bluuebunny/crossref_metadata_2025_split huggingface dataset:
The incidence and risk factors of intraoperative bacterial contamination in primary total knee arthroplasty
Authors: Xing Lijun , Liu Fengyue , Li Enrun , Kang Yuling , Tan Kunyuan , Li Juhong 
Published: November 2024

BackgroundInfection is a devasting complication after arthroplasty. Identifying potential sources contributing to intraoperative bacterial transmission can help to reduce surgical-site infections.ObjectiveThe aim of this study was to identify the incidence and risk factors of intraoperative bacterial contamination (IBC) in primary total knee arthroplasty (TKA) procedures.MethodsActive surveillance cultures were used to detect IBC from 125 consecutive unilateral primary TKAs. The cultures were taken from different sites (surgical instruments, gloves of surgeons and surgical incisions) at different time points (before surgery, 30 min and at the end of the surgery) during arthroplasty procedures. Patient characteristics, including age, height, body weight, body mass index, comorbidity of diabetes mellitus, operative duration, intraoperative blood loss, types of prophylactic antibiotics were recorded. The white blood cell level before, the 3rd and 7th day after surgery were measured and recorded. In addition, patients were also followed for fever and surgical-site infections within 14 days after surgery.ResultsIn total, 1,000 cultures were taken. 91 (9.1%) of them showed an IBC. None of bacterial cultures of gloves and instruments before surgery were positive. At 30 min from the beginning of the procedure, 29 cultures (7.7%) from 16 patients (12.8%) showed a contamination. At the end of the surgery, 62 cultures (16.5%) from 32 patients (25.6%) showed a contamination. There were 15 cases (12.0%) of fever within 14 days after surgery, of which 11 cases with IBC, and 4 cases without IBC. No postoperative surgical-site infection occurred in all consecutive unilateral primary TKAs. The binomial logistic regression analyses confirmed that operative duration was the risk factor of IBC [OR 1.137 (95% CI 1.023 to 1.322), p = 0.014]. Moreover, compared to control group, the patients with IBC had a greater change of white blood cell level in the 3rd day after surgery (p = 0.022), and a higher risk of fever within 14 days after surgery (p &lt; 0.001).ConclusionThe bacterial contamination rate during primary TKA is relatively high, despite the practice of standard preventive measures. Intraoperative bacterial contamination increases with long operating time, which may be one of the factors contributing to fever and leukocytosis after surgery.
Transoral robotic salivary surgery for hilar\parenchymal submandibular stones
Authors: Capaccio Pasquale , Lazzeroni Matteo , Torretta Sara , Solimeno Lorenzo Salvatore , Cristofaro Valentina , Proh Michele , Cammaroto Giovanni , Meccariello Giuseppe , Vicini Claudio , Pignataro Lorenzo 
Published: November 2024

ObjectivesA prospective interventional study was designed to describe our series of patients with submandibular stones undergoing sialendoscopy-assisted TORSS (trans-oral robotic salivary surgery) by means of Si or Xi Da Vinci robotic system between January 2019 and June 2023, in order to assess safety and effectiveness of the procedure.Methods54 adult patients with submandibular stones undergoing sialendoscopy-assisted TORSS between January 2019-June 2023.ResultsThe global success rate was 81.5%, with better surgical outcomes in patients with palpable hilar/hilo-parenchymal stones compared to non-palpable pure parenchymal ones (92.7 vs. 46.2%). In addition, the mean stone size in cases failing TORSS was smaller than that documented in successfully treated patients (7.8 ± 1.8 vs. 9.8 ± 2.4 mm). No major untoward effects were observed (transitory lingual nerve dysfunction in 3 patients undergoing Xi Da Vinci surgery). A positive outcome in terms of post-operative surgical pain, patient's satisfaction and recovery time was observed.ConclusionsIntrinsic stone features (such as size, location/palpability) seems to be predictor for surgical success; an accurate pre-operative planning is mandatory to better select which patient can benefit most from TORSS procedure.
Seroprevalence of anti-SARS-CoV-2 IgM and IgG and COVID-19 vaccine uptake in healthy volunteers in Nairobi, Kenya: a cross-sectional study
Authors: Otindo Agnes Muhonja , Ndombi Eric M. , Theuri Martin , Muturi Margaret , Thamaini Peris , Ogutu James , Onsongo Lister , Madete June K. , Ofula Victor , Gitau Samuel , Mwangi Gladys , Okemo Paul 
Published: November 2024

IntroductionSeroprevalence of anti-severe acute respiratory syndrome coronavirus 2 (anti-SARS-CoV-2) antibodies in the postvaccination period in Kenya remains to be elucidated. This study aimed to determine the seroprevalence of anti-SARS-CoV-2 IgM and IgG and evaluate Covid-19 vaccination uptake in a university setting in Nairobi.MethodsThis cross-sectional study assayed serum anti-SARS-CoV-2 IgM and IgG levels using enzyme-linked immunosorbent assays. A structured questionnaire was used to determine vaccine uptake, vaccine hesitancy and reasons for hesitancy.ResultsA total of 189 participants were enrolled (median age, 21 years; female, 50.8%). The seroprevalence of anti-SARS-CoV-2 was 12.7% for IgM and 87.8% for IgG. Anti-SARS-CoV-2 IgG titers were higher among the vaccinated vs. non-vaccinated individuals (p &lt; 0.001, U = 2817.5), females vs. males (p = 0.024, U = 3616), and those vaccinated ≤ 6 months before the study vs. those vaccinated &gt;1 year earlier (p = 0.002, H = 12.359). The vaccination hesitancy rate was 43.4% and the underlying reasons included mistrust (22.4%), health concerns (19.7%), and lack of information (18.4%).DiscussionThe high seroprevalence of anti-SARS-CoV-2 IgG is an indication of high exposure to SARS-CoV-2 either through natural infection or through vaccination. The high vaccine hesitancy noted necessitates community engagement, and public education to dispel myths and misinformation prior to roll out of new vaccines and other health interventions.
Frequência de escoliose em miopatias: revisão de escopo
Authors: Oliver Gomes Andréa , Lima Larissa Fany Cristina de Marci Souza , Wajchenberg Marcelo , Souza Bulle Oliveira Acary , Almeida da Silva Helga Cristina 
Published: November 2024

Introdução. A escoliose é caracterizada como um desvio lateral na coluna vertebral, que pode ser acompanhado de componente rotacional, resultando em uma curvatura com angulação variável, conforme medida pelo ângulo de Cobb. Escoliose é um achado descrito em doenças neuromusculares que levam a comprometimento de musculatura paravertebral, que deve ser monitorada para detecção e intervenção precoces. Assim, o objetivo desta revisão de literatura é investigar a ocorrência e frequência de escoliose nas várias miopatias, para aumentar o grau de suspeição clínica e intervenção no momento adequado. Método. As buscas foram realizadas no banco de dados da PubMed, para artigos publicados entre 1965-2023, com as palavras-chave “myopathy” e “scoliosis”. 112 dos 229 artigos originais encontrados atenderam aos critérios de inclusão e todos os artigos selecionados foram avaliados criticamente por dois avaliadores independentes. As seguintes variáveis foram selecionadas desses artigos: autor, ano, tipo de miopatia, mutação associada, idade, sexo, severidade da escoliose e intervenção. Resultados. As miopatias associadas à escoliose nessa revisão foram, em ordem de frequência, as distrofias musculares congênitas (14-100%), as distrofias musculares progressivas como a forma de Duchenne (100%) e as miopatias congênitas (5-100%). A quantificação da intensidade da escoliose teve predominância de casos severos, seguido de casos leves. Em relação às intervenções, foram relatadas a fisioterapia e a intervenção cirúrgica, na maioria dos casos. Conclusão. Escoliose é um achado frequente em miopatias, porém com poucos dados prospectivos da intensidade e do impacto das intervenções em grande parte delas. Mais estudo são necessários nessa área.
СРАВНИТЕЛЬНЫЙ АНАЛИЗ ЭФФЕКТИВНОСТИ НЕЙРОПРОТЕКТОРОВ В КОМПЛЕКСНОЙ ТЕРАПИИ ИШЕМИЧЕСКИХ ИНСУЛЬТОВ
Authors: С.А. Живолупов , Ю.С. Бутакова , И.Н. Самарцев 
Published: November 2024

Инсульт был и остается одной из важных медико-социальных проблем современного общества. В настоящее время представления об этиологии, патогенетических механизмах и терапевтических подходах к рациональной терапии пациентов с инсультом претерпели кардинальные изменения. В статье подробно рассмотрена комбинированная фармакотерапия пациентов с инсультами, на основе результатов собственных клинических исследований проанализированы теоретические и практические аспекты нейропротективной терапии острых нарушений мозгового кровообращения. Продемонстрирована одинаковая эффективность применения различных нейропротекторных препаратов: из группы антигипоксантов с мультимодальным механизмом действия (мексидол) и нейромодуляторов (цитиколин).
Stroke was and remains one of the world’s leading medical and social problems. Nowadays we are watching cardinal changes in view about etiology, pathogenetic mechanisms and rational therapy of patients with stroke. In this work much attention is devoted to the combined pharmacotherapy of patients with stroke, there have been elucidated contemporary theoretical and practical aspects of stroke treatment based on the own results of clinical trials. It shows the same effeciecy of different neuroprotective drugs: among which there are antihypoxants with pleiotropic action (mexidol) and neuromodulators (citicholin).
Инсульт заманауи қоғамның ең маңызды медициналық және әлеуметтік мәселелерінің бірі болып қала бермек. Қазіргі уақытта этиология, патогенетикалық механизмдер және инсультпен науқастарды ұтымды ем тәсілдері туралы ойлар түбегейлі өзгерістерге ұшырады. Мақалада жеке клиникалық зерттеулердің нәтижелері бойынша инсультпен науқастардың аралас фармакотерапиясы, ми қан айналымының жедел бұзылуларының нейропротективті емінің теориялық және практикалық аспектілері талданады. Әртүрлі нейропротекторлық дәрілерді қолдану тиімділігі дәлелденді: мультимодальды әрекет механизмі (Mexidol) және нейромодуляторлар (Citicoline) бар антигипоксандар тобынан.
DIFERENTES FONTES DE ADUBOS NO CULTIVO DO AÇAFRÃO (Curcuma longa L.)
Authors: Klein Jackson , Colombo João Nacir , Zaager Rafael , Souza Advaldo Graciano Pinheiro de 
Published: November 2024

Turmeric is a vegetable belonging to the Zingiberaceae family with high nutraceutical properties. Due to its well-known medicinal properties, it is important to reduce the use of mineral fertilizers during its cultivation. Therefore, this study aimed to evaluate the agronomic performance of turmeric using different fertilizer sources: chemical, organic, and organomineral. The experimental design used was randomized blocks with four replications and six treatments: T1- Control, without fertilization; T2- 50% chicken manure + 50% mineral fertilizer; T3- 50% turkey manure + 50% mineral fertilizer; T4- only chicken manure fertilization; T5- only turkey manure fertilization; T6- only mineral fertilization. The emergence speed of turmeric rhizomes, with an average of 4.92, was not influenced by different fertilizers. Plants that received organic fertilizers achieved greater heights, reaching 27.12 cm in the treatment with turkey manure. Applying organomineral fertilizers promoted greater sprouting, with 5.43 sprouts per plant in the treatment with organomineral (50% chicken manure + 50% mineral fertilizer). The highest yields were achieved in treatments with turkey manure, presenting a commercial yield of 25.22 t ha-1, a of 44.9 t ha-1, and a fresh matter mass of 30.44 t ha-1. Similar results were observed using chicken manure and organomineral (50% chicken manure + 50% mineral fertilizer). The exclusive use of organic fertilization meets the nutritional requirements of turmeric.
Happiness of High School Teachers: Research in Da Nang City and QuangNam Province, Central Region of VietNam
Authors: Nguyen-Thi Hang-Phuong , Le My-Dung , Van Bui Van , Duplàa Emmanuel 
Published: November 2024

Feeling happy in the teaching process plays a crucial role in supporting students. When teachers are happy, it not only directly impacts their performance but also affects the psychological development of students. Using the method of testing the happiness scale developed by (Phan Thi Mai Huong., 2019), which considers several factors connected to negative emotions, positive emotions, and job satisfaction and value. We surveyed over 360 high school teachers in Da Nang City and QuangNam province. The results showed that high school teachers over the age of 50 have a higher sense of happiness compared to those under 30. Female teachers have a higher level of satisfaction and sense of value in their work than male teachers. Based on these findings, we propose several measures to improve the sense of happiness among high school teachers.

Received: 10 August 2024 / Accepted: 27 October 2024 / Published: 05 November 2024
Increasing the Effectiveness of the Educational Process Through the Integration of Technology and the Use of Modern Methodologies in Humanities
Authors: Balla Ervin , Kiri Lindita 
Published: November 2024

Technology applications in Albanian Pre-University Education have changed the way of teaching and learning. Teaching/learning theories have also evolved, which form the foundations of designing the learning process for increasing learning outcomes. The curriculum of pre-university education, based on the constructivist theory of learning "learning by doing", creates conditions for the use and integration of technology during the learning process. Technology and learner-centered teaching promote high levels of creative and creative thinking. The teacher's attitude and perception towards this approach often prevents them from integrating it into their subjects. The purpose of the work is the use of Information and Communication Technology for the improvement of the teaching process through the implementation of modern methodologies in the humanities. The methods used in the work are those of analysis, synthesis, evaluation, etc. . The use of technology in the classroom makes the learning process more effective and attractive when it is developed according to appropriate teaching methodologies, increasing its positive impact on the student and learning outcomes.

Received: 11 July 2024 / Accepted: 31 October 2024 / Published: 05 November 2024
The Impact of Digital Technology on Learning and Teaching: A Case Study of Schools in Durrës, Albania
Authors: Osmani Sonila , Tartari Doreta 
Published: November 2024

The incorporation of digital technology in education has become more widespread, offering the potential to transform conventional teaching methods and improve student learning experiences. This study investigates the influence of digital technology on the process of learning and teaching in Albanian schools. This study used a mixed-methods approach to examine the benefits, difficulties, and overall efficacy of digital tools in educational environments. This paper provides a comprehensive literature analysis to examine the global trends and issues related to digital technology in education, with a specific focus on developing nations. It emphasizes the distinct socio-economic and infrastructural difficulties encountered by Albania, a developing country endeavoring to improve its educational system. Survey responses from a diverse selection of 10 educational institutions in Durrës, Albania provided numerical data. Quantitative data collection involved conducting questionnaires with students of different ages, which allowed for a comprehensive understanding of their experiences and perspectives. The results demonstrate that the use of digital technology greatly improves student engagement and academic achievement. Schools that integrated digital technology into their curriculum achieved higher exam scores than schools that did not. Nevertheless, the research also highlights notable obstacles such as limited infrastructure, unstable internet access, and inadequate teacher preparation that impede the efficient utilization of digital resources. It is necessary for teachers a significant inclination for additional training and assistance, while students demonstrated a preference for digital learning tools over conventional techniques, citing heightened enthusiasm and involvement. This study provides policy proposals to effectively solve the highlighted difficulties and improve the incorporation of digital technology in Albanian schools. These include increased financial resources for improving infrastructure, comprehensive programs for educating teachers, and the establishment of a supportive framework to maintain digital integration endeavors. In summary, this study offers a comprehensive analysis of the impact of digital technology on educational achievements in Albania, making a significant contribution to the wider discussion on digital education in developing nations. The results emphasize the revolutionary capacity of digital tools in education while emphasizing the critical necessity of resolving structural obstacles in order to fully achieve this promise.

Received: 14 July 2024 / Accepted: 2 October 2024 / Published: 05 November 2024
Educational Innovations as Facilitating Factors for Learning of Children with Special Needs in Preschool Institutions
Authors: Agaj Fatmir , Suhodolli Mirsad 
Published: November 2024

The objective of our study is to measure the impact of teaching innovations in facilitating the learning of preschool children (aged 3-6) with special needs. This study covers 5 municipalities of the Republic of Kosovo (Prishtina, Gjakova, Ferizaj, Gjilan, Kamenica). Data were collected through electronic questionnaires with 128 parents and 128 educators who have children with special needs. The questions were oriented around the impact of educational innovations in facilitating the learning of children with special needs. Based on the results of the present study, it is concluded that the impact of teaching innovations has shown a trend towards a positive future in facilitating learning for children with special needs. However, gradual improvements should be made to create a suitable and inclusive environment by providing innovative approaches according to the needs of children with special needs. In this study, it was understood from the respondents that educational innovations affect the facilitation of learning for children with special needs, which has also been statistically proven. According to statistics, we finally realized that parents are more principled, compared to educators. Parents are constantly looking for innovative changes, while educators are reluctant to do so, arguing that they do not have enough support from educational institutions. In quantitative terms, the phenomenon of educational innovations in facilitating the learning of children with special needs, especially in terms of the implementation of educational innovations, in terms of parents' perception, needs improvement, especially in the adaptation of educational innovations to children and completing preschool institutions with professional educators and assistants.

Received: 22 August 2024 / Accepted: 29 October 2024 / Published: 05 November 2024
Exploring the Perspectives of Students with Disabilities on the Reasonable Accommodations Provided in Higher Education Institutions
Authors: Al Bakri Sereen Talal , F. Alshahrani Basmah 
Published: November 2024

The purpose of this study was to explore the available treatment for students with disabilities (SWD) in post-secondary education. the main research question focuses on exploring the perspectives of SWD about the reasonable accommodation focuses they received at King Saud University (KSU), and Princess Nourah University (PNU). A qualitative research methodology was used, information was subsequently collected from 12 SWD via a semi-structured interview format and using Thematic analysis to write the result report. some significant results arose, such as that the majority of SWDs stated that CDSS helps assist with their schooling. Many, however, said that the faculty did not understand their demands and that they needed instruction in this area. They also expressed dissatisfaction with admissions procedures that bar them from enrolling in certain departments.

Received: 16 May 2024 / Accepted: 16 September 2024 / Published: 05 November 2024
Exploring Teacher Job Satisfaction in Regular Basic Education: The Case of Peru
Authors: Maldonado-Cueva Percy David , Flores-Zafra David , Fernández-Bedoya Víctor Hugo 
Published: November 2024

Teachers play a pivotal role in shaping the educational journey of children and adolescents. This article endeavours to examine whether teacher satisfaction in Peru has seen consistent improvement over time, influenced by various factors such as salary increments, enhancements in infrastructure and working conditions, as well as changes in teaching and learning methodologies. This inquiry stems from the significant increase in government budget allocation to the education sector since 2000, with a notable 546.2% rise in student expenditure at the secondary level. We proposed as research question: “How has job satisfaction been for regular basic education teachers in Peru?” To address this, a qualitative, descriptive, non-experimental approach was adopted, drawing upon data from the National Institute of Statistics and Informatics (INEI) and the Ministry of Education (MINEDU). We found that despite the increase in factors such as salary, budgetary allocation, and job stability within the public sector, teacher satisfaction has not seen the desired improvement. On the contrary, teachers express a sense of unrecognized contributions by their educational institutions.

Received: 20 March 2024 / Accepted: 1 November 2024 / Published: 05 November 2024
High Security and Special Regime in the Albanian Penitentiary System
Authors: Kurti Skerdian , Buçpapaj Adela 
Published: November 2024

The Albanian penitentiary system underwent significant transformation in 2020, increasingly reflecting the implementation of a progressive treatment approach aligned with the social risk posed by the convicted individual and aimed at their re-education for the purpose of rehabilitation and reintegration into society. Through this paper, we aim to present an overview of the Albanian penitentiary system according to the provisions of Law No. 81/2020 "On the Rights and Treatment of Convicted Prisoners and Detainees," with a broad focus on the analysis of legal provisions regulating high-security penitentiary institutions and the implementation of the special regime in high-security institutions. This regime, similar to the 41 bis regime provided by Italian legislation, is closely linked to the penal policy pursued by the Albanian state in the context of combating and preventing organized crime. The adoption of this regime aims to maintain order and security by fundamentally preventing leaders and members of organized crime from having contact with their organization and other criminal organizations operating in Albanian territory, thereby inhibiting them from issuing orders from the penitentiary institution where they are held.

Received: 21 July 2024 / Accepted: 24 October 2024 / Published: 05 November 2024