bluuebunny/crossref_metadata_2025_split huggingface dataset:
Deep learning in distinguishing pulmonary nodules as benign and malignant
Authors: Bilal Akıncı Muhammed , Özgökçe Mesut , Canayaz Murat , Durmaz Fatma , Özkaçmaz Sercan , Dündar İlyas , Türko Ensar , Göya Cemil 
Published: September 2024

Background: Due to the high mortality of lung cancer, the aim was to find convolutional neural network models that can distinguish benign and malignant cases with high accuracy, which can help in early diagnosis with diagnostic imaging.
Methods: Patients who underwent tomography in our clinic and who were found to have lung nodules were retrospectively screened between January 2015 and December 2020. The patients were divided into two groups: benign (n=68; 38 males, 30 females; mean age: 59±12.2 years; range, 27 to 81 years) and malignant (n=29; 19 males, 10 females; mean age: 65±10.4 years; range, 43 to 88 years). In addition, a control group (n=67; 38 males, 29 females; mean age: 56.9±14.1 years; range, 26 to 81 years) consisting of healthy patients with no pathology in their sections was formed. Deep neural networks were trained with 80% of the three-class dataset we created and tested with 20% of the data. After the training of deep neural networks, feature extraction was done for these networks. The features extracted from the dataset were classified by machine learning algorithms. Performance results were obtained using confusion matrix analysis.
Results: After training deep neural networks, the highest accuracy rate of 80% was achieved with the AlexNET model among the models used. In the second stage results, obtained after feature extraction and using the classifier, the highest accuracy rate was achieved with the support vector machine classifier in the VGG19 model with 93.5%. In addition, increases in accuracy were noted in all models with the use of the support vector machine classifier.
Conclusion: Differentiation of benign and malignant lung nodules using deep learning models and feature extraction will provide important advantages for early diagnosis in radiology practice. The results obtained in our study support this view.
Diaphragmatic elevations following cardiac surgery
Authors: Civelek İsa , Ece Çelikten Ayla , Mehmet Özbek Hamdi , Boğaçhan Akkaya Bekir , Özen Anıl , Utku Unal Ertekin , Levent Birincioğlu Cemal 
Published: September 2024

Background: This study aims to investigate the incidence, prognosis, and etiology of diaphragmatic elevation following cardiac surgery.
Methods: Between February 2019 and December 2019, a total of 888 patients (631 males, 257 females; mean age: 58.4±12.1 years; range, 19 to 84 years) who underwent cardiac surgery were retrospectively analyzed. A series of chest X-rays taken before and after surgery were analyzed to detect diaphragmatic elevation. The patients were divided into two groups: those without diaphragmatic elevation (Group 1, n=789) and those with diaphragmatic elevation (Group 2, n=99).
Results: Diaphragmatic elevation occurred in 11.14% of patients. Of these patients, 85% recovered within a year. Patients with concomitant chronic obstructive pulmonary disease and diaphragmatic elevation exhibited prolonged mechanical ventilation compared to chronic obstructive pulmonary disease patients without elevation. The incidence of diaphragmatic elevation was higher in coronary artery bypass grafting patients compared to others (p<0.001). A secondary analysis utilizing propensity score matching revealed topical cold slush as an independent risk factor for diaphragmatic elevation. Incidence and hospitalization duration were higher among patients exposed to topical cold slush (p=0.011 and p=0.002, respectively). Left internal mammary artery harvesting and diabetes mellitus were associated with increased incidence of diaphragmatic elevation.
Conclusion: Diaphragmatic elevation is frequent following cardiac surgery, particularly in coronary artery bypass grafting patients with diabetes mellitus. Among chronic obstructive pulmonary disease patients, diaphragmatic elevation can lead to unfavorable clinical outcomes. Minimizing the use of topical cold slush and considering beating heart surgery may be prudent in high-risk groups to reduce diaphragmatic elevation incidence.
A narrative review on the evolution and impact of smart cannulas in minimally invasive procedures
Authors: Condello Ignazio 
Published: September 2024

Background: This study aimed to explore the evolution and impact of smart cannulas in enhancing outcomes and expanding the scope of minimally invasive cardiac surgery.
Methods: In this study, a comprehensive review of the relevant literature was conducted, focusing on articles detailing the development, implementation, and outcomes associated with smart cannulas in cardiac surgery. PubMed, MEDLINE, and Google Scholar databases were searched until January 2024 using specific search terms related to smart cannulas and cardiac surgery. The review identified six studies, of which five met the inclusion criteria after screening titles and abstracts.
Results: Key findings included improved venous drainage, reduced complications, and enhanced surgical precision. From early prototypes to contemporary designs, smart cannulas demonstrated improved access, enhanced perfusion, and reduced complications compared to traditional cannulation methods. Additionally, advancements in technology-enabled remote access perfusion and facilitated complex procedures in pediatric and adult populations.
Conclusion: Smart cannulas represent a significant advancement in cardiac surgery, offering safer and more efficient alternatives to conventional cannulation techniques. The versatility and effectiveness of smart cannulas have paved the way for expanding the applications of minimally invasive cardiac surgery, ultimately benefiting patients through better improved outcomes and reduced morbidity. Continued research and innovation in smart cannula technology promise further enhancements in the field of cardiac surgery.
Purwarupa Light Meter Menggunakan Sensor Warna untuk Fotografi
Authors: Kumara Alam Ega , Hendry Jans 
Published: September 2024

Light plays an important role in the photography that it affects the quality of the photos. The lighting in the photo is influenced by the three elements of Triangle Exposure, namely aperture, shutter speed, and ISO contained in the camera settings. A tool named Light Meter is a tool that can measure photographic lighting by calculating the intensity of light received by the object of the photo to then adjust the Triangle Exposure elements to get recommendations for appropriate camera settings. In this study, the light meter was implemented using an ESP32 microcontroller combined with a TCS34725 color sensor that functions to detect light intensity. The results of the TCS34725 color sensor to detect light intensity compared to the comparison lux meter AS803 obtained an eror value of 0.3 indoors and 17.2 outdoors with the addition of a dome diffuser. Based on the detected light intensity data is then used in the calculation of Triangle Exposure adjustment. The results of the implementation of the Triangle Exposure recommendation provided by the tool for camera settings show photos with a more even distribution of light and color based on histogram analysis in low light conditions.
Impact of Tofacitinib and Aspirin on Lipoprotein Levels in Type 2 diabetic Rats: Implications for Macrovascular Complications’ Risk Mitigation
Authors: Bako Hauwau Yakubu 
Published: September 2024

Study’s Excerpt/Novelty

This study introduces an approach of using tofacitinib and aspirin to target both lipoprotein metabolism and inflammation in a type 2 diabetic rat model.
By demonstrating significant improvements in lipid profiles and reductions in atherogenic indices, particularly at higher doses, this research highlighted the potential of these drugs to mitigate cardiovascular risks associated with type 2 diabetes.
The findings provide a foundation for future exploration of anti-inflammatory strategies in managing dyslipidemia and macrovascular complications in diabetic conditions.

Full Abstract
Diabetes type 2 (T2D) related macrovascular complications are frequently linked to lipoprotein metabolism and the activation of inflammatory pathways. This study explores the impact of tofacitinib and aspirin on lipoprotein levels and inflammation in type 2 diabetic rats. Ten groups of eight rats each were treated with varying doses of tofacitinib and aspirin for nine weeks following induction of diabetes. Significant decreases in triglycerides, cholesterol, and LDL (P<0.05) were observed, along with increases in HDL levels, particularly at higher doses of tofacitinib 20 mg/kg and aspirin 200 mg/kg when compared with the diabetic control group. Additionally, treatment with both drugs at different doses significantly (P<0.05) reduced the artherogenic indices (CRI-I, CRI-II, AIP, AC), suggesting a decreased future risk of cardiovascular disease. These results highlight the possibility of addressing inflammation to reduce cardiovascular risk and dyslipidemia in rats with type 2 diabetes.
Extramedullary lesions in plasma cell proliferations. Clinical case
Authors: Kozich Zh. M. , Martinkov V. N. , Kovzik N. I. , Blizin D. A. 
Published: September 2024

Plasma cell neoplasms are characterized by tumor proliferation of a clone of plasma cells secreting pathological immunoglobulin. The most common types of plasma cell tumor include multiple myeloma, its predecessor smoldering myeloma, monoclonal gammopathy of undetermined significance, as well as rare forms – solitary plasmacytoma and extramedullary lesions with minimal or no bone marrow involvement. Among extramedullary lesions, several forms are distinguished, some of which are associated with bone tissue, and others are extraosseous, located in soft tissues or affecting various organs.The article presents a rare clinical case of extramedullary lesions with minimal bone marrow changes in a 49-year-old female patient with monoclonal gammopathy of undetermined significance and rheumatoid arthritis. Literature data, clinical manifestations, features of diagnosis and therapy are presented.
Structure of X-ray diagnostic studies and levels of exposure to the population of the Gomel region for the period of 2014-2021
Authors: Eventova L. N. , Mataras A. N. , Vlasova N. G. , Drobyshevskaya V. V. , Filyustin A. E. 
Published: September 2024

The analysis of the structure of X-ray diagnostic examinations and the levels of effective exposure doses to the population of the Gomel region for the period of 2014-2021 has been conducted based on data of the State Dosimetry Registry.The dynamics of indicators from 2014 to 2021 are shown.During the studied period there was a dominance of radiographic (51-54)% and fluorographic (40-35)% methods for examinations in the structure of X-ray diagnostic studies carried out in medical institutions of the Gomel region.There is a trend towards an increase in the collective effective dose of medical exposure to the population of the Gomel region by 38%. The significant changes in the structure of the collective dose were observed: in 2014 radiographic examinations accounted for 50%, and by 2021 their contribution decreased up to 25%, while the contribution of computed tomography over the corresponding period increased from 15% up to 53%.The number of X-ray procedures in medical institutions of the Gomel region in average 1,8 per capita annually during the entire observation period. The average effective dose from medical exposure per capita of the Gomel region increased by 44%.
Pengaruh Kualitas Pelayanan Pendafataran Rawat Jalan Terhadap Kepuasan Pasien BPJS Di Rumah Sakit Umum Avisena Cimahi
Authors: Soejoto Nina , Ariani Nurul Dwi , Aulia Dede Sri 
Published: September 2024

This studyaims to determine the effect of the quality of outpatient registration services on BPJS patient satisfaction at Rumah Sakit Umum Avisena Cimahi. The research method used by the author is a descriptive research method with a quantitative approach, data analysis techniques: validity test, reliability test, Spearman rank correlation test and coefficient of determination test. Data collection techniques used were observation, questionnaires and literature study with the research subjects werepatienst or their families who were waiting for the outpatient registration queue at Rumah Sakit Umum Avisena Cimahi. The result showed that the effect of the quality of outpatient registration services on BPJS patient satisfaction, namely the large influence of the service quality variable on patient satisfaction was 61,1% and the rest was influenced by other factors of 38,9%. The problems found from the results of the study are (1) registration officiers are only 1-2 people at 06.00 – 08.00 (2) The Average outpatient registration service for each patient is 3-5 minutes (3) There is no special place for registration of inpatient and emergency rooms. The author gives suggenstions from these problems, namely (1) Registration officer at 06.00 – 08.00 to 3 people (2) To disseminate an easy way to register online through the RSU Avisena application (3) To hold a special place for registration of inpatient and emergency rooms.
TEACHERS PERCEPTION REGARDING INCLUSION OF AGRICULTURAL EDUCATION AT SECONDARY LEVEL IN KHYBER PAKHTUHKHWA
Authors: Faheem Khan  
Published: September 2024

The current study was aimed to investigate the views of teachers regarding the inclusion of agricultural education at secondary school level in Khyber Pakhtunkhwa. Therefore, descriptive research method was used. The study was conducted in two universities District Dera Ismail Khan (D.IKhan) including University of Agriculture (UOA) and Gomal University (GU). A sample 125 (50%) teachers sample was chosen out of 250 teachers using proportionate stratified sampling method. A self- developed questionnaire was used for data collection. Content Validity Index (CVI) was used for the content validation purpose while Cronbach’s Alpha was used to measure the internal consistency of the instrument. Independent sample t-test and Analysis of Variance (ANOVA) was used to assess the response of agriculture teachers regarding the inclusion of agricultural education at secondary level. The result indicates that all teachers agreed upon agriculture curriculum included at secondary school level. So, agriculture curriculum may be design under the experts for secondary school level.
Satirical Dystopia in Modern Literature - The Book (A Nation Withdrawing from History) as an Example
Authors: Greiz Suiltana 
Published: September 2024

This research seeks to reveal the literature of (satirical dystopia) and the manifestations of that concept and its operations within the textual space, as a new term given to creative works that depict corruption, evil, and tyranny in a society whose moral values ​​are absent. In light of this trend, literary and critical works began to shed light on the features of urban corruption in literary discourse in general to achieve communication between the human self, cultural, and social systems, especially since the text is based on the duality of consciousness and existence. This duality engages with the artistic and semantic levels in form and content, to form a window for the alternative equation, which carries cultural and ideological references and searches for the future and anticipates its events. We have monitored concepts that are one of the research mechanisms and an important foundation of its main foundations, within the first section by pursuing the concept of dystopia and its approach in literature, as well as examining the concept of sarcasm, being a unique strategy in dealing with events, criticizing them, and anticipating the future. Then, in the second section, the study begins to monitor the conflicts of dystopia and identify its most prominent techniques and scenic manifestations related to science fiction in the book (A Nation Withdrawing from History), the model, and its semantic and artistic works, which intersect with cultural references.
This cognitive and methodological interweaving resulted in the extremely important place occupied by the satirical dystopia in (Waleed Maabreh’s) literary work, as a cultural signifier and a cognitive communicative field. It is so as it exposes the social, political, moral and psychological aspects of dystopia, and anticipates future dark events by observing this theme and drawing its images with a visionary significance and artistic aesthetics. This theme represents an explicit call for an implicit dystopian revolution, rejection and resistance to societal collapse and political oppression to achieve a dreamy utopia that achieves freedom, justice, happiness and humanity.
Pemberdayaan Kelompok Pemuda Lewat Pelatihan Pemanfatan Limbah Ampas Teh Sebagai Media Lukis
Authors: Sahlan Sahlan , Rahmawati Rahmawati 
Published: September 2024

Pengabdian kepada masyarakat ini dilatarbelakangi oleh potensi industri yang menghasilkan limbah yang cukup besar di Kecamatan Bontomarannu Kabupaten Gowa. Sektor industri yang memberikan konstribusi kepada masyarakat sekitar, namun secara tidak langsung dari limbah yang dihasilkan oleh salah satu perusahaan tersebut, ternyata bisa dimanfaatkan oleh sekelompok pemuda atau komunitas yang tentunya dapat berdampak positif dalam meningkatkan nilai ekonomi masyarakat desa. Dengan demikian salah satu indikator terpenuhinya hak-hak dasar masyarakat terutama untuk kalangan pemuda Desa mampu memberikan konstribusi kepada pemerintah setempat serta menjadi wadah diskusi dan pengaduan bagi kelompok masyarakat atau kelompok pemuda sebagai bagaian dari bentuk pegabdian sebagai warga setempat. Secara konseptual tiap pemuda yang dibentuk dapat memainkan peran tunggal ataupun ganda. Khusus untuk kegiatan ekonomi yang diarahkan sebagai lembaga ekonomi, diantaranya adalah kelompok pemuda. Program pengabdian kepada masyarakat ini hadir untuk menambah wawasan/pengetahuan mitra yakni Kelompok Pemuda Kecamatan Bontomarannu Kabupaten Gowa sebagai upaya pengembangan nilai ekonomi melalui pelatihan pemberdayaan kelompok pemuda sebagai bentuk langkah produktif yang diarahkan pada upaya peningkatan nilai ekonomi, kemandirian dengan pengolahan limbah ampas teh sebagai bentuk efisiensi dalam pengelolaan limbah dan pengurangan pencemaran lingkugan.
Pemeriksaan Status Gizi Ibu Hamil
Authors: Syakur Rosdiana , Basri Mohammad 
Published: September 2024

Stunting adalah masalah yang disebabkan oleh kekurangan gizi kronis. Oleh karena itu, kekurangan gizi tidak hanya terjadi setelah bayi lahir, tetapi juga bisa disebabkan oleh kekurangan gizi selama pertumbuhan dalam rahim. Dengan demikian, pemantauan status gizi selama kehamilan sangat penting untuk dilakukan agar masalah gizi pada ibu hamil dapat segera diatasi. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk menilai status gizi ibu hamil. Metode yang digunakan meliputi pemeriksaan Lingkar Lengan Atas (LiLA), penghitungan kenaikan berat badan, dan pemeriksaan hemoglobin Kegiatan ini melibatkan 60 peserta dalam waktu dua hari, di mana setiap ibu hamil menjalani pemeriksaan satu kali. Dari hasil kegiatan ini, sebagian besar ibu hamil memiliki status gizi yang baik berdasarkan pengukuran LiLA, dengan kenaikan berat badan yang sebagian besar berada dalam batas normal sesuai dengan usia kehamilan. Namun, masih ada beberapa ibu hamil yang mengalami anemia yaitu sebanyak 7 orang (11,6%), yang didukung oleh keluhan yang disampaikan pada saat pemeriksaan fisik.
Gambaran Deteksi Dini Kesehatan Jiwa Pada Lansia Dengan Penyakit Degeneratif Di Desa Allang Asaude Wilayah Kerja Puskesmas Waesala
Authors: Hitiyaut Mirdat , Hatuwe Ernawati , Samalle Amelia Pratiwi 
Published: September 2024

Lansia akan mengalami banyak gangguan fisik maupun gangguan psikologis atau mental. ini proses alamiah badan manusia yang sudah memasuki fase usia lanjut. Dengan demikian, deteksi dini kesehatan jiwa pada lansia perlu dilakukan. Tujuan: untuk mendeskripsikan kesehatan jiwa dan gangguan mental pada lansia dengan penyakit degeneratif di Desa Allang asaude. Metode Penelitian : Metode Penelitian yang digunakan adalah metode kuantitatif dengan desain penilitian deskriptif. Instrument yang digunakan adalah kuesioner Self-Reporting Questionnarie (SRQ) 20 Item. Hasil: Hasil Penelitian yang dilakukan pada 87 responden, terdapat 70 (80.5%) responden normal; 17 (19.5%) responden terindikasi gangguan Kesehatan Jiwa; Penderita Rhematoid Athritis yang terindikasi gangguan mental berjumlah 3 (17.6%) responden; penderita Hipertensi yang terindikasi gangguan mental berjumlah 4 (23.5%) responden; penderita Diabetes Melitus yang terindikasi gangguan mental berjumlah 3 (17.6%) responden; penderita Syndrome Dispepsia yang terindikasi gangguan mental berjumlah 2 (12.0%) responden. Kesimpulan: Perlu diperhatikan kondisi kesehatan lansia, baik fisik maupun mental. Deteksi dini kesehatan jiwa perlu dilakukan lebih awal pada lansia maupun masyarakat agar mengetahui kondisi kesehatan jiwa mereka.
Pengaruh Pemberian Kangoroo Mother Care (KMC) dengan Kenaikan Berat Badan pada Bayi BBLER: Case Study
Authors: Karen Ika Luthfiyyah , Ferika Indarwati  , Layli Anisah  
Published: September 2024

Bayi dengan berat badan lahir sangat rendah (BBLER) yang berat badan lahirnya kurang dari 1000 gram biasanya mempunyai gangguan kesehatan serius yang memerlukan penanganan dan perhatian khusus. Tujuan penelitian ini yaitu untuk mengetahui pengaruh KMC terhadap pertambahan berat badan padabayi dengan BBLER. Metode penelitian ini adalah studi kasus dengan intervensi keperawatan KMC pada pasien BBLER yang dilakukan selama 14 hari. Hasil penelitian menampilkan, setelah dilakukan KMC selama 14 hari berat badan bayi meningkat dari 1040 gram menjadi 1305 gram. Rata-rata kenaikan berat badan bayi per hari sebesar 18,93 gram. KMC berpengaruh terhadap peningkatan berat badan bayi penderita BBLER.
Analisis Pengaruh Implementasi Lean Healthcare Dalam Meningkatkan Pelayanan Kesehatan Pasien Bpjs Rawat Jalan Instalasi Rumah Sakit: Literature Review
Authors: Azzahra Raisya Shafa , Anggraini Anis Lusiana , Septiana Wulan , Iswanto Acim Heri 
Published: September 2024

BPJS kesehatan merupakan program jaminan kesehatan untuk masyarakat indonesia. Program ini juga bisa dipakai oleh pasien rawat jalan dan rumah sakit bisa menerapkan Lean Healthcare pada pasien rawat jalan BPJS karena dapat membantu rumah sakit dalam mengurangi serta menghilangkan waste dalam pelayanan rawat jalan. Permasalahan yang sering terjadi yaitu seperti lamanya waktu tunggu dan diskriminasi pelayanan yang sering dialami oleh pasien rawat jalan yang menggunakan program BPJS. Tujuan dari artikel ini untuk menganalisis pengaruh implementasi Lean Healthcaredalam meningkatkan pelayanan kesehatan pasien BPJS rawat jalan di rumah sakit. Sedangkan metode yang digunakan yaitu literature review dengan database menggunakan PubMed dan Google Scholar yang telah terakreditasi dengan rentan waktu 2018-2024. Dalam pengumpulan data mendapatkan 9 artikel yang digunakan dalam penelitian ini yaitu penelitian terdahulu yang telah dipublikasi secara nasional dan internasional. Hasil yang didapatkan dari penelitian ini yaitu bahwa implementasi Lean Healthcare mempengaruhi dalam pelayanan kesehatan pasien BPJS rawat jalan di rumah sakit. Faktor-faktor tersebut adalah pemborosan lamanya waktu tunggu pelayanan pasien BPJS dengan rasio bernilai tambah dengan kurang dari 30%. Jadi kesimpulannya BPJS kesehatan dan penerapan Lean Healthcare dapat membantu rumah sakit dan pelayanan kesehatan menjadi lebih baik, efisien dan juga bisa mengurangi waste dalam pelayanan rawat jalan dirumah sakit.