bluuebunny/crossref_metadata_2025 huggingface dataset:
Indocyanine green guided sentinel lymph node biopsy may have a high sensitivity for early (T1/T2) colon cancer: A prospective study in Indian patients
Authors: Ahmed Zeeshan , Patil Sanjeev M , Sekaran Anuradha , Rebala Pradeep , Rao GV
Published: February 2024

Objective: Indocyanine green (ICG) dye guided near infrared fluorescence (NIR) imaging is a promising tool for mapping lymphatics. The aim of this study was to evaluate the role of ICG guided SLN biopsy in Indian colon cancer patients.

Material and Methods: Forty-eight patients of clinically staged T1-T3 node negative colon cancer underwent laparoscopic/open resection. Patients received colonoscopic peritumoral submucosal ICG injections for laparoscopic (n= 32) and subserosal injections for open resections (n= 16) followed by the detection of SLN using NIR camera. SLNs underwent conventional hematoxylin and eosin (H & E) staging with additional serial sectioning and immunohistochemistry for pancytokeratin antibody (ultra-staging). Detection rate and upstaging rate were the primary end points.

Results: Forty-eight patients were recruited. An average of 2.08 ± 1.27 SLNs were identified in 45 patients at a mean time of 8.2 ± 3.68 minutes with a detection rate of 93.75%. Mean age and mean BMI were 59.7 ± 12.54 years and 24.8 ± 4.09 kg/m2 , respectively. Eighteen patients had node positive disease, and SLN was false negative in four of these patients resulting in a sensitivity of 77.77% with a trend towards higher sensitivity for T1-T2 tumours (90% vs. 62.5%, p= 0.068). Upstaging rate was 10%. Negative predictive value (NPV) and accuracy of the procedure were 87.09% and 91.11%, respectively.

Conclusion: ICG guided SLN biopsy can identify metastatic lymph nodes in colon cancer patients that can be missed on H & E staging with relatively higher sensitivity for early (T1/T2) tumours.
Feasibility of totally extraperitoneal inguinal hernia repair in patients with previous prostatectomy
Authors: Özata İbrahim H. , Sucu Serkan , Karahan Salih N. , Kaan Kılıçoğlu Bilge , Kalender Mekselina , Camcı Furkan , Özoran Emre , Bozkurt Emre , Uymaz Derya S. , Ağcaoğlu Orhan , Balık Emre
Published: February 2024

Objective: Laparoscopic totally extraperitoneal inguinal hernia repair (TEP) surgery technique includes three key steps: reaching the preperitoneal space, reducing hernias, and placement of mesh. However, reaching the preperitoneal space can be complicated in patients with previous lower abdominal surgeries. This study aimed to assess the feasibility of laparoscopic inguinal TEP in patients with previous prostatectomies.

Material and Methods: Inguinal hernia patients who underwent laparoscopic TEP between January 2015 and February 2021 at Koç University Faculty of Medicine, Department of General Surgery, were included in this retrospective study. The operations were performed by five senior surgeons experienced in laparoscopy. Patients were divided into two study groups, as the radical prostatectomy (RP) group which included patients with previous prostatectomy non-RP which included patients without previous radical prostatectomy. Operative time (OT), length of hospital stay (LOS), and postoperative complications were compared within two groups.

Results: Three hundred and forty-nine patients underwent laparoscopic TEP, and 27 had previous prostatectomies. Among them, 190 patients had unilateral inguinal hernias, and 159 had bilateral inguinal hernias. Mean age of the patients in the non-RP and RP groups was 58.1 ± 14.7 and 73.9 ± 9.6 years, respectively. Only one (3.7%) case was complicated with urinary tract infection in the RP group, and 10 (3.1%) were complicated in the non-RP group. Complications for the non-RP group include hematomas in six cases, urinary tract infection in three cases, and urinary retention in one case. No significant difference in mean operative time was seen between non-RP and RP groups (p= 0.43). There was no significant difference in the means of the length of hospital stay between the two groups (p= 0.7).

Conclusion: Laparoscopic TEP in patients with a previous prostatectomy can be performed safely without prolonging the operative time and increasing the length of hospital stay.
How to do it: Splenic flexure mobilisation via medial trans-mesocolic approach
Authors: Buwaneka Wijesinghe Lekamalage Binura , Ngoc Vu Anh , Jane Duncan-were Lucinda , Arachchi Asiri , Bui Andrew
Published: February 2024

Complete splenic flexure mobilization is a critical step in left-sided colorectal resections. Surgeons use three approaches-anterior, medial, and lateral-to divide peritoneal ligaments connecting the left colon. The decision to perform mobilization varies, with minimal impact on post-operative outcomes but longer surgery times and rare complications. Pancreatic injury risk is low, though other structures, like arteries and the duodenum, may be at risk. Our video outlines the medial trans-mesocolic approach, with the patient positioned in lithotomy. We expose the duodenal-jejunal flexure, ligate the inferior mesenteric vein, and perform medial to lateral dissection, completing splenic flexure mobilization. This video vignette outlines how to perform this technique for left sided colorectal resections.
Influence of Principal Leadership, Discipline and Motivation on the Performance of Private Mts Teachers In Banyuasin Regency
Authors: Khasanah Esti Nur , Ismail Gunawan , Moelyati Trisniarty Adjeng
Published: February 2024

This research aims to describe the influence of school principal leadership, discipline and motivation on the performance of private MTs teachers in Banyuasin Regency in detail. The data testing method for measuring the variables in this research uses Multiple Linear Regression Analysis. Associative research type. The total respondents were 154 teachers from 20 private MTs in Banyuasin Regency. The research results show that: (1) Leadership, discipline and motivation simultaneously influence the performance of private MTs teachers in Banyuasin Regency. (2) In particular, leadership, discipline and motivation have a positive effect on the performance of private MTs teachers in Banyuasin Regency.
Delinquency among University Students and Parenting Attitudes in Kenya
Authors: Wakoli Dr. Caroline , Bundotich Sarah
Published: February 2024

Despite the heavy investment in education that the Kenya Government makes each year, delinquent behavior among University students continue to affect the goals of effective training and skill building. This undermines efforts at poverty alleviation and wealth creation in the country. Emerging evidence suggests that there is a correlation between University students’ demeanor and parenting behaviour in Kenya today. At a tender age of 17 many young people are thrust into the independent University world and left to fend for themselves emotionally and even physically. This invariably leads to delinquent behavior such as drug abuse and prostitution. Studies in Kenya have not fully explored the effects of parental attitude, behavior as well as the family structure on adolescent delinquent behavior. To fill this gap in knowledge, he current study has sought to explore the relationship between parental behavior, attitudes and delinquent behavior among University students in Kenya. This study has adopted a correlational study design as well as a desk review methodology. The paper recommends that family-centric intervention measures be put in place. Factors such as sensitization on the critical role the that the family structure plays in combating delinquency, strengthening of the parental role, discouraging divorce and encouraging parental involvement in the education of their children in the University must remain central.
Understanding the Relationship Between Self Referential and Socially Oriented Emotional Intelligence Constructs: A Cross-sectional Study
Authors: Merlin J Ida , Prabakar S
Published: February 2024

This article aims to investigate the influence of self-perception, self-regulation and motivation on the social awareness and social skills of university students. While Emotional Intelligence is a concept extensively researched in psychology with a substantial body of literature, there is limited empirical data connecting the constructs of self to the social constructs in Emotional Intelligence. The research recognizes the significance of understanding how these intrapersonal and interpersonal factors contribute to the development of social competence in the academic environment. A quantitative survey was used to explore the relationship between these. The sample comprised undergraduate students from diverse academic disciplines, and data were collected through validated self-report questionnaires. The findings underscore the importance of integrating targeted interventions and educational strategies that promote the development of these attributes to enhance students' overall social competence. By fostering a greater understanding of these dynamics, universities can better equip their students with the social skills necessary for successful interpersonal interactions, personal growth, and future professional success.
A Rail-To-Rail and Low Offset Novel Strongarm Comparator Circuit for Low Power Data Converter Architectures
Authors: Krishna K Lokesh , Reddy D Srinivasulu , Rao T Chandrasekhar
Published: February 2024

With the rapid improvements in the design of advanced high performance communication receivers, hand-held electronic devices are in widespread usage for some time. These devices facilitate high speed and secured access to internet data. The demand for realizing a smart and better usage experience puts forth strict requirements on the design aspects of next-generation high speed low power complementary metal oxide semiconductor (CMOS) receiver design. One of the major modules in the implementation of high speed low power CMOS receiver device is the analog to digital converter (ADC) architecture. In the process of conversion from analog to digital signals, Quantization and sampling operations are vital and are realized using comparator circuits. The comparator design has a significant role in the design of data converter architecture. Several comparator architectures exist, but StrongARM topology is discussed and implemented in this work due to its negligible static power dissipation and rail to rail output voltages. The proposed novel comparator architecture is designed and simulated in 90nm CMOS process using Cadence Virtuoso tool and operated at supply voltage of VDD=1.5V, a clock frequency of 250MHz. Compared to the previous designs, the energy delay product was reduced by 8% which is an important observation to be observed for use in wireless sensor node applications.
XI Congreso Latinoamericano de Dolor. VI Centroamericano y del Caribe de Dolor y Cuidados Paliativos. XIV Reunión Iberoamericana de Dolor.
Authors: Acuña Aguilar Carlos
Published: February 2024

La Federación Latinoamericana de Asociaciones para el Estudio del Dolor (FEDELAT), la Sociedad Española de Dolor (SED), la Asociación Portuguesa para el Estudio del Dolor (APED) y la Asociación Costarricense de Medicina Paliativa y Medicina del Dolor (ACMPyMD), organizaron y realizaron el XI Congreso Latinoamericano de Dolor, VI Centroamericano y del Caribe de Dolor y Cuidados Paliativos y la XIV Reunión Iberoamericana de Dolor del 15 al 17 de junio de 2016, contando como sede del evento el Hotel Real Intercontinental, ubicado en San José, Costa Rica. Esta actividad constituyó el mayor encuentro de profesionales dedicados al estudio y manejo del Dolor y de los Cuidados Paliativos en todo Iberoamérica en lo que ha sido el año 2016.
Dominator coloring of Kneser graph
Authors: Zhao Conghui , Zhang Shumin , Jia Tianxia , Ye Chengfu
Published: February 2024

A dominator coloring (briefly DC) of a graph G is a proper coloring such that each vertex dominates every vertex of at least one color class (possibly its own class). The dominator chromatic number χd(G)  of G  is the smallest cardinality of color classes in a DC of G. By using Steiner triple systems, in this paper, we establish that the dominator coloring of the Kneser graph  KG(n, 2) is n for n ≥ 5.
Una aproximación práctica al marketing digital en salud
Authors: Gómez Mara , García-Perdomo Herney Andrés
Published: February 2024

El enfoque del marketing digital se ha trasladado en las últimas décadas al campo de la salud, dando lugar a la creación de diversas estrategias que facilitan tanto la comunicación e interacción entre los profesionales de la salud y los pacientes. Estas pueden aplicarse en tres grandes etapas: la captación, la retención y el seguimiento de los pacientes, con una gama amplia de alternativas que varían desde la creación de un sitio web personal hasta la participación del profesional en equipos de salud con un enfoque de atención multidisciplinaria, mediante diversas plataformas o aplicaciones digitales. El uso de estas modalidades ha traído consigo múltiples beneficios, desde una atención integral de los pacientes hasta el incremento de la oferta de los diferentes servicios en salud y la opción de la participación en estudios científicos de gran aporte para la comunidad. Así, el marketing digital en salud representa un gran avance en este gremio y se vaticina de alto impacto para la sociedad.
STREATEGI PENINGKATAN KUALITAS PELAYANAN PERPUSTAKAAN XYZ DENGAN METODE QUALITY FUNCTION DEPLOYMENT
Authors: Octasylva Annuridya rosyidta Pratiwi
Published: February 2024

This study analyzes the quality of service from the XYZ Library to users both students and lecturers. This study uses the Quality Function Deployment (QFD) method using the House of Quality (HOQ) model which is guided by the Servqual Method. This method can evaluate the quality of service from the XYZ Library so that it can improve the quality of service to library users. With this method, priority service improvement is obtained so that plans to improve services can be clearly implemented.
Decreasing of Magnetic Saturation of Yttrium Doped Cobalt Ferrite Prepared by the Sol-Gel Auto-Combustion
Authors: Rahardjo Dwi Teguh , Budiawanti Sri , Suharno Suharno , Suryana Risa , Supriyanto Agus , Purnama Budi
Published: February 2024

In this research, a nano-sized cobalt ferrite material doped with Yttrium has been successfully fabricated using the sol-gel method of automatic combustion with variations in low sintering temperatures of 200, 300 and 400 °C. The results of refinement of XRD data using the Rietveld method show that the Yttrium-doped cobalt ferrite compound with a Yttrium concentration molarity of 0.1 possess a cubic crystal system and Fd-3m space group. The increasing annealing temperatures also increase the crystallite size of Yttrium-doped cobalt ferrite with the highest magnitude of 16.05 nm. The FTIR results of the samples indicated the presence of Co-O bonds around wave number 385 cm−1 and Fe-O bonds around wave number 582 cm−1 which are characteristic of the presence of cobalt ferrite compounds. From the VSM measurement results, it can be seen that there is a decrease in magnetic saturation with an increase in annealing temperature. The presence of Yttrium substitution, which takes the place of Fe3+ in cobalt ferrite material, indicates lower saturation magnetization. Image from SEM results showed samples have nanoparticle crystallite size. Evaluation of potential photocatalyst applications using a UV-Visible Spectrophotometer (UV-Vis). For Yttrium doped cobalt ferrite at 200 °C, the best degradation efficiency of Congo Red findings showed a magnitude of 76.10 %; the results are confirmed by the occurrence of the smallest crystallite size (15.11 nm).
HIGHLIGHTS

Preparation of yttrium-doped cobalt ferrite by the sol-gel auto-combustion method with various annealing temperatures
The presence of Yttrium substitution, which takes the place of Fe3+ in cobalt ferrite material, indicates lower saturation magnetization
Yttrium-doped cobalt is applied for photocatalytic Congo Red dye in water with the best performance according to the smallest crystallite size

GRAPHICAL ABSTRACT
The Flow-Pressure and Cardiopulmonary Responses of Manual Chest Percussion with Different Ranges of Oscillation Frequency in Healthy Subjects
Authors: Audsavachulamanee Buranat , Nwe Aung Aung , Ubolsaka-Jones Chulee , Kosura Nimit , Hongratana Guntaragorn , Aueyingsak Sahachat , Siritaratiwat Wantana , Nakmareon Saowanee , Phimphasak Chatchai
Published: February 2024

Manual chest wall percussion (MP) is a technique for secretion clearance which commonly use. However, MP is performed by physiotherapists throughout a broad range of the oscillation frequency, which might result in different physical properties and cardiopulmonary responses of MP. Investigate the flow, pressure and cardiorespiratory response during MP with 3 frequencies in healthy subjects. Twenty-one healthy subjects (8 men and 13 women) were recruited into this crossover study. MP was applied with 3 frequency ranges, including low (4.0 ± 0.5), medium (5.5 ± 0.5), and high (6.5 ± 0.5) Hz, for 3 min in the neutral side lying on left side. A flow sensor (Model SS11LA) and a pressure sensor (Model SS13L) were used to measure Inspiratory-expiratory (I-E) flow rate and pressure through mouth. A bedside monitor (BSM 2351k, Nihon Kohden) was used to measure cardiopulmonary response. All dependent variables were measured pre- (resting), during, and post- (recovery) MP application. Both I-E flow rate and pressure were increased from resting significantly in all frequencies MP, but they were not different among the 3 frequency ranges. The E flow rate was increased to 0.41 - 0.44, 0.49 - 0.52 and 0.41 - 0.49 L/s (min-max) during MP application at low, medium, and high frequency compared to resting (0.31 - 0.36 L/s), respectively. The E pressure was increased to 0.40 - 0.41, 0.44 - 0.47 and 0.39 - 0.47 cmH2O (min-max) during MP application at low, medium, and high frequency compared to resting (0.20 - 0.22 cm H2O), respectively. However, the increment of the 3 frequency ranges did not affect the cardiovascular functions except respiratory rate, which was increased only 2 breaths/min from resting. In conclusion, airflow and pressure were slightly increased during MP but did not affect cardiopulmonary functions in healthy subjects. Further study in patients is needed.
HIGHLIGHTS

Manual chest wall percussion is a secretion clearance technique which commonly used.
Whether manual chest wall percussion frequency is capable of increasing expiratory flow rate by the same amount.
The percussion force might be the most prominent factor affecting the expiratory flow rate.
The frequency of chest wall percussion does not affect cardiovascular response.
Medium and high frequencies cause a minor rise in the respiratory rate but have no impact on minute ventilation.

GRAPHICAL ABSTRACT
Influencia de las redes sociales en el proceso educativo de los estudiantes del tercer año de Bachillerato de Informática de la Unidad Educativa Pichincha (Ecuador)
Authors:   Unidad Educativa Pichincha. Ecuador, CHAVEZ Ericka W. , BARAHONA Cesar F. ,   Unidad Educativa Pichincha. Ecuador
Published: February 2024

Las redes sociales son herramientas Web 2.0 que ofrecen oportunidades reales para que los estudiantes participen en su propia educación a través del aprendizaje independiente. Este estudio tiene como objetivo describir la influencia de las redes sociales en el proceso educativo. Para ello, se realizó una encuesta entre 60 estudiantes del tercer año de Bachillerato de Informática de la Unidad Educativa Pichincha (Ecuador). Los datos recogidos dieron como resultado que las redes sociales, son utilizadas por los estudiantes principalmente para buscar recursos relacionados con los contenidos de los cursos.
Evaluating the Efficacy and Safety Profile of Good Morning™ Constipation Drops in a Loperamide-Induced Rat Model
Authors: Aphle Parth , Dalua Snigdha Suman , Tiwari Poorva , Valavan Ramachandran
Published: February 2024

Introduction: Constipation is a prevalent gastrointestinal condition globally, often managed with conventional laxatives that may cause side effects and dependency. Homeopathy, offering a holistic approach through diluted natural substances, aims to stimulate the body's self-healing mechanism. This study evaluates Good Morning™ drops, an innovative homeopathic formulation designed to safely and effectively manage constipation. Using a rat model of Loperamide-induced constipation, we evaluated its safety and efficacy, unveiling promising results.Materials and Methods: A rat model of Loperamide induced constipation was utilized to assess the efficacy and safety of Good Morning™ Constipation Drops. 3 unique formulations were prepared and employed to the animal model in 3 different doses. 72 rats were randomly assigned to 12 groups (3 control groups plus 3 formulations in 3 different doses totalling 9 groups), receiving specific variants or control treatments over the period of 21 days. Parameters including body weight, water intake, stool count, intestinal function, haematology, bleeding and clotting time, blood biochemistry, and organ weight were evaluated. Results and discussion: The results showed that all homeopathic formulations, particularly Variant 2, exhibited significant effects in Loperamide induced constipated rats. Across various parameters, Variant 2 consistently influenced food intake, stool characteristics, and small intestine motility. Safety assessments indicated overall well-being, withVariant 2 demonstrating superior survival outcomes. These findings position Variant 2 as a promising candidate for constipation management, emphasizing its consistent efficacy and safety in the rat model. Conclusion: In conclusion, Good Morning™ Constipation Drops exhibited a promising blend of safety, efficacy, and a multifaceted mechanism of action. The formulation, rich in botanical ingredients, demonstrates high safety with favorable survival rates. Efficacy is evident in improved stool counts, stool weights, Small Intestine Transition percentages, and impacts on lipid profiles and liver enzymes, highlighting its potential as a comprehensive solution for constipation relief.
A Survey of Health Care Chatbot for Patient Support
Authors: Pooja Girish  , Mayank Kumar  , Sharmila Chidaravalli
Published: February 2024

This literature survey delves into the evolving realm of healthcare chatbots, analyzing a variety of research papers on AI chatbot systems. The papers cover diverse objectives, methodologies, and applications within healthcare, including microservice architectures for chronic patient support, disease prediction, herbal remedies, and mental health support. Common threads across the papers include the adoption of natural language processing, machine learning, and AI markup languages. Ethical considerations, such as data privacy and consent, are identified as crucial aspects. Some papers focus on specific medical domains, while others propose comprehensive frameworks integrating IoT and health knowledge graphs. The survey highlights challenges like unified semantic approaches for patient data and underscores the ongoing need for research to address gaps, enhance chatbot intelligence, and ensure ethical deployment in real-world healthcare scenarios
Contribution of Gopiballavpur’s Radhagobind Temple for Promoting Peace to the Socio-Cultural Life of Odisha and West Bengal: A Historical Review
Authors: Dr. Mukteswar Das
Published: February 2024

The cultures of both indigenous and non-indigenous peoples of Odisha and West Bengal have been greatly influenced by the religious visitation of Gopiballavpur’s Radha Gobinda temple since its inception. A peaceful nonviolent religious mission for welfare of the people has been started within various obstacles by its founders named Shyamananda and his disciple Rashikananada. The cruel people of its adjacent areas learned to live a gentle and peaceful life by becoming their disciple as baishnab. Thereafter the followers of the founders of this temple, the members of the Goswami family have been taken the responsibility of wellness of the people through the loving message of vaishnavism. In this context, the article attempts to reveal the spiritual impact of this temple on its followers which has been still prevailing for providing peace within numerous conflicts
A Literature Survey on Precision Crop Prediction Using Soil and Environmental Analysis
Authors: R S Koushik  , Rithesh K R  , Mahendra M K
Published: February 2024

With the increasing global demand for agricultural efficiency, the importance of accurate and well-informed crop planning is highlighted. The objective of the research project, titled "Precision Crop Prediction using Soil and Environmental Analysis," is to develop a system that utilizes machine learning algorithms and extensive datasets to forecast the most suitable crop for a particular region. This system incorporates essential input parameters such as soil NPK values, pH levels, temperature, humidity, and rainfall data. It provides users with valuable insights, including recommended crops for cultivation, anticipated yield per acre, and estimated market prices for the yield. By offering a comprehensive and data-driven solution, farmers can make more informed decisions, optimize resource allocation, and enhance overall agricultural productivity.
Littering Management - Survey on Algorithms
Authors: Mutyala Navya  , Sagar K C  , Vimuktha Evangeleen Salis
Published: February 2024

This literature review critically examines the utilization of CCTV cameras and real-time object detection to address the issue of littering from moving vehicles. The paper explores the core objective of identifying waste disposal instances, focusing on sophisticated image processing techniques for accurate license plate details capture. Through the integration of technology, the review discusses how the system detects and documents littering, facilitating the imposition of fines on registered vehicles. The strategic fusion of CCTV cameras and advanced image processing is analyzed for its effectiveness in deterring irresponsible waste disposal and reinforcing anti-littering regulations. The literature review contributes to a comprehensive understanding of this approach's impact on fostering a cleaner and more environmentally conscious urban environment
Smart Public Toilet Management and Monitoring System using IOT
Authors: Kavita V Horadi  , Mahima S  , Shobhitha HL
Published: February 2024

This paper addresses the pervasive issue of inadequate public sanitation in various regions of India and slums, marked by rampant urination and poorly maintained public toilets. Despite significant governmental expenditure and efforts to maintain cleanliness, the absence of a centralized monitoring mechanism renders these endeavors ineffective. To overcome this challenge, the paper proposes an Internet of Things (IOT)-based toilet monitoring system utilizing a web server and a mobile cleaner application. The system aims to simplify monitoring processes for toilet cleaners and administrators by tracking multiple cleaning metrics and providing real-time alerts based on user input. The motivation behind this project stems from the alarming state of hygiene in government schools, where students or teachers often bear the responsibility of cleaning due to labor shortages and insufficient funds. The relevance of the proposed system lies in its potential to revolutionize the maintenance of school and public toilets, addressing the unhygienic conditions prevalent in India. The novelty of the system includes features like automatic water flush, UV sanitization, timely floor cleaning, automatic sanitary pad vending, water monitoring, smell detection, and automatic ventilation, all facilitated through IOT technology. By presenting a cost-effective and efficient solution, this research contributes to the improvement of public sanitation in various settings, including homes, schools, colleges, hospitals, businesses, and industries, thereby promoting urban sanitation in the contemporary environment
Improving the Abilities of Science Learning Outcomes About Heat Transfer in Class V Students of SD IT Uswatun Hasanah Through the Singing Method
Authors: Astri Aas , Suwanto Suwanto , Leini Saragih Srimis
Published: February 2024

This research aims to describe efforts to improve students' ability to understand heat transfer in fifth grade science lessons at SD IT Uswatun Hasanah, Banjar City. To achieve this goal, Classroom Action Research will be carried out on 21 students using the singing method. There are 2 cycles in this research. Each cycle goes through four stages, consisting of (1) planning, (2) implementing learning improvements, (3) data collection, and (4) reflection. Data were collected using a learning outcomes test in the form of a questionnaire with a total of 10 questions. Based on the research stages, the results showed that in cycle 1 only 43% had completed the KKM score of 75. And this increased to 100% in cycle 2. Therefore, the use of the singing method had a positive impact in improving student learning outcomes in the heat transfer science subject. The material presented becomes easier for students to accept and students feel happy so that students are actively involved and also motivated in class so that learning objectives are achieved well.
Social Media Impact on Employees Performance in Selected Information Technology Companies in Nigeria
Authors: Pukon Frank Miyebi , Ekienabor Ehijiele
Published: February 2024

The purpose of this study is to examine the social media impact on employee commitment; to investigate the impact of social media on employees’ productivity. 200 respondents were sampled and the sample population was conveniently selected from two information technology companies. Spearman’s rho correlation coefficient was used to test the formulated hypotheses. From the result of the analyses, the research found that social media has a significant positive impact on employee commitment with a positive coefficient value of 0.917 at 0.01 significant level; and social media has a significant positive impact on employee productivity with a coefficient value of 0.909 at 0.01 significant level. Based on the findings of this study, it is recommended among others that management need to find ways at integrating social media into almost all sphere of the work carried out by the employees to increase employee job satisfaction. In addition, there is need for the management to do more through sensitising, orientating and managing social media usage if high and efficient productivity is to be upheld. The study concluded that social media has a positive impact on employee performance in the workplace.
Anemia in chronic kidney disease
Authors: Öztürk Hakkı , Hacıömeroğlu Aykut
Published: February 2024

Anemia associated with chronic kidney disease is a common complication and a cause of increased morbidity and mortality. Hemoglobin levels should be closely monitored in all stages of chronic kidney disease. In this review, current clinical practice for anemia associated with chronic kidney disease, including pathophysiology, diagnosis, and treatment management, is reviewed.
The relationship between neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR), hemoglobin albumin lymphocyte and platelet (HALP) score and bone mineral density in Hemodialysis Patients
Authors: Şen Uzeli Ülkem , Doğan Murat
Published: February 2024

Aims: The aim of this study is to develop new indices from hemogram and biochemical parameters to evaluate bone mineral density in hemodialysis patients.
Methods: 49 patients who had been receiving hemodialysis for at least 6 months were included in the study. The patients were divided into three groups according to bone mineral density (BMD). Neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR) and hemoglobin albumin lymphocyte and platelet (HALP) score were compared between all three groups. The correlation between all three indices and lumbar and femur BMD scores was examined.
Results: No correlation was found between NLR, PLR and HALP score and lumbar and femur BMD.
Conclusion: As a result, we concluded that NLR, PLR and HALP score cannot be used as an auxiliary marker to detect osteoporosis in hemodialysis patients.
Faktor-Faktor Yang Mempengaruhi Return Saham Pada Perusahaan Manufaktur Di Bursa Efek Indonesia (BEI) Tahun 2019-2022
Authors: Tika Handayani  , Hasibuan Rahnawaty , Shally Rizkiyanti  , Ardelia Suharmanto  , Maulidia Berlianti
Published: February 2024

Tingkat pengembalian yang diperoleh dari pembelian dan penjualan saham dikenal dengan istilah return saham. Laba atau laba periode berjalan berdampak pada harga saham korporasi, menurut data yang dirilis Bursa Efek Indonesia. Harga saham dipengaruhi oleh minat investor, yang meningkat seiring dengan naiknya keuntungan perusahaan. Tujuan penelitian ini adalah untuk mengetahui bagaimana pengaruh CR, ROA, DER, EVA terhadap Return Saham perusahaan manufaktur  subsektor makanan dan minuman yang terdaftar di Bursa Efek Indonesia (BEI) Tahun 2019-2022. Menggunakan data sekunder dari BEI, metode penelitian menggabungkan analisis deskriptif kuantitatif. Pengujian hipotesis dan penentuan statistik menggunakan metode pengujian tradisional. Pada periode 2019-2022, dikumpulkan data dari 14 perusahaan manufaktur subsektor makanan dan minuman  yang memenuhi syarat pemilihan sampel. Temuan penelitian menunjukkan bahwa meskipun Debt to Equity Ratio dan Economic Value Added tidak berpengaruh terhadap return saham, namun Current Ratio dan Return On Assets (ROA) berpengaruh.
Mid-Term Results of Aortic Valve Sparing Root Surgery Operations
Authors: Tan Recep Berra Zümrüt , Göksedef Deniz
Published: February 2024

Introduction: In this study, we retrospectively analyzed the mid-term outcomes of patients who underwent aortic valve-sparing root replacement (VSARR).

Patients and Methods: Ninety-six patients operated on due to annuloaortic ectasia in our clinic between 2012 and 2016 were examined. Twenty-four patients who underwent VSARR were included in the study. They were evaluated using echocardiography and computed tomography in terms of mortality and reoperation according to their preoperative demographic characteristics, aortic regurgitation (AR), and annular dilatation levels.

Results: The early mortality rate was 12.5% (n= 3) and was associated with emergency operation and total arch replacement. The mean follow-up was 33.00 ± 9.53 months. The early mortality rate was 12.5% (n= 3) and was associated with emergency surgery and total arch replacement (p= 0.035, p< 0.05). The mean followup was 33.00 ± 9.53 months. None of the patients required reoperation. While postoperative AR was seen in one patient with Takayasu’s arteritis (n= 1, 4.16%), it was not observed in the patients with Marfan syndrome or bicuspid aortic valve disease. Postoperative AR and preoperative AR were related (p= 0.012, p< 0.05), but preoperative annulus diameter was not (p= 0.296, p> 0.05). There was no difference in valve durability between the use of Dacron and Valsalva grafts (p= 0.724, p> 0.05).

Conclusion: For patients with aortic root aneurysms, elective VSARR is a good surgical option. However, the presence of comorbidities is related to high mortality because it necessitates urgent and complicated surgery for patients with aortic dissection.
Exercising with a Surgical Mask is Safe but Decreases Performance in Both Athletic and Non-Athletic Individuals
Authors: Yakal Sertaç , Taşdemir Esin Nur , Dinçer Şensu , Devran Sergen , Günver Mehmet Güven , Şahinkaya Türker , Erelel Mustafa , Altan Mehmet , Metin Gökhan
Published: February 2024

Introduction: Upper respiratory tract infections (URTI) are common medical problems in athletes. Many athletes with URTI continue to train at high-levels and even compete. Using a mask as an additional measure may be beneficial to prevent the spreading of infection among teammates. However, there are many concerns about the effects of mask use on exercise safety and performance. Although some studies have investigated the effects of masks on performance in healthy individuals, studies in athletes are even more limited. Thus, we aimed to evaluate the impact of surgical masks on performance and safety during a cardiorespiratory exercise test (CPET) test applied to both athletes and non-athletes.

Patients and Methods: A cross-over, non-randomized study was designed. The study was conducted in two phases. In phase 1, the CPET was performed without using a surgical mask. In phase 2, CPET was performed with a surgical mask in addition to the spiro mask 48 hours after the first test. Thirty participants aged 18-35 were included in the study. They were further divided as athletes (n= 17) and non-athletes (n= 13) subgroups.

Results: Significant decreases were observed in some parameters of submaximal exercise [VEan, BFan, VE/ VO2 , VE/VCO2 (p< 0.001)] and in maximal exercise [VEmax, BFmax, TVmax, VE/VO2 , VE/VCO2 (p< 0.001)]. There were also significant decreases in VO2 levels (VO2 an, VO2 max) when compared with and without a surgical mask in both submaximal and maximal exercise (p< 0.001). Additionally, PETO2 decreased, and PETCO2 increased in maximum exercise (p< 0.001), whereas no significant changes were detected at the submaximal level. In subgroup analysis, VEan, VEmax, VO2 an, VO2 max parameters were decreased in athletes compared to non-athletes in surgical masked tests.

Conclusion: Surgical masks for athletes and non-athletes decrease performance but have no detrimental effect on cardiorespiratory parameters. Athletes should be aware of this negative effect when high-level performance is demanded.
Predictive Value of the Naples Score for InHospital Mortality in Patients with ST-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention
Authors: Öner Ender , Kahraman Serkan
Published: February 2024

Introduction: ST-segment elevation myocardial infarction (STEMI) is a significant contributor to mortality. The identification of high-risk patients holds great importance for prognosis. The development of a scoring system that incorporates both inflammatory and nutritional status components can provide valuable insights into prognosis.

Patients and Methods: This is a retrospective observational study comprising 570 consecutive ST-elevation myocardial infarction patients who underwent primary coronary intervention between 2018 and 2020. Patient data were obtained from the electronic database of the hospital.

Results: The incidence of in-hospital mortality rate was 4.9%. The entire group was then divided into two groups based on the presence of in-hospital mortality: 542 patients without in-hospital mortality constituted group 1, while 28 patients with in-hospital mortality formed group 2. In the multivariate logistic regression analysis, the Naples score was identified as an independent predictor of in-hospital mortality.

Conclusion: A higher Naples score is associated with increased in-hospital mortality in patients with STelevation myocardial infarction who undergo primary coronary intervention.
Survey-Based Evaluation of Cancer Patients’ Satisfaction and Discomfort Experienced During Central Venous Port Use
Authors: Kaya İbrahim Çağrı
Published: February 2024

Introduction: The use of central venous port provides a safer and better quality of life for cancer patients undergoing chemotherapy. Refusal of central venous port implantation in patients with inadequate venous access may lead to discontinuation of chemotherapy or even extravasation of peripheral vasculitis and anti-cancer drugs. By doing this survey-based study, it was aimed to determine the reasons before the implantation of central venous port systems, the patient’s satisfaction afterwards, the complications associated with the port system, the discomfort they cause and the expectations of the patients.

Patients and Methods: The study was carried out based on a questionnaire and through one-to-one interview by a cardiovascular surgeon with 100 patients who were treated with central venous port in the chemotherapy unit of Eskişehir City Hospital between August 1 and October 31, 2022.

Results: Sixty-one percent of the patients cited long-term intravenous therapy and 44% cited inadequate venous access as the cause of port implantation. Ninety-six percent of the participants stated that they were satisfied with their ports. Only six patients stated that they had various problems, but were satisfied overall. When asked about the advantages of using the port, 76% of the patients stated that they no longer had more than one vascular puncture problem and 75% stated that they felt less pain. Fifty-one percent of the patients stated that they felt anxiety before the procedure; the most felt concern was possible complications (13 patients) and the thought that it would cause discomfort in life. Nine patients experienced complications after port implantation. Five patients described port system obstruction and four patients described the development of skin infection.

Conclusion: Especially in our country, most patients still do not use central venous ports. The fact that existing fears and anxiety of the patients before the procedure cannot be eliminated with adequate and correct information plays an important role in this. At this point, the operator who performs the surgical procedure in the center where the procedure is performed should inform the patient and the oncology and chemotherapy nurse who give first information to the patient.
Percutaneous Treatment of Pulmonary Valvular Stenosis and Secundum Type Atrial Septal Defect in a Young Adult
Authors: Ulutaş Ahmet Emir , Kahraman Serkan , Babur Güler Gamze , Doğan Arda Can , Yıldız Mustafa
Published: February 2024

Pulmonary valve stenosis (PS) and secundum type atrial septal defect (ASD) are common forms of congenital heart disease. While traditional treatment for PS and ASD is open surgery, percutaneous treatment of both diseases are widely used with high rates of success and lower complication. However, the combination of PS with ASD in the same patient is relatively rare, and the optimal strategy is debated. We performed consecutive percutaneous balloon pulmonary valvuloplasty and ASD occlusion in a young adult patient with severe congenital PS associated with a secundum ASD.
Açgözlülüğün Doğası ve İnsan Hayatına Yıkıcı Etkileri
Authors: İrk Esra
Published: February 2024

Psikolojik bütünlüğü ve toplumsal dokuyu zayıflatan davranışlardan biri olan açgözlülük, daha fazlasını elde etme iştiyakı ve sürekli bir doyumsuzluk halidir. Açgözlü kimse, maddî nesne ve sembolleri yücelterek onlara ulaşma hırsı ve arzusu içindedir. Bu da çıkarcı ve bencil bir bakış açısını beraberinde getirmekte, değer ve ilkelerinden taviz veren bir kişilik gelişimine yol açmaktadır. Açgözlü kişi, fikrî veya dinî düzeyde herhangi bir yargıyı dikkate almamakta, kendi yargılarına göre edinmenin seyrini ve yönünü belirlemektedir. Böyle bir tutum da bireyin hem kendi dinamik iç unsurlarını bozmakta hem de ahlakî ve sosyal düzeyde kırılmalara ve daralmalara neden olarak diğeriyle doğru ve anlamlı bir ilişki kurmayı zorlaştırmaktadır. Bu makalede açgözlülüğün tanımlarına yer verilmiş, kapsamı ve sınırları ele alınmış ve yakından ilişkili olduğu kavramlar arasındaki yeri netleştirilmeye çalışılmıştır. Açgözlülük, dinî ve psiko-sosyal açıdan incelenmiş ve bu davranışın bireyin hayatına yansımaları üzerinde durulmuştur.
The Impact of Fiscal Policy on Income Inequality and Health Outcomes in Sub-Saharan Africa Countries
Authors:   Department of Economics, Olabisi Onabanjo University, Ago-Iwoye, Ogun, Nigeria, Oseni Isiaq Olasunkanmi , Adegbenro Muiz Adeniji ,   Department of Economics, Olabisi Onabanjo University, Ago-Iwoye, Ogun, Nigeria, Odusanya Ibrahim Abidemi ,   Department of Economics, Olabisi Onabanjo University, Ago-Iwoye, Ogun, Nigeria, Akpa Emeka Okoro ,   Babcock University Centre for Open Distance and e-Learning (BUCODeL), Ogun, Nigeria
Published: February 2024

This study estimates the relative effect of fiscal policy on income inequality and health outcomes in Sub-Saharan Africa (SSA) countries. The
study covers the period 2010–2022 using panel data on 12 countries.
Estimation is done using the System GMM estimation technique. It is shown
that income tax (ICT) exerts a positive and significant effect on MORT.
Government health expenditure (GXH) and population growth (POP)
negatively but insignificantly influence MORT, while the effect of carbon
emission (CO2) is positive, but not statistically significant. The effect of
health-oriented development assistance (HODA) on MORT is negative and
statistically significant. Additionally, government health expenditure (GXH)
exerts a positive but insignificant effect on LFX. The effect of health-oriented
development assistance (HODA) on LFX is also positive and statistically
significant. Both income tax (ICT); the effect of POP is negative and
significant. Finally, the study reveals that a one-period lag in income
inequality (INQ) has a negative and significant effect on current INQ. In
addition, government health expenditure (GXH), income tax (ICT), and
population growth all exert a negative effect on INQ, with ICT being the
most significant of all of them. The effect of health-oriented development
assistance (HODA) and carbon emission (CO2) is found to be positive, but
not statistically significant. Amongst others, the study recommends that
countries across SSA formulate policies that will help in slowing down
population growth to levels that are manageable and will not pose adverse
health challenges in the region.
Empirical Evidence on the Impact of the Banking Sector on the Sierra Leone Economy
Authors:   Department of Banking and Finance, Institute of Public Administration and Management (IPAM),
University of Sierra Leone,AJ Momoh Street, PO Box 570, Freetown, Sierra Leone, Bah Abdullah , Squire Andrew ,   Department of Banking and Finance, Institute of Public Administration and Management (IPAM),
University of Sierra Leone,AJ Momoh Street, PO Box 570, Freetown, Sierra Leone, Thomas Edward ,   Department of Banking and Finance, Institute of Public Administration and Management (IPAM),
University of Sierra Leone,AJ Momoh Street, PO Box 570, Freetown, Sierra Leone
Published: February 2024

The study seeks to assess the impacts of the banking sector on the
Sierra Leone economy. The Case study research design was adopted for this
study. The Pooled OLS regression Model, Correlation Matrix, and
Descriptive Statistics were employed in the study. E-Views was used to
analyze the panel data using the Pooled OLS regression data, Descriptive
statistics, and the Correlation Matrix. The Pooled OLS econometric result
shows that Bank Liquid Reserves to Assets positively correlates with Gross
Domestic Product with a coefficient value of 0.8425. It was further revealed
that the relationship is highly significant (p-value of 0.0158 and a t-stat of
2.4560. Domestic credit to the Private Sector has a negative relationship
with the Gross Domestic Product with a coefficient value of (-0.155367).
This relationship was further revealed to be highly insignificant (p-value of
0.7533 and t-stats of -0.3152). The result also shows that Deposit Interest
Rates have a positive coefficient value of (2.1040), which is also highly
significant (p-value of 0.0013 and t-stats of 3.3050). The study further
revealed that the Gross Domestic Product (% of GDP) has a negative
relationship with the GDP, with a coefficient value of (-0.2055). It further
revealed that the result is highly insignificant (p-value of 0.1383 and t-stats
of -1.4944). On the other hand, Interest rate spread has a negative
relationship with the Gross Domestic Product with a coefficient value of (-
3.0265). It was further revealed that the relationship is highly significant (pvalue of 0.0000 and t-stats of -4.8611)