bluuebunny/crossref_metadata_2025 huggingface dataset:
Üreteral stent çapının rijit üreterolitotripsi sonrası yaşam kalitesi ve operasyon sonrası komplikasyonlar üzerine klinik etkisi
Authors: KAZAN Hüseyin Özgür , ÇİÇEK Muhammet , ÇALIŞKAN Barış , ERDOĞAN Ömer , YILDIRIM Asıf
Published: February 2023

Amaç: Üreterolitotripsi sonrası takılan üreteral Double-j (Dj) stentlerin hasta konforuna olumsuz etkileri sıklıkla karşımıza çıkmaktadır. Çalışmamızda daha küçük çapta (4 Fr) Dj stent takılan hastalarla, rutinde en sık kullanılan 4,7 Fr Dj stent takılan hastaların operasyon sonrası yaşam kalitelerini ve komplikasyon oranlarını karşılaştırmayı amaçladık.Gereç ve Yöntemler: Ocak 2021- Aralık 2021 arasında iki merkezde üreterolitotripsi yapılıp dahil etme kriterlerine uygun olan hastalar 4 Fr ve 4,7 Fr Dj stent takılanlar olarak iki gruba ayrıldı. Taşları tamamen fragmante edilen, geride kalan taşı olmayan, taş boyutu 10 mm ve daha küçük olan hastalar çalışmaya dahil edildi. Veriler hastane otomasyon sistemi ve eş zamanlı tutulan hasta dosyalarından elde edildi. Hastalar operasyon sonrası birinci haftada kısa form-12 (SF-12: short form-12) ölçeğiyle fiziksel ve mental bileşenleri ayrı ayrı değerlendirildi. Operasyon sonrası üçüncü haftada Dj stentleri çekilene kadar olan stent intoleransı nedeniyle acil servis başvurusu, ağrı kesici gereksinimi, stent migrasyonu ve operasyon sonrası üriner sistem enfeskiyonu (İYE) gibi komplikasyonlar ayrıca değerlendirildi. Bulgular: Her bir grupta 30 hasta olmak üzere toplam 60 hasta çalışmaya dahil edildi. 4 Fr Dj stent takılan hastalarda operasyon sonrası birinci haftada kısa form-12 ölçeğinin fiziksel bileşen skoru daha yüksek olarak saptandı (sırası ile, 48,8 vs. 43,9, p= 0,005), benzer olarak mental bileşen skoru da bu grupta daha yüksek olarak görüldü (sırası ile, 53,9 vs. 46,4, p= 0,001). Her iki grupta operasyon sonrası komplikasyonlar açısından istatistiksel anlamlı bir fark saptanmadı. Sonuç: Her iki stent çeşidi operasyon sonrası benzer komplikasyon oranlarına sahip olsa da üreterolitotripsi sonrası 4 Fr Dj stent, hastaların yaşam kalitesini 4,7 Fr Dj stente göre daha az olumsuz etkilemektedir
Üroloji pratiğinde acil perkütan nefrostominin yeri; tek merkez deneyimi
Authors: TUNÇEKİN Adem , DEMİR Mehmet , PELİT Eyyup Sabri , YAĞMUR İsmail , KATI Bülent , ALBAYRAK İbrahim Halil , ÇİFTÇİ Halil
Published: February 2023

Amaç: Bu çalışmada perkütan nefrostominin üroloji pratiğindeki önemini değerlendirmeyi amaçladık.Gereç ve Yöntemler: Ocak 2014 ile Ocak 2021 yılları arasında üroloji kliniğinde perkütan nefrostomi takılan hastaların kayıtları retrospektif olarak incelendi. Pyonefroz ve/veya böbrek fonksiyon testi yüksekliği tespit edilen ve acil şartlarda ürologlar tarafından perkütan nefrostomi takılan hastalar çalışmaya dahil edildi. Hastaların yaşları, hastaneye başvuru nedenleri, hidronefroz derecesi, primer patolojileri, işlem sonrası komplikasyonlar ve işlem sonrası yapılan elektif tedavileri değerlendirildi.Bulgular: Çalışmaya dahil edilen 164 hastanın 98’i erkek ve 66’sı kadındı. Hastaların ortalama yaşı 47,45 (18-90) yıl idi. Hastaların 120’sine tek taraflı, 44’üne ise bilateral olmak üzere toplam 208 renal üniteye perkütan nefrostomi katateri takıldı. 208 renal ünitenin 192’sinde (%95,2) perkütan nefrostomi başarılı bir şekilde takılırken, 10 (%4,8) renal ünitede işlem başarısız oldu ve ek girişim gerekti. Hastaların %40,2’sine onkolojik nedenlerden, %59,8’ine ise onkolojik dışı nedenlerden perkütan nefrostomi kateteri takıldı. İşlem sonrası minör komplikasyonlardan en sık görüleni transfüzyon gerektirmeyen geçici hematüri (%3,2) olup, ateş (%2,4), işlem sonrası devam eden ağrı (%1,6), kateter tıkanması (%0,8) ve geçici idrar sızıntısı (%0,8) diğer minör komplikasyonlardı. Majör komplikasyonlardan ise en sık görüleni ise nefrostominin yerinden çıkması (%3,2) idi.Sonuç: Perkütan nefrostomi obstrüktif üropati, pyonefroz tedavisi ve üriner diversiyon amacıyla uygulanan, yüksek başarı oranına sahip, etkili ve güvenli bir yöntemdir. Son zamanlarda girişimsel radyologlar tarafından daha fazla uygulanıyor olsa da ürologlar tarafından da başarılı bir şekilde uygulanabilmektedir.
Retrograde intrarenal cerrahide taşsızlık oranlarını etkileyen faktörler
Authors: ÖZTÜRK Uğur , KÜÇÜK Emrah , ÖZEN Mehmet , KIRDAĞ Mustafa Koray , SERDAŞ Turgut , NALÇACIOĞLU Varol , AYDIN Mustafa , ATİLLA Mustafa Kemal
Published: February 2023

Amaç: Böbrek taşı nedeniyle retrograt intrarenal cerrahi uygulanan olgularda taşsızlık elde etmede etkili olan faktörleri saptamayı amaçladık.Gereç ve Yöntemler: Ocak 2021- Temmuz 2021 tarihleri arasında kliniğimizde retrograt intrarenal cerrahi (RİRC) uygulanan 160 olgunun verilerini retrospektif olarak analiz ettik. Hastaların demografik özellikleri, bilgisayarlı tomografi (BT) görüntüleri üzerinden ölçümü yapılan taş ve böbrek kalisiyel anatomisi ile ilgili parametreleri, üreter erişim kılıfı (ÜEK) kullanılma durumu ve cerrahi süre analiz edildi. Postoperatif 1.ayda direkt üriner sistem grafisi (DÜSG) veya BT görüntülerindeki rezidü taşın 2 mm’den küçük olması veya hiç taş olmaması cerrahi için başarılı kabul edildi. Hastalar taşssızlık durumuna göre taşsız (Grup1) ve rezidü taşa sahip (Grup 2) olmak üzere iki gruba ayrıldı. Ayrıca böbrekteki taş lokalizasyona göre alt pol olan (45 derece ve üstü ile altı) ve olmayan diye alt grublara ayrıldı. Gruplar operasyon sonrası rezidü varlığına göre kıyaslandı. Bulgular: Grup 1 ve Grup 2 için cinsiyetin dağılımları, vücut kitle indeksi (VKİ), taraf, ÜEK kullanımı, opasite durumu, infindibulopelvik açı (İPA) ve infundibuler uzunluk için fark yoktu (p>0,05). Taşssız olan Grup 1’de infundibuler genişlik daha fazla idi (p>0,021). Birden fazla taşı olanlarda rezidü, tek taşı olanlara göre fazla idi (p>0,048). Taş hacmi ve taş dansitesi için taşsızlık üzerine etkileyici sonuç bulmadık. Böbrekteki lokalizasyona göre alt pol olanlarda rezidü fazlaydı (p>0,001). Ancak alt pol taşları olanlarda 45 derece üstü ve altı olanlar arasında fark yoktu (p>0,050). Sonuç: Retrograd intrarenal taş cerrahisi tedavisinde, birden fazla taşın olması, alt pol taşın olması, infundibüler genişliğin az olması taşsızlığı olumsuz etkileyen faktörler olarak öngörülebilir.
Supine versus prone percutaneous nephrolithotomy: A comparison of efficacy and safety in obese patients
Authors: KARGI Taner , EKŞİ Mithat , SUNGUR Ubeyd , ÖZDEMİR Osman , KARADAĞ Serdar , EVREN İsmail , HACİİSLAMOĞLU Ahmet , POLAT Hakan , ATAR Feyzi Arda , BİTKİN Alper , TAŞÇI Ali İhsan
Published: February 2023

Objective: To compare prone and supine percutaneous nephrolithotomy (PNL) in obese patients with respect to efficacy and safety.Material and Methods:  Individuals with kidney stones larger than 2 cm undergoing either prone or supine position PNL were included in the study based on the World Health Organization (WHO) classification of body mass index (BMI) ≥30 kg/m2 between January 2011 and September 2020 retrospectively. Demographic characteristics, intraoperative, postoperative data, and complications according to Modified Clavien Grading System were listed. Patients were followed for 3 months, documenting their stone-free status. Results: Out of the total 156 obese patients, 74(47.4%) underwent supine PNL (group 1), and 82 (52.6%) were prone to PNL (group 2). There was no statistically significant difference between the groups concerning hemoglobin drop, the number of pelvicalyceal access, blood transfusion, length of hospital stay, complications rates, and stone-free status (p>0.05). The location of pelvicalyceal access (upper, middle, lower calyces) was significantly different (18.9%, 32.4%, 42.6% in group 1, 3.2%, 19.3%, 77.5% in group 2, respectively) (p<0.001). Mean operative times were statistically different between the groups (97.2 ± 18.1 minutes in group 1, 119.5 ± 18.9 minutes in group 2, respectively) (p<0.001).Conclusion: In the prone or supine position, PNL is a safe and effective method for managing kidney stones in obese patients. Access through the upper calyx may be favored in the supine position considering to patient’s characteristics. Additionally, the supine position has the greatest advantage over the prone position due to shorter operative times.
Evaluation intelligibility of urology consent forms
Authors: TAŞ Selim , EREN Ali Erhan
Published: February 2023

Objective: In this study, we investigated the understanding of the consent forms used for invasive procedures in the urology clinic by the patients. It was evaluated which age and education groups could comprehend the consent forms used in our clinic.Material and Methods: In this investigation, we employed two intelligibility formulas proposed by Ateşman and Bezirci-Ylmaz for Turkish. In the study, 69 separate consent forms were evaluated.Results: An average of 62.02 points was obtained in the study after evaluating the consent forms using the Ateşman intelligibility index. This value indicates that a person with a 9 and 10th education level will be able to comprehend the text. The Bezirci-Yılmaz index yielded an average of 11.13 points when the same forms were analyzed. This value indicates that consent forms can be understood by those with a 10 and 11th grade education grade.Conclusion: In our study, it was found that the informed consent forms given to the patients before the operation were insufficient to be understood by the patients. Similar findings were obtained in previous studies in the literature. Each country’s own health literacy and education level should be taken into account when creating informed consent forms.
Mesane kanserinin kas invazyonunu öngörmede vezikal görüntüleme-raporlama ve veri sistemi (VI-RADS) skorlamasının etkinliğinin değerlendirilmesi
Authors: ÖZDEMİR Harun , ŞAM ÖZDEMİR Merve , SAVUN Metin , KESKİN Emin Taha , ŞİMŞEK Abdülmüttalip , CANAT Halil Lütfi
Published: February 2023

Amaç: Biz bu çalışmada mesane kanserinin kas invazyonunu preoperatif tahmin etmede “Vesical Imaging Reporting and Data System” (VI-RADS) skorlama sisteminin doğruluğunu araştırmayı amaçladık.Gereç ve Yöntemler: Ağustos 2020 ile Mart 2022 arasında preoperatif mp-MRG çekilen mesane kanserli hastalar çalışmaya dahil edildi. Mesane tümörleri deneyimli bir üroradyolog tarafından VI-RADS skorlama sistemi ile değerlendirildi. VI-RADS skoru, kas invazyonunu belirlemek için postoperatif patoloji ile karşılaştırıldı. VI-RADS ≥3 ve VI-RADS ≥4 kesme noktası için duyarlılık, özgüllük, poizitif öngörü değeri (PÖD), negatif öngörü değeri (NÖD) ve doğruluk hesaplandı.Bulgular: Toplam 102 hastanın dördünde bening patoloji (Üç hastada sistitis sistika, bir hastada nefrojenik adenom) saptandı. Çalışmaya kalan 98 hasta dahil edildi. 38 hastada kasa invaziv ve 60 hastada ise kasa invaziv olmayan mesane kanseri saptandı. Kas invazyonunu belirlemede VI-RADS skorunun eşik değeri 3 olarak alındığında duyarlılık, özgüllük, PÖD, NÖD ve doğruluğu sırasıyla %92, %85, %94, %80 ve %88 olarak hesaplandı. Bununla beraber VI-RADS skorunun eşik değeri 4 olarak alındığında duyarlılık, özgüllük, PÖD, NÖD değeri ve doğruluğu sırasıyla %82, %95, %89, %91 ve %90 saptandı.Sonuç: Sonuç olarak mesane mp-MRG, VI-RADS kriterleri eşliğinde VI-RADS eşik değer 3 veya 4’ün kas invaziv mesane kanserinin saptanmasında başarılı bir yöntem olup tanısal performansı artırabilir.
Comparison of conventional and castroviejo needle holders in terms of vascular anastomosis time in renal transplant
Authors: EVREN İsmail , ÖZLÜ Deniz Noyan , EKŞİ Mithat , GÜLER Ahmet Faysal , KARADAĞ Serdar , POLAT Hakan , KARGI Taner , HACİİSLAMOĞLU Ahmet , SUÇEKEN Ferhat Yakup
Published: February 2023

Objective: It is important that the anastomosis time of renal vascular structures is not prolonged to minimize the potentially harmful effect of warm and cold ischemic times. This study aimed to determine the effect of the needle holder design used in vascular anastomosis during renal transplantation on the duration of anastomosis.Material and Methods:  Patients that underwent renal transplantation at our clinic between September 2011 and February 2020, were divided into groups according to the two types of needle holders used in anastomoses. In Group 1, a conventional, Hegar-type, straight, 180-mm (7”) Ryder Diadust needle holder was used. In Group 2, a pen-type, straight, 215-mm (8 ½”) Castroviejo Durogrip TC micro needle holder was used. Demographic characteristics, vascular characteristics, and vascular anastomosis times were compared between the two groups. Results: A total of 75 patients were included in the study. There were 39 (52%) patients in Group 1 and 36 (48%) patients in Group 2. The mean number of arteries was 1.2 ± 0.4, and the mean arterial diameter was 5.3 ± 1.2 mm in the whole cohort, with no statistically significant difference between the two groups (p=0.196 and 0.304, respectively). The mean arterial anastomosis time was 15 ± 5.1 minutes in Group 1 and 10 ± 3.9 minutes in Group 2. The mean venous anastomosis times were 18.4 ± 6.1 in Group 1 and 14.7 ± 4 minutes in Group 2. In the statistical analysis, the arterial and vein anastomosis times were found to be significantly shorter in Group 2 than in Group 1 (p=0.038 and p=0.020, respectively).Conclusion: In our study, it was observed that the renal arterial and venous anastomosis times were significantly shorter in the group in which the pen-type Castroviejo needle holder was used in anastomoses performed during renal transplantation.
Factors predicting biochemical recurrence following robot-assisted radical prostatectomy: single-center experience
Authors: SUÇEKEN Ferhat Yakup , KÜÇÜK Eyüp Veli
Published: February 2023

Objective: In this study, we aimed to investigate factors predicting the development of biochemical recurrence (BCR) in our clinical experience with patients over a long follow-up.Material and Methods: The data of 758 patients who underwent robot-assisted radical prostatectomy (RARP) were retrospectively reviewed. In the postoperative period, the prostate-specific antigen (PSA) value is measured as 0.2 ng/mL and above, regarded as biochemical recurrence (BCR). The non-BCR group was regarded as Group 1, and the BCR group as Group 2.Results: The mean age was similar between the two groups. The PSA values ​​were significantly higher in the group that developed BCR (p<0.001). The biopsy Gleason score (GS), risk classification, and specimen GS were significantly higher in this group (p=0.02, p<0.001, and p<0.001, respectively). The BCR group also had statistically significantly higher positive surgical margin (PSM), extraprostatic extension (EPE), seminal vesicle invasion (SVI), and lymph node invasion rates. According to the multivariate analyses, PSA, risk classification, specimen GS, PSM, SVI, and T stage were significant parameters in the prediction of BCR.Conclusion: The parameters ​​that predict the development were determined as the PSA value, risk classification, specimen GS, PSM, SVI, and T stage. The widespread adoption of commonly accepted methods will help achieve better patient management and optimize patient expectations.
Böbrek ve üreter taşlarında ESWL başarısını öngörmede radyografik ve litotriptör parametrelerinin klinik önemi
Authors: EFİLOĞLU Özgür , ÇAKICI Mehmet Çağlar , KAZAN Hüseyin Özgür , KESER Ferhat , YILDIRIM Asıf , ATİS Gokhan
Published: February 2023

Amaç: Ekstrakorporeal şok dalga litotripsi (ESWL), böbrek ve proksimal üreter taşlarının tedavisinde en sık kullanılan yöntemlerdendir. Çalışmamızda, ESWL başarısı için hangi parametrelerin etkili olduğunu saptamayı amaçladık.Gereç ve Yöntemler: Ocak 2017 ile Aralık 2018 arasında, ESWL uygulanan 253 hasta prospektif olarak elde ettiğimiz ESWL veri tabanımızdan geriye dönük olarak analiz edildi. Kırk dört hastaya üreter taşı nedeniyle ESWL, 209 hastaya böbrek taşı nedeniyle ESWL uygulandı. Taş tipi, taş boyutları, hounsfield birim dansitesi (HBD), taş-cilt mesafesi (TCM) ve taşların yerleşimi, hastaların cinsiyeti ve yaşı, şok dalgalarının gücü ve sayısı ile toplam seans sayısı analiz edildi.Bulgular: Genel tedavi başarı oranı tüm taşlar için %71,1, böbrek taşları için %70,3 ve üreter taşları için %75 idi. Taş boyutu, şok dalgası sayısı ve HBD böbrek taşlarının başarısını öngörmede etkili parametrelerdi. Yaş ve taş boyutu, tek değişkenli regresyon analizinde üreter taşları için başarının belirleyicileriydi. Çok değişkenli regresyon analizinde hem böbrek hem de üreter taşları için başarıyı öngören tek parametre taş boyutuydu (sırasıyla p=0,002 ve p=0,005). Üreter taşları için başarı oranı, 11,5 mm boyutu kestirim değeri olarak tanımlandığında, %81,8 duyarlılık ve %78 özgüllükle tahmin edilebilir olarak saptandı. Sonuç: Böbrek taşları ve üreter taşları ESWL ile başarıyla tedavi edilebilir. Daha küçük ve HBD daha düşük olan böbrek taşlarının başarı oranı daha yüksektir. Üreter taşlarında ise daha genç hastalar ve daha küçük taşlar daha etkili bir şekilde parçalanabilir. ESWL başarısı için en önemli parametre taş boyutudur.
Üç boyutlu ve iki boyutlu görüntüleme sistemleri ile yapılan laparaskopik nefrektomi sonuçlarının karşılaştırılması
Authors: NİMETİGİL Hasan , ŞEÇKİNER İlker , SEVİM Özcan , ERTURHAN Mehmet , ŞEN Haluk
Published: February 2023

Amaç: Tek merkezde gerçekleştirdiğimiz laparaskopik nefrektomilerin üç boyutlu (3B) ve iki boyutlu (2B) sistemle uygulanmasının intraoperatif ve erken postoperatif sonuçlara etkisini değerlendirmek.Gereç ve Yöntemler: Çalışmaya kliniğimizde 2019 ve 2020 yıllarında laparoskopik nefrektomi planlanan toplam 42 hasta dahil edildi. 3B endovizyon sistemi ile 21 hastaya (15 kadın, 6 erkek) 2B endovizyon sistemi ile 21 hastaya (10 kadın, 11 erkek) transperitoneal laparoskopik basit/radikal nefrektomi operasyonu yapıldı. Hastaların demografik özellikleri (yaş, cinsiyet), operasyon süresi, ameliyat öncesi hemoglobin değeri ile ameliyat sonrası hemoglobin değeri arasındaki fark, yatış süresi ve komplikasyon oranı karşılaştırıldı. Bulgular: 2B kullanılan 21 hastada median yaş 30 (9-74), ortalama ameliyat süresi 135,7 dakika, ameliyat öncesi hemoglobin değeri ile ameliyat sonrası hemoglobin değeri arasındaki fark ortalama 1,17 gr/dl olarak hesaplandı. 4 hastaya radikal, 17 hastaya basit nefrektomi uygulandı. Bir hastada Clavien-Dindo derece 1 komplikasyon görüldü. 3B kullanılan 21 hastada median yaş 46 (16-73), ortalama ameliyat süresi 128,6 dakika, ameliyat öncesi hemoglobin değeri ile ameliyat sonrası hemoglobin değeri arasındaki fark 0,7 gr/dl olarak hesaplandı. 10 hastaya radikal, 11 hastaya basit nefrektomi uygulandı. Hastalarda komplikasyon gelişmedi. İki grup arası karşılaştırmada ameliyat öncesi hemoglobin değeri ile ameliyat sonrası hemoglobin değeri arasındaki fark anlamlı olarak bulundu (p: 0,041).Sonuç: 3B endoskopik görüntüleme sistemlerinin sağlamış olduğu derinlik algısı anatominin daha kolay anlaşılmasına, diseksiyonun daha hızlı ve daha kolay yapılabilmesine olanak sağlamaktadır. Diseksiyon kolaylığı ile operasyon sırasındaki kanama miktarı azalmakta, kanama alanları daha hızlı saptanmakta ve kontrolü daha hızlı sağlanabilmektedir.
Reduplication in Urban Hijazi Arabic Dialect Spoken in the Western Region of Saudi Arabia
Authors: Kabli Hanan Mohammed
Published: February 2023

This study focuses on trilateral reduplicated roots (CVCC), such as laff “wrap’”, and quadrilateral duplicated roots (CVCCVC), like waswas “whisper” and their reduplicated counterparts of the type C1VC2CC1VCc21 and C1VC2C1VC2 in the Urban Hijazi Arabic dialect (UHA dialect). This research centers on reduplication in the UHA dialect as a total duplication. Semantically, reduplication in this dialect displays three main functions: 1) intensifying reduplication, as in adjectives; 2) emphatic reduplication, as in nouns; and 3) iterative reduplication, as in verbs. The data were collected using interviews with native speakers of the UHA dialect via Blackboard and face-to-face meetings. The analysis of the data shows that sometimes the C1VC2C1VC2 pattern is a duplication at the surface level (i.e., pseudo-reduplication) because it has a genuine root and is underived from the trilateral roots whereas others are derived from trilateral roots and undergo the process of duplication. However, the C1VC2CC1VCC2 pattern shows that the second syllable is a copy of the original root. Nevertheless, both patterns show similar functions of reduplication in verbs, nouns, and adjectives. In addition, they reveal a similar derivational mechanism in changing parts of speech by adding the prefix y- to the verb, the prefix mu- to the adjective, and the suffix -a to the noun. In conclusion, this study confirms that not all quadrilateral duplicates originated from trilateral reduplicated roots. Also, the results are in line with the Basra linguists’ claims that roots in the Arabic language can be trilateral, quadrilateral, and so on.
Factors Affecting Organizational Innovation of Universities - Focusing on Shared Vision, Student-Centered Value, Trust Culture, and Organizational Positivity
Authors: Kim Eun Joo
Published: February 2023

Any organization must innovate to adapt to change and move forward, and without such innovation, it will not develop and fall behind. Similarly, in the case of university organizations, without innovation, they will not be able to contribute not only to securing competitiveness but also to national development. Today, many organizations such as universities, corporations, and government agencies are striving to effectively cope with the changes required in a rapidly changing environment. In the process, many organizations are innovating. Therefore, it is necessary to analyze the factors that affect organizational innovation in universities and prepare measures for this. The decrease in university admission resources along with rapid social change is causing difficulties in university finances and management. As a result, universities are faced with the reality of having to innovate on their own. Hence, organizational innovation is required at the university level to keep up with the fourth industrial revolution. Thus, this study establishes vision sharing, values that prioritize students, a culture of trust, and organizational optimism as independent factors that can impact universities' organizational creativity and validates their impact on organizational innovation. Ultimately, the current study prepares a plan for organizational innovation in universities. To achieve the research purpose, data were collected from 118 responses through an online survey conducted from October to November 2021 targeting professors and staff at 4-year E-University in Gyeonggi-do. The design of this study is a descriptive research study. For the analysis method, frequency analysis and descriptive statistical analysis were performed. Additionally, correlation analysis was performed to examine the validity between variables and to confirm multicollinearity. Finally, multiple regression analysis was performed to verify the influence of independent variables on organizational innovation at universities. The analysis led to the exclusion of the trust culture variable as a factor impacting university organizational innovation. The remaining organizational positivity, student-centered values, and shared vision variables showed a positive influence on organizational innovation. The findings of this study suggest that altering member perceptions is crucial for university organizations to innovate. In particular, all university members must share a positive perception of the organization, educational goals for students, and the vision pursued by the university.
Fostering TPACK for Pre-service Teachers about Learning Management Competency into Professional Experiences
Authors: Nithitakkharanon Piyaphat , Vetsawat Chanarak , Sawasdee Vicharinee , Nuangchalerm Prasart
Published: February 2023

Technological, pedagogical, and content knowledge (TPACK) is now calling for professional teacher education. Technology can be integrated into the proportion of pedagogical and content knowledge by different classroom contexts. This research aims to foster TPACK for pre-service teachers about learning management competency into professional experiences. The participants consisted of 18 pre-service teachers during the teaching practicum in local schools. The tools used for data collection were questionnaires, tests, and assessment forms. The results showed that TPACK professional experiences program gain pre-service teachers’ competency in learning management, they had post-test scores of competencies in learning management higher than pre-test score at .05 level of statistical significance. Professional experiences program indicated that pre-service teachers had level of satisfaction towards TPACK and learning management was at the highest level with all aspects.
The Potentials and Limitations of Applying Content and Language Integrated Learning (CLIL) Approach to English Teaching for Medical Students
Authors: Sujana I Made , Waluyo Untung , Fitriana Eka , Sudiarta I Wayan
Published: February 2023

The Faculty of Medicine, the University of Mataram, Indonesia, renewed its curriculum to teach English to aide Indonesian university graduates to enter the competitive international job markets. Adopting this new curriculum will affect the provision of teaching and learning activities. This paper attempts to justify whether the use of Content and Language Integrated Learning (CLIL) would fit within the current English curriculum. A comprehensive review of a literature was conducted to identify barriers and facilitators for the implementation of CLIL in higher education settings. Results of the literature review were then used to evaluate the potential strengths and limitations of the recently renewed curriculum when implemented at the Faculty of Medicine. Availing of curriculum and learning materials has the potential to sustain CLIL implementation in the Faculty of Medicine. However, factors that may impinge the successful implementation include: lecturers’ language, content pedagogical competences and the need to employ differentiated instructional modules. An ongoing professional development for lecturers prior to curriculum implementation could address these limitations.
Case Report Isolated Umbilical Cord Cyst in Second and Third Trimesters
Authors: Yahya Othman Idrees Khadeeja , Hemet Hassan Osman Ali
Published: February 2023

The cyst might be solitary or numerous (more frequent). While single cysts are attributed to favorable perinatal outcomes during the initial stages of pregnancy, the presence of numerous different umbilical cord cysts, their persistence in the second and third trimesters, and their conjunction with other ultrasonographic anomalies are linked to a higher probability of a miscarriage, aneuploidy, or other complexation. The majority of the material on postoperative complications and treatment adherence of foetuses with umbilical cord cysts is minimal. We wanted to show the result of a third-trimester foetus with an isolated umbilical cord cyst. Due to foetal distress, the baby was delivered by emergency caesarean surgery at 39 weeks gestation. The infant seemed fine and cried immediately. It should be taken into account that large umbilical cysts, in the event of rapid proliferation, may pressure the cord vessels and cause foetal discomfort. It is essential to consider the ultrasound examination of the umbilical cord as one of the essential aspects of the test. In addition, it is advised to ascertain that a karyotype is necessary when we discover this issue with related abnormalities.
Personal Entrepreneurial Competencies of Dairy Buffalo Entrepreneurs in Nueva Ecija, Phillipines
Authors: Dela Cruz Ericson N , Dizon Josefina T Dizon , Baconguis Rowena T , Quimbo Maria Ana T , Depositario Dinah Pura T
Published: February 2023

This study aims to describe the profile of the dairy buffalo entrepreneurs and analyze their entrepreneurial traits, with the end view of improving these traits. The respondents were 170 dairy buffalo entrepreneurs from assisted cooperatives and associations of the Philippine Carabao Center (PCC) in Nueva Ecija, Philippines. Descriptive statistical tools (i.e., frequency counts, means and range and ranks) were used to analyze and interpret the data. Data were processed and analyzed using the Statistical Package for the Social Science version 20. Based on the results, the respondents were found to have a moderate score for persuasion and networking, but found to be strong in opportunity seeking, persistence, commitment to work contract, demand for quality and efficiency, risk-taking, goal setting and information seeking, systematic planning and monitoring and self-confidence. It is recommended that PCC should focus on enhancing the competency on persuasion and networking among dairy buffalo entrepreneurs through trainings and seminars.
Personal Well-Being of Dairy Buffalo Entrepreneurs in Nueva Ecija, Philippines
Authors: Dela Cruz Ericson N , Dizon Josefina T
Published: February 2023

Dairy buffalo entrepreneurship is an important livelihood strategy with great potential of providing sustainable livelihood to people particularly family entrepreneurs. Nueva Ecija, being the main area of intervention of the Philippine Carabao Center, has been well-supported for its buffalo-based dairy enterprises. Empirical studies assessing the well-being of families engaged in dairying in the province, however, were not much explored; hence this study.Data were gathered through face-to-face interview with 170 dairy buffalo entrepreneurs using a survey questionnaire. Personal well-being index (PWI) was measured in terms of the core set of items forming the PWI comprising seven questions on satisfaction with specific life domains. The satisfaction scores from all domains are simply summed up to produce a mean satisfaction value, known as the PWI score, to represent subjective well-being (SWB). The following guidelines for the interpretation of the PWI scores were used: 70+ points = ‘Normal’: A person is likely to be experiencing a normal level of well-being. 51-69 points = ‘Challenged’: Personal well- being is likely to be challenged/compromised. The PWI of the dairy buffalo entrepreneurs was found to be within the normative range of population, which means that they are generally experiencing a normal level of well-being. Findings further showed that while the entrepreneurs were simultaneously engaged in dairying and other sources of household income, such as non-dairy farm, off-farm and non-farm, they are satisfied with farm work and even managed to enjoy various leisure activities.
Effect of salinity on seed germination and seedling growth of tomato
Authors: Foysal Foysal , Delwar Md , Ahsan Md , Farjana Farjana , Kabir Muhammad
Published: February 2023

The study was carried out to investigate the effects of different salt concen- trations on germination and seedling growth of four varieties of tomato. Experimental treatment included five levels of NaCl concentration (0, 25, 50, 100 and 150 mM) and four varieties of tomato (Binatomato-6, Binatomato-7, Binatomato-8, Binatomato-9). Data on germination percentage, radicle and plumule length, fresh weight of plumule and radicle, dry weight of plumule and radicle were recorded at different days after sowing (DAS) in Petri dishes. Results on main effects of varieties on germination of seed revealed that there was significant difference among four varieties of tomato at different days after sowing. At 9th days after sowing seeds, the highest percentage of seed germination (94.67%) was recorded in the variety Binatomato-6 and the lowest percentage of seed germination (61.33%) was observed in the variety Binatomato-8. NaCl solutions significantly affected seed germina- tion in tomato with the increase of NaCl solutions. At 11 days after sowing seeds, the highest percentage of seed germination (81.33%) of tomato was recorded in case of control (0 mM NaCl) and the lowest percentage of seed germination (0%) was observed in case of 150 mM NaCl salt solution. In case of combined effects of varieties and different levels of NaCl solutions on seed germination of tomato, the highest seed germination was recorded in the variety Binatomato-6 with control i.e. without any NaCl at 11 days after seed sowing. The germination percentage, germination coefficient, radicle and plumule length, seed vigor index, fresh weight of plumule and radicle, dry weight of plumule and radicle decrease with increasing NaCl salt solutions in the germination media compare to control. Result showed that among the four varieties of tomato, Binatomato-6, Binatomato-7 and Binatomato-9 are relatively more salt tolerant than Binatomato-8.
Parent selection for hybridization in chili (Capsicum annuum L.) using multivariate analysis and K-means clustering
Authors: Sharmeen Farhana , Saikat Mohammed , Ahmed Jalal , Islam Md , Islam A
Published: February 2023

The study was conducted to elucidate the extent of genetic diversity of 28 chilli (Capsicum annuum L.) genotypes. Chilli plants of the selected genotypes were grown in the Field Laboratory of the Department of Genetics and Plant Breeding of Bangbandhu Sheikh Mujibur Rahman Agricultural University, Bangladesh with recommended agronomic practices. The experiment was laid out in a randomized complete block design with tree replications. The analysis of variance revealed considerable variability among the genotypes for the character studied. Genetic diversity in chilli genotypes were estimated based on 16 growth and yield contributing characters using Mahalanobis’s D2 statistics and K-means clustering. The genotypes were grouped into four different clusters by non-hierarchical clustering. Cluster III had the maximum number (13) of genotypes followed by cluster I, IV and II with 7, 5 and 3 genotypes, respectively. The highest inter-cluster genetic divergence (9.87) was recorded between clusters II and IV, whereas the highest intra-cluster distance was recorded in cluster II (4.37). Cluster II was observed to be the most important with maximum cluster means for most of the valuable traits including number of fruits per plant and number of fruit yield per plant. The characters fruit yield/plant, days to 100% fruiting, days to first flowering and individual fruit weight contributed maximum towards divergence. Considering diversity pattern and other horticultural performance the Gen7 and Gen20 from cluster I, Gen8 and Gen10 from cluster IV and Gen24 from cluster III may be taken into consideration as better parents for an efficient hybridization programme of chilli.
Factor determinants of fruits consumption level in a peri-urban area of Bangladesh
Authors: Salman Md , Hoque Sadia , Haque Sadika , Jannat Arifa , Rafi Dewan , Faisal Md , Sabbir Abu , Vortia Pooja
Published: February 2023

The study was designed to relate fruit consumption with income and determine the influencing factors of fruit consumption at Bangladesh Agricultural University (BAU) and its surroundings. Data were collected through direct interviews from 155 respondents (90 fruit buyers and 65 non-buyers) who were selected through random sampling techniques. Descriptive statistics, Logit and Tobit model were applied to get meaningful results according to the stated objectives. The findings presented that, except banana, apple, grapes and orange had positive correlation with income and fruit consumption. Banana consumption has found negatively correlated with income. Regression results revealed that per head income and nutritional knowledge has positive and significant influence which leads to the increase in fruit consumption of buyers. On the other hand, gender inequality and higher price of fruits decrease the amount of fruit consumption. From the result of the Tobit model, we found that gender, education level, per head income, nutritional knowledge increases the fruit consumption of consumers. On the other hand, higher prices of fruits decrease the amount of fruit consumption.
Is pneumothorax secondary to pneumoperitoneum a real risk in dogs undergoing total laparoscopic gastropexy?
Authors: Bendinelli Cristiano , Leonardi Fabio , Properzi Roberto , Giaconella Roberto , Poggi Edoardo , Pozzuoli Silva , Cinti Filippo
Published: February 2023

Background: There were described in veterinary literature the possibility of pneumothorax as a complication of laparoscopic surgery in dogs undergoing laparoscopic ovariectomy associated with total laparoscopic gastropexy.

Aim: To assess if spontaneous pneumothorax secondary to pneumoperitoneum is a real risk in dogs undergoing total laparoscopic gastropexy.

Methods: Dogs undergoing totally laparoscopic gastropexy received chest x-rays (CXR) in lateral (left and right) and ventro-dorsal projection before and after the surgery. Two veterinary radiologists reported the x-rays and indicated the presence or not of pneumothorax.

Result: Postoperative pneumothorax was not detected on postoperative CXR in the total of 76 dogs of the study.

Conclusion: The odds risk of pneumothorax after total laparoscopic gatropexy surgical procedure is low.
Cytodifferentiation of pinealocytes (I and II) and astrocyte types of mature male sheep epiphysis cerebri with special emphasis on the presence of neuronal and pigmented like cells
Authors: Dahran Naief , Ghonimi Wael
Published: February 2023

Background: The epiphysis cerebri (pineal gland) is a small-sized, photo neuroendocrine organ in the brain of most vertebrates. Their effect is through secretion of melatonin, a serotonin-derived hormone which is stimulated by darkness and inhibited by light and modulates the circadian rhythm; light and dark cycle like a biological clock, sleep patterns (sleep-wake cycle) and sexual development.
Aim: This study aimed to identify and differentiate the different cell types filling the pineal gland parenchyma of mature male sheep.
Methods: Pineal glands were collected and sliced parasagitally then processed histologically for light and electron microscopic examinations.
Results: Two main cell types; pinealocytes and astrocytes were recognized within the gland parenchyma. Pinealocytes were the chief parenchymatus cells occupied the largest volume of the gland and were classified according to the nuclear pictures (activity status) into two subtypes; pinealocytes I (pale subtype, active) and II (dark subtype, in active). Astrocyte neuroglial cells had cytoplasmic processes which forms a huge supportive framework between the pinealocytes and clarified two types; type I were elongated cells with elongated snake shaped nucleus and type II were smaller in size, with oval nuclei. Another marginal cell type was identified as a neuron-like cell which appeared larger in size than others and distributed sporadically, has eccentric oval nucleus with prominent nucleoli and single, long cytoplasmic process that branched at its terminal forming T-shaped process looks like pseudo unipolar neuron. Moreover, aggregations of pigment granules were markedly observed in the intercellular spaces and also near the blood capillaries. With TEM a special characteristic feature of pinealocytes; synaptic ribbons were recognized that appeared as bands of electron-dense material with several synaptic spherules; vesicles adjacent to its surface helping in the multivesicular release.
Conclusion: The gland parenchyma revealed two main cell types; pinealocytes and astrocytes. Each one was subdivided to two subtypes; I and II. The first one was classified according to their nuclear pictures (activity status) and the second one was according to their shape, size and cytoplasmic processes. Other cell types were also identified as neuronal and pigmented like cells in the pineal matrix.
Social Media Use of Solid Organ Transplant Patients: Sharing Unmet Needs
Authors: Sürme Yeliz , Sürme Mustafa
Published: February 2023

The aim of this study was to analyze the posts of patients with solid organ transplant Facebook groups and to reveal the most common problems experienced by them. The study was conducted with a comprehensive search of solid organ transplant patients' Facebook groups. Posts of the participants were scanned with the keywords “organ transplant patients”, “life after organ transplant”, “organ transplant information”, “kidney transplant”, and “liver transplant”. Qualitative data were evaluated by inductive content analysis. All words of the post were analyzed in the MAXQDA (version 11) software program. There were 18,722 users in 10 groups related to solid organ transplantation and 478 posts were shared. Five main themes were determined: Seeking information/giving information, seeking support/providing support, seeking a partner for cross-transplantation of those waiting for organ transplants, financial issues and experiences related to COVID-19. It has been determined that 59.8% of individuals most frequently refer to Facebook groups for information seeking/giving information. The posts are seen as an opportunity to share experiences, to seek support/provide support, and help from others with similar experiences. Social media can be used by health professionals to inform individuals and reduce their anxiety by examining and participating in disease-specific groups.
Intellectual Property Rights
Authors:   Fabtech College of Pharmacy, Sangola, Maharashtra, India, B. Salgar Jyoti , K. Bais Sanjay ,   Fabtech College of Pharmacy, Sangola, Maharashtra, India, Somnath Vathare Shraddha ,   Fabtech College of Pharmacy, Sangola, Maharashtra, India
Published: February 2023

Healthcare is one industry where intellectual property (IP) is a valuable resource. The creation of medications to meet medical requirements and the discovery of new therapies necessitate the preservation of inventions. Protection of scientific and technological advancements inspires researchers and the business community to develop new and improved treatments and medications, extending and improving people’s lives. Healthcare businesses may recoup their investments and continue to invest in fresh research because of IP protection. IP has raised the bar for medical and health research, and it will keep finding solutions to today’s unmet demands. As it supports the financing scheme for R&D, IP is a crucial cornerstone of our healthcare system. This article discusses that in a variety of industries, including the healthcare industry, IP is a valuable asset. It is imperative to safeguard ideas and discoveries to find new cures and create drugs to meet medical needs. Protection of scientific and technological advancements motivates researchers and the business community to discover new and improved treatment options and medications, thereby enabling people to live longer and better lives [1].
Evaluation of anti-inflammatory effects of Pergularia Daemia latex using experimental animal models
Authors: Thrinitha B , Tejaswini Nagireddy , . Sania , Shirisha Galenka , Sujatha Ramavath , Reddy Gangula Swetha
Published: February 2023

Pergularia daemia (Apocynaceae) plays an important role in traditional ayurvedic and siddha for the treatment of asthma, bronchitis, and jaundice. Interestingly, the latex of (PDL) is applied to cure Pergularia daemia headache, migraine, boils, wounds and scabies. The present study is aimed to evaluate the anti-inflammatory efficacy of PDL in animal. Orally, pre-treated three different doses (100, 200 mg/kg) of PDL in order to evaluate distinct phases of anti-inflammatory effects. The inhibition ratio of the PDL (200 mg/kg, (P < 0.01)) on carrageenan, Phorbol 12-myristate 13-acetate (PMA) in rats were 66.46 and 54.04% respectively better than the inhibition ratio of indomethacin (5 mg/kg) were 52.31% and 70.33% respectively in the two model. PDL sustains exemplary anti-inflammatory activity.
Analisis Kasualitas Indikator Makro Kesejahteraan Masyarakat Provinsi Banten Tahun 2017-2021
Authors: Mahintan Loanna , Setyadi Sugeng , Syaifudin Rizal
Published: February 2023

Community welfare is the main goal of economic development. Concrete efforts made by the Provincial Government of Banten continue to be made to improve welfare in the region. This study aims to determine the short-term relationship and long-term variables of community welfare indicators between districts/cities in Banten Province in 2017-2021. This type of research is quantitative with a descriptive approach, in which the research is systematically arranged with numbers processed from the results of secondary data sourced from the Central Bureau of Statistics, Bappeda, and Bappenas. Finally, this data measurement uses the Vector error correction model (VECM) method with test stages: (1) Stationarity Test, (2) Stability Test, (3) Optimum Lag Test, (4) Cointegration Test, (5) Granger Duration Test, and (6) VECM Estimation. The results of this study are (1) All data on the variables of this study are stationary at the 1st Difference level, (2) There is a short-term and long-term relationship between variables in this study characterized by cointegration, (3) There is a one-way causal relationship between Education and poverty, (4) There is a one-way causal relationship between Education and HDI, (5) There is a two-way causal relationship between Poverty and Unemployment, (6) There is a one-way causal relationship between Poverty and HDI, (7) There is no causal relationship between Unemployment and HDI, (8) Finally, measurement of indicators that are relevant to people's welfare.
Analisis Manajemen Stratejik: PT Bank Central Asia Tbk (BCA)
Authors: Aditya Putu Tirta , Andriyadi Wahyu , Sidjaya Jessica Avery
Published: February 2023

Tujuan dari penelitian ini adalah untuk mengkaji strategi BCA dan bagaimana kunci sukses BCA bertahan hingga saat ini. Karena BCA mampu menangkap peluang pengembangan bank yang muncul dari waktu ke waktu dan mengubahnya menjadi keunggulan kompetitif. Apa yang diinginkan nasabah dari institusi perbankannya dimengerti dengan tepat oleh BCA untuk segera menyediakan produk yang sesuai bagi nasabah. BCA memiliki dua tujuan ke depan, pertama menjadi bank pilihan pertama bagi masyarakat yang ingin menjadi bank yang secara langsung memberikan kontribusi positif bagi masyarakat Indonesia, daripada hanya mencari keuntungan sendiri dan kedua selalu berusaha memberikan nilai tambah bagi institusi perbankan. Karena kebutuhan setiap nasabah berbeda, BCA menawarkan berbagai macam produk, sehingga nasabah dapat memilih produk yang paling sesuai dengan kebutuhan keuangannya. Oleh karena itu sangat menarik dalam menganalisis strategi-strategi yang digunakan Bank BCA dalam menjadi bank yang unggul di Indonesia.
The purpose of this study is to examine BCA's strategy and how BCA's key to success has survived to date. Because BCA is able to seize opportunities for bank development that arise from time to time and turn them into competitive advantages. BCA clearly understands what customers want from their banking institutions to immediately provide the right products for customers. BCA has two goals going forward, first to be the bank of first choice for people who want to be a bank that directly makes a positive contribution to Indonesian society, rather than just seeking their own profit and second to always try to provide added value to banking institutions. Because the needs of each customer are different, BCA offers a wide variety of products, so that customers can choose the product that best suits their financial needs. Therefore it is very interesting to analyze the strategies used by Bank BCA in becoming a leading bank in Indonesia.