinatal outcomes, reduces the risk of purulent-septic complications in the mothers, and increases the patients comfort during childbirth.
Ultrasound evaluation of arteriovenous fistula for hemodialysis
Authors: Polukhina E. V.
Published: December 2024

The article presents a pictorial literature review on ultrasound evaluation of arteriovenous fistula for hemodialysis in patients with end-stage renal failure. Native arteriovenous fistula (AVF) is considered the “gold standard” of vascular access. Nowadays ultrasound is the first-line imaging modality of management of patients receiving hemodialysis treatment at all stages. The article highlights the role of ultrasound in preoperative assessment when planning the AVF creation, assessing the maturation of vascular access, as well as early detection of its dysfunction. The main complications of arteriovenous fistulas are presented, and examples of their diagnosis using the ultrasound are given.
Incidence of surgical site infection after all vascular surgeries from 2020 to 2023: a retrospective study in a tertiary hospital in the Qassim region, Saudi Arabia
Authors: Alwehibi Nasser , Alharbi Abdulelah , Alfurayji Razan , Alamro Nibras , Alkharraz Abdulhakim , Alkhoraiji Ghada
Published: December 2024

Objective: This study aimed to assess the incidence of surgical site infection (SSI) following any vascular surgeries at King Fahad Specialist Hospital (KFSH) in Qassim region, taking into account potential risk factors and surgical approaches used.
Methods: A retrospective chart review study was done at KFSH, Saudi Arabia, in the period from September 2023 to March 2024. All patients who underwent any vascular surgery from 1 January 2020 to 31 July 2023 in the study setting were included. Patients with lost follow-up data, who underwent any other type of surgery, or who presented with SSI after vascular surgery in different hospitals were excluded.
Results: The analysis of 604 patients revealed that 69.9% were between the ages of 18 and 65, 63.4% were men, 58.1% had diabetes mellitus (DM), and 65.9% had hypertension (HTN). Of the patients, 97.5% underwent open surgery, with common procedures including Permcath insertion, amputation, and fistula creation. Sixty-nine patients had an SSI, representing an incidence of 114 individuals per 1,000 patients and a prevalence of 11.4%.
Conclusion: The current study reveals that SSI prevalence was significantly greater among male patients, those with DM or HTN, and those who underwent amputation (p = 0.05). However, no significant link was found with demographics or surgical approach.
Morphometric assessment of the normal dimensions of the adult spleen in Saudi population
Authors: Alharbi Mohammed , Alotaibi Faleh , Alzahrani Ahmed , Alzuwayyid Ahmed , Alanazi Bader , Alzahrani Ali , Alaftan Mohammed , Ismail Essam
Published: December 2024

Objective: This study aimed to determine spleen dimensions in the adult Saudi population using computed tomography (CT) and to establish a reference range specific to this demographic.
Methods: A cross-sectional study was conducted at King Fahad Hospital of the University in Al-Khobar, Saudi Arabia, involving 400 adult Saudi participants, equally distributed between males and females. Individuals over the age of 18 years, without pre-existing spleen-related conditions, were included. The study period spanned from November 2023 to April 2024. Spleen length, width, and thickness were measured using CT imaging.
Results: The mean age of participants was 40.73 years for males and 43.55 years for females. For males, the mean spleen length was 99.4 mm, width was 100.2 mm, and thickness was 45.4 mm. For females, these measurements were 96.9, 98.3, and 44.6 mm, respectively. While spleen length showed the highest gender variation, no statistically significant difference was found between males and females across any parameters. Combined, the mean spleen dimensions were 98.24 mm in length, 99.33 mm in width, and 45.05 mm in thickness.
Conclusion: This study provided standard spleen size values for the adult Saudi population using CT imaging. The data indicated that males generally had larger spleens than females, though the differences were not statistically significant. These findings established a baseline reference for evaluating spleen size for various medical conditions in Saudi patients.
Common ocular diseases and their risk factors: a cross-sectional study of the Al Baha general population, Saudi Arabia
Authors: Bashir Mahadi , Taishan Sarah , Alghamdi Hind , Al-Ghamdi Hani , Alsubaie Abdullah , Alghamdi Saad , Alghamdi Rana
Published: December 2024

Background: Visual impairment is one of the most important public health issues, significantly affecting the quality of life of millions worldwide. Hence, increasing awareness will likely promote effective management and result in minimizing the burden of visual impairment and the expense of eye care. This study aimed to evaluate the knowledge and awareness of the Saudi Arabian population in the Al-Baha region with regard to cataracts, glaucoma, refractive errors, and dry eye syndrome (DES).
Methods: This was a cross-sectional study conducted on the general population of the Al-Baha region, Saudi Arabia, from July 10, 2024, to November 15, 2024. Exclusion criteria included individuals who were not residents of the specified area and those under 18 years of age. Data were collected using a validated electronic questionnaire collected data on participants' demographics and knowledge related to common ocular diseases.
Results: A total of 391 participants were included in our study; 57% were females and 41.9% were between 18 and 23 years. Cataracts are the most known disease, as 61.9% of participants had good knowledge of them. This was followed by DES at 61.6%, diabetic retinopathy at 51.2%, and, finally, glaucoma at 50.4%. Factors such as age, gender, region, income, and education were associated with varying levels of knowledge.
Conclusion: The findings of the present study highlight a significant gap in knowledge and awareness with regard to common ocular diseases in the Al-Baha region. Increased public health efforts are needed to raise awareness, promote early detection, and encourage timely treatment, thereby reducing the burden.
Analisis Inovasi Pendidikan Kesetaraan Paket C Pada Homeschooling Primagama (Hspg) Bandung
Authors: Wulan Rahmayanti  , Supriyadi
Published: December 2024

Penelitian ini membahas tentang Inovasi Pendidikan Kesetaraan Paket C yang diterapkan di Homeschooling Primagama Bandung, termasuk mengetahui permasalahan dan dampak yang diterapkan dari inovasi tersebut. Metode penelitian yang digunakan dalam penelitian ini adalah pendekatan kualitatif dengan melakukan observasi lapangan, wawancara dan dokumentasi. Hasil penelitian yang diperoleh adalah inovasi yang diterapkan pada Homeschooling Primagama (HSPG) Bandung meliputi inovasi guru, inovasi kurikulum atau pembelajaran dan inovasi sarana pendukung. Inovasi guru dengan menggunakan metode pendekatan psikologi dan akademik, sedangkan untuk kurikulum atau pembelajaran menggunakan kurikulum nasional dan internasional, kurikulum nasional terdiri dari kurikulum 2013 dan kurikulum mandiri dengan sistem modular. Kurikulum internasional yang diterapkan di Homeschooling (HSPG) Bandung adalah dengan menerapkan kurikulum Cambridge International Examination (CIE). Untuk inovasi sarana pendukung, Homeschooling Primagama (HSPG) Bandung memberikan pengembangan bakat dan minat bagi seluruh siswa, baik yang mengikuti sistem kelas komunitas, mandiri maupun individu. Permasalahan yang dihadapi saat menerapkan inovasi ini adalah dari Sumber Daya Manusia yang masih terbatas dan terdapat beberapa jadwal pembelajaran yang bentrok. Dampak dari inovasi yang telah dilaksanakan memberikan dampak yang signifikan terhadap peningkatan perkembangan dan keterampilan siswa, peningkatan kemandirian belajar, peningkatan kemampuan berkomunikasi dan perkembangan lainnya.
Knowledge and awareness of the emerging tobacco products among dental students
Authors: Pearlin Samarita R. , Mugundan Raghavelu Narendran , Ranganathan Kannan
Published: December 2024

Objectives:

Tobacco usage poses a significant global health challenge, necessitating increased awareness, particularly among dental students who play a pivotal role in addressing oral health issues related to tobacco use. The study aims to assess awareness and knowledge levels of emerging tobacco products among dental students of different academic years.

Materials and Methods:

This study was conducted at Ragas Dental College and Hospital in September 2023, and this cross-sectional questionnaire study involved 215 undergraduate dental students from academic years first, second, third, and fourth, utilizing a convenience sampling method. A cross-sectional questionnaire survey covered demographics, tobacco familiarity, emerging product awareness, ingredient understanding, media exposure, and perceived harmful effects among 215 dental students. The chi-square test assessed significant associations (P < 0.05). Data were entered into Microsoft Excel and analyzed using the Statistical Package for the Social Sciences software version 25.0. The Chi-squared test explored the association between academic year and awareness levels of various tobacco forms.

Results:

Fourth-year students demonstrated the highest awareness of diverse tobacco forms (58.5%), while first year (50%) and second year (35.7%) were more familiar with traditional smoking. All academic years believed that the ingredients in commercial smokeless tobacco products differ, with a significant difference in awareness (P = 0.00*). However, no significant difference was observed in media exposure awareness (P = 0.04*).

Conclusion:

Specific gaps exist in knowledge, emphasizing the necessity for targeted education and improved anti-tobacco communication strategies. Dental students’ awareness is crucial for addressing the unique challenges posed by these products on oral health.
“Treading on Thin Ice: Anesthesia Management of a Neonate with Pierre Robin Sequence for Feeding Gastrostomy and Diagnostic Bronchoscopy” – A Case Report
Authors: Sabu Nayana , Raipure Amrusha , Balasubramanian Bhuvaneswari , Thappa Priya
Published: December 2024

Pierre Robin sequence (PRS) is a rare congenital anomaly characterized by the triad of micrognathia, glossoptosis, and airway obstruction, with an incidence of approximately 1 in 8500 live births. Managing neonates with PRS, particularly during anesthesia, poses significant challenges due to airway obstruction, which may be compounded by associated congenital anomalies and medical complications. This case report describes the anesthetic management of a 28-day-old female neonate with PRS and a pre-existing hypoxic-ischemic injury. The neonate presented with symptoms of recurrent regurgitation and noisy breathing, with a history of pneumonia and delayed onset sepsis, which resolved with medical management. The neonate had an orogastric tube in situ for feeding and was scheduled for a diagnostic bronchoscopy and feeding gastrostomy. On clinical examination, the neonate displayed the classical features of PRS, including micrognathia, glossoptosis, airway obstruction, and an incomplete post-palatal cleft. Imaging revealed a small patent foramen ovale with a left-to-right shunt, mild pulmonary arterial hypertension, and residual opacification in the left lower lobe, indicative of prior respiratory infection. These factors, combined with the known airway complications associated with PRS, necessitated careful anesthetic planning to ensure the safety and stability of the patient during diagnostic and therapeutic procedures. A combined general and regional anesthesia approach was selected. The neonate was induced using sevoflurane and air, and a pediatric flexible fiberoptic bronchoscope was inserted through a No. 1 i-gel as a conduit. Notably, neuromuscular blockers and opioids were avoided to maintain vocal cord mobility and minimize airway compromise. Bronchoscopy identified an adduction deformity of the posterior vocal cords. Subsequently, a gastrostomy was performed under spinal anesthesia without hemodynamic instability. In addition, a left-sided rectus sheath block was executed. Regional anesthesia minimized the reliance on systemic opioids, reduced the risks associated with general anesthesia, and facilitated a rapid recovery. Postoperatively, the neonate was transferred to the Neonatal Intensive Care Unit and demonstrated stable airway patency, normal limb movements, and adequate pain control. This case emphasizes the advantages of regional anesthesia in managing neonates with PRS. It offers a safer, opioid-sparing alternative to general anesthesia and mitigates the risks of airway compromise. We propose effective pain management techniques along with enhanced overall patient safety, thereby contributing to improved anesthetic outcomes in neonates with complex airway challenges.
Perioperative Cardiac Dysrhythmias In The Neonate – Bradycardia and Tachycardia
Authors: Jha Shreshtha
Published: December 2024

Managing neonates in a perioperative setting is a challenging task. Neonates differ from pediatric and adult patients in many ways. Anesthesiologists should have knowledge and skills in the recognition and prompt treatment of cardiac dysrhythmias in these babies. We emphasize the etiology, recognition, implications, and management of the most common types of arrhythmias, bradycardia, and tachycardia in neonates in the perioperative period.
Развитие циркулярной экономики в секторе черной металлургии Китая: стратегический анализ и прогнозные оценки
Authors: Су Ф.
Published: December 2024

Исследование производит стратегический анализ потребностей в модернизации отрасли черной металлургии Китая под возможности перехода к экономике замкнутого цикла. Определены дальнейшие аспекты развития данной сферы в контексте применения методологии стратегирования В.Л. Квинта. Целью исследования является рассмотрение опыта реорганизации металлургической промышленности при воздействии внедрения основ циркулярной экономики (на примере сектора черной металлургии) в Китае. В результате исследования были выяснены статистические сведения за последние годы по функционированию рынка черной металлургии, дан сравнительный анализ реализации продукции в крупных державах, описана важность рециклинга, как основы повторного использования отходов на промышленных предприятиях. Приведена динамика основных рыночных показателей, описаны тенденции изменений и прогноз существования черной металлургической сферы Китая на следующий год.

The study provides a strategic analysis of the needs for the modernization of China's ferrous metallurgy industry to meet the needs of the transition to a closed-cycle economy. Further aspects of the development of this sphere in the context of the application of V.L. Kvint's methodology of strategizing are determined. The purpose of the study is to examine the experience of reorganizing the metallurgical industry under the influence of the introduction of the fundamentals of the circular economy (using the example of the ferrous metallurgy sector) in China. As a result of the study, statistical information has been clarified in recent years on the functioning of iron and steel production, and the importance of recycling as the basis for the reuse of waste in industrial enterprises has been described. The dynamics of the main market indicators is given, the trends of changes and the forecast of the existence of the ferrous metallurgical sector in China for the next year are described.
MANAGEMENT CONTROL SUPPORTING THE RESILIENCE OF PUBLIC HOSPITALS: A LITERATURE REVIEW
Authors: Koukou Laila , Belakouiri Abdelghani , Sahraoui Doha
Published: December 2024

Objective: The objective of this article is to explore the role of management control in enhancing the resilience of public hospitals during crises, particularly the Covid-19 pandemic through a literature review. It underscores the growing significance of management control in hospitals, especially in response to rising healthcare costs and the complex challenges of managing institutions that involve stakeholders with diverse, and at times, conflicting objectives.
 
Theoretical Framework: By examining how hospitals have adapted their management practices to better navigate emergency situations, the article provides a conceptual and theoretical framework to analyze how these practices influence hospital management and resilience.
 
Method: This article conducts a literature review to examine the role of management control in enhancing the resilience of public hospitals during crises, particularly the Covid-19 pandemic. A comprehensive search for scientific articles was conducted across specialized academic databases, including Scopus, and Google Scholar. The selected articles, published between 1963 and 2021, were filtered based on their relevance to themes such as management control, organizational resilience, and crisis management in hospitals. Based on thematic analysis of selected articles, this research identifies best management practices and proposes a theoretical framework that emphasizes the critical role of agility and structured performance evaluation in strengthening institutional resilience within complex environments.
 
Results and Discussion: The findings emphasize the need for clear objectives and comprehensive performance evaluation to effectively apply management control concepts in this context. This literature review proposes a framework for studying how hospitals can balance agility and performance during crises, ultimately bolstering their resilience.
 
Research Implications: The research has both theoretical and practical implications. It broadens the understanding of how management control systems enhance resilience in public hospitals during crises, offering a comprehensive framework integrating agility and performance evaluation.
 
Originality/Value: This research stands out by integrating management control, organizational agility, and performance evaluation to explore public hospital resilience during crises, especially the Covid-19 pandemic. It offers a comprehensive theoretical framework, unlike previous studies that focus on isolated aspects of crisis management, highlighting adaptive practices and contributing to future crisis-resilience strategies in healthcare.
BEHAVIORAL SKILLS AND NEW PARADIGMS IN THE WORLD OF WORK: AN ANALYSIS OF THE ACADEMIC TRAINING OF UFES ADMINISTRATION STUDENTS
Authors: Ferreira Annelise Procópio , Soares Márison Luiz , Nascimento-e-Silva Daniel
Published: December 2024

Objective: This study aimed to analyze whether the Federal University of Espírito Santo Business Administration course prepares its students to develop the behavioral skills required by the current job market.
 
Theoretical Framework: The theoretical framework related to the job market is considered most important for achieving professional success with the behavioral skills worked on in higher education professional training courses. The study assumed that the more market demands align with the training received in higher education institutions, the greater the degree of satisfaction of graduates.
 
Method: The research used a mixed approach, combining quantitative and qualitative methods, to assess graduates' perceptions of developing these skills throughout the course. Data were collected from graduating students of a class of the Business Administration course at the Federal University of Espírito Santo (UFES) through questionnaires and interviews, organized and analyzed using content and semantic analysis, and presented in graph form.
 
Results and Discussion: The results revealed that the graduates only consider themselves to have the behavioral skills of “teamwork” and “flexibility.” In contrast, in all the others, there is a need to redesign the professional training provided to them about these components that can determine success or failure in the profession.
 
Research Implications: This research has practical and theoretical implications, including the necessary restructuring of the pedagogical project of the analyzed course, the use of active methodologies in the project's execution, and the support of contemporary technologies in simulations and decisions, such as artificial intelligence and computer vision.
 
Originality/Value: This study contributes to the literature by showing that the human aspects of administration need to be worked on, such as what future professionals will encounter in the exercise of their profession in conjunction with contemporary technologies.
Impact of stale bread utilization on the quality attributes of tarhana production
Authors: Gül Dikme Tuğba , Sağdıç Osman
Published: December 2024

The objective of this study was to utilize stale bread, of which 4.9 million pieces are wasted daily, in the production of fermented tarhana and to assess its impact on the physicochemical, microbiological, and sensory properties of the final product. Five different tarhana formulations were developed using breadcrumbs (25%, 50%, 75%, 100%) and wheat flour (100%) derived from stale bread in varying proportions. Tarhana produced with 32.74% wheat flour or breadcrumbs underwent comprehensive physicochemical, microbiological, and sensory analyses to evaluate the effects of these formulations. The study revealed no significant differences in pH, protein, fat, and moisture values among the tarhana samples (p>0.05). Furthermore, the data analysis of TMAB, coliforms, S. aureus, lactic acid bacteria, yeasts, and moulds did not indicate any notable differences among the tarhana samples (p>0.05). The Lb. delbrueckii ssp. bulgaricus and S. thermophilus isolates were obtained as the results of this investigation. There was no significant disparity in the quality attributes of tarhana prepared from varying ratios of stale breadcrumbs or entirely from wheat flour. It implies that the physicochemical features of tarhana were not negatively impacted by stale breadcrumbs. The results show that incorporating ≤25% stale bread instead of solely wheat flour in the production of tarhana can be feasible. Additionally, tarhana possesses a high biological value attributed to the presence of lactic acid bacteria including Lb. delbrueckii ssp. bulgaricus and S. thermophilus in samples. This presents an opportunity for incorporating stale or discarded bread into tarhana, thereby potentially increasing its economic value. Future investigations might also explore consumer acceptance and market potential for tarhana made with stale bread to assess its commercial viability. Lastly, expanding the microbiological analysis to include a broader spectrum of probiotic strains could enhance the understanding of tarhana's health benefits, thus contributing to its positioning as a functional food product.
The Effect of Functional Component Grape Seed Powder on the Bioactive, Physicochemical, and Sensory Properties of Wild Cornelian Cherry (Cornus mas L.) and Blackthorn (Prunus spinosa) Fruit Leathers
Authors: Çakır Elif , Bayram Yüksel
Published: December 2024

In this study, the aim was to produce functional fruit leathers using wild cornelian cherry and blackthorn enriched with grape seed powder added at different rates (0%, 1% and 10%). Some physicochemical, bioactive, color and sensory properties of the produced fruit leathers were investigated. According to the results for physicochemical features of fruit leathers, % ash amount was 1.68-2.00%, % dry matter was 82.75-91.03, protein amount was 3.52-5.71%, pH was 3.04-3.43. While dry matter values were statistically significant between samples, the fruit leather samples richest in terms of ash amount were cornelian cherry and blackthorn fruit leathers containing 10% grape seed powder. The highest protein values were determined for blackthorn fruit leather containing 10% grape seed powder. The total phenolic content of Cornelian cherry fruit leather samples was 90.7-1164.0 mg GAE/100 g, while blackthorn fruit leather samples contained 52.4-1545.6 mg GAE/100 g. Fruit leather samples were determined to have significant increases in antioxidant capacity. The highest antioxidant capacity was determined in blackthorn and cornelian cherry fruit leathers containing 10% grape seed powder with values of 1969.0 mg TE/100 g and 1463.3 mg TE/100 g according to the DPPH method and 7414.1 mg TE/100 g and 4982.4 mg TE/100 g according to the CUPRAC method, respectively. The phenolic content and antioxidant capacity of wild fruit leather significantly increased with the addition of grape seed powder. While grape seed powder added to the formulation thickened the samples, the redness of the cornelian cherry fruit leathers increased, while the blueness of blackthorn fruit leathers increased. In terms of sensory features, the general approval scores between fruit leathers were affected at a statistically significant level. The 10% grape seed proportion reduced sensory approval, while the 1% rate was liked more. The highest approval was obtained for cornelian cherry fruit leather containing 1% grape seed powder.
Staphylococcus aureus ile kontamine edilmiş sığır kıymaları üzerine kamkat kabuğu tozu ve kamkat suyunun antimikrobiyal etkisinin araştırılması
Authors: Polat Zübeyde , Yalçın Halil , Soyuçok Ali , Çoban Rüveyda
Published: December 2024

Et, protein ve yağ içeriği bakımından insan diyetinin en önemli gıdalarındandır. Et, temel besin ögeleri bakımından zengin olması nedeniyle mikroorganizmaların gelişmesi için uygun bir ortam sağlamakta ve uygun olmayan şartlarda mikrobiyel bozulma hızlı şekillenebilmektedir. Et ürünlerinde raf ömrünü etkileyen en önemli parametre ise mikrobiyal gelişimdir. Bu çalışma kamkat (Fortunella margarita Swing) meyvesinden elde edilen toz ve suyun S. aureus üzerinde etkisi araştırılmıştır. Kamkat tozu (KT) ve kamkat suyunun (KS) farklı dozları (%0.1 (w/w), %1 (w/w), %2 (w/w)) sığır kıymalarına eklendikten sonra örnekler pişirilip soğutulmuş ve sonra S. aureus ile kontamine edilerek +10 ºC’de 21 gün boyunca depolanmıştır. Depolanmanın 0, 7, 14 ve 21. günlerinde pH, su aktivitesi (aw), oksidasyon redüksiyon potansiyeli (ORP) analizleri ve S. aureus sayımı yapılmıştır. Yapılanlar analizler sonucunda tüm depolama günlerinde gruplar arası en düşük pH değeri KS20 (kamkat suyu %2 (w/w)) grubunda olmuştur (p<0.05). KS01 (kamkat suyu %0.01 (w/w)) hariç tüm gruplarda ilk ve son depolama günlerine göre aw değeri düşmüştür. Son depolama gününde en düşük ORP değeri K grubunda bulunmuştur (p<0.05). KS20 (kamkat suyu %2 (w/w)) grubu 2.23 log kob/g düşüş ile en yüksek inhibisyon derecesine sahip olmuştur (p<0.05). Kamkattan elde edilen toz/suyunun %2 (w/w) konsantrasyonunda et ürünlerine ilavesinin mikrobiyal gelişimin baskılanmasında önemli rol oynayacağı düşünülmektedir.
Determination of Mardin-Kızıltepe plain groundwater level using geographic information systems and analysis of change between 1985-2019
Authors: Kılıçaslan Serkan
Published: December 2024

65% of groundwater resources are used for agricultural irrigation. This situation has made the management and protection of groundwater very important, especially in terms of the protection of natural resources and sustainable agriculture. For this purpose, in the study carried out in the Mardin-Kızıltepe Plain, which is one of the regions with intensive use, groundwater conditions and how they change over time were examined. The 34-year (1985-2019) drilling data of the region were divided into 7 periods and thematic maps of Static Water Level (SWL), Dynamic Water Level (DWL), Well Depth (WD) and Well Yield (WY) data were created and the change rates were analyzed using the reverse distance interpolation technique. While the proportion of the area classified as SWL shallow and normal in Period-1 was 100%, it decreased to 7.5% in Period-7, while the proportion of deep and very deep class, which was 0% in Period-1, reached 92.5%. While the ratio of shallow and normal class was 100% in DWL Period-1, it decreased to 0.2% in Period-7, and the rate of 0% in deep and very deep class in Period-1 reached 99.8% in Period-7. In terms of WD, while 100% of the well depths drilled in Period-1 were in the shallow and normal class, this rate decreased to 0.3% in Period-7, and the rate in the deep and very deep class reached 99.7%. Using the period-7 data, the exploitable groundwater potential of the region was classified and 3.2% of the area was classified as poor (390,78.4 ha), 44% as normal (130,372.3 ha), 36.2% as good (107,295.1 ha), 6.6% as very good (19,465.2 ha). In terms of 14 reference points, the underground SWL fell between 21-149 m, the DWL between 35-193 m, and borehole irrigation well depths of more than 300 m. It is expected that this study will be an important resource in groundwater management and protection in terms of environmental and natural resources protection and sustainable agriculture and will guide future studies on this subject.
The Effects of Laurus nobilis L. and Lavandula stoechas L. Essential Oils on Oxidative Stabilities of Sunflower and Olive Oils during Accelerated Storage
Authors: Yüzereroğlu Özge , Yorulmaz Aslı
Published: December 2024

The study aimed to investigate the effects of Laurus nobilis L (Laurel) and Lavandula stoechas L. (French lavender) essential oils on the oxidative stabilities of sunflower oil and olive oils. For this purpose, 500 and 1000 ppm of laurel and French lavender essential oils were incorporated into sunflower and olive oil samples. The oil samples were stored at 60°C for 12 days and analyzed every four days. During the storage period, free acidity and peroxide values, K232 and K270 values, and fatty acid profiles of the samples were monitored. The results showed that free fatty acids, peroxide and K232 values increased during storage. It was determined that the essential oils used in the study did not have an effect on free fatty acid formation for either type of oil. However, the enrichment with essential oils had slight positive effects on the stability of sunflower oil. Additionally, laurel and French lavender essential oils were determined to suppress the peroxide formation on the 4th and 8th days of storage of olive oil. A similar pattern was also observed for K232 values. K270 values of the oil samples enriched with essential oils generally showed a decreasing trend and this decreasing tendency was found to be clearer for olive oil. The major fatty acid in sunflower oil was linoleic acid, which ranged from 61.99 and 62.65%. Oleic acid, the main fatty acid of olive oil samples, covered 67.31-69.37% of the fatty acids. Statistically significant changes were observed in the fatty acid composition of oils during accelerated storage.
Clinical application of airbag bionic midwifery technology in vaginal delivery of pregnancy with scarred uterus
Authors: Zhang Muling , XY Zhou
Published: December 2024

This was an original article, mainly explored the effect of applying airbag bionic midwifery technology in vaginal delivery of scarred uterus pregnancy. Sixty patients were chosen, and divided into an intervention group (IG) and a control group (CG). The results showed that in contrast to the CG, the IG had shorter first, second and total stages of labor (P<0.01), less amounts of blood loss during delivery and 2 h after delivery (P<0.01), lower visual analogue scale (VAS) score (P<0.01), higher natural delivery rate, lower forceps assisted delivery rate and cesarean section rate (P<0.05), lower incidence of postpartum complications (P<0.05), and higher childbirth satisfaction (P<0.05). We conclude that the implementation of airbag bionic midwifery technology in vaginal delivery of scarred uterus pregnancy has obvious effects, which can effectively promote the success of vaginal delivery, shorten the stages of labor, and alleviate the degree of pain. We recommend its more routine application in obstetric clinical practice.
QUALITY OF TEACHER EDUCATION AND THE ROLE OF TEACHER ELIGIBILITY TESTS IN SHAPING TEACHER COMPETENCE IN HILL DISTRICTS: AN EXPLORATORY STUDY
Authors: Kashung Thuishim , Singh Laisom Sharmeswar
Published: December 2024

The present study focuses on the perceptions about Teacher Eligibility Tests (TETs) amongst student-teachers in Hill District Teacher Training Institutes. TETs ensure the quality of education through testing candidate teachers on their knowledge and skills. However, less has been researched in relation to how student-teachers perceive such tests, especially in context of geographically difficult areas such a hill districts. Using a mixed-methods approach of surveys and interviews, this study explored the attitudes, concerns, and preparedness of student-teachers in regard to TETs. The data were collected from 200 student-teachers of five teacher training institutes situated in hill districts. Findings show that although most participants believe TETs are necessary, they experience high levels of anxiety regarding the testing process and results. Limited access to preparation resources and urban bias in test content were prevalent themes of concern. The study also found a discrepancy in the curriculum being taught in these institutes and the skills being tested through TETs. The implications of this study are manifold as the cycle of poor TET performance among student-teachers in hill districts can contribute to a broader trend of underperforming teachers, which in turn may affect the educational landscape in these regions and policies aimed at promoting equitable access to quality education for all students.
TREND OF TOURISM IN KERALA: A COMPARATIVE STUDY BETWEEN MALABAR AND NON MALABAR REGIO
Authors: Dr. Shaji Ev  , K Bindu , C Shanthosh
Published: December 2024

Kerala, the gods own country has a prominent place in the spectrum of Indian tourism. Both domestic and foreign tourists find Kerala as a comfortable location for various grounds. These grounds and cultural, traditional and historical. The study has divided the entire Kerala in two segments, i.e. Malabar and non-Malabar region. Malabar region consists of 6 districts namely Kasargod, Kannur, Wayanad, Kozhikode, Malappuram and Palakkad. These districts are blessed with enormous natural beauty and beautiful destinations. The study made an in depth analysis of the tourist arrival trend in Malabar and Kerala along with foreign exchange earnings. Attempt is made to identify the district which contributes least number of tourists to Malabar. A comparative analysis between Malabar and non-Malabar region also forms part of the study.
HAS SECULARISM FAILED AS A CONCEPT IN INDIA? - A STUDY
Authors: Pasha S. Ameer
Published: December 2024

The present paper purports to examine and analyze the concept of Secularism in the context of world in general and India in particular. India is a secular state in the same way as it is a democratic state. Secularism is the only way of development in a plural society like ours. It is not a new phenomenon in India, we find its roots in the reign of Asoka the Great. But the occurrence of communal riots in the recent years indicates that the Indian Government has failed to establish a secular society. Communal politics, religious militancy, poverty, illiteracy and political corruption are posing serious threats to secularism. But the present turmoil will certainly be ever if sincere efforts with more stable secular policy are made. Majority of the problems will automatically be solved and the country will become an abode of peace progress and prosperity.
THE TRIUMPH OF EROS OVER THANATOS: A CRITICAL STUDY OF DEATH THEMATICS IN INDIAN ENGLISH WOMEN POETRY
Authors: Bajaj Rashmi , Batra Aparna
Published: December 2024

Death is an inevitable reality and phenomenon of human life which continues to be a universal concern in literatures across Time and Space. The theme of death has evoked variegated responses from litterateurs ranging from ‘ rage rage against the dying of light’ ( Dylan Thomas) to a ‘lover’s pinch which hurts and is desired’ (Shakespeare). It continues to be one of the significant themes in Indian English poetry also , finding expression in pre- and post -independence Indian writings. From Toru Dutt and Sarojini Naidu to the poets writing today, the poetry of Indian English women poets contains various and variegated literary representations of death .This paper takes up an in-depth study of the theme of death in the contemporary poets. It brings out their philosophy and vision of life vis-a-vis death , and also places them in a comparative international frame.
AI-enhanced collaborative story writing in Japanese university EFL classes
Authors: Emerson Nicolas
Published: December 2024

Artificial intelligence (AI) is opening up new possibilities for educators to explore innovative solutions to classroom challenges. While the benefits of AI in enhancing individual learning are well established, its potential in collaborative learning environments remains underexplored. This paper reports on the first cycle of a design-based research project that involved the development of Collabowrite, a collaborative story-writing application designed for compulsory English-as-a-foreign-language (EFL) classes at a Japanese university. During a 14-week semester, 52 students engaged with the application in 160 separate usage instances, using AI features such as grammar checks, virtual group members, artwork generation, and story narration. The grammar checks were evaluated for accuracy at 90.4% across 894 instances, with students adhering to elements of AI-provided guidance 91.4% of the time. Students rated their enjoyment of the activities at an average of 4.63 out of 5. Pre- and post-intervention surveys involving 27 participants indicated significant positive shifts in perceptions toward English writing, collaborative work, and the role of technology in language learning. Reflexive thematic analysis of qualitative data generated three salient themes that capture the diverse experiences of participants. These findings suggest the need to revisit sociocultural learning theories to incorporate AI into classroom dynamics. This initial research cycle led to the formulation of six design principles for integrating AI-enhanced collaborative writing tools into EFL classrooms. Future cycles will further evaluate the efficacy of Collabowrite as an educational tool and its impact on students’ foreign language writing abilities.
Wellbeing and Burnout of Nurses Undergoing Sexual Assault Nurse Examiner Education Before and During the COVID-19 Pandemic
Authors: Downing Nancy , Bogue Richard , Charles Laurie , Knutson Chelsea , Hilton Sydney , Mitchell Stacey
Published: December 2024

Background: Burnout is defined as work-related emotional exhaustion, depersonalization, and lack of personal accomplishment. Sexual assault nurse examiners (SANEs) may be at increased risk for burnout. Wellbeing practices protect against burnout. The purpose of this study was to evaluate the wellbeing and burnout of nurses undergoing education to become SANEs, considering the potential impacts of the COVID-19 pandemic. Methods: Data were from the SANE Wellbeing Study offered in conjunction with a SANE education program. The SANE Wellbeing Survey included the Nurse Wellbeing Self-Assessment (NWSAT), Maslach Burnout Inventory (MBI), Connor-Davidson Resilience Scale (CD-RISC), Perceived Stress Scale (PSS), and General Self-Efficacy (GSE) scale. Backward stepwise regression was used to identify factors that predicted NWSAT wellbeing scores. Results: A total of 68 nurses participated; most were female, white/non-Hispanic, bachelor’s-prepared, and worked in non-rural settings. About two-thirds completed the SANE Wellbeing Survey prior to the COVID-19 pandemic. Higher MBI Emotional Exhaustion and PSS scores were associated with lower wellbeing on some NWSAT domains. Working in an emergency department as their primary setting, working in a rural hospital, and lower education level were associated with lower scores on some wellbeing domains. Nurses who completed the survey during the pandemic had lower MBI Personal Accomplishment, CD-RISC, and GSE scores, and higher PSS scores. Conclusion: Nurses who self-select to become SANEs may have good baseline wellbeing and low burnout. Implications for Clinical Forensic Nursing Practice: Strategies to promote wellbeing and prevent burnout after beginning SANE practice can support a healthy SANE workforce and prevent attrition.
Thank you
Authors: Carter-Snell Catherine
Published: December 2024

A year end thank you to all who contribute to or subscribe to the journal.
International Updates
Authors: Carter-Snell Catherine
Published: December 2024

Updates from forensic members in countries outside the USA who participate in the AFN International Special Interest Group (SIG)
FNCB Update
Authors: Speck Patricia M. , St. Germain Debbie
Published: December 2024

An update on the activities of the Forensic Nursing Certification Board (FNCB) for Fall 2024
Mathematical Model of Differential Equations to Population Growth Models with Limited Growth in West Nusa Tenggara Province
Authors: Robbaniyyah Nuzla Af'idatur , Anjani Mutia Dewi , Lansuna Ni Wayan Eka , Ihwani Ivan Luthfi
Published: December 2024

Differential equations are often a topic in the field of mathematics which has many applications in mathematical modeling, one of which is population growth. Research on population growth is of course important for an area because the results  of this research can be used in issuing policies such as maintaining the availability of agricultural land, places to live, and many others. In this study, the mathematical model of differential equations was used to find a population growth model for the West Nusa Tenggara Province, then the model was verified and calculations were carried    out using the Mathematica software. Then a model is generated with the equation (𝑡) = 3504006 𝑒0,012(𝑡−1993) which results in a calculation that the population of NTB will continue to grow so that it is necessary to verify the model which produces a logistics growth model.
Stock Portfolio Optimization Using Single Index Model (SIM) with Exponentially Weighted Moving Average (EWMA) Approach
Authors: Mutmainna Ainul , Nurwahidah Nurwahidah , Anugrawati Sri Dewi
Published: December 2024

The optimal portfolio is a combination of various assets with the aim of reducing investment risk through diversification. This study aims to conduct stock selection using K-Means Clustering and the formation of an optimal stock portfolio from the application of Single Index Model the amount of investment risk in the portfolio using the Exponentially Weighted Moving Average approach, and the amount of portfolio performance. The analysis results show that there are 5 portfolios formed. The best portfolio that can be chosen by investors depends on the investor's risk tolerance. Investors with low risk tolerance can choose Portfolio 3 consisting of ICBP and MIKA stocks with an expected return of 0.01343 and a risk of 0.00714 and a VaR of IDR 2,633,286.63. Investors with moderate risk tolerance can choose Portfolio 1 which consists of ICBP, MIKA, ACES, INCO, ITMG, MAPI, TPIA, AKRA, and MDKA stocks with an expected return of 0.022047, risk of 0.01277 and VaR of IDR 3,083,287.87. Investors with high risk tolerance can choose Portfolio 2 which consists of MIKA, TPIA, and MDKA stocks with an expected return of 0.02504 and a risk of 0.01471 and a VaR of IDR 3,553,167.10.
Penetapan Segmenting, Targeting dan Positioning pada Produk Nugget Ikan di Kelompok Pengolah dan Pemasar Mina Bakti Balerea
Authors: Cahyaningrum Qoute Nuraini , Puspanidra Tiara , Rejeki Sari
Published: December 2024

This community service activity aims to increase the target partners’ knowledge related to potential consumer’s segmenting, targeting and positioning of fish nugget product. The scope of this community service activity is within The Mina Bakti Balerea processing and marketing group which is one part of BumDes Bhakti Kencana in Purwabakti Village, Pamijahan District, Bogor Regency. This community service program uses a survey method among the people of Bogor City and Regency eliciting responses in terms of the fish nugget product. Focused Group Discussion and workshop were caried out regarding segmenting, targeting and positioning to the Bumdes members. Members were given a questionnaire before and after the FGD and workshop. The purpose was to test their understanding of segmenting, targeting, positioning. After conducting the FGD and workshop, the results of the tests indicate there is an increase in understanding of positioning and targeting potential consumers and product positioning by 39,2%.  From the discussion, the partners also agreed with the additional data presented by the community service team. The members of Bumdes agreed upon the taste, shape, and price of the nugget advocated by the community service team. The results of  this progam also supported the Bumdes members to discover the name  for their fish nugget brand and a new packaging.