bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rapid Transition to Virtual Learning in Postgraduate Medical Education during the COVID-19 Pandemic in Tanzania: A Qualitative Study
Authors: Nyamuryekung’e Massawa K , Walli Nahida , Ismail Neelam A , Housseine Natasha , Adebayo Philip B. , Ali Athar 
Published: November 2024

Background:
The effect of the progressive utilization of virtual learning (VL) in postgraduate medical education (PGME) is contentious. During the COVID-19 pandemic, VL was up-scaled to bridge the education delivery gap. How this impacted learning experiences in PGME is an area that needs to be explored for the progressive context-specific application of VL.

Objective:
This phenomenological study aimed to explore the postgraduate medical faculty’s and residents’ experiences with the rapid shift to VL.

Methods:
Through an interpretivist paradigm, this study used in-depth individual semi-structured interviews and prompts to explore the full breadth of the participants’ experiences. A purposive sampling method was used, and qualitative content analysis was employed in an iterative process until data saturation. Data was collected between January 2021 and July 2021. Member checking was done to ensure validity. The AKU-ERC granted ethical approval, with reference AKU/2020/098/fb.

Results:
Ten participants were recruited for the study. Positive experiences were greater access to learning materials and improved learner confidence. In contrast, limited supervision, and lack of assurance of participants’ engagement emerged as a negative VL experience. The components of critical thinking and problem-solving skills were unaffected by virtual case-based learning. However, the aspects of acquiring clinical and surgical skills emerged as a difficulty in accepting VL as a valid mode for attaining these competencies.

Conclusions:
To improve experiences of VL, participants’ drive, engagement, technological inadequacies, and instructional design should be optimized.
The Diagnostic Role of Antinuclear Antibody: A Study of Clinical Utility in a Tertiary Hospital
Authors: AlMalki Hanan Hassan , AlJuman Abdulaziz Abdullah , Mobasher Wejdan Ali , AlOmair Mohammed Manea 
Published: November 2024

Abstract

Introduction:
Various studies reported unnecessary and inappropriate serology testing of rheumatic diseases leading to a significant waste in healthcare utilization. The purpose of this study is to evaluate the clinical utility of antinuclear antibody (ANA) testing in a real-world setting within a tertiary hospital for systemic lupus erythematosus (SLE) and other ANA-associated rheumatic diseases (AARDs), as well as to identify patient characteristics and test results that predict rheumatic disease association.

Subjects and Methods:
This is a retrospective study of patients aged 15 years or older who underwent ANA testing at Aseer Central Hospital from January 2018 to December 2022. Data collected included patient demographics, clinical presentations, referral physician type, ANA test results, and final diagnoses. Descriptive statistics characterized patient demographics and ANA test results. Sensitivity, specificity, and predictive values of ANA testing were calculated for SLE and AARD diagnoses. Chi-squared test was used to identify the predictive values of AARDs.

Results:
Of the 2141 patients tested for ANA at Aseer Central Hospital, 583 (27.2%) tested positive, with a higher proportion of females (80.8%). Notably, 85.1% of patients who tested ANA positive were under 55 years old. The highest ANA test-positive proportion was noticed by rheumatologist physician’s referral (67.6%), referral symptoms including joint symptoms (38.3%), mucocutaneous symptoms (19.7%), renal disease symptoms (14.4%), and hematological abnormalities (14.2%). The sensitivity and specificity of ANA for diagnosing SLE were 86.4% and 79.3%, respectively, with a positive predictive value (PPV) of 31.7% and a negative predictive value (NPV) of 98.1%. The sensitivity and specificity of other AARDs were 85.4% and 73.9%, respectively, with a PPV of 6% and an NPV of 99.6%. Significant associated factors with AARDs included younger age (<55 years), female patients, higher ANA titer, rheumatologist referral, and clinical indications such as sicca symptoms, myopathy, mucocutaneous symptoms, and hematological abnormalities (P < 0.001).

Conclusion:
In this study, ANA testing showed a good sensitivity and NPV in ruling out AARDs; however, its poor specificity and PPV suggest that positive ANA findings should be interpreted cautiously. Younger age, female gender, higher ANA titer, rheumatologist referral, and specific clinical indications were significantly associated with AARDs, suggesting the importance of targeted ANA testing in clinical practice.
Primary abandon-of-the-sac technique in laparoscopic inguinoscrotal hernia repair: A retrospective comparative study
Authors: Arrechea A. Ramiro , Rebzda Victoria S. , Medina José P. , Cerutti Roberto , Pirchi Daniel E. 
Published: November 2024

Abstract

BACKGROUND:
Laparoscopic inguinoscrotal hernia repair is a challenging procedure. The surgeon must perform large dissections to reduce the hernial sac, although he has the alternative technique of leaving the sac at the deep inguinal orifice level from the beginning.

OBJECTIVE:
We aimed to determine the postoperative morbidity of laparoscopic inguinoscrotal hernia repair with the primary abandon-of-the-sac (PAS) technique and to compare it with complete dissection and reduction (CD). Operative times were compared as a secondary outcome.

METHODS:
A retrospective analysis was conducted between January 2021 and May 2022. The minimum follow-up was 3 months. Postoperative morbidity and operative times in the PAS group were analyzed and compared with those in the CD group.

RESULTS:
Seventy-eight patients were evaluated. The mean follow-up was 5 months (range, 3–18 months). PAS was performed in 15 patients, while the remaining 63 patients underwent CD. There were no significant differences in demographic and hernia characteristics. An overall morbidity of 30.7% was recorded. No statistical differences were observed in postoperative morbidity between the PAS group and the CD group (33.3% vs. 30.1%; P = 0.81). No statistical differences were found in terms of seromas (13.3% vs. 9.5%; P = 0.662), hematomas (6.6% vs. 9.5%; P = 0.727), or hydrocele (13.3% vs. 11.1%; P = 0.808). No recurrence or chronic pain was observed during the study period. Finally, a significantly shorter median operative time was recorded in the PAS group (50 vs. 80 min; P = 0.0026).

CONCLUSION:
The PAS technique is safe and feasible for the management of inguinoscrotal hernias. In our series, comparable morbidity rates were found when comparing it with CD. The benefit of the PAS technique is a significant reduction in operative time, despite the fact that it requires more postoperative ultrasounds.
Bicondylar Hoffa’s Fracture with Transverse Patella Fracture in an Adolescent Boy
Authors: Pinto Deepak John Victor , Mane Prajwal , Middha Ish , Umar Mohd 
Published: November 2024

Abstract
An early adolescent boy presented with an alleged history of road traffic accident sustaining a closed injury to the left knee. On X-ray and computed tomography imaging, he was diagnosed with left femur bicondylar Hoffa’s fracture with transverse patellar fracture. Hoffa’s fracture is described in adults and rarely occurs in the skeletally immature population and hence poses a dearth of knowledge about the treatment for the same. Our patient underwent open reduction and internal fixation. The patient was followed up regularly and achieved radiological union and good knee function.
Prognostic utility of gamma-glutamyl transpeptidase to platelet ratio in patients with solitary hepatitis B virus-related hepatocellular carcinoma after hepatectomy
Authors: Yang Cheng-Kun , Wei Zhong-Liu , Shen Xiao-Qiang , Jia Yu-Xuan , Wu Qiong-Yuan , Wei Yong-Guang , Su Hao , Qin Wei , Liao Xi-Wen , Zhu Guang-Zhi , Peng Tao 
Published: November 2024

BACKGROUND
The prognostic impact of preoperative gamma-glutamyl transpeptidase to platelet ratio (GPR) levels in patients with solitary hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC) following radical resection has not been established.
AIM
To examine the clinical utility of GPR for prognosis prediction in solitary HBV-related HCC patients.
METHODS
A total of 1167 solitary HBV-related HCC patients were retrospectively analyzed. GPR levels were compared with 908 non-HCC individuals. Overall survival (OS) and recurrence-free survival (RFS) were evaluated, and cox proportional hazard model analyses were performed to identify independent risk factors. Differences in characteristics were adjusted by propensity score matching (PSM). Subgroup and stratified survival analyses for HCC risks were performed, and a linear trend of the hazard ratio (HR) according to GPR levels was constructed.
RESULTS
GPR levels of patients with solitary HBV-related HCC were higher than those with hepatic hemangiomas, chronic hepatitis B and healthy control (adjusted P < 0.05). Variable bias was diminished after the PSM balance test. The low GPR group had improved OS (P < 0.001) and RFS (P < 0.001) in the PSM analysis and when combined with other variables. Multivariate cox analyses suggested that low GPR levels were associated with a better OS (HR = 0.5, 95%CI: 0.36-0.7, P < 0.001) and RFS (HR = 0.57, 95%CI: 0.44-0.73, P < 0.001). This same trend was confirmed in subgroup analyses. Prognostic nomograms were constructed and the calibration curves showed that GPR had good survival prediction. Moreover, stratified survival analyses found that GPR > 0.6 was associated with a worse OS and higher recurrence rate (P for trend < 0.001).
CONCLUSION
Preoperative GPR can serve as a noninvasive indicator to predict the prognosis of patients with solitary HBV-related HCC.
Efficacy and safety of transhepatic arterial chemoembolization with drug-loaded microspheres in unresectable primary liver cancer
Authors: Deng Jun , Mi Yan-Hong , Xie Le , Sun Xiong-Xing , Liu Dan-Hong , Long Hua-Jun , He Li-Yong , Wu Da-Hua , Shang Hong-Cai 
Published: November 2024

BACKGROUND
Transhepatic arterial chemoembolization (TACE), as a local treatment, has been widely used in the treatment of unresectable liver cancer. The introduction of drug carrier microspheres has brought new hope for the therapeutic effect of TACE. Microspheres can realize the slow release and directional delivery of drugs, reduce systemic toxicity and improve local curative effect.
AIM
To compare the effectiveness of traditional transcatheter arterial chemoembolization against microsphere-assisted transcatheter arterial chemoembolization in the treatment of hepatocellular carcinoma that is incurable.
METHODS
We searched the PubMed, Embase, Cochrane Library, and CNKI databases for clinical trials of drug-luting beads TACE (DEB-TACE) vs conventional TACE (cTACE) for the treatment of unresectable liver cancer. We screened references based on inclusion and exclusion criteria and then selected valid data for meta-analysis using RevMan 53 software. The complete response (CR) rate, partial response (PR) rate, postoperative stable disease (SD) rate, and 6-month and 12-month survival rates were compared.
RESULTS
A total of 12 articles were included, including 1177 patients, 519 of whom received DEB-TACE and 658 of whom received cTACE. The CR rate in the DEB-TACE group was much greater than that in the cTACE group [relative risk (RR) = 1.42, 95%CI: 1.18–1.72, P = 0.0002]. The 12-month survival rate significantly increased (RR = 1.09; 95%CI: 1.01- 1.17, P = 0.03); the PR rate (RR = 1.13; 95%CI: 0.97-1.30, P = 0.12); the SD rate (RR = 0.82; 95%CI: 0.64-1.05, P = 0.12); and the 6-month survival rate (RR = 1.05; 95%CI: 1.00-1.10, P = 0.07). There was no significant difference (P < 0.05).
CONCLUSION
Compared with those of iodized oil TACE, the drug-loaded microspheres tended to have therapeutic advantages.
Signet-ring cell carcinoma of the transverse colon in a 10-year-old girl: A case report
Authors: Lv Ling , Song Yuan-Hua , Gao Yan , Pu Shuang-Qiong , A Zhi-Xiang , Wu Hong-Fang , Zhou Jun , Xie Yu-Cheng 
Published: November 2024

BACKGROUND
Signet-ring cell carcinoma (SRCC) is a rare subtype of colorectal cancer. The incidence of primary colonic SRCC is relatively rare in pediatric patients, with a limited number of reported cases currently available. The prognosis for this specific tumor type is unfavorable, and the preoperative diagnosis presents challenges, potentially leading to misdiagnosis. This case report describes the diagnosis of primary SRCC in the colon of a 10-year-old girl.
CASE SUMMARY
The patient was admitted to the hospital due to abdominal pain and vomiting. A computed tomography scan revealed an irregular mass with soft tissue density in her transverse colon, showing uneven density and multiple calcifications. The patient underwent surgical resection of the affected bowel and lymph node dissection, which was confirmed by pathological examination to be SRCC infiltrating both nerves and the entire intestinal wall. Additionally, tumor thrombus formation was observed in blood vessels and lymphatic vessels, multiple cancerous nodules were found in the omentum, and metastasis to 18 of 26 mesenteric lymph nodes examined. Immunohistochemistry for mismatch repair gene protein demonstrated microsatellite stability. No mutations in KRAS , NRAS , BRAF , or PIK3CA genes were detected through molecular pathology analysis. After surgery, she received standard chemotherapy for 8 cycles without tumor progression or other abnormalities during a 12-month follow-up period.
CONCLUSION
Primary colonic SRCC is a rare malignant tumor with atypical clinical symptoms, and timely identification and intervention are crucial for improving the prognosis.
PENINGKATAN PEMAHAMAN IBADAH SHALAT MELALUI MEDIA AUDIO VISUAL BAGI SISWA DI TADIKA AL FIKH ORCHARD PENDAMAR INDAH 2 SELANGOR MALAYSIA
Authors: Hasanah Robbyyatun , Harfiani Rizka 
Published: November 2024

Penelitian ini bertujuan untuk meningkatkan pemahaman ibadah sholat melalui media audio visual bagi anak usia dini, objek penelitian ini adalah siswa di Tadika Al Fikh Orchard Pendamar Indah 2, Selangor, Malaysia. Penelitian ini menggunakan metode Penelitian Tindakan Kelas (PTK). Teknik pengumpulan data yang digunakan adalah observasi, wawancara dan pencatatan berdasarkan instrument penilaian praktek ibadah sholat. Penilaian peningkatan pemahaman ibadah sholat dilakukan setiap minggu berdasarkan siklus penelitian.. Hasil penelitian menunjukkan adanya peningkatan, pemahaman siswa terhadap ibadah sholat, hal ini terlihat dari hasil persentasi penilaian, dimana pada siklus I sebesar 38,3%, siklus II sebesar 66,67%, dan meningkat lagi pada siklus III yaitu sebesar 95,3%. Maka dapat disimpulkan adanya peningkatan pemahaman siswa terhadap ibadah sholat melalui media audio visual
PERAN GURU KELAS PADA PELAKSANAAN LAYANAN BIMBINGAN KONSELING DALAM PEMBENTUKAN NILAI MORAL PESERTA DIDIK DI SD NEGERI LARANGAN BANYUMAS
Authors: Utami Dwi Setia , Mareza Lia , Hakim Mujibul 
Published: November 2024

Penelitian ini dilaksanakan di SD Negeri Larangan Banyumas. Penelitian ini bertujuan untuk mengetahui peran guru kelas pada pelaksanaan layanan bimbingan konseling dalam pembentukan nilai moral peserta didik serta mendeskripsikan faktor pendukung dan penghambat dalam pembentukan nilai moral peserta didik di SD Negeri Larangan Banyumas. Di SD Negeri Larangan Banyumas Moral peserta didik sudah baik, namun masih ada beberapa peserta didik yang moralnya kurang baik. Hal ini dilihat dari penggunaan bahasa yang kurang sopan dan tidak baik. Untuk mengatasi peserta didik dengan moral yang kurang baik, maka guru memberikan layanan bimbingan konseling. Peran guru, 1. Guru sebagai pengajar, di SD Negeri Larangan selalu memberikan ilmu baru untuk dapat dipelajari dan diterapkan oleh peserta didik salah satunya dengan memberikan ilmu agama untuk meyakini adanya Tuhan dan selalu beribadah kepadaNya. 2. Guru sebagai pembimbing, di SD Negeri Larangan pada saat mengajar selalu memberikan bimbingan kepada peserta didik baik pada saat pembelajaran maupun di luar jam pembelajaran. 3. Guru sebagai penasehat, guru menasehati peserta didik untuk selalu disiplin dalam mengerjakan tugas-tugas yang diberikan dan bertanggung jawab atas apa yang telah dilakukan. 4. Guru sebagai motivator, guru selalu memberikan motivasi, guru dapat menganalisis motif-motif yang melatarbelakangi peserta didik agar bergairah dan aktif belajar. Faktor pendukung dari penelitian ini yaitu kepala sekolah dan orang tua peserta didik yang ikut berpartisipasi sehingga bimbingan konseling berjalan lancar. Faktor penghambat yang dihadapi guru kelas dalam pelaksanaan bimbingan konseling yaitu karakter peserta didik yang berbeda-beda, waktu pelaksanaan bimbingan, dan tingkat pemahaman peserta didik dalam menyerap. Penelitian yang telah dilakukan peneliti menggunakan penelitian kualitatif. Pengujian keabsahan data menggunakan triangulasi sumber dan triangulasi teknik. Teknik penentuan sampel menggunakan purposive sampling serta teknik pengumpulan informasi pada penelitian ini yaitu dengan cara observasi, wawancara, dan dokumentasi.
АНАЛИЗ ТРАВМАТИЗМА НА ШАХТЕ «МОЛОДЕЖНАЯ» ДОНСКОГО ГОКА
Authors: А.М. Курманов , А.Б. Бекмагамбетов , Б.Т. Уахитова , Д.К. Жумадуллаев 
Published: November 2024

В статье проведен анализ производственного травматизма на шахте «Молодежная» Донского ГОКа за период с 2017 по 2023 год. Введение описывает актуальность проблемы травматизма в горнодобывающей отрасли Казахстана, несмотря на наличие эффективных систем безопасности и законодательства. Анализ включает статистику несчастных случаев, используя коэффициенты частоты, тяжести и общего травматизма, а также изучение распределения пострадавших по возрасту и стажу. Результаты показывают, что среднее число несчастных случаев за год составляет около 3, при этом 27,7% случаев являются тяжелыми. Основные группы пострадавших – работники в возрасте от 31 до 50 лет и с большим стажем. В статье предлагаются рекомендации по улучшению мер по охране труда, включая усиление контроля и регулярное проведение инструктажей. Заключение подчеркивает необходимость продолжения мониторинга и адаптации мер безопасности для снижения травматизм
Мақалада 2017-2023 жылдар аралығында Дон КБК «Молодежная» шахтасында өндірістік жарақаттануға талдау жасалды. Кіріспе қауіпсіздік пен заңнаманың тиімді жүйелерінің болуына қарамастан, Қазақстанның тау-кен өндіру саласындағы жарақаттану проблемасының өзектілігін сипаттайды. Талдау жиілік, ауырлық және жалпы жарақат коэффициенттерін қолдана отырып, жазатайым оқиғалар статистикасын, сондай-ақ зардап шеккендердің жасына және өтіліне қарай таралуын зерттеуді қамтиды. Нәтижелер көрсеткендей, бір жылдағы жазатайым оқиғалардың орташа саны шамамен 3, жағдайлардың 27,7%-ы ауыр. Зардап шеккендердің негізгі топтары – 31 жастан 50 жасқа дейінгі және үлкен тәжірибесі бар жұмысшылар. Мақалада еңбекті қорғау шараларын жақсарту бойынша ұсыныстар, соның ішінде бақылауды күшейту және үнемі брифингтер өткізу ұсынылады. Қорытынды жарақаттануды азайту үшін қауіпсіздік шараларын бақылауды және бейімдеуді жалғастыру қажеттілігін көрсетеді
The article analyzes the occupational injuries at the Molodezhnaya mine of the Donskoy GOK for the period from 2017 to 2023. The introduction describes the relevance of the injury problem in the mining industry of Kazakhstan, despite the existence of eff ective safety systems and legislation. The analysis includes accident statistics using the coeffi cients of frequency, severity and total injury, as well as the study of the distribution of victims by age and length of service. The results show that the average number of accidents per year is about 3, with 27.7% of cases being severe. The main groups of victims are workers aged 31 to 50 years and with long experience. The article off ers recommendations for improving occupational safety measures, including strengthening control and regular briefi ngs. The conclusion underlines the need for continued monitoring and adaptation of safety measures to reduce injuries
ЖЫЛАНДЫ КЕНIШI САРЫОБА КАРЬЕРIHIҢ БЕТКЕЙЛЕPIH НЫҒАЙТУДЫҢ ТӘСIЛI ЖӘНЕ ЕРТIНДIСI
Authors: Г. Мейрамбек , М.Б. Нұрпейісова , Қ.Б. Рысбеков , Д.М. Қырғызбаева 
Published: November 2024

Бұл жұмыста карьерлердің борттарын нығайтудың өзекті мәселесі қарастырылады. Карьер борттарының тұрақтылығын қамтамасыз ету бойынша шетелдік және отандық зерттеулерге шолу ұсынылған. Тау-кен өнеркәсібіндегі қауіпсіздік көбінесе беткейлердің тұрақтылығына байланысты, бұл тиімді нығайту технологияларын әзірлеуді және енгізуді талап етеді. Арнайы ерітіндіні қолдануға негізделген борттарды нығайтудың өзіндік әдісі ұсынылады. Эксперименттік нәтижелер әртүрлі климаттық жағдайларда ерітіндінің жоғары тиімділігін көрсетеді, бұл оны басқа карьерлер мен шахталарда кеңінен қолдануға кеңес береді. Бұл әдістеме борттардың қауіпсіздігі мен тұрақтылығын арттыру үшін негіз бола алады, бұл сайып келгенде карьерлерді табысты пайдалануға және өнімділікті арттыруға ықпал етеді
In this paper, the actual problem of strengthening the sides of quarries is considered. An overview of foreign and domestic studies on ensuring the stability of quarry sides is presented. Safety in the mining industry largely depends on the stability of slopes, which requires the development and implementation of effective reinforcement technologies. An original method of strengthening the sides is proposed, based on the use of a specialized solution. The experimental results demonstrate the high efficiency of the solution in various climatic conditions, which makes it possible to recommend it for wide use in other quarries and mines. This methodology can become the basis for improving the safety and stability of the boards, which ultimately contributes to the successful operation of quarries and increased productivity
В данной работе рассматривается актуальная проблема укрепления бортов карьеров. Представлен обзор зарубежных и отечественных исследований по обеспечению устойчивости бортов карьеров. Безопасность в горнодобывающей отрасли во многом зависит от устойчивости откосов, что требует разработки и внедрения эффективных технологий укрепления. Предлагается оригинальный способ укрепления бортов, основывающийся на использовании специализированного раствора. Экспериментальные результаты демонстрируют высокую эффективность раствора в различных климатических условиях, что позволяет рекомендовать его к широкому применению в других карьерах и рудниках. Данная методология может стать основой для повышения безопасности и устойчивости бортов, что в конечном итоге способствует успешной эксплуатации карьеров и увеличению производительности
Pendidikan Karakter dalam Komik Si Toyeb Karya Husni Assaerozi
Authors: Hayati Wahyuni Hayati , Bahanan Mochamad Abduloh 
Published: November 2024

In constitution Number 20 of 2003 year Chapter 2 Article 3 talking about the national education system said that "national education aims to develop the ability and form the character and civilization nation that dignity in order to educate life of the nation, aiming to develop the potential of students become human beings who faithful and pious to God Almighty, noble, healthy, erudite, capable, creative, independent, and become democratic and responsible citizen. The values of character education should be instilled in children since early age. This is duty of both parents to educate their children to have good behaviors and habits. Whether at home, at school or in the society circle. The comic book entitled Si Toyeb by Husni Assaerozi. This research aims to trace the characters education in the comic Si Toyeb which is a comic that tells about the portrait of santri life in Islamic boarding school. This written is a research that seeks to inspect the values of character education using library research methods. Data from the results of this research can be concluded that comic Si Toyeb by Husni Assaerozi there are 9 from 18 characters education values according national education ministry.