bluuebunny/crossref_metadata_2025 huggingface dataset:
Chemical Properties Of Soil On Dry Land After The Eruption Of Mount Sinabung In Kecamatan Payung, Karo
Authors: Marbun Christine Lorraine , Jamilah Jamilah , Sarifuddin Sarifuddin
Published: February 2025

This study aims to determine the chemical properties of soil on dry land after the eruption of Mount Sinabung in Kecamatan Payung, Kabupaten Karo. The eruption of Mount Sinabung that occurred from 2010 to 2020, released volcanic ash containing Silica, Aluminum, Sulfur, Magnesium, Sodium, Potassium, Calcium, Iron, Phosphate, and Manganese. Analysis of soil chemical properties was carried out at the Research and Technology Laboratory, Faculty of Agriculture, University of North Sumatra and PT. SOCFINDO. This study used 8 composite soil samples as research material, using survey methods and stratified sampling / grouping by overlaying several maps. Soil pH data analysis using electrometric method, C-organic content with Walkley and Black method, Cation Exchange Capacity (CEC) with NH4OAc extraction method pH 7, P2O5 ex-HCl, K2O ex-HCl, and Base Saturation (KB) with calculations (number of exchangeable base cations / CEC x 100%). The results of soil analysis showed that after the eruption of Mount Sinabung, dry land in Kecamatan Payung had acidic soil pH, high levels of P2O5 ex-HCl, levels of K2O ex-HCl with low to high criteria, levels of organic C tended to be high, soil CEC tended to be high and KB very low soil. Soil fertility status is included in the criteria of low and medium.
The Improvement of Chemical Properties of Ultisol Soils Through the Application of Coffee Husk Compost
Authors: Lubis Umar Hadi , Hanum Hamidah , Damanik Mohd. Madjid B.
Published: February 2025

Coffee fruit waste which reaches 50-60% of the harvest should be used as compost to improve the chemical properties of Ultisol soil. Ultisol soil has problems with low organic matter, pH, C-organic nutrients N, P as well as high Al-dd soil.  This research aimed to improve the chemical properties of Ultisol soil and the growth of maize (Zea mays L.) by applying coffee husk compost.  This research used a non-factorial randomized block design (RAK) consisting of 4 treatments, namely without coffee husk compost, 10 tons/ha coffee husk compost (25 g/polybag), 20 tons/ha coffee husk compost (50 g/polybag), 30 tons/ha coffee husk compost and 30 tons/ha coffee husk compost.  ton/ha of coffee husk compost (75 g/polybag) and 4 replications.  This research was conducted in the screen house of the Faculty of Agriculture, University of North Sumatra.  The results showed that the application of coffee husk compost had not been able to improve pH, C-organic, P-available but could increase N-total and decrease Al-dd at a dose (30ton/ha) and could increase the growth of corn plants (Zea mays. L).
Phishing Detection Techniques: A review
Authors: Abdolrazzagh-Nezhad Majid , Langarib Nafise
Published: February 2025

Phishing remains one of the most pervasive and sophisticated threats to cybersecurity, exploiting human and system vulnerabilities to compromise sensitive information. This study systematically reviews and categorizes phishing detection techniques into four groups: anti-phishing tools, heuristic approaches, machine learning-based techniques, and metaheuristic algorithms. Each method is critically analyzed for its effectiveness, highlighting their strengths and limitations. The review identifies significant advancements in phishing detection, such as the adoption of hybrid techniques and real-time detection algorithms, while also addressing gaps, including handling zero-day phishing attacks and scalability in large datasets. The findings provide a roadmap for future research, encouraging the development of more robust, adaptive, and efficient solutions. This comprehensive analysis not only synthesizes the state-of-the-art in phishing detection but also lays the groundwork for designing next-generation defense mechanisms.
The Impact of Prognostic Factors on Survival in Patients with Non-Metastatic Invasive Breast Cancer: A Single-Center Experience
Authors: Arici Mustafa Özgür , Kocer Murat
Published: February 2025

Background: Breast cancer (BC) is the most prevalent and lethal cancer in women. Prognostic factors are used to guide treatment and predict the prognosis. This study aims to assess the influence of prognostic factors on the survival of patients with non-metastatic invasive BC.
Methods: Data from invasive BC patients admitted to Medical Oncology Department of Süleyman Demirel University between October 2002 and October 2013 were retrospectively reviewed. Clinicopathologic features, treatment information, and follow-up data were noted. The Kaplan-Meier method was used to estimate survival functions. Multivariate Cox regression analysis was performed to identify prognostic factors for disease-free survival (DFS) and overall survival (OS), with p values <0.05 for univariate results
Results: A total of 717 patients entered the study. The median follow-up time was 41 months. Recurrence was detected in 17.4% of the patients, and 111 (15.5%) patients died. The 5- and 10-year DFS rates were 78% and 61%; OS rates were 86% and 70%, respectively. In multivariate analyses, DFS and OS were associated with axillary lymph node involvement (P<0.001 and P<0.05, respectively), tumor size (P<0.05), and histologic grade (P<0.05); whereas human epidermal growth factor receptor 2 positivity had only a statistically significant effect on poor OS (P=0.004).
Conclusion: Comparable to previous studies, traditional prognostic factors had an important impact on prognosis in invasive BC patients. In the current era, where more conservative surgical approaches and new, effective systemic neoadjuvant and adjuvant therapies are widely used, the importance of the traditional prognostic factors highlighted in our study needs to be established by further studies.
The Role of Apparent Diffusion Coefficient (ADC) in Differentiating Between Benign and Malignant Breast Lesions in a Sample of Iranian Women
Authors: Souri Zubin , Kiani Pejman
Published: February 2025

Background: Breast cancer is the most prevalent cancer among women, emphasizing the need for early detection and accurate diagnosis. This study investigates the role of the Apparent Diffusion Coefficient (ADC) in distinguishing between benign and malignant breast lesions using Magnetic Resonance Imaging (MRI) and Diffusion-Weighted Imaging (DWI). A retrospective cross-sectional study was conducted involving 96 patients with breast lesions who underwent MRI and DWI scans.
Methods: Patients were selected from among those who had MRI and DWI scans with b-values of 0, 800, and 1000 s/mm². ADC values were calculated by plotting the Region of Interest (ROI) and extracting corresponding values. Histological evaluations confirmed the diagnosis of the lesions. Statistical analyses included calculating accuracy, sensitivity, and specificity, along with Receiver Operating Characteristic (ROC) curve analysis to determine the optimal cut-off value.
Results: The ADC values demonstrated an accuracy of 92.5%, sensitivity of 93.2%, and specificity of 91.2% in differentiating between benign and malignant lesions. The ROC curve analysis established a cut-off value of 1.44 × 10⁻³ mm²/s for effective differentiation.
Conclusion: ADC values can serve as a reliable biomarker for distinguishing breast lesions, potentially reducing unnecessary biopsies for benign cases and aiding clinicians in treatment decisions. The integration of ADC measurements into clinical practice could enhance patient management in breast cancer. Further research is warranted to validate these findings and explore additional markers to improve diagnostic accuracy in breast cancer management.
Racial Distribution and Management of Idiopathic Granulomatous Mastitis: A Single-Center Descriptive Cross-Sectional Study
Authors: Singh Niharika , Rao Naina , Rathi Sourish , Bakoulis Anastasia , Farrelly Patricia , O’Hea Brian
Published: February 2025

Background: Idiopathic granulomatous mastitis (IGM) is a rare inflammatory breast disease with variable clinical manifestations. The purpose of this study is to compare racial patterns and management of IGM at a tertiary academic center in New York.
Methods: A cross-sectional study was performed on all patients with a diagnosis of IGM from 2018 to 2024 at Stony Brook University Hospital.
Results: Twenty cases of IGM were identified by chart review. Hispanic women were significantly overrepresented in women with IGM (p<0.0001). Hispanic women with IGM were significantly younger (35.1 ± 6.9 years) than white women (53.4 ± 12.2 years) at diagnosis (p=0.007) and more likely to present with clinical findings rather than radiologic findings (p=0.045). Most (71.4%) patients with no recurrence had been treated with prednisone (n=5).
Conclusion: This study suggests that a racial predilection to IGM exists. Further studies are needed to develop the most effective treatment strategy for IGM.
Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer Patients: A Narrative Review
Authors: Rahul Shil , Ruchira Ankar
Published: February 2025

Background: Chemotherapy-induced peripheral neuropathy (CIPN) is a common side effect of paclitaxel- and taxanes-based chemotherapy, which is generally given to breast cancer and can lead to low quality of life along with neuropathy symptoms even after completion of the chemotherapy treatment.
Methods: In this paper, we present a narrative overview of CIPN, chemotherapy medication that causes neuropathy in breast cancer patients, treatment challenges for CIPN and pathological complications, current trends, and future research challenges, based on expert discussion and a current literature search. 
Results: At present, there are no gold-standard treatment protocols available, which has made it more devastating for the patients suffering from breast cancer. The incidence rate of CIPN is 19% to 85% or above, and it can only decrease if treatment is available. Moreover, treatments are available, but only based on the symptoms.
Conclusion: Worldwide, cancer is the primary cause of millions of deaths annually. We still lack an appropriate treatment plan for the adverse effects that follow chemotherapy treatment, despite the fact that cancer treatment has advanced over the last decade. CIPN is one of the most frequent side effects, and the patients will experience symptoms of neuropathy after one or two chemotherapy cycles. Oncology nurses play a very critical role in managing CIPN symptoms but are sometimes overlooked during the assessment period. Managing neuropathic pain, maintaining safety protocol, improving physical function, and proper standardized nursing CIPN treatment protocol should be the primary goals for managing the CIPN.
Comparison of Breast Cancer Characteristics in Women below and above 50 at Mankweng Hospital in Limpopo Province, South Africa
Authors: Bhuiyan Mirza
Published: February 2025

Background: Breast cancer normally occurs in elderly women, although it also affects young women. In the Limpopo province, South Africa over 38% of breast cancer occurred in younger women under 50 years of age. The main objectives of the study were to identify the characteristics of breast cancer in women >50 years and <50 years and to categorise any differences (histological type, stage, grading and molecular subtype) exist between these two groups of breast cancer patients.
Methods: This is a cross-sectional design study to analyse the profile of women >50 and <50 years with breast cancer who attended Mankweng Breast Oncology Clinic from July 2020 to December 2021. Patient demographics were summarised using descriptive statistics. Categorical variables were expressed as proportions and frequency. Association between categorical variables was done using a Chi-square test.  
Results: Total 222 patients. Age: >50 years-old: 131(59%); <50 years old: 91(41%).  Age: >50 years group: Early stage: 49(37.4%), late stage: 82(62.6%). Molecular subtype: luminal A: 23(17.6%); luminal B: 67(51.2%); HER-2 overexpression: 21(16%); triple negative: 20(15.3%). Histological type: invasive ductal carcinoma: 126(96.2%). Age: <50 years group:  Early stage: 31(34.1%), late stage: 60(65.9%). Molecular subtype: luminal A: 28(30.8%); luminal B: 40(44%); HER-2 overexpression: 5(5.5%); triple negative: 18(19.8%). Histological type: invasive ductal carcinoma: 89(98%).
Conclusion: Majority of patients presented at an advanced stage in both groups. HER2 overexpression molecular subtype was higher in the >50-year patient group in compared to <50 years group (p-value 0.016). Health education and breast cancer awareness campaigns are essential for all women, young and elderly in the Limpopo province.
Previniendo el Cáncer de las Mamas: Addressing Breast Cancer Screening Disparities in Spanish-Preferred Populations
Authors: Strelow Brittany , Carmean Anne , Fuentes-Camacho Sofia , Gilliland Abby , Moysis Allison , Weston Rhiannon , Herndon Justine , Brokenicky Alan , Olson Rachel , O'Laughlin Danielle
Published: February 2025

Background: Breast cancer is the leading cause of death among Hispanic/Latina women. Screening mammograms reduces morbidity and mortality, although Spanish-preferred patients face linguistic barriers, with 61% of patients in an Internal Medicine (IM) clinic being up to date on screenings.  The study aimed to increase breast screening rates among Spanish-preferred IM patients by 12% within six weeks using culturally tailored Spanish-language educational materials.
Methods: Spanish-preferred patients were identified by language preference, age, and breast cancer screening status. Thirty-six women IM patients (intervention) and twenty-six Family Medicine (FM) patients (control) were selected. The IM patients received a link to a Spanish screening education video via an electronic portal message or mailed letter. If no screening was completed, patients were then called by a native Spanish speaker. FM patients received no intervention. Screening rates were compared to evaluate the efficacy of the video in increasing screening.
Results: Nine IM patients were excluded due to relocation or receiving care elsewhere. Post-intervention, screening adherence improved in both groups; the IM group improved by 25.9% (7 patients, P = 0.007) and 15.4% in the FM group (4 patients, P = 0.04). The change was significantly higher in the intervention group, P < 0.001.
Conclusion: Providing screening education in Spanish significantly improved adherence. Incorporating culturally tailored education in clinical practice mitigates language-related health disparities and improves screening rates. Further research is needed on a larger scale with education in other languages to determine the effects on screening rates when patients have education in their preferred language.
Evaluation of the Effects of Mobile Applications on the Care Outcomes of Patients Undergoing Surgery for Breast Cancer : Systematic Review
Authors: Günay Aylin , Karahan Azize
Published: February 2025

Background: Breast cancer surgery requires comprehensive postoperative care to optimize recovery and patient outcomes. Mobile health applications have gained attention as tools to enhance patient engagement, provide education, and support recovery through features like symptom tracking and communication with healthcare providers. This systematic review aims to evaluate the impact of these applications on care outcomes in patients undergoing breast cancer surgery.
Methods: This systematic literature study was conducted from January 2012 to December 2022 across PubMed, ProQuest and Google Scholar databases to identify randomized controlled trials assessing the effect of mobile applications on care outcomes in patients who underwent breast cancer surgery. Studies were included based on specific criteria: they had to evaluate mobile health interventions post-surgery and report on at least one outcome related to symptom management, quality of life, anxiety, depression, or distress. The content, methods and quantitative findings of all publications were analyzed.
Results: The review included, four randomized controlled trial, covering a total of 318 participants. Across the studies, mobile health applications demonstrated a significant improvement in care outcomes. Symptom management effectiveness improved by 15-25%, anxiety and distress levels decreased by 10-20%, and patient-reported quality of life increased by an average of 15-25%. Additionally, mobile applications were associated with enhanced communication with healthcare providers, facilitating early intervention and support.
Conclusion: Mobile health applications were found to significantly improve care outcomes for breast cancer patients undergoing surgery. These applications are also effective and safe in improving the quality of life, managing symptoms, and reducing psychological distress. The integration of mobile health tools can enhance patient care pathways and postoperative recovery. Future research should explore long-term impacts, optimal app features, and scalability in diverse patient populations.
Wavelet-Convolutional Neural Network: An Improved Deep Learning Model for Breast Cancer Detection from Histopathology Images
Authors: Das Abhishek , Mohanty Mihir Narayan
Published: February 2025

Background: Invasive ductal carcinoma (IDC) is a prevalent type of breast cancer with significant mortality rates. Early detection is crucial for effective treatment options. Deep learning techniques have shown promise in medical image analysis, but further improvements are needed.
Methods: A Wavelet-Convolutional Neural Network (WCNN) is proposed, incorporating wavelet filters and convolutional filters in each layer to capture both frequency and spatial domain features. The processed images resulted from both types of filters are combined and passed through a MaxPooling layer to extract salient features. Four such hybrid layers are considered for extracting effective features. This novel approach allows the model to effectively learn multi-scale representations, leading to improved performance in breast cancer classification tasks. The model was trained and evaluated on a publicly available breast histopathology image dataset.
Results: The proposed WCNN achieved a classification accuracy of 98.4% for breast cancer detection, outperforming existing state-of-the-art models.
Conclusion: The WCNN framework demonstrates the potential of combining wavelet and convolutional filters for improved breast cancer detection, offering a promising approach for early diagnosis and better patient outcomes.
Clinical and Diagnostic Study of Breast Cancer in Women and its Relation with Periodontal Disease
Authors: AL-Wandawi Thuraya K , Nasir Naseer A , Abdulhadi Zeena Tariq , Al Salihi Karima
Published: February 2025

Background: Breast cancer (BC) is a common type of malignancy in females in Iraq. This study investigated BC's clinical and diagnostic features in 30 women and displayed its relationship with periodontal disease.
Methods: This cross-sectional study comprised 30 BC patients diagnosed in 2023. The clinical signs, ultrasound, biopsy, histopathology and Immunohistochemistry, treatment modules, and clinical signs of periodontal disease were reported and analyzed.
Results: The mean and standard deviation of patients’ age was 51.73± 11.41. The location of Breast Cancer lesions was on the left and right sides in 11 (36.66%) and 19 (63.33%) patients, respectively. All patients showed various sizes of non-painful lumps with well-defined masses in different areas of the breast tissue with regular or irregular borders in ultrasound and MRI. The gross and histopathological changes of cancerous tumors differed according to conditions, stage, and interaction with the cancer receptors in Immunohistochemistry. The percentage of metastases was 100% (in 30 cases) for the lymph nodes and 66.66%  (in 20 cases) for the rest of the other organs. Different treatment modules were used, including chemotherapy, surgery, radiation, and hormonal therapy. The cases suffering from mild, moderate, and severe periodontal disease were 7 (23.33 %), 2 (6.66%), and 21 (70%), respectively.
Conclusion: The clinical signs, histopathological, IHC, and occurrence of periodontal disease in 30 women with breast cancer were documented in this study.  The authors recommend further studies on breast cancer to support its early diagnosis and prevention strategies.
Perbedaan Kandungan Tanin Daun Pala (Myristica fragrans Houtt) Jantan Dan Betina Serta Potensinya Sebagai protektor Protein Pakan
Authors: Canadianti Monica
Published: February 2025

Tanin adalah senyawa metabolit sekunder yang dapat berikatan dengan makromolekul lain, seperti protein. Tanin dapat dijadikan sebagai salah satu agensia untuk memproteksi protein bahan pakan berkualitas tinggi atau protein by-pass bagi ternak ruminansia. Penelitian ini bertujuan untuk mengetahui pengaruh jenis pohon pala jantan dan betina terhadap kandungan tanin pada daunnya, serta optimalisasi pengikatan tanin dengan protein bovine serum albumin (BSA). Rancangan penelitian yang digunakan dalam penelitian ini adalah Rancangan Acak Lengkap (RAL) dengan perlakuan jenis daun pala yang berbeda, yaitu daun pala dari pohon jantan dan betina. Penelitian ini terdiri dari dua tahapan, yaitu daun pala sebagai sumber tanin diekstrak dan dianalisis kandungan taninnya, kemudian diuji ikatan antara tanin daun pala dengan protein BSA. Hasil pengukuran kandungan senyawa fenolik, yaitu total fenol, total tanin, dan tanin terhidrolisis daun pala pohon betina nyata lebih tinggi (P<0,05) dibandingkan dengan daun pala pohon jantan, sedangkan kandungan fenol non-tanin, serta tanin terkondensasi tidak berbeda nyata (P>0,05) di antara kedua jenis daun tersebut. Tanin dari 1 g daun pala pohon betina dapat mengikat protein BSA sebanyak 14,33%, dan tanin kondensasi dapat mengikat 31,56% protein BSA.
Pengembangan Sustainable Livelihood Asset Ternak Sapi Potong Terintegrasi Tanaman Padi di Kecamatan Ruteng
Authors: Sikone Hilarius Yosef , Utama Wigbertus Gaut , Adi Defiyanto Djami
Published: February 2025

Pertambahan jumlah penduduk serta usaha pengolahan hasil ternak skala industri berdampak pada permintaan produk peternakan yang signifikan.  Pola integrasi ataupun diversifikasil tanaman dan ternak (khususnya ternak ruminansia) diharapkan dapat menjadi bagian integral dari usaha pertanian. Livelihood atau penghidupan merupakan asset atau modal yang terdiri dari aset manusia, alam, fisik, finansial, dan sosial. Tujuan penelitian ini adalah untuk mengkaji dan menganalisis sumbangan ternak sapi potong terintegrasi tanaman padi yang Sustainable livelihood. Penelitian dilaksanakan pada bulan Oktober  2023 sampai dengan April 2024. Metode penelitian yang digunakan adalah mix-methods yaitu penelitian yang mengkombinasikan bentuk kualitatif dan kuantitatif. Metode analisis data menggunakan analisis deskrptif, analisis usahatani dan Model Regresi Logistik. Hasil penelitian menunjukkan bahwa biaya tunai yang dikeluarkan dalam usahatani ternak non integrasi lebih tinggi dari yang menerapkan pola integrasi tanaman padi. Sustainable livelihood asset ternak sapi potong secara parsial berpengaruh signifikan terhadap tingkat penerapan pola usahatani ternak sapi potong terintegrasi tanaman padi dengan nilai p-value sebesar 0,000 lebih besar dari 0.01 (1%). Nilai marginal produk (marginal effects) pada regresi logistik dari modal sosial 13,8%, modal fisik 13,6%, modal finansial 26,7%, modal alam 16,3% dan modal manusia sebesar 28,9%.
Energy Intake And Wasting Among Children Aged 6-59 Months
Authors: Ramadhani Ni Shafa Khalishah Salsabila , Sudiarti Trini , Syafiq Ahmad
Published: February 2025

Background: Wasting is a malnutrition based on low body weight to height. Children are an age group that is more susceptible to wasting compared to other age groups. Wasting can be one of the main causes of morbidity and mortality. The prevalence of children experiencing wasting in Depok City in 2016 was 6.1%.Purpose:  to determine energy intake and other factors related to wasting in Bojongsari Subdistrict, Depok City.Methods:  The research sample was taken from the research population that met the inclusion and exclusion criteria. The inclusion criteria for the study were children aged 6-59 months and children with a z-score >-3 SD - 1SD who live in Bojongsari District, Depok City. While the exclusion criteria were children aged 6-59 months who had a z-score <-3 SD. So that the number of samples obtained was 251 children taken using non-probability sampling with a total sampling method. Data that met the criteria in the study were entered into the IBM SPSS program. Data analysis used the Chi-square test to analyze the relationship between the dependent variable and the independent variable with a statistical significance test using a p value <0.05. Multivariate logistic regression analysis to obtain the dominant factor in the incidence of wasting.Results: The nutritional status was 9.6% of children experienced wasting. The results of multivariate analysis showed that energy intake was the dominant factor in wasting in children aged 6-59 months (p-value 0.035).Conclusion: Children with insufficient energy intake had a 6.2 times greater risk of wasting compared to children with sufficient energy intake.Suggestions:  The results of the study are expected to be further specific and sensitive interventions in addressing factors related to improving malnutrition in children and it is necessary to conduct educational programs for mothers of children to introduce the form of complementary foods, the frequency of feeding, and continue the program of providing additional food to children who experience wasting.
Predictive Analytics in Attendance Systems for Employee Productivity and Accountability
Authors: Putri Indri Mariska , Ramadhani Destania Putri , Indriyani Pifin , Aidah Elsa Nur , Cahyani Afifah Putri
Published: February 2025

The integration of predictive analytics in attendance systems is becoming a critical approach to improving employee productivity and accountability. However, its impact on technology readiness, employee engagement, and attendance regularity remains underexplored, particularly in educational and professional settings. This study aims to evaluate how Predictive Analytics Utilization (PAU) influences Technology Readiness (TR) and Employee Engagement (EE), and how these variables contribute to Attendance Regularity (AR) and overall employee satisfaction. A quantitative approach was employed using Structural Equation Modeling (SEM) with SmartPLS 4.1. Data were gathered via 40 item questionnaires distributed to Information Systems students at Raharja University. Each variable PAU, TR, EE, and AR was measured through 10 questions to ensure robust data collection and analysis. The findings demonstrate a strong model fit, with R² values of 0.895 for AR, 0.701 for EE, and 0.847 for TR. PAU significantly influences TR and EE, which in turn positively affect AR. Higher levels of technology readiness and engagement enhance attendance regularity, reflecting the effectiveness of predictive analytics. This study highlights the pivotal role of predictive analytics in fostering technological readiness, enhancing employee engagement, and improving attendance regularity. Organizations can leverage these findings to optimize their systems and achieve a more productive workforce. Future research should explore diverse population samples, different organizational contexts, and the integration of advanced analytics tools, such as AI and IoT, to further enhance attendance systems and employee outcomes.
Transforming Learning Experiences With Advanced Educational T echnology Solutions
Authors: Saputro Janu Ilham , Sa'adah Lailatus Ferahma , Syifa Yasyfiyani , Ramadhanti Kinanti Dara , Gojali Muhamad Fikri
Published: February 2025

The rapid advancements in educational technology have transformed the landscape of learning, necessitating innovative solutions to enhance learner engagement and accessibility. This study examines the development and application of advanced educational technology solutions aimed at revolutionizing learning experiences. The objective is to explore how cutting-edge tools, including adaptive learning systems, artificial intelligence, and virtual reality, can address traditional educational challenges and foster personalized learning environments. Employing a mixed-methods research approach, this study integrates quantitative analysis of learner outcomes with qualitative feedback from educators and students to evaluate the effectiveness of these solutions. The findings reveal significant improvements in learner engagement, comprehension, and retention when utilizing technology-enhanced platforms compared to conventional methods. Furthermore, the integration of real-time analytics enables educators to tailor instructional strategies effectively, promoting inclusivity and accessibility across diverse learning communities. The research concludes that advanced educational technology solutions are pivotal in bridging the gap between traditional education models and the evolving demands of modern learners, offering scalable, efficient, and learner-centric approaches to education. This study contributes to the growing body of knowledge in educational software engineering by highlighting the potential of technology-driven innovations to reshape the future of education, providing actionable insights for stakeholders in academia, industry, and policy-making.
The Extent to which Accounting Information is affected by Creative Accounting Methods
Authors: Abdullah Omar Obaid
Published: February 2025

The paper focuses on investigating the impact on the Korean financial sphere, specifically Creative Accounting Practices (CAPs), by using the model in the paper, upon any type of AI. Included are various systems used for recording, monitoring, and reporting financial activities with AI as an intermingling agent for financial decision-making and resources management. The survey was carried out in Iraqi Carpet and Furnishing Company, where CAPs were plead to penance for their (mis-) deeds by artificially fast improvements in the appearance of the financial statements, thus eroding the trust in the adequacy and potency of the statements. The study referred to Miller's model in doing some sort of proper line-linking on the spotting as well as the interpretational section of the CAPs in company financial statements for the years 2018 to 2022. The finding asserted that CAPs in the financials of the company misled investors, sidelined its real financial performance, eroding confidence in AI, thus making the feasibility of the financial decision-making a moot front. It is crucial to establish more control and impart strict accounting standards and business ethics to ensure that there is a guarantee as to how they produce computerized financial information and mitigate the damage resulting from CAPs. This research sheds light on the understanding of the way CAP can distort the financial records and profoundly speaks for transparency in financial reporting. This research, thus, specifically conveys a message to the world about the importance of transparency and consists in writing financial reports while building trust and enforcement in ensuring accounting standards are adhered to. Last, but not least, the study lays firm emphasis on the entry of strict internal controls, instituting periodic audits, and the like, and imparting continued education to financial statement preparers to instill virtues of ethical practices in them. Through this, the study aims to widely inculcate in the spirit of honesty and accountability within most organizations, taming the risks associated with CAPs who would guarantee nothing but an accurate level of income and self-introduction of "authentic balances."
The Influence of Lemon Aromatherapy on Pain Reduction in Post-Caesarean Section Patients at PMI Hospital Bogor
Authors: Siyam Laelatus , Purnama Agus , Koto Yeni
Published: February 2025

Background: The issue of pain experienced by post-cesarean section mothers can be managed pharmacologically through pain relief medications or non-pharmacologically through the administration of lemon aromatherapy, which helps mothers feel more relaxed and calm.
Objectives: This study aims to identify the influence of lemon aromatherapy on pain reduction in post-cesarean section patients.
Methods: The research design used in this study is experimental research, specifically a quasi-experimental design with a Non-Equivalent Control Group or Non-Randomized Control Group Pretest-Posttest Design. The sample was selected using purposive sampling. To determine the minimum sample size for statistical testing, G Power was used, resulting in a total sample of 20 participants. The research instruments include a respondent identity questionnaire and an observation sheet questionnaire. Data analysis was conducted using the Wilcoxon-W test.
Results: The results of the analysis using the Wilcoxon-W test showed a P-value of 0.388 > 0.05 with an effect size of -0.396.
Conclusion: There is an influence before and after administering lemon aromatherapy in both the intervention and control groups, although the difference is not highly significant. However, the intervention group demonstrated a more dominant reduction in pain levels compared to the control group.
Application of Evidence-Based Nursing Practice: Shaker Exercise for Swallowing Ability in Stroke Patients with Dysphagia
Authors: Saputra M. Khalid Fredy , Agung Rizki Nugraha , Yunitri Ninik , Jumaiyah Wati , Mulyatsih MG Enny
Published: February 2025

Background: Stroke is one of the leading causes of disability and mortality worldwide, with more than 13 million new cases recorded annually. Stroke can lead to various complications, including dysphagia, which disrupts the patient's swallowing ability. One therapy that can assist stroke patients with dysphagia is the Shaker Exercise.
Objectives: This study aims to provide an overview of the impact of implementing Shaker Exercise on swallowing ability in stroke patients experiencing dysphagia through Evidence-Based Nursing Practice (EBNP).
Methods: The study used a systematic approach by reviewing various articles and literature from seven prominent health databases, including ProQuest, PubMed, and ScienceDirect. Selected articles focused on Shaker Exercise interventions for stroke patients with dysphagia.
Results: The review identified one article in the form of a Systematic Review Meta-Analysis, which examined 37 studies involving a total of 2,656 participants. The analysis results demonstrated that the Shaker Exercise is effective in strengthening suprahyoid muscles, reducing aspiration frequency, and improving swallowing ability in stroke patients with dysphagia.
Conclusion: The implementation of Shaker Exercise therapy for stroke patients with dysphagia shows significant results in enhancing swallowing ability and reducing aspiration complications. This therapy aligns with evidence-based nursing principles, supporting the improvement of patients' quality of life through scientifically proven interventions.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KEHAMILAN PASIEN HIPERPLASIA DAN KANKER ENDOMETRIUM: TINJAUAN SISTEMATIS DAN META-ANALISIS
Authors: Kusuma Fitriyadi , Suryoadji Kemal Akbar , Wulandari Anisa Saphira , Binathara Geraldus Sigap Gung , Soloan Garry , Sini Kieran Pasha Ivan , Purwoto Gatot , Utami Tofan Widya , Anggaraeni Tricia Dewi , Putra Andi Darma , Nuryanto Kartiwa Hadi , Winarto Hariyono
Published: February 2025

Hiperplasia endometrium dan kanker endometrium adalah kondisi yang memengaruhi kesuburan wanita. Tujuan dari tinjauan sistematis dan meta-analisis ini adalah untuk mengevaluasi faktor-faktor yang berhubungan dengan tingkat kehamilan pada pasien dengan kondisi tersebut. Pencarian dilakukan di lima database utama: PubMed, Science Direct, Scopus, Embase, dan Cochrane Library. Dari 2.742 studi yang awalnya ditemukan, 7 studi memenuhi kriteria inklusi dan dianalisis lebih lanjut. Meta-analisis dilakukan untuk mengevaluasi efek terapi kombinasi Levonorgestrel-Releasing Intrauterine System (LNG-IUS) dengan progestin dan pengaruh indeks massa tubuh (BMI) terhadap tingkat kehamilan. Analisis gabungan dari dua studi yang membandingkan kombinasi LNG-IUS dengan progestin terhadap LNG-IUS saja menghasilkan Odds Ratio (OR) sebesar 1,54 [95% CI: 0,74–3,24], tanpa signifikansi statistik (p = 0,25). Untuk BMI, gabungan dua studi memberikan Risk Ratio (RR) sebesar 1,40 [95% CI: 0,93–2,10], juga tidak signifikan (p = 0,11). Heterogenitas yang rendah (I² = 0%) pada analisis terapi dan sedang (I² = 53%) pada analisis BMI menunjukkan konsistensi antarstudi. Meskipun ada tren peningkatan angka kehamilan dengan terapi kombinasi LNG-IUS dan progestin serta BMI ≥ 25, hasil meta-analisis ini belum menunjukkan signifikansi statistik. Penelitian lebih lanjut diperlukan untuk memperjelas faktor-faktor yang berhubungan dengan kehamilan pada pasien dengan hiperplasia dan kanker endometrium.
HUBUNGAN TINGKAT KEPATUHAN PETUGAS LABORATORIUM DENGAN HASIL QUALITY CONTROL PEMERIKSAAN TROMBOSIT DI RUMAH SAKIT
Authors: Depari Ariella Rista , Manik Sabarina Elfrida , Ritonga Ahmad Fitra
Published: February 2025

Kepatuhan petugas laboratorium dalam menjalankan prosedur Quality Control (QC) sangat mempengaruhi kualitas hasil pemeriksaan laboratorium, termasuk pada pemeriksaan trombosit. Di RS Bhayangkara Tk.I Pusdokkes Polri, fluktuasi hasil pemeriksaan trombosit meskipun QC telah diterapkan menimbulkan kekhawatiran akan keakuratan dan konsistensi hasil. Ketidakpatuhan petugas terhadap prosedur QC, seperti kalibrasi alat dan pemantauan hasil, diduga menjadi salah satu penyebab utama permasalahan ini. Tujuan penelitian mengetahui hubungan kepatuhan petugas laboratorium dalam pelaksanaan quality control pemeriksaan trombosit. Penelitian ini menggunakan penelitian analitik pendekatan cross-sectional. Data yang dikumpulkan berupa data primer dari observasi dengan menggunakan kuesioner,sedangkan untuk hasil quality control pemeriksaan trombosit akan dikumpulkan data rekapitulasi hasil quality control pemeriksaan trombosit. Analisis data dalam penelitian ini meliputi uji validitas, uji reliabilitas, analisis univariat serta analisis bivariat dengan uji Rank Spearman. Hasil penelitian tersebut petugas laboratorium sebagian besar menerapkan kepatuhan melaksanakan quality control sesuai Standar Operasional Prosedur yang berlaku yaitu 77,8%. Nilai quality control pemeriksaan trombosit selama 30 hari hasil baik 100%. Nilai koefisien korelasi yaitu 0,949 artinya terdapat hubungan sangat kuat antara tingkat kepatuhan petugas laboratorium dengan hasil quality control di Rumah Sakit Bhayangkara Tk.I Pusdokkes Polri. Kepatuhan petugas laboratorium salah satunya yaitu mempunyai rasa taat sehingga mampu menjalankan perintah dari pemimpin. Kesimpulan dalam penelitian ini yaitu adanya hubungan signifikan antara variabel petugas laboratorium dan variabel nilai hasil quality control pemeriksaan trombosit. Semakin tinggi nilai kepatuhan petugas laboratorium dalam melaksanakan quality control, semakin baik nilai mutu laboratorium.
PENDEKATAN DIAGNOSIS SINDROM OHVIRA PADA FASILITAS KESEHATAN TERBATAS: SEBUAH TINJAUAN SISTEMATIS
Authors: Hakim Surahman , Kadarusman Adib Kamil Putra , Fadhly RM Ali , Suryoadji Kemal Akbar , Hadinata Valencia , Zahra Reihana , Abdullah Muhammad Raoul Taufiq , Kusuma Fitriyadi
Published: February 2025

Sindrom OHVIRA merupakan kelainan kongenital yang langka terjadi pada saluran reproduksi wanita. OHVIRA merupakan salah satu kelompok kelainan duktus mullerian yang terdiri dari trias uterus didelfis, obstruksi hemivagina, dan agenesis renal. Diagnosis menjadi sebuah tantangan, terutama pada fasilitas kesehatan yang memiliki keterbatasan sarana prasarana dikarnakan tingkat prevalensi yang rendah dan menifestasi klinis yang beragam. Tinjauan sistematis dilakukan dengan pencarian menggunakan kata kunci yang terstruktur pada beberapa database seperti PubMed, Cochrane, ScienceDirect, dan Google Scholar , scopus, dan cochrane. Seleksi artikel dilakukan menggunakan kriteria kelayakan yang ditetapkan. Berdasarkan pencarian artikel didapatkan 6 studi yang menunjukkan manifestasi klinis dari sindrom OHVIRA. Beberapa manifestasi klinis yang ada berupa nyeri punggung belakang kronis, nyeri perut, dyspareunia, dan adanya keputihan yang berbau. Pada pemeriksaan fisik didapatkan adanya abnormalitas seperti massa kistik, benjolan pada abdomen, anomali uterus, dan kelainan dinding vagina. Beragam keluhan dan temuan tersebut dapat menjadi landasan untuk menjadikan sindrom OHVIRA sebagai diagnosis banding untuk proses rujukan segera dan tatalaksana awal. Sindrom OHVIRA memiliki manifestasi klinis yang beragam, sehingga menjadikan keadaan ini sebuah tantangan untuk didiagnosis. Dokter pada layanan terbatas berperan penting dalam mengenali keluhan khususnya keluhan ginekologi kronis, dan menjadikan sindrom ini sebagai diagnosis banding untuk melakukan perujukan kasus ke fasilitas layanan kesehatan tingkat lanjut, dan memberikan tatalaksana untuk meringankan gejala.
An elderly patient with a rare blood group in Bangladesh: a case report
Authors: Parvin Farida , Dipta Tashmim Farhana , Reshma Jannatul Ferdous , Sultana Nilara , Sultana Afsana , Akter Zakia
Published: February 2025

The Bombay Blood Group is a rare blood type characterized by the absence or deficiency of the H antigen. It was first identified in Mumbai (formerly Bombay) in 1952, thus it was named as. This blood group lacks the A, B, and H antigens on red blood cells, and its serum contains anti-A, anti-B, and anti-H antibodies. A 60-year-old male was admitted to BIRDEM General Hospital with uncontrolled diabetes mellitus, hypertension, right-sided pneumonia, chronic kidney disease and severe anemia. Due to his critically low hemoglobin level of 6.5 gm/dl, he required two units of packed red cells. During pre-transfusion testing, a blood sample was taken and sent to our Transfusion Medicine Department. At the time of blood grouping we surprisingly noticed that he has ‘Bombay Blood Group’. It is a very rare type of blood group and on routine blood grouping behaves as “O” unless reverse grouping or serum grouping has been done but can receive transfusion from only peoples having Bombay group. Interestingly, individuals with the Bombay phenotype are likely to have family members with the same blood group. His three sons and one daughter were tested for blood grouping, all showed “O” positive with Rhesus “D” positive. Despite no known family members or records in our blood bank having the Bombay blood group, his sons embarked on a search for Bombay phenotype donors for his transfusion. They succeeded in locating two donors with the Bombay blood group, one from Narayanganj and another from Chandpur. Following treatment for infection and diabetes control, he received two units of Bombay red cell concentrate transfusion. After receiving blood transfusion, his clinical condition improved.
BIRDEM Med J 2025; 15(1): 44-46
Primary lymphoma of bone in a 60-year-old diabetic patient: a case report
Authors: Mahin Tasnova , Nasrin Tanjina , Faria Labeeba , Haque Hasna Fahmima
Published: February 2025

In this report, we discuss an atypical case of bone pain caused by primary lymphoma of bone. A 60-year-old, diabetic, normotensive male presented with constant, unremitting pain in different bones. X-ray showed lytic lesion and fine needle aspiration cytology from the bone revealed non-Hodgkin lymphoma. Due low prevalence, primary bone lymphoma is often diagnosed late.
BIRDEM Med J 2025; 15(1): 47-50
Ecological Impact on the Prevalence of Giant Scale Insect (Homoptera : Monophlebidae) in Jahangirnagar University Campus, Bangladesh
Authors: Chowdhury Ibna Zayed , Rahman G M Saifur
Published: February 2025

Most monophlebid insects are highly polyphagous, dimorphic, and well-known sap-sucking plant pests throughout the world. To determine their abundances, distribution, incidences, seasonal dynamics, feeding nature and the effects of ecological changes on their populations, an initial study (September 2004–August 2005) and a review study (March 2023–February 2024) were carried out in Jahangirnagar University Campus (JUC), Savar, Dhaka, Bangladesh. The host plants (trees and shrubs) were examined through biweekly visual counts. In the initial investigation, 14,802 monophlebid insects from three species (Biodiversity Index or BI = 0.002, H = 1, D = 0.387, 1-D = 0.613, 1/D = 2.58, and EH = 0.91) were documented from 10 plant species. In the review study, a total of 423 insects under five species (two previously identified and three new) (BI = 0.141, H = 0.22, D = 0.917, 1-D = 0.083, 1/D = 1.1, and EH = 0.14) detected from five plant species, including one new species. Within around 20 years from the first study, the percentage of total plants and infested plants decreased significantly by 47.14% and 92.96%, respectively. The amount of insects decreased by 2.86%, while 87.67% of shrubs decreased (F = 5.8, df = 1, P = 0.07). The pest insects from trees and shrubs reduced by 3.67% and 0.45%, respectively. The identified most suitable host plant was Ficus benghalensis for sheltering maximum scale insect in both studies. The only insect pest, Icerya aegyptiaca was consistently abundant throughout the period in both studies. The insect, I. aegyptiaca was found available on every part of the plant, though the majority of them survived on leaves. The present findings might contribute understanding ecological imbalances and helpful for developing effective management strategies against these insect pests.
J. Asiat. Soc. Bangladesh, Sci. 50(1-2): 51-67, June-December 2024
Microbiological Quality of Dried Bombay Duck (Harpodon Nehereus) Samples Obtained from North-Eastern Bangladesh (Sylhet District)
Authors: Mahiyat Sharif Farliha , Islam Md Jakiul , Bapary Mohammad Abu Jafor , Hussain Md Ashraf , Hossain Md Motaher
Published: February 2025

This research was selected to assess the microbial and sensory quality of dried Bombay duck (loitta) in Sylhet district. Fourty eight (48) samples of dried Bombay duck (loitta) were collected from eight Upazila dried fish markets in Sylhet district in each of the eight upazilas during September 2022 to February 2023, the study collected 48 samples from two markets in each of the eight upazilas. Microbiological analyses included Aerobic Plate Count (APC), Total Coliform Count (TCC), presence of Escherichia coli & Salmonella spp., and sensory evaluation. Results revealed that aerobic plate counts showed the highest (log 5.69 ± 0.2) in Gowainghat upazila markets and the lowest (log 3.453 ± 0.2) in Sylhet sadar market. Total Coliform counts (ranged from 21 ± 1 to 80 ± 3 MPN/g) of the samples analyzed remained within permissible limits. The prevalence of Escherichia coli was found the highest in Gowainghat (67%) and the lowest in Sylhet Sadar and South Surma (17%), and the prevalence of Salmonella spp. was found the highest in Companiganj and Fenchuganj (67%) and the lowest in Sylhet Sadar (17%). Sensory examination favored samples from South Surma. Presence of pathogenic bacteria suggests unsanitary processing conditions. Dried fish quality varied significantly among upazilas, emphasizing the need for improved hygiene and sanitation practices to ensure safe, high-quality dried loitta production.
J. Asiat. Soc. Bangladesh, Sci. 50(1-2): 101-111, June-December 2024
Colorectal cancer and p53
Authors: Akhtar Parveen Shahida
Published: February 2025

Abstract not available
J Bangladesh Coll Phys Surg 2025; 43: 1-2