bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of Aswaja An-Nahdliyah-based caring model to improve performance in patient safety goals
Authors: Kartini Yanis , Nursalam  , Ahsan  , Faizah Imamatul , Nasir Abd
Published: March 2024

Introduction: The efforts to improve quality and safe health services for patients have been carried out, However, the adverse event is still occurring. This study aims to develop a caring model based on ASWAJA An-Nahdliyah To Improve Performance In Patient Safety Goals.
Methods: This study used a cross-sectional approach to 123 nurses, taken by cluster-random sampling. The research instrument is a questionnaire. Data analysis using Structural Equation Modeling (SEM) based on variance or component-based SEM is called partial least square (PLS). The development of the ASWAJA An-Nahdliyah-based caring model was carried out after a path analysis study and the formulation of strategic issues through focus group discussions (FGD) and expert discussions.
Results: There is an effect on individual characteristics of nurses, patient characteristics, and caring ASWAJA An-Nahdliyah on performance in patient safety goals (t statistic >1.96 and p-value 0.005). The resulting coefficient is positive 0.561, meaning that the higher the caring value of ASWAJA Annahdiyah tends to improve performance.
Conclusion: The ASWAJA Annahdliyah-based Caring Development Model has a major effect on performance in patient safety goals. The individual characteristics of nurses are the biggest factors that affect ASWAJA Annahdiyah-based caring so strengthening the characteristics of nurses is very much needed in order to improve performance in patient safety goals.
Circadian behavior and vitamin D status: a study on students at Faculty of Health, Universitas Nahdlatul Ulama Surabaya
Authors: Setiarsih Dini , Kardina Rizki Nurmalya , Nidianti Ersalina , Rachmawati Mitha , Wulandari Ikek Ika Lia , Rahmawati Anis Hanifa , Hidayah Aprilia Ristiawati Bidayatul
Published: March 2024

Background: Vitamin D deficiency is still common in various community groups, including women of childbearing age. Not only because of a lifestyle that avoids the sun, but recent research has shown that circadian behavior, which includes eating and sleeping patterns, is associated with vitamin D deficiency. This study aims to provide information about female students' vitamin D status and circadian behavior to prevent further health problems.
Methods: This research was quantitative, analytic, and observational, with a cross sectional study approach. The population was students of the academic year 2019 in the Faculty of Health, Universitas Nahdlatul Ulama Surabaya, in 2022. The sample size was 50 people. Data collection includes circadian behavior with parameters of sleep patterns, eating patterns, and plasma vitamin D levels. Sleep pattern data was collected using The Pittsburg Sleep Quality Index (PSQI) questionnaire. Circadian eating pattern data was taken with 24-hour recall instruments. Plasma vitamin D levels were obtained by taking blood samples analyzed using the Fluorescence Immunoassay Rapid Quantitative Test method. Data analysis was performed using the Mantel-Haenszel statistical test on the SPSS program.
Results: The results showed that 80.0% of samples had a predominantly daytime (pDT) eating pattern, 64.0% had poor sleep quality, and 68.0% had vitamin D deficiency. Bivariate analysis for eating patterns and vitamin D status showed OR = 0.890 (0.197-4.012). Bivariate analysis for sleep pattern and vitamin D status showed OR value = 1.362 (0.385-4.817). However, the p-value indicates an insignificant correlation (p=0.880 and p=0.631)
Conclusion: The study shows poor sleep quality and predominantly daytime eating patterns are not risk factors for vitamin D deficiency.
Complicated uveitis in a spondyloarthritis patient: a case report
Authors: Hasbi Afdal Rosihan , Awali
Published: March 2024

Background: Ophthalmic manifestations, like uveitis, might be one of the complications of spondyloarthritis. Many individuals experiencing acute uveitis are unaware that spondyloarthritis has already been present. The late diagnosis and treatment of uveitis can result in permanent vision impairment. This case report presents the diagnosis and management by a rheumatologist and ophthalmologist of a spondyloarthritis patient with complicated uveitis.
Case: On October 27, 2021, a 42-year-old male patient came to the rheumatology outpatient clinic of Dr. Soetomo General Hospital, Surabaya, Indonesia with intermittent low back pain for the past fourteen years, which worsened in the last eight months. The pain was accompanied by morning stiffness for about an hour after getting-up every day, gradually relieved by stretching. The lumbosacral x-ray revealed bilateral sacroiliitis. The patient also came to the ophthalmology outpatient clinic with sudden left eye pain and gradually blurred vision for the past two years. He was diagnosed with spondyloarthritis with bilateral uveitis, secondary glaucoma, and secondary cataract on both eyes. He was given methotrexate, sulfasalazine, sodium diclofenac, topical timolol 0.5%, topical atropine, acetazolamide, and methylprednisolone. The low back pain and impaired vision were improved after three months of treatment.
Conclusion: Uveitis should be suspected as a relatively common complication of spondyloarthritis. Early diagnosis and treatment of this uveitis might prevent permanent damage.
The effect of ropivacaine infiltration on the expression of Vascular Endothelial Growth Factor (VEGF) on skin defect: experimental study on Wistar rats
Authors: Astranto Dyandri Yogi , Ghaib Husnul , Sahudi
Published: March 2024

Link of Video Abstract: https://youtu.be/jNHUCHSk70Y
 
Background: The main problems of postoperative patients are pain and wound. The healing phases consist of hemostasis, inflammation, proliferation, and remodeling. Postoperative pain causes surgical stress, which disrupts wound healing by delaying the transition from the inflammatory phase to the proliferative phase. Ropivacaine infiltration is expected to reduce surgical stress. One of the parameters that can be used to assess wound healing is Vascular Endothelial Growth Factor (VEGF) expression. This study aims to evaluate the infiltration effect of ropivacaine on the expression of VEGF in post-surgical skin defects in Wistar rats.
Methods: This study was an experimental study using 32 Wistar rats (Rattus norvegicus), which were randomly divided into 2 groups. With a 2 cm full-thickness wound incision, the ropivacaine group was given 0.2% 1 ml of ropivacaine infiltration, while the control group was given NaCl infiltration. 0.9% 1 ml. Tissue samples were taken on day 5 to calculate VEGF expression through immunohistochemical examination. Data were analyzed using SPSS versin 23.0 for Windows.
Results: Assessment of the weight of the Wistar rats did not show a significant difference (p = 0.788).  Using the IRS (Immunoreactivity Score), there was a significant difference in VEGF expression (p = 0.033) between the two groups. There were significant differences in the degree of VEGF cells between the two groups (p = 0.001). Analysis of the relationship between treatment and degree of VEGF cells showed a significant relationship (p = 0.005).
Conclusion: Infiltration of ropivacaine had effects on the expression of VEGF in postsurgical skin defects of Wistar rats
Developing a Mobile Learning Virtual Nursing Diagnosis (VND) Media for Medical Surgical Nursing Course
Authors: Bustami  , Abdurrahman  , Wirda Hayati  , Erlangga Galih Zulva Nugroho  , Cut Mutiah  , Muhammad Nazar
Published: March 2024

Link of Video Abstract: https://youtu.be/4zHCrIC1IGE
 
Background:  The development of innovative and technology-aligned learning media is a necessary solution for nursing students. Students require access to interactive, practical, and easily accessible learning resources. An application that can facilitate students' learning in nursing diagnosis for surgical nursing, such as Virtual Nursing Diagnosis (VND), is needed. This study focuses on the development of the VND application specifically designed for the Surgical Nursing Care course.
Patients and methods: The research is a Research and Development (R&D) study involving 253 nursing students from Aceh Health Polytechnic. A needs analysis was conducted to identify the difficulties faced by students in applying nursing diagnoses to topics related to surgical nursing, particularly the cardiovascular system. Based on the findings of the needs analysis, it was discovered that students face difficulties in determining nursing problems. Therefore, the VND application was developed with features such as assessment forms, assessment tools, disease pathology, and nursing diagnoses. Additionally, the application is equipped with competency tests on interesting nursing cases that are user-friendly for students.
Results: The research results indicate that the VND application has received positive feedback from 253 students who have used it in real classroom environments. The application is user-friendly, efficient in performing nursing diagnoses, and provides available nursing case questions. VND application provides an interactive, innovative, and effective learning tool for understanding nursing diagnoses while enhancing accessibility and flexibility through mobile-based learning. The application equips students with the necessary skills to apply nursing diagnoses in real-world surgical medical practice.
Conclusion: the VND application significantly contributes to the development of nursing education. It not only improves understanding of nursing diagnoses but also provides an engaging and interactive learning experience. It is hoped that the use of the VND application in surgical nursing education can be an effective and innovative solution to enhance competency in applying nursing diagnoses in clinical practice.
The prevalence of long COVID symptoms in Indonesia: a cross-sectional study in Aceh
Authors: Hasan Maryatun , Sari Wahyu Eka , Pranata Agung
Published: March 2024

Introduction: It is estimated that the long-term consequences of Coronavirus Disease 2019 (COVID-19) can be significant problems since they cause prolonged clinical manifestations after COVID-19. The aim of this study was to investigate patients with long-term effects of COVID-19 in Aceh Province, Indonesia.
Methods: A cross-sectional study was conducted on COVID-19 patients in Aceh, Indonesia using an online survey software tool. The COVID-19 survivors were contacted after a diagnosis of COVID-19 at least 14 days after a negative real time polymerase chain reaction (RT-PCR) result.
Results: A total of 303 respondents were contacted after a diagnosis of COVID-19 at least 14 days after a negative RT-PCR result. The results showed that 31% experienced long COVID until the 14th to 15th day of the month, while 69% did not offer long COVID symptoms. The most common symptoms experienced by the patients were fatigue (9.9%), headache (8.7%), and joint and muscle pain (8.1%). Other symptoms reported by COVID-19 survivors were polypnea and shortness of breath, sleep disturbances, coughing, hair loss, palpitations, runny nose, stuffy nose, mental health problems such as anxiety, impaired concentration and depression. The long COVID symptoms were more experienced by female respondents (64.9%) than male respondents (35.1%).
Conclusion: Our data suggested that the symptoms of long COVID or long-term consequences of COVID-19 were relatively high. Therefore, measures should be taken to prevent long-term effects among COVID-19 survivors.
Hypoalbuminemia in burn patients with COVID-19: a cross-sectional study
Authors: Noviana Heri , Saputro Iswinarno Doso , Handriani Ira
Published: March 2024

Link of Video Abstract: https://youtu.be/onpoWqpxn5Q
 
Background: Burns contributes substantially to illness and death rates in underdeveloped nations. Hypoalbuminemia is a medical disorder that has been observed in both burn patients and individuals diagnosed with COVID-19. Hypoalbuminemia has been observed to exacerbate the severity of burn injuries and potentially COVID-19 infections. This retrospective study aimed to examine the disparity in hypoalbuminemia occurrence and its association with mortality among burn patients, specifically focusing on those infected with and without COVID-19.
Methods: The present investigation is a retrospective cross-sectional study examining the disparities in hypoalbuminemia occurrence and its association with mortality among burn patients with or without COVID-19. The study was conducted at Dr. Soetomo General Hospital in Surabaya, covering the time frame from March 2020 to December 2022.
Results: Among a cohort of 225 individuals who presented with acute phase burns, both with and without COVID-19, a total of 125 patients (57.1%) were seen to develop hypoalbuminemia during their treatment at Dr. Soetomo General Hospital between March 2020 and December 2022. This study found no statistically significant disparity in mean albumin levels and mortality outcomes between acute-phase burn patients with COVID-19 and those without COVID-19 who experienced hypoalbuminemia. Nevertheless, notable disparities (p<0.05) were seen in terms of age, length of stay (LOS), and severity of burns among hypoalbuminemia patients who were discharged from the hospital (KRS) for outpatient care and those who succumbed to their condition.
Conclusion: Our findings indicate no statistically significant disparity in albumin levels and mortality rates among burn patients, regardless of whether they are also diagnosed with COVID-19. Nevertheless, variables such as age, length of stay (LOS), and burn area exhibit notable variations in the outcome of death.
Research trends on the use of ultrasound as neuromodulation-based therapy, based on bibliometric analysis
Authors: Yurisaldi Arman , Setiobudi Tony , Sayyid Hashuro Muhammad Shiddiq
Published: March 2024

Link of Video Abstract: https://youtu.be/3g92-Hr_5c0
 
Introduction: Ultrasound has seen a significant increase in use in neuromodulation-based therapy over the past decade due to technological advancements, enabling precise tissue ablation, clinical neuromodulatory brain stimulation, and targeted blood-brain barrier permeabilization. The bibliometric analysis reveals a growing body of literature focused on the utilization of low-intensity ultrasound (LI-US) and high-intensity focused ultrasound (HIFUS) in the field of neuromodulation. Ultrasonography has potential applications in treating neurological and psychiatric illnesses like neuropathic pain, epilepsy, and treatment-resistant mental illness, but further investigation is needed to understand mechanisms and safety considerations. The use of bibliometric analysis can effectively identify common research patterns and highlight advancements in this specific academic field. Research indicates that ultrasound-based neuromodulation approaches may offer novel therapeutic interventions with enhanced efficacy and safety in treating various neurological and mental illnesses.
Methods: The process of data collection involved conducting a search on the Scopus website using specific keywords. Subsequently, the collected data is stored in the file formats of .bib and .csv. These files are then subjected to analysis using the biblioshiny and Vosviewer software tools. The research not only use quantitative analysis but also incorporates qualitative investigations.
Results: The trend of the most significant affiliations, authors, documents with the highest number of citations, relevant sources, cited nations, and annual scientific production was determined. This academic study employs many visualization techniques, including overlay visualization of the Scopus database, utilization of VOSviewer for database analysis, network visualization, density visualization, and thematic mapping.
Conclusions: The use of ultrasound as a neuromodulation therapy offers numerous opportunities and potential across various sub-topics, despite a limited literature corpus compared to other academic disciplines. The use of this discipline in human subjects is limited, requiring extensive clinical studies and cross-national collaboration for the advancement of therapeutic interventions.
Nanophthalmos with angle closure glaucoma, a challenging case
Authors: Elsa Gustianty  , Prahasta Andika , Rifada Raden Maula , Umbara Sonie
Published: March 2024

Link of Video Abstract: https://youtu.be/eGhTbOkaaQI
 
Introduction: Nanophthalmos basically is a simple microphthalmos with clinical characteristics of short axial length (AL), shallow anterior chamber (AC), high lens to eye volume ratio, small cornea and thick sclera, associated with angle closure glaucoma. We report a case of nanophthalmos with angle closure glaucoma and cataract who underwent trabeculectomy and end up with malignant glaucoma. Pars plana vitrectomy (PPV) and phacoemulsification with posterior chamber intraocular lens (PC IOL) implantation was done to manage the case.
Case Description: A 41-year-old man came with blurred vision in the right eye with redness and headache for 8 weeks. Intraocular pressure (IOP) was 46 mmHg, visual acuity was counting fingers at 2 m with nystagmus. Slit lamp examination revealed short axial length (AL), shallow anterior chamber (AC), small corneal diameter and high lens to eye volume. Trabeculectomy with 5FU was done with complication of malignant glaucoma. After PPV combined with  phacoemulsification and PC IOL implantation, IOP was 14 mmHg, visual acuity 0.125 with deep AC.
Conclusion: Surgical intervention in nanophthalmos with angle closure glaucoma must be managed with good preparation. Malignant glaucoma in this case can be managed with pars plana vitrectomy and phacoemulsification without scleral procedure.
The association between C-reactive protein (CRP)/Albumin Ratio (CAR) and the outcomes of patients with Ludwig's Angina
Authors: Purnama I Made Candra , Susilo Dwi Hari , Wibowo Maryono Dwi
Published: March 2024

Link of Video Abstract: https://youtu.be/bd2v_SEY08Q
 
Background: A severe form of widespread cellulitis that affects the submandibular and submental regions is known as Ludwig's angina. The C-reactive protein/Albumin Ratio (CAR) was utilized to evaluate the prognosis of several different disorders. This research aims to evaluate the correlation between CAR and mortality as well as the outcome of patients with Ludwig's Angina. Additionally, it seeks to determine the optimal CAR ratio threshold for predicting mortality in Ludwig's Angina patients.
Methods: This study presents a retrospective cohort analysis of patients diagnosed with Ludwig's Angina aged over 20 years and underwent operative treatment at RSUD Dr. Soetomo Surabaya between January 2018 and April 2023. Data were analyzed using SPSS version 23.0 for Windows.
Results: 121 patients diagnosed with Ludwig's Angina were recruited for the study. In this study, most research subjects (65.4%) were male. The percentage of cases classified as mild, moderate, or severe was 5.4%, 58.5%, and 36.2%, respectively. The calculated cutoff value for CAR was determined to be 8.87. The model's sensitivity was 66%, indicating its ability to identify positive cases correctly. Similarly, the model's specificity was determined to be 66.3%, demonstrating its ability to identify negative cases correctly. The p-values for the relationship between CAR and patient outcome, severity, and length of stay (LOS) were found to be 0.001, 0.028, and 0.014 in each case.
Conclusion: The C-reactive protein/Albumin (CAR) ratio, which serves as an inflammatory marker, can be utilized to evaluate the mortality rate associated with Ludwig's Angina. This tool can stratify patients diagnosed with Ludwig's Angina.
Relationship of HER2 with age, gender, location of the tumor, and tumor budding in colorectal adenocarcinoma at H. Adam Malik General Hospital, Medan, Indonesia
Authors: Muhar Adi Muradi , Laksmi Lidya Imelda , Lubis Nova Sabrina
Published: March 2024

Link of Video Abstract: https://youtu.be/_B_bL8gi7hU
 
Background: Colorectal carcinoma is one of the most common malignancies and is one of the leading causes of cancer-related death worldwide. The incidence of colorectal carcinoma in Indonesia is reported to be 12.8 per 100,000 adult population, accounting for 9.5% of all cancer-related deaths. Assessment of Human Epidermal Growth Factor Receptor 2 (HER2) expression is used to help predict tumor behavior and the effect of anti-HER2 receptor therapy. This study aims to analyze the relationship between HER2 immunohistochemical expression with age, gender, tumor location, and tumor budding in this malignancy.
Methods: This study is a cross sectional analytic study of 45 samples diagnosed with colorectal carcinoma at H. Adam Malik General Hospital Medan. Tumor budding was assessed for tumor invasiveness based on the International Tumor Budding Consensus Conference (ITBCC) 2016 in a field area of ​​0.785 mm2 with a 20x objective lens using a three-level scoring system, which was categorized into low budding (0-4 buds), intermediate budding (5-9 buds), and high budding (≥10 buds). Staining was performed using immunohistochemistry of the monoclonal anti-human HER2 anti-human DBS manufacturer, which would appear positive on the tumor cell membrane at a dilution of 1:100. HER2 expression was assessed using the HERACLES criteria. The results are presented as a score of 0, 1+, 2+, 3+, then categorized into negative (score 0-2+) and positive (score 3+). Data were analyzed using SPSS version 25.0 for Windows.
Results: There was no significant relationship between HER2 and clinicopathological parameters such as age (p=0.755), gender (p>0.05) and tumor location (p>0.05). However, there was a significant relationship between HER2 and tumor budding histopathological parameters with a value of p=0.011 in a positive direction (the greater the number of budding, the more positive HER2 expression, and vice versa).
Conclusion: HER2 is not significantly related to age, gender and tumor location. However, it is significantly associated with tumor budding. HER2 plays a role in the proliferation and differentiation of colorectal carcinoma tumor cells.
Analysis of vitamin D supplementation impact on carcinoembryonic antigen (CEA) levels in stage I-III colorectal cancer
Authors: Razi Khalikul , Putranto Agi Satria , Jeo Wifanto Sadityo , Tamba Riana Pauline , Herqutanto
Published: March 2024

Link of Video Abstract: https://youtu.be/Bdcbzy1HDeM
 
Background: Colorectal cancer is a globally prevalent and highly lethal malignancy. While vitamin D supplementation may impact cancer risk, its precise effect remains unclear, especially in patients with early-stage III colorectal cancer. This research aimed to enhance our understanding of the potential advantages of vitamin D in colorectal cancer treatment in Indonesia.
Methods: This study is a randomized controlled clinical trial conducted from September 2022 to November 2023 at Cipto Mangunkusumo Hospital's Surgical Polyclinic (RSCM). Inclusion criteria encompass individuals aged 18 and above, diagnosed with stage I–III colorectal cancer, and without a history of surgical or chemotherapeutic colorectal cancer treatment. Exclusion criteria entail patients with a Karnofsky score below 60%, smokers, individuals with inflammatory bowel disease, and those diagnosed with malignancies other than colorectal carcinoma.
Results: The mean vitamin D level in all subjects before the intervention was 16.66 ± 6.23 ng/mL. The median pre-intervention CEA level stood at 4.70 (min-max 1.30–59.40). There was a notable change in CEA levels within the experimental group (median delta CEA: -0.20), and the response to vitamin D supplementation exhibited variations depending on the degree of cancer cell differentiation.
Conclusion: The outcomes of this study indicate that vitamin D supplementation can significantly reduce CEA levels in patients with stage I-III colorectal cancer who have not received prior medical treatment.
Comparing phacoemulsification and phacotrabeculectomy for managing primary angle-closure glaucoma with cataracts: a review
Authors: Universade Putri Anya , Komaratih Evelyn , Kencono W Citrawati Dyah
Published: March 2024

Link of Video Abstract: https://youtu.be/mPotwhRZbsY
 
Cataracts and glaucoma are two leading causes of global blindness that are often found together, creating complex clinical challenges. Cataracts, which cause visual impairment by covering the eye's lens, and glaucoma, characterized by increased intraocular pressure and damage to the optic nerve, are mainly related to age and lens size. Mixed case management is becoming increasingly important in ophthalmic practice.
Choosing the right surgical technique is the key to overcoming both. This decision requires consideration of long-term effectiveness, benefits, and risk of complications. One technique that has emerged is phacotrabeculectomy, but the decision to choose this surgical technique is not easy because it requires considering various factors.
Further research and a better understanding of the management of this eye disease will be crucial in improving patients' quality of life and well-being. With the prevalence of cataracts and glaucoma continuing to increase as the population ages, an emphasis on effective and sustainable management strategies will significantly impact society's overall eye health. This review will compare phacoemulsification and phacotrabeculectomy for managing primary angle-closure glaucoma with cataracts.
Effectiveness of sclerotherapy injection in haemangioma of the head and neck region
Authors: Baihaqi Rizki , Wibowo Marjono Dwi
Published: March 2024

Link of Video Abstract: https://youtu.be/6NXSL59eReA
 
Background: Hemangiomas are benign tumors that originate from blood vessels. Sclerotherapy effectively treats benign vascular lesions, especially small lesions located at sites with aesthetic impact. Polidocanol is the solution most commonly known to work by causing a local inflammatory reaction, thrombosis obliteration of the hemangiomatous space, and fibrosis of the endothelial space, leading to the lesion's regression. This study evaluated the effectiveness of polidocanol sclerotherapy injection therapy (Aethoxysklerol 3%) in patients with cavernous haemangioma at Dr. Soetomo general hospital.
Method: This study is a cross-sectional correlative analysis study, with research samples derived from medical records of patients with cavernous type haemangioma who were indicated to undergo sclerotherapy injection therapy (Aethoxysklerol 3%) at Dr. Soetomo general hospital in the period 2017-2023 who met the inclusion and exclusion criteria. The data obtained will be processed using SPSS software version 25.0 for Windows. Statistical tests were significant if the p-value was <0.05.
Results: There were 26 samples in this study, with the gender of patients mostly female (65.4%) and aged >20 years (38.5%). The most common location was buccal region hemangioma (34.2%). The results of the therapeutic response showed that 50% of the majority of patients not well responded, 34,2% showed no response, and only 15.4% responded well with a p-value = 0.000.
Conclusion: Injection sclerotherapy using polidocanol (Aethoxysklerol) in 3x administration sessions is a treatment method that has not been effective in treating hemangioma.
Evaluation of the CPIRO score on the outcomes of management actions for patients with hollow organ perforation at Dr. Soetomo General Hospital in the years 2019-2022
Authors: Zainuri Mohammad Maksum , Septarendra Denny , Wibowo Marjono Dwi
Published: March 2024

Link of Video Abstract: https://youtu.be/k4WZuJF_ejc
 
Introduction: Generalized peritonitis is a surgical emergency caused by the perforation of hollow organs. In Indonesia, the incidence of peritonitis is approximately 179,000 cases. The CPIRO score is one of the scoring systems that can predict sepsis patients' prognosis and mortality. It is relatively straightforward to perform.
Methods: This study has an observational analytic design, a retrospective cohort from the medical record data of 94 patients with hollow organ perforation in the 2019-2022 treatment year at our health center, Dr. Soetomo Hospital, Surabaya. We performed a cross-sectional analysis and performance analysis by comparing the sensitivity, specificity, NPV, PPV and accuracy of each of the results of the CPIRO score in assessing mortality and determining the cutoff.
Results: We found that exploratory laparotomy dominates most procedures, as much as 73.4%. With the outcome of patients with hollow organ perforation, 52.1% died. The highest prevalence of CPIRO score is at score 4, with 35.1% of patients. It was also found that the optimalcCPIRO cut-off was 4 with sensitivity, specificity, PPV, NPV, and accuracy values of 77.6%, 75.6%, 77.6%, 75.6% and 76.6%, respectively, with p<0.001.
Conclusion: This concludes that the CPIRO score strongly correlates with the outcome and can be used to determine treatment choices for hollow organ perforation patients.
The initial outcomes of laparoscopic surgery for the hiatal hernia repair: a tertiary center study
Authors: Huy Nguyen Quang , Toan Dang Khai , Hien Tran Thanh , Khoa Ho Dang Dang , Hung Mai Duc
Published: March 2024

Background: The surgical approach to hiatal hernia has changed with the advent of laparoscopic techniques. We sought to evaluate the short-term outcomes of laparoscopic hiatal hernia repair.
Methods: We conducted a cross-sectional study with a retrospective approach of patients receiving laparoscopic hiatal hernia repair from January 2018 to June 2023 at People’s Hospital 115.
Results: In 25 patients included in this study, the male-to-female ratio was 2:1, with a mean age of 46. The types of hiatal hernia included type I (n = 2), III (n = 16), and IV (n = 7). The most common symptoms were epigastric pain (44%), dysphagia (16%), heartburn (25%), vomiting (76%), chest pain (32%), and shortness of breath (20%). Nissen fundoplication was also performed in 19 cases (76%). The median operative time was 130 min, and the median hospital stay was 3 days. No case was converted to open surgery, and minor or major complications occurred in 3 patients (12%).
Conclusion: Laparoscopic repair for hiatal hernia is feasible and safe. The short-term outcomes included early return daily activities, and most patients experienced good to excellent functional and symptomatic results and quality-of-life improvement.
Mortality comparison between axillary lymph node dissection (ALND) and sentinel lymph node biopsy (SND) among breast cancer pantient: A meta-analysis and systematic review study
Authors: Herida Alifia Ramadhani , Dewi Sari Puspita , Herida Akmal Fauzan
Published: March 2024

Introduction: Axillary lymph node dissection (ALND) is a crucial surgical procedure for breast cancer. It has guaranteed locoregional control of the disease, guided adjuvant therapy, and functioned as a staging tool. However, over the past 25 years, a more conservative approach has become the standard for surgical management of the axilla. Because sentinel lymph node biopsy (SNB) is less invasive and less morbid than axillary lymph node dissection (ALND), it has become the standard surgical procedure for axillary staging of clinically node-negative breast cancer. This study aimed to compare the mortality of breast cancer patients receiving ALND and SNB procedure.
Methods: Our review includes randomized controlled trials of breast cancer patients undergoing ALND or SNB surgical techniques. A systematic literature search was performed from PubMed on December 2023 to search for articles reporting on survival rates between ALND vs SNB among breast cancer patients. The data obtained then underwent statistical evaluation, and a meta-analysis was conducted using Review Manager 5.4. In order to represent primary outcomes, the risk ratio was estimated using an inverse variance technique with a random-effects model. Heterogeneity was presented with total values, 95% confidence intervals (CI), and I values.
Results: As many as 208 articles were found in the PubMed database search, and only six studies were included in this study. The six included trials all used chemotherapy and radiotherapy for systematic treatment. The length of follow-up varied from 33 months to 15 years. The total number of patients in the trials was 3,585, and the study period was from 2011 to 2023. The pooled analysis of the mortality outcomes showed that the heterogeneity of the data was low (I2 21%, p = 0.4). In the pooled analysis, the mortality of patients with SNB for surgical treatment was not significantly different compared to patients with ALND (OR:0.88; 95% CI:0.65-1.19).
Conclusion: The mortality of patients undergoing SNB and ALND does not differ significantly, according to this pooled study. It demonstrates that the group without axillary dissection had a primary survival outcome that was not inferior to that of the dissection group.
Jen Wilson, Freedom Music: Wales, Emancipation and Jazz 1850–1950
Authors: Clifford-Napoleone Amber
Published: March 2024

Jen Wilson, Freedom Music: Wales, Emancipation and Jazz 1850–1950. Cardiff: University of Wales Press, 2019. 336 pp. ISBN 9781786834072 (pbk). £24.99.
The Late Medieval Arab Recipes of Nuruosmaniye 3558
Authors: Perry Charles
Published: March 2024

The author examines Manuscript 3558 in the Nuruosmaniye Library, Istanbul (which consists of the tenth-century recipe collection Kitab al-Tabikh followed by an appendix of 94 culinary recipes, together with three for perfume) and draws some conclusions regarding dating and provenance.
Forma i technika dźwiękowa oraz problemy interpretacyjne w wybranych preludiach fortepianowych kompozytorów polskich XX wieku
Authors: Prejsnar Magdalena
Published: March 2024

Praca o powyższym tytule pianistki Magdaleny Prejsnar to studium analityczne i rozważania wykonawczo-interpretacyjne dotyczące gatunku preludium fortepianowego wybranego z twórczości siedmiu polskich kompozytorów XX wieku. Treść merytoryczną poprzedza wstęp, w którym autorka uzasadnia kryteria wyboru cyklów preludiów z XX-wiecznej rodzimej twórczości fortepianowej do nagrania płytowego i opracowania publikacji. Praca zawiera cztery rozdziały. Rozdział 1 historyczny, o charakterze wprowadzającym, ukazuje zarys dziejowy gatunku preludium w trzech etapach: 1) XVI-wiecznego archetypu zapoczątkowanego w muzyce organowej i lutniowej oraz postaci preludium w muzyce J. S. Bacha, 2) fortepianowego preludium w muzyce polskiej XIX wieku (Chopin i twórcy II połowy stulecia), 3) zróżnicowanego stylistycznie i technicznie polskiego preludium XX-wiecznego. Kolejne dwa rozdziały stanowią część analityczną. Poświęcone są bliższej charakterystyce preludiów, które zostały rozgraniczone czasowym kryterium stylistycznym: okresu neoklasycznego i późniejszego okresu „spoza kręgu neoklasycznego”. Przyjęty tu podział posiada swe uzasadnienie w znacznej odmienności zastosowanych technik dźwiękowych i problematyki pianistycznej. Bliższej analizie zostały poddane następujące utwory: Rozdział 2: 1. Wojciech Kilar, Trzy preludia na fortepian 2. Zygmunt Mycielski, 6 preludiów na fortepian 3. Henryk Mikołaj Górecki, Cztery preludia op. 1 na fortepian 4. Miłosz Magin, 5 preludiów na fortepian Rozdział 3: 1. Kazimierz Serocki, Suita preludiów na fortepian 2. Krzysztof Knittel, Quatre préludes pour piano 3. Paweł Mykietyn, Cztery preludia na fortepian Analizy powyższych utworów obejmujące zagadnienia formy, faktury i techniki dźwiękowej poprzedzone są notą biograficzną ich twórców. Ilustrowane są przykładami nutowymi. Rozdział 4 zawiera omówienie zagadnień techniki wykonawczej i problematyki interpretacyjnej wybranych cykli preludiów. W zakończeniu autorka dokonuje podsumowania poruszanych aspektów, wskazując na szeroki zakres technik kompozytorskich, związanych z muzyczną tradycją z jednej strony i nowatorskimi technologiami dźwiękowymi z drugiej strony. W konkluzji końcowej wysuwa wniosek, że różnorodność techniczno-stylistyczna prezentowanych tu cyklów preludiów fortepianowych wymaga zastosowania wszystkich elementów techniki pianistycznej oraz wysokiej elastyczności interpretacyjnej.
Didactics of Electrical Engineering and Its Components in the Context of Digitalization of Education
Authors: SERAFÍN ČESTMÍR
Published: March 2024

Didactics is defined as the theory of education. It deals with the specific forms, procedures and goals of teaching that a teacher implements with his/her students. As such, it is an integral part of pedagogy. Since the forms, procedures and objectives of teaching vary in their specificity for the different fields, disciplines and subjects of education, this specificity is reflected in the disciplinary or subject didactics. The latter thus deal with the processes of teaching and learning with regard to subject-specificity and specificity. The article is thematically devoted to the area of subject or subject didactics, specifically didactics of electrical engineering, which is of particular importance for vocational technical education, as it forms a key part of it both in practice and in the preparation of teachers of such disciplines. The article also presents some of the results of the author’s research from recent years, which focuses specifically on the areas of modern technologies and their impact on the teaching process, especially in electrical engineering-oriented teaching subjects; tools for developing technical but also digital literacy are presented.
Designing Experiments for a Research-Oriented Model of Learning in the Subject of Technique in Lower Secondary Education
Authors: ĎURIŠ MILAN , OČKAJOVÁ ALENA , KVASNOVÁ PETRA
Published: March 2024

In this article, attention is paid to the selected design of experiments that will be part of a research-oriented model of students’ education in the subject of Technique in lower secondary education in the Slovak Republic. The proposed model of education reflects the long-term needs of students’ education in the subject of Technique, which, despite the updated content of the curriculum in the Educational Standard of the subject of Technique, have not yet been met. Part of the model is the application of formative assessment of students in the framework of the implemented experiential learning of students. Due to the limited scope of this article, two experiments from the set of proposed experiments are presented with the methodology of the actual implementation. The given problem is solved within the KEGA project No. 006UMB-4/2022 in the years 2022–2024.
Programming Robots in Kindergarten
Authors: NIKOLIĆ SANJA , HILČENKO SLAVOLJUB
Published: March 2024

Children at an early age easily acquire new technical and technological knowledge, and their abilities and skills surpass all expectations. Nowadays, children are already familiar with and interested in new technologies from a very young age, as it is an integral part of everyday life and has great potential for future development. In light of this, programming robots in kindergarten emerges as a very relevant and popular topic, which is precisely the subject of this paper.
Formy aktywności preferowane przez młodzież w środowisku zagrożonym niedostosowaniem społecznym
Authors: Bobik Bogumiła
Published: March 2024

The aim of the study is to show the forms of activity preferred by young people brought up in a family and local environment at risk of social pathologies. Diagnosis of the activity of young people at risk of social maladjustment in one of the districts of Bytom (the Bobrek district), which after 1989 was particularly affected by transformational changes related to political, social and economic transformations after the fall of communism. The study used the diagnostic survey method and the following techniques: questionnaire, document analysis, observation. The study was conducted among young people over 13 years of age and their teachers, in selected schools located in Bytom. It was found that the family and local environment may limit the forms of activity preferred by young people. The following factors pose a threat to choices in this area: low standard of living, bad example of adults, poverty, unemployment, addictions, loosening of family ties, peer pressure. Young people growing up in a dysfunctional environment can lead to a lack of interests and life aspirations, limited patterns of spending free time, lack of authorities. Young people need the support of educational and assistance institutions in the development of various forms of life activity.
Specyfika aktywności patriotycznej młodzieży akademickiej
Authors: Gronkowska-Koziar Agnieszka
Published: March 2024

Youth academics mark their activity in social, cultural and political life in many dimensions and aspects. Nowadays, this social group is increasingly seen as a more active part of society, striving for change in everyday life. They are seen as a community of innovators and social dynamics also in terms of their patriotic activities. Therefore, the aim of this article is to present the specifics of patriotic activity of academic youth. In order to achieve this goal, the article will first outline the psychopedagogical characteristics of academic youth, which will allow us to learn about the specifics of the development of the group in question. Then the key concepts related to patriotic activity will be distinguished, as well as the main forms and practices of patriotic activity that academic youth undertake or may undertake.
“Resignificaciones del VIH” historia de vida de un hombre gay después de un diagnostico
Authors: Bautista Eduardo Enrique Zetina , Vizcaino Gerardo Ivan Martinez
Published: March 2024

Objetivos: Recupera las resignificaciones de “vivir con VIH” a través de la historia de un hombre gay de 38 con 7 años de diagnóstico. 

Materiales y Métodos: Estudio fenomenológico a partir de la historia de vida de un hombre gay residente del Área Metropolitana de México, a partir de una entrevista semi estructurada, se recuperan las vivencias entorno al VIH. Teniendo como interrogante fenomenológica “¿Como ha sido la experiencia con el VIH?”. 

Resultados: Su enfermedad más “significativa” es el VIH, sentir que “no debe ser una carga” es una visión de cuidador, con un auto demanda y autoexigencia que lo ha llevado a no hablar abiertamente su diagnóstico con su familia llevándolo a buscar otras redes de apoyo. Ver el VIH como un juicio que le “debería de dar” a personas que son “más promiscuas o tienen más parejas”; es una idea que se confronta con la vivencia personal, así como las formas de relacionarse en pareja y laboralmente. Envejecer, vivir con VIH y tener una pareja; son situaciones actuales que se relación con las vivencias anteriores. Suponiendo que por vivir con VIH el desgaste será mayor. 

Conclusiones: La resignificación del VIH es un proceso dinámico que la persona experimenta a lo largo de su vida, dicho proceso estará mediado por contextos socio históricos e individuales. Combatir el estigma es un proceso colectivo y relacional entre los profesionales de salud y la población atendida.
DESIGN OF MIMO ANTENNA FOR WIDEBAND THz MOBILE COMMUNICATIONS
Authors: Ka'bi Amin Al , Mustafa Ali
Published: March 2024

In the network era of radio waves, as the need constantly continues to grow at the current level, new radio frequency bands must be found. With 5G technology being replaced, the terahertz (THz) frequency band is expected to be the most suitable resource to power wireless networks within the range of 0.1 THz up to 10 THz. This article describes a model of an ultrawideband 2 × 2 multiple-in, multiple-out (MIMO) antenna for THz applications. As the frequency moves upward, the cross-coupling of the lead elements between elements becomes an inevitable problem that brings undesirable effects on the overall efficiency of the antennas. Hence some practices have been introduced to reduce the mutual coupling impact on MIMO antenna measurements like high isolation, parallel configuration, parasitic structures, and feeding slots. The model presented in this paper comes with a radiation radiator of a 133 × 255 μm2 rectangular shape with a circular cut in the middle. The designed structure has a large bandwidth typically ranging from 5.5 THz to 10 THz, and hence, it can be utilized in high-speed wireless communication networks and in working with high bit rates. The antenna performance is also conducted in terms of a number of factors like channel capacity loss and total active reflection coefficient. Following this, it is compared with other existing designs. By comparing the resulting model and existing standards in different parameters, it proves that the model is superior to existing designs.
Crack-filling effect of gel on time-dependent mechanical behavior of concrete damaged by alkali–silica reaction
Authors: Joo Hyo Eun , Takahashi Yuya
Published: March 2024

This study aims to investigate the crack-filling effect of gel generated by the alkali–silica reaction (ASR) on the mechanical behavior of concrete and propose an analytical model to predict the compression behavior of ASR-damaged concrete. To identify the mechanical contribution of the gel-filling cracks, the distribution of the chemical compositions and elastic moduli of the crack-filling gels were observed using SEM–EDS analysis and nano-indentation tests. The experimental results showed that the elastic modulus of the gel with a high-calcium composition ranged from 30 to 40 GPa, which is comparable to the elastic modulus of concrete. In addition, through literature reviews of the time-dependent compression behaviors of ASR-affected concrete, it was hypothesized that crack-filling gels can contribute to the recovery of ASR damage, and that the mechanical contribution of gels depends on the ASR crack patterns and changes with time. Based on these assumptions, the resistance of the gels filling the cracks in the compression, shear, and recontact behaviors of ASR-damaged concrete was reflected in the proposed model, in which the gel resistance increased with time and became larger as the ratio of microcracks to total cracks increased. The proposed model was verified through a comprehensive comparison of analysis and test results of compression behavior of ASR-damaged specimens, and it appeared that the change in mechanical properties of concrete according to the degree of damage (ASR expansion) and time was well simulated by the proposed model.
Grain size effect on the anisotropic shear behavior of sand–textured geomembrane interface
Authors: Hamidi Amir , Garousi Amir Hossein
Published: March 2024

A set of direct shear tests was conducted to investigate the effects of sand mean grain size and geomembrane surface roughness on the shear behaviour of the sand–geomembrane interface. Four types of sands with different mean grain sizes were used and the interfaces included a smooth geomembrane (SGM) and four textured ones with different asperity characteristics. The samples were prepared in a direct shear box at five sedimentation angles. The experimental results showed that the peak friction angle of the soil–textured geomembrane interface was dependent on the mean grain size, inherent anisotropy and surface roughness of the geomembrane. The shear strength of sand–textured geomembranes was two to three times larger than that of the sand–SGM interface. The peak and residual friction angles of sand-SGM interface occurred at sedimentation angle of 72° while it was 108° for sand-TGM interfaces. An increase in mean grain size increased the shear strength of the sand–textured geomembrane interface; while a reverse condition occurred for the sand–SGM interface. The shear strength occurred at larger horizontal displacement as mean particle size increased and the effect of relative roughness on peak friction angle increased with increase in mean grain size.