bluuebunny/crossref_metadata_2025 huggingface dataset:
A Cross-Sectional Study of Knowledge and Awareness of Type 2 Diabetes Mellitus in a Student Population in Syrian Private University
Authors: Nafesa Omran , Hammoud Taghrid
Published: March 2024

Objective To assess the level of knowledge and awareness of type 2 diabetes among undergraduate students, a study was conducted. The study aimed to examine the influence of demographic and lifestyle variables on students' understanding of this condition. Design: A group of 217 students from the Syrian Private University participated in this study by completing questionnaires designed to evaluate their knowledge and awareness regarding specific facets of type 2 diabetes. These facets encompassed areas such as the recognition of symptoms, understanding of treatment options, and awareness of potential complications associated with this disease. Results The study findings revealed that there was a greater level of knowledge and awareness among the participants regarding diabetes treatment compared to their understanding of diabetes symptoms and complications. Moreover, females exhibited a higher level of knowledge and awareness in comparison to males. Notably, significant differences in knowledge and awareness were observed among students based on their field of study, while the number of years of study in the university did not have a significant impact. Additionally, students who engaged in regular physical exercise demonstrated a higher level of overall knowledge and awareness pertaining to type 2 diabetes. Finally, participants with a family history of diabetes exhibited a greater degree of knowledge and awareness regarding type 2 diabetes. Conclusion The findings of the study suggest that there is a need for educational interventions focused on type 2 diabetes to enhance individuals' awareness of the condition and encourage them to adopt preventive measures. The observed variations in diabetes knowledge and awareness among participants based on their field of study highlight the potential impact of education in raising awareness levels.
Plasma-fixed Nitrogen Improves Lettuce Field Holding Potential
Authors: Wang Benjamin , Hu Qiyang , Castillo Bruno Felix , Simley Christina , Yates Andrew , Sharbono Brian , Brasier Kyle , Cappelli Mark A.
Published: March 2024

This study shows that plasma-fixed nitrogen applied as an inorganic biostimulant can improve marketable lettuce (Lactuca sativa var. longifolia) yield following delayed harvest. Using just one-tenth of the conventional nitrogen, plasma-fixed nitrogen—which is generated by a dielectric barrier discharge over water—was field-tested against traditional fertilization methods. Although no statistically significant differences were observed in total weight of heads among treatments, plasma-fixed nitrogen–treated plants had significantly increased marketable yields of 250% compared to those grown conventionally, despite reducing applied nitrogen fertilizer.
The Quran As A Protector Of Self And Practice In Community
Authors: Shofa Mu’arifatush , Iswanto Agus
Published: March 2024

Abstrack

The Qur’an for the Muslim community is not only seen as a sacred text that is read, but is also used for various purposes, including as personal protection. This article is about to discuss about the verse or letter of the Qur’an as a means of protection (mageri) themselves according to the angry interpretation of the labid and the views of the people in etc. Cikalan against the Qur’an as a personal protector. The research combines library research and field research with descriptive analysis and using the living Qur'an approach. The results of this study indicate that the Qur'an can be used as a means of personal protection. The verses or Surahs that are often practiced by the public are Surah al Ikhlas, Surah al Falaq, Surah an Nas, Surah al Mulk and verse seats. The purpose of carrying out the practice of the Qur'an as self-protection is to obtain blessings, get used to reading the Qur'an and follow what the Prophet Muhammad taught. namely making the Qur'an as a stronghold, and every human being wants to be spafe from danger wherever they are, both when sleeping, staying at home and outside. The results of this study reinforce the view that the reception of the Muslim community towards the Qur’an varies, not only as a text that is read, but a text that is used in daily life.

Keywords: Living Qur’an, Protector, Society

Abstrak

Alquran bagi masyarakat muslim tidak hanya dipandang sebagai sebuah teks sakral yang dibaca, tetapi juga digunakan untuk berbagai kepentingan, termasuk sebagai pelindung diri. Artikel ini hendak mendiskusikan tentang ayat atau surat Alquran sebagai sarana pelindung (mageri) diri menurut tafsir marah labid dan pandangan masyarakat di dusun Cikalan terhadap ayat Alquran sebagai pelindung diri. Penelitian menggabungkan penelitian kepustakaan (library research) dan penelitian lapangan (field research) dengan analisis deskriptif dan menggunakan pendekatan living Qur’an. Hasil penelitian ini menunjukkan bahwa Alquran bisa di gunakan sebagai sarana pelindung diri. Adapun ayat atau surat Alquran yang sering diamalkan oleh masyarakat  yaitu surat al Ikhlas, surat al Falaq, surat an Nas, surat al Mulk dan ayat kursi. Tujuan pelaksanaan pengamalan Alquran sebagai pelindung diri tersebut adalah agar memperoleh berkah, membiasakan diri membaca Alquran dan mengikuti apa yang telah diajarkan Nabi Muhammad saw. yaitu menjadikan Alquran sebagai benteng pertahanan, serta setiap manusia menginginkan selamat dari bahaya dimana saja berada, baik ketika tidur, diam di rumah maupun di luar rumah. Hasil penelitian ini memperkuat pandangan bahwa resepsi masyarakat Muslim terhadap  Alquran beragam, tidak hanya sebagai teks yang dibaca, tetapi teks yang difungsikan dalam kehidupan sehari-hari.

Kata Kunci: Living Qur’an, Pelindung, Masyarakat
The Characteristics of Qur'anic Interpretation in Indonesia: A Study of Al-Singkili's Thoughts on The Concept of Education in The Family Based on Suroh Al Luqman 13-17
Authors: Rizayanti Hana , Husna Jannatul , Waharjani Waharjani
Published: March 2024

This article aims to examine Tarjuman Al-Mustafid's interpretation of an interpretation by an archipelago cleric named 'Abd al-Rauf bin 'Ali al-Fanshuri al-Jawi. The urgency of the research in this article is to provide a basic description of the character of the interpretation of the characters in the content and content of the Qur'an which then contributed to developing Islamic civilization at that time. Moreover, the focus of this research is a study of Al-Singkili's thoughts regarding Luqman's message which contains Islamic religious education in the family based on Surah Luqman verses 13-17. The concept of Islamic religious education taught in the family refers to Surah Luqman verses 13-17, about the content of Luqman's message which is reflected as a wise and wise figure in educating his children, so that the contents of the message are used as the basis for parents today in educating their children. This research uses a qualitative approach with library research methods. The results of this study indicate that, the education contained in Surah Luqman verses 13-17 according to Al-Singkili's thinking includes: (1) monotheism education, (2) filial education to parents, (3) virtuous charity education, (4) worship education.
EXAMINING ISLAMIC TEXTS ON THE SLOPE OF MOUNT KAWI, MALANG, EAST JAVA
Authors: Rohmah Nurul Baiti , Awalin Fatkur Rohman Nur , Rejo Uman
Published: March 2024

This research presents the philological study's findings on Islamic manuscripts discovered on the slopes of Kawi Mountain in Malang, East Java. The study employs a manuscript research method focusing on codicological aspects and the diplomatic method to preserve authenticity. Eight Islamic manuscripts were categorized into originals with identifiable titles, manuscripts without titles, and hand-copied versions by Anut Ekowiyono. These manuscripts are written in the new Javanese language, utilizing various krama-ngoko styles and the Arabic Pegon script. Inadequate philological treatment resulted in damage to Anut Ekowiyono's collection. After codicological examination, the texts were accurately identified, showing differences from their previous state. The research suggests the likelihood of more undiscovered Islamic manuscripts in the area. The study sheds light on the linguistic and historical importance of these Islamic texts, emphasizing the need for preservation and further exploration of undiscovered manuscripts in the region.
A CASE REPORT ON ATYPICAL PRESENTATION OF CONGENITAL ADRENAL HYPERPLASIA
Authors: Tejaswi Karrothu , Siva Sankara Murty Y.V , Sri Padma Priya Pallavi Bonthu , Saikiran Metta
Published: March 2024

We report a case of 52-day old infant presented to casualty with complaint of failure to gain weight,10-day history of regurgitation of feeds, poor acceptance of feed and lethargy from one day, not passed urine in last 8hours. On examination baby had tachycardia with signs of dehydration, blood gas shows metabolic acidosis with serum sodium- 124meq/l, serum potassium- 6.2meq/l. A probable diagnosis of failure to thrive with severe sepsis, inborn errors of metabolism (IEM), and CAH was considered and baby was treated with intravenous fluids, antibiotics, calcium gluconate, salbutamol nebulisation and hydrocortisone. Following the above interventions, babys hydration status and ECG changes improved. The diagnosis of CAH was considered as 17- hydroxyprogesterone levels were elevated. Genetic analysis was not done due to patients economic constraints and baby was discharged with oral Hydrocortisone, Fludrocortisone and table salt (Nacl). Currently baby is thriving well with adequate weight gain.
RETROPERITONEAL LEIOMYOMA OF GYNECOLOGIC TYPE: A CASE REPORT AND REVIEW OF THE LITERATURE
Authors:   MBCHB-High Diploma OG-GBOG, Consultant, German Board (OBS& Gyn) and Breast Diseases, Chairman Obs/Gyne Sulaiman Al Habib Hospital Dubai UAE., Schett Azhar , Mofleh Al Rawi Sarah ,   Obstetrics and Gynecology Registrar Sulaiman Al Habib Hospital Dubai, UAE., Azim Faiqah ,   MBBCH, Arab Board, RCOG Specialist Obs/Gyne Latifa Women and Children Hospital Dubai UAE.
Published: March 2024

Retroperitoneal leiomyomas are rare benign tumors with smooth muscle differentiation, because of its scarcity and non-specific presentation, the preoperative diagnosis might be challenging. This current paper we reported a case of 60years old, who was seen in OPD with abdominal pain. Ultrasound demonstrated a mass which was initially thought to be related to the ovary. CT scan was done which showed possible uterine mass. Patient undergone laparoscopy, the tumor was clearly retroperitoneal fibroid. Report of histopathology report demonstrated Leiomyoma.
BREACHING THE BOUNDARIES OF FIDELITY IN THE INDIAN MARRIAGE: A STUDY OF THE PORTRAYAL OF ADULTERY AS A MEANS OF FEMALE EXPRESSION OF DESIRE
Authors:   Gargi College, University of Delhi BA (H) English, III Year., Bhattacharya Urvie
Published: March 2024

While the feminist intentions of the film makers, or a lack thereof, may remain a subject of debate, my paper argues that the three films Kabhi Alvida Na Kehna (2006), Dil Dhadakne Do (2015), and Dolly Kitty Aur Woh Chamakte Sitare (2019) create a new space for the articulation of womens sexual desires, which seem to find fulfilment only outside the strictures of heterosexual monogamy. In the process, these films relegate questions of marriage morality to the backdrop and focus instead on the emotional and erotic needs of the female protagonists, providing a compelling narrative of women who seek fulfilment that is denied to them.
LEVELS OF PROCALCITONIN IN THE PATIENTS OF SEPSIS
Authors:   Associate Professor, Department of Biochemistry Terna Medical College and Hospital Nerul, Navi Mumbai -400706., Singh Vinita , Wadalkar Sneha ,   Assistant Professor Department of Biochemistry MGM Medical College & Hospital Vashi, Navi Mumbai.
Published: March 2024

Sepsis, a life-threatening complication of an infection, resulting from release of cytokines in the bloodstream to fight an infection, ultimately triggering inflammation throughout the body. This can cause a cascade of changes that damage multiple organ systems, leading them to fail, sometimes even resulting in death.Crucial steps for a successful treatment and positive outcomes, are an early diagnosis and differentiation from non-infectious causes. PCT is biomarker that has diagnostic, therapeutic and prognostic significance. The study was undertaken to identify whether serum pro-calcitonin can act as a superior marker in septicemia. Material Method-This is prospective case control-pilot study.Total 60 subjects were included, Case group comprised of 30 IPD patients of sepsis, whereas 30 heathy individuals were included in control group. Levels of PCT, CRP levels and neutrophil count were analyzed in both the groups .PCT levels were analyzed by electrochemiluminescence method using commercially available kit & CRP levels by Nephelometry method respectively. Neutrophil counts were done on Sysmex five-part cell counter. Result- The levels of Neutrophils (%), PCT (ng/ml) and CRP (mg/L) were significantly high is study group with mean of 79.94 Â± 16.9, 7.27 Â± 18.6 and 64.2Â±49.9 respectively in study group with p value <0.001.CRP and PCT are similarly significant markers with co-relation coefficient of 0.518. Conclusion-Procalcitonin can be used as an inflammatory marker for sepsis with added significance of diagnostic as well as a prognostic marker.
A DESCRIPTIVE STUDY TO ASSESS THE HEALTH SEEKING AWARENESS AND UTILIZATION OF ADOLESCENCE REPRODUCTIVE HEALTH SERVICES AMONG SCHOOL ADOLESCENTS IN RURAL COMMUNITY
Authors: Oraon Pushpa , Sharma Deepika , a Kiranbala , Rajput Dharni , Kaur Harpreet , a Janvi , Kaur Sukhvir
Published: March 2024

Introduction: Reproductive health may be a vital area of concern in adolescent health. However traditional Indian society regards talks on such topics as taboos and discourages open discussions on reproductive health. Objective: This study assess the health seeking awareness and utilization of reproductive health services and determines the association between health seeking awareness and utilization of adolescence reproductive health service with selected demographic variables. Method: The descriptive study with non-experimental research design was used the analysis and interpretation was done using SPSS version 18 and excel 2010. Result: More than half (54.65%) adolescence boys and girls knew correctly about male and female reproductive system and more than half (46.94%) adolescence knew incorrectly about STD, contraception, pregnancy and abortion. However only (5%) of adolescence had ever used reproductive health services and majority of 74.2% adolescence had never used these services. Reproductive health knowledge was significantly associated with fathers qualification, fathers occupation and source of information. Reproductive health services utilization was significantly associated with age, class, source of information. Conclusion: This study clearly depicted that more than half adolescents were not utilizing the services. Lack of adolescent reproductive friendly clinics, fear/embarrassment and concealed service were reasons for not utilizing the service.Fear of social value and being embarrassed, misconception of adolescents about pregnancy, unsafe sex, shortage of supply, harmful traditional practices and lack of school based adolescent reproductive health services.
ASSOCIATION OF EUTHYROID TYPE 2 DIABETES MELLITUS WITH HEMOGLOBIN AND SERUM BILIRUBIN LEVELS RELATING TO GLYCEMIC CONTROL - A RETROSPECTIVE STUDY
Authors:   Assistant Professor, Department of Biochemistry, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidhyapeet (Deemed to be University), Pondicherry, India., Rajendran Jayanthi , A. Priyanka ,   Research Scholar Department of Biochemistry, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidhyapeet (Deemed to be University), Pondicherry, India.
Published: March 2024

Background: Diabetes, along with its comorbidities, may increase the risk of anaemia by lowering iron absorption. In diabetic patients, thyroid illness was 14.7% prevalent. In 13% of T2DM patients, subclinical hypothyroidism was the most common thyroid condition. Diabetes glucose metabolism may be impacted by thyroid dysfunction, and variations in blood TSH have been linked to variations in glycatedhaemoglobin. Methodology: Retrospective study analysis of euthyroid type 2 diabetic patients who had attended the OPD in the department of General Medicine. The hospital records (case history from MRD) were used as the sources of information by following proper procedure in obtaining the same. Collection of data for a period of four years with Type 2 diabetes (FBS>126) and who did not possess any obvious clinical manifestations of thyroid disease was included for the study group. Results: PBS, HbA1C, LDL, TSH are highly significant with Fasting blood sugar with(p=0.00). FBS, RBC are highly significant with HbA1C (p=0.00). Uric acid, cholesterol,directbilirubin,haemoglobinishighlysignificantwithbilirubin(p=0.00).whereascholesterol, total billirubin are highly significant with haemoglobin (p=0.00). Hb showedpositive association with FT4. TAG, VLDL, Globulin showed negative association with FBS.HbisnegativelyassociatedwithTotalbilirubin.Cholesterolexhibitsstrongnegativeassociation with Hemoglobin (HbA1c â‰¥7). TSHwere associated with FBS. Direct bilirubinexhibits positive association with FBS and TotalCholesterol(HbA1c â‰¤7). Conclusion: Our study results outcome could be concluded that the thyroid status, haemoglobinandCBCcouldbeusefultoolforT2DMpatients.
LAPAROSCHISIS: ABOUT A CASE REPORT AND LITERATURE REVIEW
Authors:   Department of Gynecology and Obstetrics, University Hospital Center Mohamed VI of Tangier, Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essaadi University, Morocco., Baouch I. , Akkati M.El ,   Department of Gynecology and Obstetrics, University Hospital Center Mohamed VI of Tangier, Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essaadi University, Morocco., Alami D. ,   Radiology Center Al Hakim, Tangier., Andaloussi S. ,   Department of Pediatric Surgery, University Hospital Center Mohamed VI of Tangier, Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essaadi University, Morocco., Moustaide H. ,   Department of Gynecology and Obstetrics, University Hospital Center Mohamed VI of Tangier, Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essaadi University, Morocco., Benkirane S. ,   Department of Gynecology and Obstetrics, University Hospital Center Mohamed VI of Tangier, Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essaadi University, Morocco.
Published: March 2024

Laparoschisis is a congenital anomaly characterized by the protrusion of abdominal organs, predominantly the intestines, through a defect in the abdominal wall, typically observed on the right side. It is categorized into simple and complex types based on the extent of the defect and involvement of other organs. The estimated prevalence of laparoschisis is approximately 1 in 10,000 births, with variations noted in different regions. Interestingly, certain areas, like New York and Georgia exhibit an increasing trend, particularly among younger mothers. In Morocco, a study carried out at the Les Orangers hospital in Rabat in 2020 showing that the laparoschisis represent 5.1% of musculoskeletal malformations in newborns (equivalent to 1.7per 10,000 total births). Prenatal ultrasound is the primary diagnostic tool, enabling early detection of the abdominal wall defect and protruding organs. Magnetic resonance imaging (MRI) can provide additional information for diagnosis. Treatment options for laparoschisis include primary repair, performed shortly after birth, and delayed closure, which is postponed for a certain period after birth, depending on case-specific factors such as defect size, condition of protruding organs, and the presence of complications such as stenosis and atresia. Prognosis is influenced by the gravity of the malformation and associated conditions, necessitating close obstetrical and neonatal monitoring with tailored interventions for optimal outcomes. To illustrate the practical aspects of laparoschisis management, we present a case study involving a live-born infant diagnosed with laparoschisis at 34 weeks gestation using prenatal ultrasound. A comprehensive one-stage surgical repair was performed on the newborn. This case highlights the importance of early antenatal diagnosis through ultrasound, potential complications, and immediate and secondary management strategies for optimal outcomes in affected infants.
CBCT ANALYSIS OF PULP CHAMBER THICKNESS AND MORPHOLOGY IN PRIMARY MOLARS: AN OBSERVATIONAL STUDY
Authors:   Department of Pediatric and Preventive Dentistry, Kanti Devi Dental College and Hospital, Uttar Pradesh, India., Shrivastava Rohan , Gupta Sonal ,   Department of Pediatric and Preventive Dentistry, Kanti Devi Dental College and Hospital, Uttar Pradesh, India., Das Asmita ,   Department of Pediatric and Preventive Dentistry, Kanti Devi Dental College and Hospital, Uttar Pradesh, India., Saket Antra ,   Department of Pediatric and Preventive Dentistry, Kanti Devi Dental College and Hospital, Uttar Pradesh, India., Pandey Priyambana ,   Department of Pediatric and Preventive Dentistry, Kanti Devi Dental College and Hospital, Uttar Pradesh, India.
Published: March 2024

Objective: To evaluate the thickness of pulp chamber and morphologic characteristics in order to plan the treatment ofdeciduous molars using cone beam computed tomography. Material and Methods: Cross-Sectional study is done with CBCT images of primary teeth of children. Evaluation of Pulp chamber thickness and morphology of each maxillary right primary second molar was done through CBCT. Data were analyzed and sent for statistical analysis. Results: Total 50 teeth i.e., right maxillary primary second molars of children age group 4-10 years were analyzed. Male shows the horizontal and vertical Mean (SD) values 4.5 (0.76) and 1.7(0.58) respectively greater than females. Mesial and Distal pulp horns were also greater in height for males with Mean (SD) 3.1(0.51) and 2.5(0.52) respectively. Conclusion:General variations might be involved however, when preparing a course of treatment for a childit is important to take note of gender differences in the mesiobuccal pulp horn. Even small restorations have a significant effect on pulp size. Probably it becomes exposed when the cavity is being prepared.
The effect of nitrogen, sulfur and silicate fertilizer application on growth, yield, and biochemical content of vegetable soybean pod (Glycine max L. Merr.)
Authors: Slameto Slameto , Hariyono Kacung , Fahrudin Danil Eka , Baek Nak-Young , Shin Cheol-Woo , Lee Dong-Kyu , Kang Woo-Won
Published: March 2024

Optimized fertilizer management, focusing on nitrogen, sulfur, and silica, plays a crucial role in agriculture production. This study aimed to investigate the effects of administering sulfur and silica on the growth, production yield, and biochemical contents of vegetable soybean. The investigation was conducted in factorial randomized block design with two factors and three replications. The first factor was the nitrogen (46% N) fertilizer dosage (N1 = 50 kg/ha and N2 = 100 kg/ha), while the second variable was the dosage with the following sulfur-silica soluble compound (2.3% S – 10% Si) fertilizer ratios (P0 = 0 ml/L (control), P1 = 1 ml/L (23 mg/L S and 100 mg/L Si), P2 = 1.33 ml/L (30,7 mg/L S and 133 mg/L Si), and P3 = 2 ml/L (46 mg/L S and 200 mg/L Si). The results indicated that applying 2 ml/L S-Si fertilizer along with 100 kg/ha of nitrogen can lead to the most favorable results in number of branches, number of leaves, number of pods, pod weight per plant, weight of 100 seeds and plant biomass weight. The fertilizer dose comprising of 50 kg/ha of N and 9.2-40 mg/plant of S-Si clearly demonstrated the highest protein content, measuring 110.6 mg/g. S-Si fertilizer dosages, exhibiting a linear escalation in the 11S/7S globulin ratio within vegetable soybean seeds. The peak 11S/7S ratio was observed in the treatment of 100 kg/ha of N - 2 ml/L of S-Si. The study results indicate that a combination of nitrogen fertilizer and sulfur-silicon yields the best vegetable soybean pod yield, improving soybean protein nutritional quality. Therefore, sulfur and silica treatments should be standardized in vegetable soybean management
2010 TARİHLİ TEHLİKELİ VE ZARARLI MADDELERİN DENİZ YOLUYLA TAŞINMASINA İLİŞKİN ZARARLARIN SORUMLULUĞU VE TAZMİNİNE İLİŞKİN ULUSLARARASI SÖZLEŞME (2010 HNS) ÜZERİNE BİR İNCELEME
Authors: Varan Samut İzel
Published: March 2024

.Deniz yoluyla taşınan yüklerin %50’sinden fazlası, güvenlik açısından tehlikeli ve zararlı madde olarak değerlendirilmektedir. Farklı zehir riskleri barındıran ve katı, sıvı, gaz gibi çeşitli formlarda bulunan, paketli veya dökme halde taşınan bu maddelerin deniz yoluyla yoğun olarak taşındığı görülmektedir. Tehlikeli ve zararlı madde taşıması yapılırken herhangi bir kazanın ortaya çıkması, yaşam kaybı ve bedensel zararın yanı sıra çevre kirliliğinden kaynaklı farklı tazminat taleplerini de beraberinde getirebilmektedir. Bu sebeple konuya ilişkin uluslararası bir sözleşmenin yapılması gerekmiştir. Uluslararası Denizcilik Örgütü (IMO) öncülüğünde, 1996 tarihli Tehlikeli ve Zararlı Maddelerin Deniz Yoluyla Taşınmasına İlişkin Zararlardan Sorumluluk ve Tazminata Dair Uluslararası Sözleşme (1996 HNS) kabul edilmişse de Sözleşme yürürlüğe girememiştir. 2010 tarihinde bir protokol ile 1996 HNS, Tehlikeli ve Zararlı Maddelerin Deniz Yoluyla Taşınmasına İlişkin Zararların Sorumluluğu ve Tazminine İlişkin Uluslararası Sözleşme (2010 HNS) olarak tadil olmuştur. Üzerinden 14 yıl geçmesine rağmen, Sözleşme yürürlük koşullarını sağlamadığından henüz yürürlükte değildir. Çalışmada, 2010 HNS genel olarak incelenmektedir. Ayrıca 2010 HNS’nin yürürlüğüne engel teşkil edebileceği düşünülen bazı hususlar da değerlendirilmeye alınmıştır.
The impact of government microfinance program on poverty alleviation and job creation in a developing economy
Authors: Olaniyi Aluko Timothy , Bayai Innocent , Chukwuneme Enwereji Prince
Published: March 2024

Government initiatives to eradicate poverty in developing countries have included establishing microfinance programs to provide microloans and credit to the less privileged living in peri-urban and rural areas where commercial financial institutions are underrepresented. The study aims to investigate the effect of the South African Microfinance Apex Fund (SAMAF) on poverty alleviation and job creation. This case study targeted 103 beneficiary firms and self-employed individuals to send them questionnaires. The data analysis was primarily exploratory and descriptive. The findings show that the majority, 87%, agreed that the loans they accessed were sufficient for their business plans and needs. In addition, they were able to create at least one additional job after receiving the loan and improve their total business income on average compared to before the SAMAF loan. However, due to the risk of non-repayment of loans by recipients living in informal settlements, most microfinance intermediary institutions were unwilling to expand their operations into such settlements. SAMAF, on the other hand, has flaws, one of which is the slow delivery of funds to microfinance intermediary institutions, which needs to be addressed. The study concludes that to address the credit needs of semi-rural and rural residents, microfinance intermediary institutions must do more to expand into these areas and adopt a more aggressive and creative approach to the development of financial products and expand their access to include more of the poorest and most vulnerable households.
Peripartum Hysterectomy
Authors: BASHIR A , ASHRAF R , GULL A , TAJAMMUL A
Published: March 2024

Objective: To find out the frequency, indication & its associated morbidity in our setup. Study design: Prospective cross-sectional observational study for the period one year (from June 2003 —May 2004) carried out in the Department of Obs/ Gynae, Lahore General Hospital Lahore. Results: During the study there were 26 cases of peripartum hysterectomy, of which 14 case were of caesarean hysterectomy, while 10 cases were following normal vaginal delivery & 2 cases followed by instrumental delivery. Uterine atony was the most common indication for peripartum hysterectomy in 12 cases (46.15%). Uterine rupture including instrumental delivery tear was 2nd most frequent cause in 4 +2=6(23.07%) of cases. In 19.2% (5) of cases abnormal placentation was the cause. In 2(7.6%) of cases sepsis was the cause leading to secondary PPH followed by hysterectomy. A subtotal hysterectomy was carried out in 10 (38.46%) & total hysterectomy was performed in 16 (61.53%) cases. there were 4 maternal deaths. Urinary tract injuries occurred in 3(11.53%) cases, fever, chest infection & wound infection were common morbidity. Anemia was found in almost every case. Intra & post-operative Blood transfusion s were given in all cases. Reloparotomy was done in one patient for continues vaginal bleeding. Conclusion: Despite its morbidity & mortality emergency Obstetric hysterectomy remains an essential life-saving tool Uterine atony, uterine rupture & abnormal placentation were mast common indications, reflecting under-utilization of existing antenatal, family planning services. Injudicious use of oxytocin, lack of transportation facilities, poverty & delayed referral all contribute to morbidity & mortality associated with emergency Obstetric hysterectomy.
Las universidades hub. Un modelo de innovación
Authors: Prieto Mejía Samuel , Montes Hincapié Juan Manuel , Taborda Giraldo John Alexander
Published: March 2024

¿Cómo se definen las universidades hoy en día?, ¿qué entienden ellas por innovación?, ¿cómo pueden contribuir al desarrollo de sus territorios? En Las universidades hub: un modelo de innovación para universidades, los autores ofrecen una perspectiva integral sobre la innovación en las instituciones de educación superior y su conexión con el desarrollo regional. Este libro, compuesto por seis capítulos interrelacionados, aborda desafíos y propone un modelo que estimula la contribución de las universidades al progreso de sus territorios. Dirigido a rectores, directivos universitarios y aquellos interesados en la educación superior, proporciona conocimientos valiosos para liderar el cambio e involucrar a las universidades en el desarrollo regional. Nacido de una tesis doctoral que presenta un modelo de innovación basado en el concepto de hub para la Universidad del Magdalena, este libro destaca la fundamentación y aplicación práctica del modelo propuesto en un contexto específico. La investigación se centra en explorar un modelo alternativo de innovación para universidades, buscando convertirlas en hubs de innovación. Este enfoque tiene un impacto potencial significativo, ofreciendo una visión nueva y disruptiva del papel de las universidades en el territorio. La lectura proporciona una perspectiva innovadora sobre cómo las universidades pueden ser agentes activos en el desarrollo regional, ofreciendo herramientas prácticas para implementar modelos de innovación centrados en el concepto de hub. La relevancia del libro radica en su enfoque específico en la conexión entre las universidades y el desarrollo regional, utilizando el concepto de hub como mecanismo táctico. Además, los autores, reconocidos expertos académicos en el ámbito universitario, respaldan la calidad y relevancia de la investigación presentada.
The Influence of Productive Subjects on The Implementation of Practice Internship In Class XI DPIB Islam Vocational School 1 Blitar
Authors: Sulistyoningsih Ida Ayu , Isnandar Isnandar , Ichwanto Muhammad Aris , Kassymovab Gulzhaina K
Published: March 2024

Background: Prakerin is an implementation of dual-system education by collaboration between the academic and industry sectors. The efficacy of practical internship is contingent upon the acquisition of knowledge, skills, and work attitudes by students during their educational endeavours. Information acquisition is a crucial component for DPIB students, particularly in productive disciplines, as it enables them to apply their learning during internships effectively. This purposes of this research among others: (1) Knowing the mastery of APLPIG subjects in class XI DPIB SMK Islam 1 Blitar. (2) Knowing the mastery of EBK subjects in class XI DPIB SMK Islam 1 Blitar, (3) Knowing the influence of APLPIG subjects on the implementation practical internship, (4) Knowing the influence of EBK subjects on the implementation practical internship and, (5) Knowing the influence of APLPIG and EBK subjects on the implementation practical internship.Methods: The research uses ex-post facto with quantitative method. The process of data collecting involved the utilization of questionnaires as a means of gathering primary data and secondary data was documentationResults: The results show that (1) The level of mastery in APLPIG subjects was 83.3%, (2) The level of mastery in subjects overall was 61.1%, (3) APLPIG subjects had a 28.27% influence on the implementation of practical internship, (4) EBK subjects had a 47.99% influence on the implementation of practical internship, and (5) The combined influence of APLPIG and EBK subjects was 76.3%.Conclusion: This research can be concluded that the productive subjects in the form of APLPIG and EBK subjects’ class XI DPIB SMK Islam 1 Blitar will affect the success of the implementation of practice internship carried out. The success is influenced by the mastery of these two subjects which provide provision from the aspect knowledge, skill and work attitudes
Primary acquired cryptorchidism: narrative review
Authors: Bolotov Yu. N. , Minaev S. V. , Isaeva A. V. , Kargaeva D. M. , Shipilov A. I.
Published: March 2024

Introduction. Primary acquired cryptorchidism is the absence of a testicle into the scrotum in a boy with a descended testicle previously documented. In our country, the fact that such pathology exists is denied. However, this disease is recognised by many foreign urological associations of urologists.

Objective. To analyse the accumulated research material and show different state-of-the-art on some aspects of the problem of primary acquired cryptorchidism based on a review of the modern medical literature.

Materials & methods. Literature review was conducted in domestic and foreign databases: FEMB (Federal Electronic Medical Library), eLIBRARY, PubMed from 1987 to 2023. Keywords were used for the search: primary acquired cryptorchidism, ascending testicle, acquired undescended testicle. One-thousand-fifteen literature sources were reviewed, 49 works were included in the review.

Results. The nomenclature, definition and epidemiological data of primary acquired cryptorchidism are reviewed. The main views on the aetiology of the process are named and risk factors are listed. The clinical symptoms and signs, diagnosis and treatment methods are revealed. Treatment results are shown and follow-up guidelines are given.

Conclusions. It is necessary to conduct further scientific and practical research to inform doctors in our country about the existence of this pathology.
Laser technologies in surgery for benign prostate hyperplasia
Authors: Rakhimov S. A. , Feofilov I.  V. , Arbuzov I. A.
Published: March 2024

Introduction. Benign prostatic hyperplasia (BPH) is a multifactorial and widespread problem of modern medicine, which has not only medical but also social significance. The presence of lower urinary tract symptoms (LUTS) in men has a negative impact on the quality of life. One of the modern surgical methods for treating BPH is the use of laser technologies.

Objective. To compare the effectiveness and safety of laser technologies using the example of the use of diode and thulium lasers in BPH surgery.

Materials & methods. The study included 89 men with BPH who underwent surgery from 2020 to 2022. Patients were divided into two groups: in group 1 (n = 37) photoselective vaporization of the prostate was performed using a Diode Laser Vaporization of the Prostate (DiVAP), in group 2 (n = 52) - Thulium Laser Enucleation of the Prostate (ThuLEP). To assess the results of treatment, we studied indicators of maximum urine flow, residual urine volume, prostate volume, prostate-specific antigen level, severity of LUTS (IPSS scale) and symptoms of erectile dysfunction (IIEF-5 scale), level of quality of life (QoL index) and the frequency of postoperative complications. The outcomes were assessed at baseline and 3, 6, 12 months after the procedure. The duration of the operation, the duration of catheterization and the length of stay of patients in the hospital were also recorded.

Results. At a long-term follow-up (12 months), the effectiveness of DiVAP and ThuLEP was comparable in terms of prostate volume (24.0 and 24.3 cm3), PSA level (3.3 and 3.4 ng/ml) and quality of life of patients related to urination (2.3 and 2.0 points). The severity of LUTS one year after treatment was also comparable in the groups (4.1 and 4.6 points), however, the IPSS scale scores was more favorable in the ThuLEP group at three- and six-month follow-up points (3 months: 14.9 and 10.0 points; 6 months: 9.3 and 7.5 points). At the same time, ThuLEP also turned out to be more effective in the rate of maximum urine flow achieved after a year (15.2 and 25.8 ml/s), the residual urine volume (8.2 and 2.2 ml), and IIEF-5 questionnaire score (22, 4 and 24.4 points), DiVAP - by operation time (58.5 and 84.6 minutes) and catheterization duration (26.8 and 32.5 hours). There were no statistically significant differences in the duration of hospitalization (2.2 and 2.1 days). Postoperative complications are recorded 2 times more often with DiVAP than after ThuLEP.

Conclusions. The study confirmed the high efficiency of endoscopic laser enucleation (ThuLEP) and laser vaporization (DiVAP) technologies. The safety of ThuLEP is due to the lower incidence of postoperative complications compared to DiVAP. The success of laser operations directly depends on careful selection of patients, as well as the experience of the surgeon.
Artificial urinary sphincter implantation: outcomes evaluation in a cohort of patients beyond a ten-year follow-up
Authors: Tomilov A. A. , Veliev E. I. , Golubtsova E. N. , Bogdanov A. B. , Polyakova A. S. , Loran O. B.
Published: March 2024

Introduction. Implantation of an artificial urinary sphincter (AUS) is the main treatment method for patients with intrinsic sphincteric deficiency. There are few studies investigating the effectiveness, safety, and impact on the quality of life of the AUS implantation beyond a ten-year follow-up.

Objective. To evaluate the outcomes of the AUS implantation in terms of safety, efficacy, and impact on quality of life in a group of patients beyond a ten-year follow-up.

Materials & methods. From 2004 to 2023, AUS were implanted in 62 patients with severe stress urinary incontinence, of whom 14 had a follow-up period of more than 10 years. Urine loss is estimated using bladder diary. The use of ≤1 pad per day (“social continence”) was considered as cure. The quality of life was assessed using the IPSS-QoL scale and the ICIQ-UI SF questionnaire. Complications are described according to the Clavien-Dindo classification.

Results. The median age of the patient at the time of implantation was 66 [63; 68] years. The causes of severe stress urinary incontinence were the following interventions: radical prostatectomy — 11 patients, radical cystectomy — two patients, transurethral resection of the prostate — one patient. The median time after the intervention that caused urinary incontinence was 20 [15; 26] months. The effectiveness of implantation was evaluated in 11 patients, three patients had complications preventing the use of the AUS. Median follow-up was 137 [124; 160] months. There was a statistically significant decrease in the median urine loss from 700,0 [600; 800] to 12,5 [1; 60] ml. There was also a significant reduction in the use of pads per day from 7 [7; 8] to 1 [0; 2]. Five patients did not use pads. Seven patients met the criterion of cure. Median IPSS-QoL scores decreased from 4 [4; 5] to 2 [1; 2]. After treatment, the score of the ICIQ-UI SF questionnaire was 8 [6; 10]. Complications superior to Clavien-Dindo II were noted in 8 of 14 patients. Eight patients underwent 15 revisions, six of them repeated. The AUS was partially or completely removed in six patients.

Conclusions. Over a ten-year follow-up period, a significant number of patients developed complications, including those requiring removal or replacement of the AUS or its components, and therefore patients with an AUS require regular long-term follow-up. Despite a significant proportion of patients who required an AUS revision, implantation leads to a statistically significant reduction in urine loss and an improvement in the quality of life.
Real-World Data Quality Framework for Oncology Time to Treatment Discontinuation Use Case: Implementation and Evaluation Study (Preprint)
Authors: Ru Boshu , Sillah Arthur , Desai Kaushal , Chandwani Sheenu , Yao Lixia , Kothari Smita
Published: March 2024

BACKGROUND

The importance of real-world evidence is widely recognized in observational oncology studies. However, the lack of interoperable data quality standards in the fragmented health information technology landscape represents an important challenge. Therefore, adopting validated systematic methods for evaluating data quality is important for oncology outcomes research leveraging real-world data (RWD).

OBJECTIVE

This study aims to implement real-world time to treatment discontinuation (rwTTD) for a systemic anticancer therapy (SACT) as a new use case for the Use Case Specific Relevance and Quality Assessment, a framework linking data quality and relevance in fit-for-purpose RWD assessment.

METHODS

To define the rwTTD use case, we mapped the operational definition of rwTTD to RWD elements commonly available from oncology electronic health record–derived data sets. We identified 20 tasks to check the completeness and plausibility of data elements concerning SACT use, line of therapy (LOT), death date, and length of follow-up. Using descriptive statistics, we illustrated how to implement the Use Case Specific Relevance and Quality Assessment on 2 oncology databases (Data sets A and B) to estimate the rwTTD of an SACT drug (target SACT) for patients with advanced head and neck cancer diagnosed on or after January 1, 2015.

RESULTS

A total of 1200 (24.96%) of 4808 patients in Data set A and 237 (5.92%) of 4003 patients in Data set B received the target SACT, suggesting better relevance of the former in estimating the rwTTD of the target SACT. The 2 data sets differed with regard to the terminology used for SACT drugs, LOT format, and target SACT LOT distribution over time. Data set B appeared to have less complete SACT records, longer lags in incorporating the latest data, and incomplete mortality data, suggesting a lack of fitness for estimating rwTTD.

CONCLUSIONS

The fit-for-purpose data quality assessment demonstrated substantial variability in the quality of the 2 real-world data sets. The data quality specifications applied for rwTTD estimation can be expanded to support a broad spectrum of oncology use cases.
Perceptions of orthodontic treatment on social media from the patient's perspective: a hashtag-based analysis (Preprint)
Authors: Berretta Letícia Machado , Gasparello Gil Guilherme , Souza Evelise Machado , Hartmann Giovani Ceron , Berretta Ewandro Carlos , Camargo Elisa Souza , Ignácio Sérgio Aparecido , Tanaka Orlando Motohiro
Published: March 2024

BACKGROUND

Social media is key for patients exploring orthodontic treatments, focusing on outcomes, appliance types, and treatment details, highlighting the importance of accurate online information from professionals.

OBJECTIVE

This study aimed to analyze the social media content related to orthodontics and to identify patients' perspectives on orthodontic treatment through hashtag use

METHODS

The search was carried out on Instagram and X platforms using the hashtags #braces, #invisalign, #orthodontics, and #orthodontist. Data were collected over seven weeks with no languages and geographical locations restrictions. The qualitative approach focused on identifying thematic categories within the posts, while quantitative analysis involved the use of Pearson chi-square tests with Bonferroni-adjusted values, considering a significance level of p<0.05.

RESULTS

A total of 18,605 posts, with the majority (96.60% or 17,971 posts) found on Instagram, and 634 (3.40%) on X platforms. Among these posts, dentists or dental clinics, 3.86% by dental product companies, and 0.82% by patients made 89.52% during orthodontic treatment. Five main themes were identified in patient posts: "positive accounts of orthodontic treatment" (40.53%), "enthusiasm about starting treatment" (20.26%), "reports of anxiety due to orthodontic treatment" (19.60%), "complaints and limitations about treatment" (16.34%), and "neutral accounts of orthodontic treatment" (3.27%). Statistical analysis showed no significant differences between the content posted on the two platforms (p>0.05).

CONCLUSIONS

A predominant presence of dentists was observed in social media discussions about orthodontics. Among patient-shared content, ‘positive experiences’ were the most frequently mentioned. The study found no significant discrepancies between the platforms regarding the nature of the posts.
Українські лікарі-стоматологи у країнах Європейського Союзу
Authors: Yakymets A.V.
Published: March 2024

17 грудня 2023 року в режимі он-лайн у Парижі (Франція) відбулась І Міжнародна науково-практична конференція «Шлях омологації українського диплома лікаря-стоматолога у Європі. Міфи та реальність», організована ГО «Європейська асоціація українських лікарів-стоматологів» за підтримки ГО «Асоціація стоматологів України» і ГО «Українська асоціація стоматологічної освіти». Особливе значення такої конференції пов’язано з вимушеним переміщенням українських лікарів-стоматологів на тлі повномасштабної війни України проти російського вторгнення. У рамках конференції був проведений аналіз покрокового алгоритму на шляху підтвердження українського диплома лікаря-стоматолога у країнах Євросоюзу і Сполученого Королівства Великої Британії та Північної Ірландії.
Tuyển chọn chất mang để tồn trữ vi khuẩn Comamonas sp. PAN1.12 có khả năng hấp thu sodium tripolyphosphate
Authors: Nguyễn Văn Qui , Lê Thị Tuyết Minh , Võ Phát Tài , Phạm Anh Tuấn , Châu Tú Uyên , Nguyễn Mạnh Khương , Nguyễn Đắc Khoa , Nguyễn Thị Phi Oanh
Published: March 2024

Nghiên cứu được thực hiện nhằm tuyển chọn chất mang thích hợp để tồn trữ vi khuẩn hấp thu sodium tripolyphosphate Comamonas sp. PAN1.12 phân lập từ hệ thống xử lý nước thải chế biến thủy sản. Mười một chất mang được khảo sát gồm bã mía, bã cà phê, bột talc, cám, rơm, mạt cưa được sử dụng riêng lẻ và phối trộn năm loại chất mang với bột talc theo tỉ lệ 1:1. Bột talc và hỗn hợp mạt cưa với bột talc có bổ sung 1% carboxymethyl cellulose, 1,5% CaCO3 và chủng 100×106 CFU/g có khả năng duy trì mật số (>106 CFU/g) và hấp thu sodium tripolyphosphate (tương đương 67%) của vi khuẩn Comamonas sp. PAN1.12 sau một tháng tồn trữ. Nồng độ chất bổ trợ carboxymethyl cellulose và mật số vi khuẩn chủng vào ban đầu có ảnh hưởng đến mật số vi khuẩn nhưng không ảnh hưởng đến khả năng hấp thu sodium tripolyphosphate của vi khuẩn PAN1.12.
Living with the Tactile Hallucinations of Being in Pain and the Intensive Therapy Unit
Authors: - Anon
Published: March 2024

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