bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Use of Ultrasound for Breast Pain in a Newfoundland Cohort Article Sidebar
Authors: Hogan Sarah , Hapgood Connie 
Published: September 2024

Background and objective Breast pain is a common complaint for which ultrasound is often used for evaluation. The purpose of this study was to determine the number and outcome of breast ultrasounds conducted in patients having breast pain with no other associated clinical features. Method All patients who underwent breast ultrasound for breast pain at a local hospital from January 1, 2016 through December 31, 2018 were identified. The result of each ultrasound was recorded along with variables such as clinical features (palpable lump, nipple discharge, and skin dimpling), age, sex, pain characteristics, menopausal status, and family/personal history of breast cancer. Results A total of 1660 ultrasounds (12.8%) for breast pain were performed at a local hospital center, accounting for 12.8% of the total breast ultrasounds done during the stated period. The age range of the patients was 17–91 years, with a mean age of 45.4 years and standard deviation (SD) being 15 years. Most of the patients had no clinical findings associated with their pain (64%). More abnormal ultrasound findings in patients with clinical features (29%) were determined compared to patients with no clinical features (16%). The majority of abnormal ultrasounds in patients with no clinical features were done in patients aged 41–50 years (13.9%), and patients aged >50 years (10.9%). No abnormal findings in patients aged <20 years were detected, and only 15 patients (6.5%) aged 21–30 years with no clinical findings had abnormal ultrasounds. Conclusion Patients aged 17–30 years had the lowest abnormal finding rate, with no cancerous outcomes. These results support the prudent use of breast ultrasound in case of young patients.
Ultrasound-Guided Transrectal Prostate Biopsy: An Evidence-Based Process Report for an Acute Care Community Hospital
Authors: Taylor Jennifer 
Published: September 2024

Background and Purpose: Clearly designed processes improve patient care and department efficiency. A formative process evaluation is used to strengthen a service, improve outcomes, or increase program efficiency. A community hospital in Southern Ontario completed such an evaluation of its ultrasound-guided prostate biopsy service. During a prostate biopsy, tissue samples for cancer diagnosis are obtained. The Canadian Cancer Society estimated that 22,300 men would be diagnosed with prostate cancer and approximately 4,300 would die in 2007. Timely access to diagnostic and treatment services is critical for the reduction of prostate cancer mortality and morbidity. An evaluation of the ultrasound-guided prostate biopsy service was undertaken to identify possible strategies to reduce wait times from 6 months to 6 weeks and identify service improvements. Hospitals are accountable for the efficient and effective use of resources. This evaluation was designed to provide evidence-based data to identify ways to improve resource use. Methods: A literature review, stakeholder interviews, and comparator hospital survey were conducted to identify stakeholder needs and to determine industry standards and opportunities for service improvement and access. Results: The results suggest a need for revisions of the booking process, patient information service, and pain management strategies, as well as staff realignment, policy and procedure updates, and a process to evaluate outcomes. Conclusion: This process evaluation successfully identified service improvements that may reduce the wait time from 6 months to 6 weeks.Therapeutic Uses of Ultrasound-Guided Microbubbles: A Review of Current Research
Sonography of the Outflow Tracts of the Fetal Heart Part 1 – Normal Anatomy and Common Anatomical Variants
Authors: Suchet Ian B. 
Published: September 2024

The four-chamber view of the fetal heart is still widely used as the only sonographic view for detection of congenital heart disease (CHD). However, inherent limitations of the four-chamber view in detecting abnormalities of the major vessels necessitate expanding the routine scan to include the outflow tracts. Conotruncal abnormalities in particular are often not detected on the four-chamber view. Assessment of the heart and outflow tracts is accomplished by sequential transverse planes starting in the upper abdomen and ending in the superior mediastinum. Grey-scale 2-D images, complemented by colour and pulsed Doppler which help quantify direction and velocity flow within the insonated vessel are now considered the standard. Although there is initially a steep, slow learning curve, successful evaluation of the outflow tracts can be accomplished within 5 minutes by an experienced examiner. Grey-scale images complemented by colour, directional power Doppler and pulsed Doppler will allow identification of most major CHD cases. This paper describes the normal anatomy in each of these transverse planes, as well as common variants and pitfalls that constitute the normal two-dimensional scan, that must be mastered prior to evaluating the numerous abnormalities that may be encountered. Most infants with CHD are born to mothers without specifically defined risk factors, and it is for this reason, that the emphasis on fetal heart evaluation has evolved to routine screening of both low- and high-risk pregnancies. The four-chamber view of the fetal heart is still widely used as the only sonographic view for detection of congenital heart disease (CHD). However, because of the inherent limitations in the four-chamber view in detecting anomalies of the outflow tracts, the sensitivity for detection of CHD varies from 48 to 63% in some series.1-3 When evaluation of the outflow tracts is performed as well, the detection rate of CHD increases to over 90%.4
Primary Hyperparathyroidism in Pregnancy: A Case Report
Authors: Kennedy Linda 
Published: September 2024

A 29-year-old female, 24 weeks pregnant, presented to the emergency department with severe abdominal pain and confusion. Laboratory results revealed the patient had high pancreatic enzymes as well as elevated serum calcium. Ultrasound imaging of the abdomen revealed an enlarged pancreas with adjacent free fluid as well as kidneys with echogenic medullary pyramids and fluid adjacent to the kidneys. Primary hyperparathyroidism was suspected and confirmed with neck ultrasound that demonstrated the presence of a parathyroid adenoma. Fetal well-being was confirmed with ultrasound. Primary hyperparathyroidism is considered rare in pregnancy and the effects may result in both maternal and fetal complications. A single adenoma is the cause of most cases of primary hyperparathyroidism and the definitive treatment is surgical removal of the adenoma.
Prenatal Ultrasound Diagnosis of Frontonasal Dysplasia
Authors: Sandhu Navjot 
Published: September 2024

Sonographers are often exposed to rare fetal conditions. The following case study serves as an example. A healthy 28-year-old Caucasian female with a negative first trimester screen presented with complex facial and intracranial abnormalities at her routine detailed ultrasound. The ultrasound findings included mild ventriculomegaly, ocular hypertelorism, large bilateral cleft lip and palate, mildly narrowed frontal bone, and partial absence of the corpus callosum. These findings suggested a genetic/chromosomal-related etiology, more specifically “Frontonasal Dysplasia.”1 Diagnosis is made by a combination of two or more of the following findings: cranium bifidum occultum, ocular hypertelorism, median cleft nose, median cleft lip, and median cleft dysplasia.2 This is a rare and poorly defined syndrome caused by mutation of the ALX gene.1 The rarity in which it is encountered made this case a formidable diagnostic challenge. Recognition of this syndrome is critical to implementation of appropriate therapy of this rare fetal condition.
Analisis Kebutuhan Pengembangan Buku Ajar Etnobotani Berbasis Sains Keislaman
Authors: Angela Lia 
Published: September 2024

Ketersediaan buku ajar merupakan salah satu faktor pendukung keberhasilan pembelajaran. Penelitian ini bertujujan untuk mendeksripsikan kebutuhan mahasiswa Program Studi Tadris Biologi IAIN Kerinci terhadap buku ajar etnobotani. Metode peneltian menggunakan deskriptif eksploratif dengan subjek penelitian yaitu mahasiswa semester enam program studi tadris Biologi IAIN Kerinci sebanyak 30 orang. Mahasiswa yang menjadi subjek penelitian adalah mahasiswa yang telah atau sedang menempuh mata kuliah etnobotani. Sampel penelitian diambil secara acak. Instrumen yang digunakan dalam penelitian ini adalah kuesioner dan angket mahasiswa. Adapun teknik analisis data yaitu secara deskriptif kuantitatif. Hasil penelitian menunjukkan adanya kebutuhan terhadap pengembangan buku ajar etnobotani berbasis sains keislaman.
Pola Asuh Orangtua Pada Anak Pra Remaja Dengan Kecanduan Gadget Di Keiurahan Tafure
Authors: Abdullah Fadila 
Published: September 2024

Latar belakang Pola asuh orang tua sangat berpengaruh terhadap perkembangan motorik kasar danhalus, perkembangan bahasa dan kemampuan sosial anak. Tujuan.Penelitian ini bertujuan mengujisecara empiris hubungan antara pola asuh permisif orang tua dengan intensitas bermain gadget anakusia dini. Hipotesis yang diajukan adalah ada hubungan positif antara pola asuh permisif orang tuadengan intensitas bermain gadget anak usia dini. Metode. Subjek penelitian 50 orang yang memilikianak berusia dini. Penelitian diungkap menggunakan Skala pola asuh permisif orang tua dan Skalaintensitas bermain gadget anak usia dini. Teknik analisis data yang digunakan adalah korelasi productmoment dari Karl Pearson. Hasil. Berdasarkan analisis data yang dilakukan diperoleh koefisienkorelasi rxy :-119, dengan taraf signifikansi sebesar 0,412 (p>0,05), sehingga hipotesis yang diajukantidak dapat diterima. Kesimpulan Artinya tidak ada hubungan yang signifikan antara pola asuhpermisif orang tua dengan intensitas bermain gadget anak usia dini.
Deep Feature Extraction with SVM Classifier for Brain Tumor Classification
Authors: Jamal M. Alrikabi  , Satar Shaker Muhammad  
Published: September 2024

Recently, methods for classifying brain tumors have used Deep Learning (DL), in particular, Convolutional Neural Networks (CNNs), to obtain promising results. Unlike conventional Machine Learning (ML) algorithms, CNNs can automatically extract features from images; they do not, however, need the extraction regarding hand-crafted features. Many obstacles reduce the accuracy of brain tumor classification systems; to address such obstacles, we propose a DL-based feature extraction method for brain tumor classification. A total of two pretrained CNNs, VggNet-16 and ResNet-18, are applied as deep feature extractors in the scheme to accomplish deep feature extraction. Contrast Limited Adaptive Histogram Equalization (CLAHE) technique has been first used for enhancing the images. Second, each separately pretrained CNN, VggNet-16 and ResNet-18, is used for extracting the deep features from Magnetic Resonance Imaging (MRI). Lastly, a Multiclass Support Vector Machines (Multiclass -SVM) classifier is used to complete a classification task. Tests conducted on the aforementioned datasets: the effectiveness of the suggested approach is demonstrated by the CE-MRI Figshare, the REMBRANDT, and the Brain Tumor Classification, where the pre-trained CNN models and SVM classifier enhance performance. Specifically, the pretrained CNN with SVM approach produces accuracy ranging from 95.28% to 98.62% across all data-sets.
Evaluation of immunological status in pregnant and aborted women with cytomegal infection in Thi-Qar Governorate
Authors: Saja jabbar Khalf  
Published: September 2024

The current study was conducted on aborted and pregnant women suspected of being infected with cytomegalovirus in The-Qar Governorate. (90) Serum samples of pregnant and aborted women were examined using the Enzyme-linked Immunosorbent assay(ELISA). through the examination, (50) sample of women infected with CMV virus were found, with rate of 55.55%, where it was found that (43) sample of them carried the IgG antibody, with a rate of 48.88%, and(5) sample with the IgM immunoglobulin antibody, with a rate of (5.5%), and (2) sample of Igm+IgG, with a rate of (2.2%).
Through the study of blood parameters that was conducted on (40) blood samples of women infected with the virus, compared to (10) blood samples of uninfected women there was a decrease in the blood hemoglobin rate (Hb)(11.54%) and compressed blood volume by (0.35) compared to the control group, three were no significant difference(p>0.05) for the total number of white blood cells. When conducting a differential of white blood cells for infected women it was found that there was an increase in the percentage of lymphocytes by (40.50), While no significant differences were observed (p>0.05) in the percentage of monocytes,neutrophils eosinophils, and basophils. As for the phagocytosis factor, an increase in the phagocytosis factor was recorded for infected women compared to the control group, as the phagocytosis factor for infected women reached 12-60% and for the control group 47.10%.
Machine Learning Prediction of Short-Term Solar PV and Wind Farm Power Generation in Ontario
Authors: Cheung Jeremy 
Published: September 2024

<p>This research accounts for the outcome of a machine learning algorithm project to predict short term solar and wind power in Ontario. A Long Short Term Memory (LSTM) model was developed to monitor short term power output predictions from 4 hours ahead to 6 hours ahead. This study demonstrates a unique approach of utilizing nearby publicly available meteorological data to predict renewable energy power output that could potentially be used for wind and solar farm scheduling to prevent curtailment of clean energy. The wind power and the solar power was predicted 6 and 4 hours ahead with a coefficient of correlation (R2) of 0.817 and 0.738 respectively. It has demonstrated the usage of a LSTM network as a reliable tool for the prediction of renewable energy that can be implemented to power output on systems that require accurate prediction of wind and solar power within the 4 to 6 hours. </p>
Obscure, Minimize, and Distract: The Canadian State's Playbook on the Characterization and Justification of Immigration Detention
Authors: Lam Connie 
Published: September 2024

<p>State discourse on immigration detention reveals a concerted effort to obscure the realities of immigration detention in Canada. This paper exposes Canadian statutes and federally published websites as non-neutral domains where discursive violence takes place and where enactments of state violence are justified. Although it positions itself as a welcoming 'safe haven' for migrants, the Canadian state distracts us from the punitive nature of indefinite immigration detention, minimizes the number of migrants detained, and inflates the danger that migrants pose to Canadian society and borders. The Canadian state's moral authority to enforce immigration detention must not be accepted as natural, lest we naturalize the violence, harm, and settler domination that the state enacts against 'undesirable' migrants. Applying a Critical Discourse Analysis, this paper investigates Canadian state and state agency discourses on/of immigration detention in order to reveal the discursive strategies the state employs to characterize and justify immigration detention. </p>
تأثير منهج تدريبي لتطوير القوة لعضلات الطرف السفلي للاعبي كرة القدم الشباب
Authors: Asst. Prof. Dr. Liza Rustum Yaqoob  , Prof. Dr.Huda badwe shbeeb  , Prof .Dr. Iqbal Abdul Hussein Neamah  
Published: September 2024

ان أهمية البحث في تطوير صفة القوة لغرض الارتقاء بها من جهة والتعرف على التأثير المتداخل بين هذه الأنواع للقوة , ومن خلال وضع برنامج تدريبي ومدى تطور القوة لعضلات الطرف السفلي للاعبي كرة القدم الشباب, ومن خلال اطلاع الباحث والاستفسار من بعض المختصين في مجال التدريب الرياضي فيما يتعلق بأنواع القوة وتأثيرها تؤدي بالنتيجة الى الاقتصاد في الوقت والجهد خلال مراحل التدريب, حيث ارتأت من خلال إعداد برنامج تدريبي لكل نوع منال صفة وتطبيقها ومعرفة نتائجها, واستخدم الباحث التجريبي بالاختبار القبلي والبعدي للمجموعتين التجريبية والضابطة لملائمته لطبيعة البحث, وتم تحديد مجتمع البحث لاعبي نادي الشرطة الرياضي للشباب بكرة القدم للموسم الرياضي 2021, والبالغ عددهم (28لاعب)، اذ تم اختيار عينة البحث بأسلوب الحصر الشامل وقسمت العينة الى مجموعتين التجريبية والمجموعة الضابطة وبواقع ( 14 لاعب) لكل مجموعة وتم تطبيق التدريبات ولمدة ثمانية أسابيع وبواقع ثلاث وحدات تدريبة في الأسبوع الواحد واستخدم الباحث الحقيبة الاحصائية (spss) وتوصل الباحث إلى ان للمنهج التدريبي اثرا ايجابيا لتطوير القوة لعضلات الطرف السفلي للاعبي كرة القدم الشباب
Health Care Expenditure of Patients With Type 2 Diabetes Mellitus in Bangladesh: A Review
Authors: Zaman Md Saif , Hassan Parvez , Islam S M Shahinul , Ullah Md Anayet , Rabbani Md Golam 
Published: September 2024

The main objectives of this review are to offer an in-depth examination of the analysis of health care expenditure of patients with type 2 diabetes mellitus in covering its epidemiology, causes, clinical manifestations, diagnostic techniques, treatment approaches, and prognosis in Bangladesh. Most of the information and data are mainly involved in a critical review of various studies from sample groups of different ethnicities, age groups and genders. This study employs a systematic review and meta-analysis approach to compile and analyze existing research on health care expenditure of patients with type 2 diabetes mellitus. The study follows the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to ensure comprehensive and transparent reporting of the review process. Results on the basis of various reports showed that the length of diabetes and the number of co-morbidities and complications raise the cost of healthcare. The data confirms the previously reported conclusion that patients treated with insulin monotherapy or an insulin and oral hypoglycemic agents (OHAs) combination had higher direct costs and overall costs than patients treated with OHAs alone. Overall, it was discovered that the main contributing factors to the cost of therapy were the length of diabetes, the quantity of co-morbidities and complications, and the type of treatment. The prevalence of type 2 diabetes is increasing in Bangladesh, where out-of-pocket medical expenses are higher and universal health insurance is not available to the general public. Planning cost-effective diabetes management and prevention measures is necessary. A suitable insurance plan should be created with special services for diabetic patients. To reduce the negative effects of the condition, early detection of diabetes is essential as reported by several studies compiled herein. This can be accomplished through raising awareness and eradicating the social stigma, especially for women in Bangladesh.
J. Bio-Sci. 32(2): 93-106, 2024
Penerapan Pembangunan Berkelanjutan Dalam Upaya Peningkatan Pengelolaan Lingkungan
Authors: Mahadewi Kadek Julia , Rusmana I Putu Edi , Amalia Rafika , Sukadana Dewa Ayu Putri , Sukmayanti Made Shinthia , Rama Bagus Gede Ari 
Published: September 2024

The use of natural resources for the implementation of development is closely related to the environment and spatial planning. These two things have so far tended to be unplanned and unsustainable, the result of which is a decline in the quality and function of the environment, including the natural resources within it. Environmental problems are increasing day by day, this indicates that environmental policy has not been successful. The community service activity was carried out on Friday 26 July 2024 at the Subak Sibang Kaja Abiansemal Hall. The problem formulation in this report is firstly, What is the form of community synergy to realize sustainable development in environmental management? and secondly, what are the inhibiting factors in realizing sustainable development? The aim of this report is to find out the synergy of society in realizing sustainable development in environmental management and what factors are obstacles in realizing sustainable development. This implementation method uses socialization where implementation is carried out through lectures given by resource persons with the aim of making the community understand the importance of management. environment . The results of the first community service activities are in the form of synergy which occurs in the form of cooperation between the community and the government in environmental management such as establishing a waste bank and the first inhibiting factors in sustainable development, lack of public awareness, the absence of legal regulations that provide appropriate sanctions. firm and finally the existence of climate change in an area Keywords: environment; improvement; sustainable developmen.
Perencanaan Sistem Informasi Manufaktur Berbasis Engginering To Order dan Make To Order
Authors: Mauluddin Yusuf , Kurniadi Dede , Abdulah Farhan Naufal 
Published: September 2024

Dalam memenuhi permintaan di PT. Garut Makmur Perkasa, proses produksi sering mengalami kesalahan dalam pencatatan dan pelaporan termasuk dalam pertukaran informasi antar departemen. Hal ini disebabkan oleh kurangnya pengendalian dalam proses pencatatan yang masih mengandalkan metode manual dan tidak adanya prosedur khusus yang mengatur proses tersebut. Kesalahan dalam pencatatan dan pelaporan yang sering terjadi menyebabkan komunikasi antar departemen terhambat. Oleh karena itu, perusahaan memerlukan Standar Operasional Prosedur (SOP) yang mengatur prosedur kerja pada proses produksi. Untuk menunjang hal ini, diperlukan sistem informasi terintegrasi yang dapat menggantikan metode manual dengan metode digital. Metode yang digunakan pada penelitian ini menggunakan metode waterfall dan perancangan SOP menggunakan metode Cross Functional Flowchart yang digabung dengan narasi. Penelitian ini hanya sampai pada tahap prototype pada sistem informasi manufaktur yang dibuat dengan menggunakan simulasi canva web design. Penelitian ini menghasilkan rancangan Standar Operasional Prosedur (SOP) pada departemen produksi, departemen gudang wetblue leather, dan departemen gudang finished goods untuk membantu perusahaan menjaga konsistensi dan kinerja karyawan. Dan sistem informasi manufaktur agar memudahkan karyawan dalam mengelola proses pencatatan dan pertukaran informasi antar departemen.
Faktor-Faktor yang Mempengaruhi Perubahan Lahan Kawasan Perumahan Menjadi Kawasan Perdagangan dan Jasa
Authors: Ramadhan Muhammad , Fasa Achmad Saeful 
Published: September 2024

Keterbatasan lahan dan harga lahan yang tinggi di kawasan yang diperuntukkan bagi kegiatan komersial di pusat kota mengakibatkan invasi fungsi komersial ke kawasan perumahan, salah satunya dimana kawasaan sekitar Perumahan di Kelurahan Cibodas Baru. Tujuan dari studi ini adalah mengidentifikasi faktor-faktor yang menyebabkan perubahan pemanfaatan lahan perumahan menjadi perdagangan dan jasa komersial di Perumahan Kelurahan Cibodas Baru Kecamatan Cibodas Kota Tangerang. Populasi perdagangan dan jasa berjumlah 621 populasi dengan metode sampli rumus Slovin. Metode analisa yang digunakan adalah dengan cara deskriptif kuantitatif dan superimpose (overlay), berdasaran pengamatan Drone penggunaan lahan eksiting tahun 2021 dengan kesesuaian Rencana Tata Ruang Wilayah Kota Tangerang tahun 2012-2032 maka terdapat selisih perumahan ke perdagangan dan jasa sebesar 56.919,33 m2 (5,65 Ha) atau 9,27 %, Tren perubahan lahan dari tahun 1998 sampai 2023 maka perubahannya pertahun adalah 0,44 % pertahun . Analisa faktor-faktor perubahan pemanfaatan lahan perumahan menjadi perdagangan dan jasa di Perumahan Cibodas Baru dengan penggunaan Software SPSS dengan memasukan beberapa variable maka variable derajat aksesibiltas lahan dengan yang hubungan signifikannya diterima dengan nilai Asymptotic Significance (2-sided) 0,000004 < 0,05 maka terdapat hubungan yang kuat dengan chi-square=21.190, oleh sebab itu aksesbilitas lahan akan semakin tinggi maka semakin tinggi pula perubahan fungsi pemanfaatan lahan perumahan.