bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stitch less, clip less, three ports laparoscopic cholecystectomy: experience of 300 cases
Authors: Resutra Ritvik , Mahajan Neha , Gupta Rajive 
Published: July 2019

Background: 300 cases of cholelithiasis were operated by stitch less, clip less, three ports laparoscopic cholecystectomy at Maxx lyfe Hospital, near Bathindi morh, Sunjwan road, Jammu with effect from August 2017 to May 2019. The outcome measures in the form of safety of the technique, postoperative pain, need of postoperative analgesia, number of OT assistants needed, duration of hospital stay, recovery and return to routine work, cosmetic satisfaction of the patient were taken into consideration and were found to be better than in conventional four ports technique of laparoscopic cholecystectomy.Methods: In three port laparoscopic cholecystectomy, first 10 mm umbilical, second 5 mm subxyphoid and third 5 mm subcostal ports are used and telescope is passed into the peritoneal cavity through the umbilical port. Retraction of the gallbladder is done by the long grasping forceps through the 5 mm subcostal port, whereas dissection is accomplished through the subxyphoid port. The gallbladder is retrieved through the subxyphoid port.Results: Mean operative time was 40 minutes and mean duration of postoperative stay in the hospital was 18 hours. Days to return to normal activity was 4 days at an average.Conclusions: The 3-port laparoscopic cholecystectomy technique is safe and has better outcomes in the form of less postoperative pain, less duration of hospital stay, early return to routine work and more cosmetic satisfaction as compared to the conventional 4-port technique, with no obvious increase in bile duct injuries and it can be a viable alternative in the field of minimally invasive surgery.
Determining the non-pharmacological methods using to cope with radiation-related oral mucositis in patients with head and neck cancer
Authors: Toygar Ismail , Yeşilbalkan Oznur Usta 
Published: July 2019

Background & Aim: The radiation-related oral mucositis is common in patients with head and neck cancer. Patients trying pharmacological and non-pharmacological methods to cope with oral mucositis. In this study, it was aimed to determine the non-pharmacological methods in dealing with oral mucositis of head and neck cancer patients.
Methods & Materials: In this descriptive study, the data were collected from a University Hospital's radiotherapy unit and a special cancer treatment center between June 2017 and October 2018. The study included 108 individuals aged 18 and over, who were diagnosed with head and neck cancer, could be communicated verbally and accepted to take part in the study during the study period. A convenience sample of patients was obtained from among all patients meeting the criteria for inclusion. A 20-item questionnaire (including the sociodemographic items, risk factors, oral mucositis history, and non-pharmacological methods) form developed by researchers were used in the study. The written permissions were obtained from the Ethics Committee of Ege University, Faculty of Nursing, the centers that research conducted and the participants. IBM Statistical Package for Social Science for Windows package program version 25.0 was used for analyzing the data.
Results: Of the 108 individuals included in the study, 64.8% (n=70) were male. The mean age of the participants was 59.73±8.92. It was found that 58.3% (n=63) of the participants had mouth problems after starting treatment. 69.8% of the individuals who developed oral mucositis used a non-pharmacological method to cope with oral mucositis. The most commonly used non-pharmacological method was the mixture of carbonate and salt with 60.7%. The second most common method was black mulberry syrup with 37.7%. Other methods were including propolis, mulberry syrup, raspberry syrup, tea tree oil, thyme, and sumac.
Conclusion: While some methods used by the patients were effective, the others were ineffective. Health professionals, especially nurses, requirement be informed about the non-pharmacological methods, therefore, they can guide the patients about using the right methods.
Relationship between depression and pathological internet use among university students
Authors: Maroma Fabio Ogachi , Karega Muchiri , Oteyo John Samson 
Published: July 2019

There is a rapid growth in internet use in Kenya and especially among university students. This puts them at risk of becoming pathological internet users. This study sought to establish the relationship between depression and pathological internet use among university students in Kenya. The study used correlational design to establish the relationship between the variables. The target population was university students in Kenya. Convenience sampling was used to sample students from one public university and one private university. A total of 400 respondents participated in the study. Youngâ€™s Internet Addiction Test and Beck Depression Inventory were adapted to measure pathological internet use and depression respectively. Davisâ€™ cognitive model of pathological internet use provided a theoretical basis for the study. Percentages and measures of central tendency were used to describe the data. The findings revealed a prevalence of 16.8% of pathological internet use and a prevalence of 23.6% of depression. Independent samples T-test was used to test for differences in pathological internet use between male and female students. The findings revealed that female students were likely to be pathological internet users compared to male students. Pearsonâ€™s product moment correlation was used to establish the relationship between depression and pathological internet use and it was found that a weak positive relationship existed between depression and pathological internet use. Based on the findings, it was concluded that there was need to identify and help the affected students exercise moderation and self control when using the internet in order for them to achieve their academic and lifetime goals. The findings of the study also provide empirical evidence on the gender differences in depression and pathological internet use which may be useful in improving counseling interventions for university students.
Competence landscape of grade 9 mathematics teachers: Basis for an enhancement program
Authors: Refugio Craig N. , Galleto Patrick G. , Torres Ruel 
Published: July 2019

The investigation attempted to find out the competence evidence among the grade 9 mathematics teachers in the secondary schools of Dumaguete City, Philippines. Survey and correlational methods of research were employed with the aid of questionnaire-checklist to profile the teachersâ€™ number of years in teaching Mathematics, training and seminars attended, educational attainment and measure their competence levels in mathematics curriculum competencies set by the Department of Education in the country. Data collected were treated using frequency counting, percent, weighted mean, standard deviation and Spearman Rank-Order Correlation. Results revealed that mathematics teaching was dominated by teachers with at least 6 years of teaching experience, with more locally attended seminars and training, and a higher percentage of those who pursued graduate education. The study revealed further that the teacher-respondents were highly competent in content for patterns, algebra and geometry. Moreover, the demographic profile of the teachers significantly translated their competence in content and pedagogy.
Keywords: Competence, content, pedagogy, enhancement program.
Anxiety about mathematics among university students: A multi-dimensional study in the 21st century
Authors: Cumhur Meryem , Tezer Murat 
Published: July 2019

The aim of this research was to examine university studentsâ€™ anxiety about mathematics, teaching mathematics in the 21st century and the views on mathematics teachers. A total of 100 students studying in 10 different departments of the Faculty of Economics and Administrative Sciences of a private university in the 2018â€“2019 academic years participated in this study. The data were collected by demographic questions, semi-structured open-ended questions consisting as well as questions about mathematics teaching in the 21st century prepared by the researchers and through the â€˜Mathematics Anxiety Scaleâ€™. According to the results, there were significant differences in terms of the mathematics anxiety level of students who graduated from high school those have low average maths grades. Meanwhile, an average level of anxiety was observed data collected from the students by using â€˜Mathematics Anxiety Scaleâ€™. Most students emphasised the fear of success and feeling stressful as the reasons for anxiety about maths.
Keywords: Mathematics anxiety, university students, fear, stress.
The revival of values and meanings of the teacher education: Reflexive-creative approach
Authors: Ryndak V. G. , Saldaeva O. V. 
Published: July 2019

The purpose of the article is to determine the values and meanings of a modern teacher in the national and foreign professional education. The results of the research work: the article provides the theoretical analysis and the analysis of the research results which allowed: to clarify the contents of the concept â€˜creativityâ€™, to define it as a significant side of every future teacherâ€™s activity; to consider pedagogical values as norms; to determine the basis of creative interaction between a teacher and a future teacher; to determine the strategy of acquisition of both pedagogical values and meanings and methods of construction of knowledge bases on pedagogical disciplines; to identify the possibility of objective evaluation of the results of pedagogical education; to reveal that a lecture is the main organisational form of pedagogical education both in Russian and foreign experience. Conclusions and recommendations: the socio-pedagogical, group and personal pedagogical values of any future teacher are determined.
Keywords: creativity, pedagogical education, reflection, sense, value.
Evaluation of the adaptive potential of first-graders with normal speech development and speech disorders
Authors: Nikolaevna Voloshina Ludmila , Buslovskaya Lyudmila K. , Kovtunenko Alexey Ju. , Klimova Victoria Ðš. , Ryzhkova Yulia P. 
Published: July 2019

The modern Russian school is focused on the active socialization and individualization of children with disabilities. Inclusive education determines the possibility of teaching children with disabilities varying severity in the conditions of primary general education, outside correctional classes. This situation dictates the need to study and assess the adaptation of children with disabilities to learning in a new social role - the role of the student. Psychophysiological adaptation is an important condition for the preservation and strengthening of students' health. Accordingly, the control of the adaptation processes of the body, the state of health, the level and harmony of physical development is a prerequisite for the development of a system for diagnosing and correcting maladaptive states. The objective of our research was to evaluate and compare the results of the study of physical development, somatic health, and adaptive capabilities of younger students with normal speech development and speech disorders during entering the school. The physical development of students was assessed using the somatometric, somatoscopic, and physiometric methods. The adaptive potential of the body was measured by R.M. Baevskyâ€™s method. Somatic health levels were determined by Apanasenkoâ€™s method. Speech development was evaluated according to the test method for diagnosing oral speech by Fotekova, attitude to school and emotional background - by Orekhovaâ€™s test. Based on the analysis of the results of this examination, the students were divided into 2 groups: #1 - with normal speech development, #2 - with speech disorder. It was established that physical development in 67% of younger schoolchildren with normal speech development and 75% with speech disorders is either disharmonious or sharply disharmonious. Somatic health levels in 73% of primary school students are low, 21% are below average, the process of adaptation of children to new living conditions is characterized by the stress of physiological mechanisms and is often carried out at the expense of functional reserves, which is especially typical of children with speech disorders. Disproportionate physical development, low level of somatic health and unfavorable adaptation are caused, apparently, by a number of factors, the first of which is the lack of physical activity of children..
Keywords: adaptative potential, physical activity, misadaptation, health, stress, body functionality, inclusive education, speech disorders, elementary school;
Effects of Cerebrospinal Fluid AMPA Receptor Levels on the Clinical Efficacy of Lamotrigine in Epilepsy Treatment
Authors: Tan Qingjing , Liu Yonghui , Wei Tianlu , Yang Junwei , Wang Tianbao , Lin Haohai 
Published: July 2019

Abstract
Background: Epilepsy is one of the greatest health burdens in the world, and it deeply impacts the mental and physical health of the affected population. Some individuals can completely recover through effective treatment, while others have difficulty recovering and even have mortality risks during seizure attacks. Thus, we explored the effects of cerebrospinal fluid AMPA receptor levels on the clinical efficacy of lamotrigine in epilepsy treatment. We believe our work might have implications in epilepsy treatment. Methods: Seventy cases of epilepsy diagnosed in our hospital were selected for this study from December 2016 to October 2018. The AMPA receptor content of patients in cerebrospinal fluid was determined by enzyme-linked immunosorbent assay. The patients were placed into a high AMPA group (n=34) and a low AMPA group (n=36) according to the median value at 4.08 ng/ml. Clinical efficacy and the incidence of adverse reactions were compared between the two groups. Results: Before treatment, there was no significant difference in seizure frequency between the two groups (P>0.05). After treatment for 6 and 12 months, the seizure frequencies of the two groups were gradually reduced (P<0.05). Moreover, the number of seizures in the low AMPA group was significantly lower than that in the high AMPA group (P<0.05). The response rate of the high AMPA group was 79.41%, which was significantly lower than that of the low group AMPA (χ2=6.055, P=0.048). The improvement in electroencephalogram in the high AMPA group was 67.65%, which was significantly lower than that in the low AMPA group (χ2=4.686, P=0.030). However, there was no significant difference in the incidence of adverse reactions between the two groups (χ2=0.202, P=0.653). Conclusions: AMPA receptor plays an important role in the development of epilepsy, and lamotrigine treatment was more efficacious in patients with low AMPA receptor levels.
Application of intravenous lidocaine in patients undergoing operative hysteroscopy: a randomized, double-blind, controlled study
Authors: Wang Huaxin , Peng Xuan , Xiao Yeda , Zhao Bo , Zhan Liying 
Published: July 2019

Abstract
Background

The role of intraoperative intravenous lidocaine infusion has been previously evaluated for pain relief, inflammatory response, and post-operative recovery, including in endoscopic surgery. The present study is a randomized double-blinded trial in which we evaluated whether intravenous lidocaine infusion would reduce postoperative pain, propofol requirement and remifentanil consumption in patients undergoing hysteroscopy surgery.

Methods

Eighty-five patients scheduled to undergo elective operative hysteroscopy surgery under general anesthesia were randomized into two groups. Group L included patients who received an intravenous lidocaine bolus 1.5mg/kg over 3 min followed by a continuous infusion at the rate of 2 mg/kg/h until surgery completed, and Group C received 0.9% normal saline solution at an equivalent rate. The depth of anesthesia was monitored using the Narcotrend, which was based on measurement of the patient’s cerebral electrical activity. Primary outcome of the study was postoperative hypogastric pain evaluating by visual analogue scale (VAS). Secondary outcomes include propofol requirement and remifentanil requirement.

Results

VAS score of Group L was significantly lower than Group C at postoperative 0.5 h, 4 h, respectively (P < 0.05), while no obvious difference was found at postoperative 24 h. There was no difference between groups in propofol requirement, but Group L required less dosage of remifentanil than Group C (P < 0.05). Moreover, the incidence of throat pain was significantly lower in Group L. No adverse events associated with lidocaine was discovered.

Conclusions

Administration of intravenous lidocaine infusion as an adjuvant alleviated short-term postoperative hypogastric pain and throat pain, and reduced remifentanil requirement in patients undergoing operative hysteroscopy surgery.
Comparative study between intrathecal dexmedetomidine and intrathecal magnesium sulfate in prevention of post spinal shivering in uroscopic surgery. (RCT)
Authors: Author) Heba Omar(Former Corresponding , abdelhamid Bassant Mohamed , Hassan Mohamed , Hassan Amany , Hassan Passaint , Elshall Ahmed , khalid dalia , Mostafa Maha , Zarif Pierre , hossameldin Mona , Adel Wessam , Wedad Mai 
Published: July 2019

Abstract
Background: Hypothermia and shivering are associated common complications after spinal anesthesia especially in uroscopic procedures when large amounts of cold intraluminal irrigating fluids are used. Magnesium sulphate and dexmedetomidine are the most effective adjuvants with least side effects. Our aim of the study is to compare the effect of intrathecal dexmedetomidine versus intrathecal magnesium sulfate in prevention of post spinal shivering.
Methods: This prospective randomized, double-blinded controlled study was conducted at Kasr El-Aini Hospital on 105 patients scheduled for uroscopic surgeries. patients were randomly allocated into three groups using computerized generated random tables, Group C (n=35) received 2.5 ml hyperbaric bupivacaine 0.5% (12.5 mg) +0.5 ml normal saline, Group M (n=35) received 2.5 ml hyperbaric bupivacaine 0.5% (12.5 mg) +25 mg magnesium sulfate in 0.5 ml saline and Group D (n=35) received 2.5 ml hyperbaric bupivacaine 0.5% (12.5mg) + 5 μg dexmedetomidine in 0.5 ml saline. Primary outcomes were the incidence and intensity of shivering. Secondary outcomes were incidence of hypothermia (Temp < 36° C), sedation, the use of meperidine to control shivering and complications, bradycardia, nausea and vomiting.
Results: C group showed statistically significant higher number of total patients who developed shivering (21), patients who developed grade IV shivering (20) and patients who needed meperidine (21) to treat shivering than M group (8,5,5) and D group (5,3,6) which were comparable to each other.
Time needed to give meperidine after giving the block was similar in the three groups. Hypothermia didn’t occur in any patient in the three groups.
The three groups were comparable regarding occurrence of nausea, vomiting, bradycardia & hypotension. All patients of C group, 32 patients in M group and 33 patients in D group had sedation score of 2. 3 patients in M group and 2 patients in D group had a sedation score of 3.
Conclusions: intrathecal injection of dexmedetomidine and magnesium sulfate were both effective in reducing the incidence of post spinal shivering. So, we encourage the use of magnesium sulphate being more physiological, readily available in most operating theatres and much cheaper than dexmedetomidine.
Clinical trial registration ID: PACTR201801003001727, on January 2018.
Formative Assessment of Writing (FAoW): A Confirmatory Factor Structure Study
Authors: TAVAKOLİ Elaheh , AMİRİAN Mohammad Reza , BURNER Tony , DAVOUDİ Mohammad , GHANİABADİ Saeed 
Published: July 2019

This validation study was undertaken to evaluate the construct of Formative Assessment of Writing (FAoW) operationalized by an instrument with 50 Likert scale items. To identify the EFL learners’ experiences of FAoW practices, the instrument was first piloted with three EFL learners, and subsequently administered on a sample of 255 EFL learners selected based on purposive sampling. A five-factor solution with five latent variables (i.e. clarifying criteria, evidence on students’ current learning, feedback to move learners forward, peer-assessment and autonomy) was evaluated through Confirmatory Factor Analysis (CFA) with AMOS 22. Model fit showed that the five-factor structure of FAoW could only be supported in terms of absolute and parsimony fit indices. The model with three factors (i.e. clarifying criteria, peer-assessment and feedback) in two stages of pre- and while-writing, however, provided higher discriminant validity in addition to absolute and parsimony fit indices. In other words, FAoW was not found to be practiced within its full potential with five components in the context of this study. A conceptual model was developed based on the findings and the literature to show pedagogical application of FAoW and how it can be practiced in line with Black and Wiliam’s (2009).
Visual analysis of three-dimensional flow field based on WebVR
Authors: Zhao Shilin , Jin Sheng , Ai Congfang , Zhang Nan 
Published: July 2019

Abstract
With the rapid development of internet technologies, it is possible to provide computing services and visualize calculated results on the internet. A three-dimensional flow field visualization method based on WebVR is presented in this paper. We devised and built an immersive and interactive three-dimensional virtual reality scene employing web-standard technologies (i.e., HTML5, JavaScript, WebGL, and Ajax) and computing services provided by hydrodynamic software, using GPUs to accelerate the display of flow field in the browser, without the use of plug-ins. On the basis of three-dimensional topography and surface flow field, a three-dimensional flow field presentation method of superimposing multiple sections into the original computational domain was proposed. Furthermore, the description of tracer sphere and path line was adopted to describe the structure characteristics of the flow field. Replacing complete three-dimensional sphere models with textured stylized particles improved the frame rate of the browser greatly when rendering animations. This research enables developers and users of the hydrodynamic model to be immersed in their data of flow field using Google Cardboard. As far as we know, this is the first time that WebVR technology has been applied in three-dimensional hydrodynamic simulation.