bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring Recidivism in Cardiac Surgical ICU: Can this Understanding Translate to Enhanced Patient Outcomes?
Authors: Sahajanandan Raj , Varsha A V , Rao Vinay M. , Kurien Ben B. , Kuruvilla Korah , Thankachen Roy , Philip Madhu A. 
Published: October 2024

ABSTRACT

Objective:
The need for reinstitution of intensive care unit (ICU) care (“recidivism”) in post-cardiac surgery patients is associated with increased morbidity, mortality, resource use, and healthcare costs. Recidivism is propounded as a quality indicator of ICU care. There is a paucity of studies from India regarding cardiac surgical ICU readmissions, their outcomes, and risk factors.

Methods:
Nested case-control study including 1,711 consecutive adult patients who underwent cardiac surgery over a two-year period at a tertiary care institute. The patients were grouped into recidival (R) and control (C) groups. The reasons for readmission, outcomes, and predictive risk factors were analyzed.

Results:
Fifty-four of 1,711 (3.1%) patients were readmitted to ICU, main reasons being cardiac arrhythmias (24, 41%), pericardial effusion (9, 15.2%), and infection (8, 13.5%). Readmission was significantly higher for valvular interventions (39 patients, 24.3%, mitral valve 25 patients) than coronary artery bypass grafting (13, 10.6%), P value 0.003*. On multivariate analysis, EuroSCORE 2 (>5), age, surgical reexploration, postoperative pulmonary complications, and infections were independently associated with a need for ICU readmission. The mortality rate among the readmitted patients was 7.4% compared to 1.4% overall mortality. The mean total postoperative length of stay was significantly longer for recidival patients (17.6 ± 14 days vs 7.6 ± 2.4 days; P < 0.0001).

Conclusions:
Recidivism is associated with longer hospital stay, suboptimal outcomes as well higher risk of mortality. Postoperative cardiac dysrhythmia was the most common cause of recidivism in our cohort. Early identification of patients at risk for recidivism and timely management of cardiopulmonary complications can translate to better outcomes.
Relation Between Multiplication of Venous Carbon Dioxide Partial Pressure (PvCO2) and the Ratio of Gas Flow to Pump Flow (Ve/Q) with Hyperlactatemia During Cardiopulmonary Bypass
Authors: Kowara Yos , Setiawan Philia , Airlangga Prananda S. , Abbas Kun A. , Perdhana Fajar , Husain Teuku A , Semedi Bambang P. 
Published: October 2024

ABSTRACT

Background:
The incidence of hyperlactatemia due to hypoperfusion during cardiopulmonary bypass (CPB) increases morbidity. Carbon dioxide production during CPB is one of the lactate production markers, in addition to other markers such as delivery oxygen (DO2), oxygen consumption (VO2), mixed vein oxygen saturation (SvO2), and oxygen extraction ratio (O2ER).

Method:
This observational analytic study was conducted on 40 adult cardiac surgery patients using a CPB machine. Initial lactate is taken when entering CPB and final lactate is examined 15 min after coming off bypass. The values of DO2, VO2, SvO2, VCO2, respiratory quotient (RQ), DO2/VCO2, PvCO2 × Ve/Q were calculated from the results of blood and venous gas analysis 1 h after entering CPB in the nadir of core temperature and lowest pump flow.

Result:
The multivariate test showed that the value of PvCO2 × Ve/Q was more effective than other oxygenation and carbon dioxide parameters in predicting an increase in the percentage of lactate. Each increase of 1 mmHg PvCO2 ×× Ve/Q can predict a final lactate increase of 29% from the initial lactate. The high PvCO2 × Ve/Q value is also the strongest correlation factor for the incidence of hyperlactatemia after CPB (final lactate >3 mmol/L). The cutoff value of this marker is >19.3 mmHg, which has a sensitivity of 100% and a specificity of 55.6% with a strong correlation value.

Conclusion:
The PvCO2 × Ve/Q value proved to be one of the significant markers in predicting hyperlactatemia during cardiac surgery using CPB.
Hyperintensity in Bilateral Posterior Limbs of Internal Capsule Due to Hypernatremia
Authors: Wu Min-Yang , Sun Yuan-Ting 
Published: October 2024

Abstract

Purpose:
Osmotic demyelination syndrome is usually caused by rapid correction of hyponatremia but sometimes develops from acute severe hypernatremia. Studies suggested that serum sodium increasing at the rate of <6~8 mmol/L in 24 hours has a low risk of osmotic demyelination syndrome, but sometimes exceptions present. Aside from the classical sites of involvement, such as pons and basal ganglia, internal capsules are rarely affected. We report a case with acute paraparesis caused by acute hypernatremia-induced extrapontine myelinolysis involving the posterior limbs of bilateral internal capsules.

Case:
A 54-year-old man was admitted for aseptic encephalitis and moved to the intensive care unit due to poor consciousness and respiratory failure. Although cerebrospinal fluid pleocytosis was improved later, acute hypernatremia due to partial diabetes insipidus developed. He presented acute paraplegia two days later with a negative result on the whole spine MRI. Although the increasing rate of serum sodium did not exceed the recommended safety range, the extrapontine myelinolysis involving posterior limbs of the bilateral internal capsule, as long as the corpus callosum, still developed. The patient regained partial walking ability after one year.

Conclusion:
This case report extends the spectrum of classical osmotic demyelination in clinical manifestations, image findings, and the causal range of electrolyte derangements.
Community Health Workers’ Challenges during COVID-19: An Intersectionality Study
Authors: Kurapati Jyothi , Anitha C T 
Published: October 2024

Abstract
Accredited social health activists (ASHAs) and auxiliary nurse midwives (ANMs) as community health workers (CHWs) have been crucial in providing health assistance and information during the COVID-19 pandemic. These CHWs face various challenges, such as discrimination, long hours of work, and low wages, which were exacerbated during the pandemic. The study uses an intersectionality framework to understand CHWs’ marginalization and challenges. A qualitative study with ASHAs and ANMs was conducted in selected primary health centers (PHCs) and subcenters in Suryapet district, Telangana, in 2021. The in-depth interviews of 60 CHWs were analyzed using the software Atlas-ti. The inductive thematic analysis highlighted several challenges faced by CHWs. These challenges include barriers such as discrimination based on class and caste, pay parity, increased workload, lack of training, inadequate safety equipment, and instances of assaults and mistreatment. CHWs, who are often rural women with minimal education, face stigmatization and attacks from community members. They struggled with maintaining records and understanding online training and dealt with rapid adaptation to technology. The study highlights the importance of implementing policies and support systems to protect and empower community health workers. This includes training, fair compensation, safety equipment, and measures against discrimination and violence.
Assessment of Dual-Cure Resin Cement Properties of Microhardness and Water Sorption/Solubility through Various Shades of Monolithic Zirconia
Authors: Al Hendi Khalid Dhafer , Alyami Mohammed Hamad , Yadav Naveen S. , Alqahtani Ali Saleh , Gajdhar Shaiq , Almakrami Abdullah Ibrahim 
Published: October 2024

ABSTRACT

Background:
It is important to evaluate the physical properties of dual-cure resin cement in different shades of monolithic zirconia because such an understanding is necessary for its clinical application.

Materials and Methods:
For this in vitro study, 60 specimens of dual-cure resin cement were prepared and grouped into three sets (n = 20) according to monolithic zirconia shade: light, medium, and dark. Two-millimeter-thick discs of each shade were used as substrates for curing the resin cement. A Vickers hardness tester was employed for measuring microhardness, while ISO 4049 standards were followed for examining water sorption and solubility. Measurements were recorded at 24 hours, baseline, and 1 week after curing.

Results:
The highest mean value of microhardness (85 HV) was observed in the light shade zirconia group, whereas medium and dark shades exhibited average values equal to 80 HV and 75 HV, respectively. The dark shade showed maximum water sorption among other groups with a mean value of 35 μg/mm³, followed by medium (30 μg/mm3) and light (25 μg/mm3) shades. In relation to solubility, the dark shade also had the highest value, which was approximately 3.5 μ/mm3, while the medium shade showed around 2.5 μg/mm3 and the light shade exhibited nearly 1.5 μg/mm3.

Conclusion:
Microhardness and water sorption/solubility are significantly affected by the shade variation of monolithic zirconias combined with dual-cured resins. Lighter shades result in higher microhardness and lower water absorption and solubility, leading to better performance and longer lifespan.
Evaluation of correlation between sleep quality and chronic periodontitis – A case–control study
Authors: Lenin Subash , Jayachandran Dorairaj , Selvaraj Sunantha , Balakrishnan Bhavani 
Published: October 2024

ABSTRACT

Background:
Periodontitis poses a significant public health challenge globally due to its substantial contribution to tooth loss and its links to numerous systemic diseases. Sleep, being a complex biological process crucial for overall mental and physical well-being, intersects with this concern. However, recent studies have yielded conflicting findings on the potential connection between chronic periodontitis and sleep quality, likely due to the shared inflammation characteristic in both conditions.

Aim:
The study aims to examine the correlation between the quality of sleep and chronic periodontitis.

Materials and Methods:
This study involved 100 participants who underwent a thorough clinical periodontal examination. The sleep quality was evaluated using the Pittsburgh Sleep Quality Index. Univariate and multivariate logistic regression analyses were conducted to assess the impact of various factors in the presence of periodontitis. Statistical analysis was performed, with statistical significance at P ≤ 0.05.

Results:
In the current study, 29% of the participants exhibited poor sleep quality, and 75.8% were in the periodontitis group. Poor sleep quality was associated with periodontitis in univariate (crude odds ratio = 1.83, 95% confidence interval = 0.655–0.847; P = 0.004) analyzed. Patients’ age showed a positive correlation with periodontitis. Other variables do not show a statistically significant level.

Conclusion:
The present study shows that there lies a significant correlation between chronic periodontitis and poor sleep quality. Among the measured covariables, only age showed a significant relationship with periodontitis.
Influence of Heat and Mass Transfer on Mixed Conviction Flow of an Exothermic Fluid in a Vertical Channel
Authors: Hussaini Abdullahi , Yabo Zayyanu S. 
Published: October 2024

This study investigates the effect of mass transfer on mixed convection flow of an exothermic fluid in a vertical channel, the fluid is assumed to be an exothermic fluid, the governing equations are set of ordinary differential equation (ODE) which were solved using perturbation technique, the physical quantities or profile of engineering interest such as velocity, temperature and concentration profiles were obtained, the effect of various parameters on the flow have been shown in the graph. It is found that the effect of controlling parameter has significant influence on the flow.
Photon and Neutron Characterization of Titanium Neodymium Tellurite Glass Doped WO<sup>3</sup>
Authors: Iliyasu Usman , Shehu Anas 
Published: October 2024

This study investigates the photon and neutron attenuation properties of a glass system comprising [(89- x)O2+10TiO2+1Nd2O3+xWO3], where x=0, 10, and 20 mol%. Utilizing Phy-X and XCOM programs, the mass attenuation coefficient was determined in the energy range 0.015 to 15 MeV. The results show that the mass attenuation coefficient at 0.015 MeV increased by 6.66% and 12.74% with the addition of 10 mol% and 20 mol% WO3, respectively. Similarly, The HVL of the glass samples decreased by 6% and 16% with the addition of 10 mol% and 20 mol% WO3, respectively. The exposure buildup factor and energy absorption buildup factor decreased with increasing WO3 content and increased with penetration depth. Notably, the fast neutron removal cross-section of TW20 surpasses that of some standard shielding materials. These findings suggest that the TW20 glass sample, with highest WO3 content, exhibits promising gamma and neutron shielding applications.
Corrosion Inhibition of Mild Steel using Bee Pollen as inhibitor in acidic medium
Authors: Garba Abdulrashid A. , Muhammad Sirajo , Ahmad Shamshudeen A. 
Published: October 2024

The inhibitive action of bee pollen on corrosion of mild steel in two different acid media (HCl and H2SO4) was investigated using weight loss gravimetric method. By obtaining the mild steel, which were cut and sized into 2-2 cm2 coupons, the coupons were grouped into three groups A, B and C. The weight of the coupons was measured before and after immersion into acid solutions. Effect of inhibitor, time and temperature on different acid concentration was also investigated. Scanning electron microscope (SEM) and Fourier-transform infrared spectroscopy (FTIR) were employed to analyse the inhibition of bee pollen on mild steel. The study reveals that the percentage inhibition efficiency (%IE) is enhanced with decreased in corrosion rate as well as increase in volume of bee pollen. High inhibition efficiency of 90.9% was attained.
Effects of the Real Effective Exchange Rate Volatility on the Trade Balance, The Case of Vietnam for Sutainable Development Goals
Authors: Nga Nguyen Thi Van 
Published: October 2024

Objective: The objective of this study is to analyze the impact of exchange rate volatility on the trade balance of Vietnam. Analyzing and evaluating the degree of exchange rate fluctuations of the VND from the first quarter of 2000 to the second quarter of 2019. Then, proposing the orientations and some solutions to regulate the exchange rate to ensure the trade balance surplus in the near future.

Method: Exchange rate fluctuation is the conditional variance or unconditional variance or standard deviation of the base rate. Auto Regressive Conditional Heteroskedasticity (ARCH) model was used to calculate real effective exchange rate fluctuations in VND. The study also uses Ordinary Least Square regression (OLS) method to evaluate the impact of exchange rate volatility on Vietnam's trade balance.

Results and Discussion: The results show that a stable long-term equilibrium relationship exists between exports. Quantitative results show that exchange rate volatility have a positive impact on exports but have not yet shown a clear impact on Vietnam's imports. The paper also points out that in addition to the exchange rate fluctuations, many other factors such as foreign income, domestic income, trade conditions ... could also affect the trade balance.

Research Implications: To achieve the trade balance surplus, the proposed solutions need coordination among ministries and agencies. Finally, the flexible control of State Bank on exchange rate volatility will enhance Trade Balance of Vietnam.
Pengaruh Kualitas Pelayanan dan Fasilitas Terhadap Kepuasan Pelanggan di Toko Kamila Grosir Karawang
Authors: Soraya Widitasari  , Puji Isyanto  , Neni Sumarni  
Published: October 2024

The research was conducted with the aim of identifying the impact of service quality and facilities on the level of customer satisfaction at the Kamila Grosir Karawang store. The research method used was quantitative using a purposive sampling technique, and involved a sample size of 98 respondents who were customers who had visited or shopped at the shop. The analysis was carried out using multiple linear regression using the f test and t test, and a relevant level of 5%. The research results show that service quality is influenced and relevant to customer satisfaction, as well as facilities that have a relevant influence on customer satisfaction at the Kamila Grosir Karawang store. Apart from that, the quality of service and facilities simultaneously influences and is relevant to customer satisfaction at the Kamila Grosir Karawang store. It can be concluded from this research that the quality of service and facilities are mutually influenced by customer satisfaction at the Kamila Grosir Karawang store. There is an implication that maintaining consistency in service quality and providing services that meet customer needs can contribute to forming loyalty. Customers who feel valued and comfortable during the shopping process are more likely to remain loyal to the business.
Pengaruh Influencer Marketing dan Kualitas Produk Terhadap Brand Awareness Produk Scarlett Whitening: Studi Kasus pada Pengikut Akun Scarlett Whitening di Aplikasi Tiktok
Authors: Talenta Aulia Moekti  , Ety Dwi Susanti  
Published: October 2024

This research aims to determine and analyze the influence of influencer marketing and product quality simultaneously on brand awareness of Scarlett Whitening products among followers of the Scarlet Whitening account on the TikTok application. In this research, the type used is quantitative research. This quantitative object emphasizes the analysis of data in the form of numerical or numbers processed using statistical methods to determine the influence of one variable on other variables. With the results of this research which shows how brand awareness of Scarlett Whitening products has increased among followers of the Scarlett Whitening account on the TikTok application (2023) due to the influence of many influencers who provide content that is interesting, good, unique and in line with the values ​​provided by the brand, consumers will more interested in reviewing it and even sharing it so that the reach given will be wider, thus influencing brand awareness of Scarlett Whitening. Of course, brand awareness itself has the aim of making the brand a leading product or top of mind product so that it will be easily recognized by consumers and increase sales of Scarlett Whitening.
Penerapan Manajemen Kepagawaian di Pondok Pesantren Royatul Qur’an Batam
Authors: M.Nurman Ardiansyah  , Hasbi Indra  , Abdul Hayyie Al Kattani  
Published: October 2024

Islamic boarding schools play a major role, namely, as motivators, innovators, and community dynamists so that the relationship between pesantren and the community becomes harmonious, as a result, the existence and presence of Islamic boarding schools in community empowerment become stronger. The purpose of this journal is to see the success of the Royatul Qur’an Boarding School in implementing personnel management with reference to seven main activities, namely recruitment (personnel procurement), personnel development and development, personnel promotion and transfer, compensation for personnel, personnel welfare, personnel evaluation, termination of employment. employment relationship (PHK). This type of research is field research, namely research conducted with the direct aim of excavating and researching data relating to the effectiveness of the implementation of personnel management and what factors influence the implementation of personnel management at the Royatul Qur’an Integrated Islamic Boarding School in Batam. This research was conducted in November 2022. The results of the study after conducting interviews and collecting related data, the Royatul qur’an Integrated Islamic Boarding School has implemented all the main activities of personnel management in a well-managed and managed manner.
Analisis Keterkaitan Kualitas Pendidikan, Nilai Pelanggan di Sekolah Swasta Melalui Pendekatan Balanced Scorecard.
Authors: Elis Lisyawati  , Khairunnisa  , Edi Ruslani  , Ade Ripai  , Ade Tutty Rokhayati Rosa  , Ida Tejawiyani  
Published: October 2024

The use of the Balanced Scorecard method in performance measurement including determining teaching quality and customer value, allows assessment of financial aspects, customers, internal business processes, and learning and growth based on the goals that the organization has set. This measurement is based on the organization's stated goals, vision and mission. With the Balanced Scorecard, SMKN 2 Rangkasbitung obtained a comprehensive picture of its teaching quality and customer value, including the school's ability to fulfill the satisfaction of educational stakeholders. This research used a descriptive qualitative approach, with interview, observation and documentation techniques. Data analysis techniques recommended by Miles and Hubermen are data reduction, data presentation and conclusion drawing based on themes in the research. In the context of education, the Balance Scorecard serves as a guide to measuring and improving the performance of educational institutions comprehensively, and obtaining commitment from project participants and clarifying the framework for implementation and management that must be implemented after the preparation of the initial Balance Scorecad, as well as helping institutions to translate vision, mission into concrete actions through performance measurement from various perspectives and used to boost the organization's ability to multiply performance
The eff ect of a respiratory physiotherapy program on extraoesophageal reflux disease symptoms
Authors: Horová Pavla , Dvořáček Martin , Zatloukal Jaromír , Rybnikár Tomáš , Raisová Kateřina 
Published: October 2024

Introduction: Respiratory physiotherapy methods can reduce the incidence and intensity of oesophageal symptoms in patients with gastroesophageal refl ux dis ease. Whether this therapy has the same eff ect on the extraoesophageal symptoms of gastroesophageal refl ux dis ease has not been investigated yet. Therefore, the aim of this study was to investigate the eff ect of a respiratory physiotherapy program aimed at activating and strengthening the diaphragm by inspiratory muscle training performed in postural positions on the intensity of extraoesophageal refl ux dis ease (EERD) symptoms and to assess whether the eff ect of this program diff ers in patients with normal and decreased inspiratory muscle strength. Methods: Patients with EERD were included in the study. Patients with decompensated cardiovascular dis ease, pulmonary dis ease, soft tissue dis ease, post-fundoplication patients, smokers and pregnant women were excluded from the study. Patients were assessed for inspiratory muscle strength (PImax) and the severity of EERD symptoms before and after completing an 8-week respiratory physiotherapy program using the Hull Airway Refl ux Questionnaire (HARQ) and the Refl ux Symptom Index. Based on the initial PImax value, patients were divided into two groups: Group 1 – patients with PImax ≥ 90% of the normative value (NV) (15 patients, mean age 45.6 ± 10.4 years); Group 2 – patients with PImax < 90% NV (21 patients, mean age 46.9 ± 10.9 years). The respiratory physiotherapy program included diaphragmatic breathing training and inspiratory muscle training, which was performed in three postural positions with the Threshold inspiratory muscle trainer resistance device. Results: A total of 36 patients (8 males) with EERD, mean age 46.4 ± 10.4 years and body mass index 25.6 ± 4.5 kg/m2 were included in the study. Signifi cantly higher symptom severity according to the HARQ before treatment was found in group 2. Both groups showed a statistically signifi cant increase in inspiratory muscle strength and a decrease in symptom intensity according to both questionnaires after treatment. Patients who were found to have reduced inspiratory muscle strength below 90% NV at baseline achieved greater improvement in inspiratory muscle strength and a greater reduction in symptom intensity after treatment. Conclusion: The respiratory physiotherapy program led to an increase in inspiratory muscle strength and a reduction in symptom intensity regardless of initial inspiratory muscle strength.