bluuebunny/crossref_metadata_2025_split huggingface dataset:
Oral Health Impact Profile in Patients with and without Type 2 Diabetes in Al-Baha Region, Saudi Arabia
Authors: Alzahrani Abdullah Ali H. 
Published: June 2024

Introduction:
The Oral Health Impact Profile (OHIP) serves as a crucial tool in understanding the intricate relationship between oral health and systemic conditions like type 2 Diabetes. This study delves into the comparative analysis of OHIP in patients with and without type 2 diabetes, shedding light on the nuanced impact of this metabolic disorder on oral health-related quality of life (OHrQoL). By scrutinising factors such as oral discomfort, functional limitations and psychological well-being, this research aims to unearth valuable insights into the unique challenges faced by diabetic individuals in maintaining optimal oral health. Such findings hold immense significance in guiding tailored interventions and enhancing holistic healthcare approaches.

Materials and Methods:
A cross-sectional study was carried out with 232 diabetic and non-diabetic individuals. Clinical examinations were conducted, and a validated Arabic version of the OHIP-14 instrument was used. Data were analysed using the Statistical Package for the Social Sciences version 20.0.

Results:
In total, 232 patients with and without diabetes were included in this study. A statistically significant effect was observed amongst diabetic compared to non-diabetic participants (P = 0.015). The overall OHrQoL across the seven domains of participants with diabetes was significantly lower than those without diabetes (P = 0.0001). Oral lesions were more common and showed statistically significant effects amongst diabetic compared to non-diabetic patients (P = 0.0001).

Conclusion:
Patients with type 2 diabetes have shown undesirable oral health which impacted their quality of life compared to those without diabetes. Future research focusing on developing preventive interventional strategies for diabetic patients, in addition to enhancing the awareness of oral diseases and dental care amongst those patients, is highly encouraged. Developing a standardised protocol with a unified OHrQoL instrument and methodological statistical analysis approaches that could be generalised and used worldwide periodically amongst diabetic patients may also be advocated.
Risk factors during admission on mortality of newborns in neonatal care units
Authors: Eita Ahmed M. , Shabana Mona A.M. , Bassiouny Mohamed R. 
Published: June 2024

Background
Neonatal mortality is defined as the death of live born within the first 28 days of life. It represents a great burden on the health and community. Many risk factors are associated with neonatal mortality.

Aim
Evaluate perinatal admission risk factors and their relation to neonatal mortality in newborns admitted to neonatal care units participating in the Egyptian Neonatal Network (EGNN).

Patients and methods
This retrospective study included 4621 newborns admitted to Neonatal Care Units participating in the Egyptian Neonatal Network over 3 years (2014–2016). The record of the cases was revised to determine the maternal characteristics, the incidence of neonatal mortality, and the associated risk factors associated with mortality.

Results
Among the studied factors, increased gravidity, parity, and number of live children and lower gestational age, birth and, admission weight, length, and HC, are associated with increased neonatal mortality in neonatal intensive care unit (NICUs) (P value<0.001).

Conclusion
Determination of risk factors in neonatal death can help to identify sick neonates who are more likely to die in NICUs and provide on-time care. Help doctors to tell parents what possibly happened to their babies. And used as a tool to compare the outcome of different NICUs and evaluate their performance.
Disseminated rhinosporidial osteomyelitis: A rare case report
Authors: Behera Samira Kumar , Dhal Arpita , Singh Ruchika 
Published: June 2024

ABSTRACT
Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium
seeberi, that affects mostly nasal and nasopharyngeal mucosa. Occurrence at extranasal sites such as cutaneous, subcutaneous, and bone is extremely rare. We hereby report a very rare case of disseminated rhinosporidial osteomyelitis.
Clear cell adenocarcinoma of the cervix and its mimickers - A series of 19 cases from a tertiary care referral centre in India
Authors: Thomas Ann , Menon Santosh , Rekhi Bharat , Mittal Neha , Deodhar Kedar 
Published: June 2024

ABSTRACT
Clear cell adenocarcinoma (CCAC) of cervix is a rare subtype of endocervical adenocarcinoma that accounts for 4% of all cervical adenocarcinoma with many morphological mimickers. Retrospectively study cases of cervical clear cell adenocarcinoma of the cervix. Clinical profile and pathological features of CCAC of the cervix diagnosed between 2018-2022 were retrospectively analyzed.The database of the Department of Pathology of our institute was systematically searched for patients diagnosed with clear cell adenocarcinoma of the cervix during 2018-2022.A total of 19 patients were studied with the mean age of patients being 53.72 years (range 25 -84 yrs,standard deviation-25.9) and median tumor size being 5.6cm. Lymph node metastasis was identified in 33.3% and distant metastasis were seen in 20% of the cases. Staging could not be done in 4 cases.FIGO staging of the cases included IB1(2 cases), IB2(2 cases), IIB (3 cases),IIIA (1 case)IIIB(4 cases),and IV(3 cases). On histopathological evaluation, heterogeneous architectural pattern comprising of tubulocystic, solid, and papillary patterns were seen in 13 cases (13/19,68.4%). Pure tubulocystic (3/19,15.7%), pure papillary (2/19,10.5%), and pure solid patterns (1/19,5.3%) were also identified. Tumor cells with clear cytoplasm ranged from 5% to 95%. Nuclear atypia was moderate to marked in all the cases (19/19,100%). Mitotic activity varied from 1/10hpf to 20-22/10hpf. By immunohistochemistry, tumor was positive for Napsin A in all the cases,p16INK4a was negative in majority of cases (15/19,78.9%) and ER was negative in 14 cases (14/19,73.7%) .p53 showed wild type staining except for one case . Clear cell adenocarcinoma being a rare subtype of cervical adenocarcinoma, needs to be differentiated from other Human Papilloma Virus(HPV) independent adenocarcinomas (gastric and mesonephric types) and benign entities such as endocervical glandular Arias-Stella reaction. Judicious use of a panel of immunostains is often helpful.
Primary pulmonary angiosarcoma was misdiagnosed as IgG4-related disease by needle biopsy: A challenging case report
Authors: Wei Shufei , Han Yongliang , Hou Yingyong , Hu Jiali 
Published: June 2024

ABSTRACT
Angiosarcoma is a rare soft tissue sarcoma. Primary angiosarcoma of the lung is even rarer. This case presents a patient with hemoptysis for 3 months. A chest computed tomography (CT) showed multiple patches of nodules with peripheral exudates distributed along the vascular bundles in both lungs, and the biopsy suggested IgG4 disease. However, the hemoptysis worsened for 3 days, and the patient underwent partial resection of the left upper lung, revealing eight masses of 0.5–2 cm in diameter. The tumor was composed of spindle, round, or polygonal cells arranged in bundles or sheets, and tumor cells were positive for vascular tumor markers. The patient was treated with six cycles of paclitaxel combined with gemcitabine chemotherapy, reducing the volume of the masses and improving hemoptysis.
Hep-2000 indirect immunofluorescence assay – An emerging screening tool for detection of antinuclear autoantibodies in various connective tissue disorders
Authors: Singh Arpita , Sahu Shilpi , Jadhav Neha R. , Kaur Navdeep 
Published: June 2024

ABSTRACT

Background:
Connective tissue disorders (CTD’s) are a group of autoimmune disorders having multifactorial etiology, multisystem involvement and overlapping clinical features. Their prevalence has been increasing in India, with Systemic lupus erythematosus (SLE) being the most common CTD, affecting mostly females. Antinuclear Antibodies (ANA) directed against a variety of nuclear antigens detectable in the serum are used for screening, diagnoses, and monitoring of autoimmune diseases, with immunofluorescence assay (IFA) and enzyme-linked immunosorbent assay (ELISA) being the most widely used methods.

Aims:
1.To evaluate the diagnostic significance of IFA in screening of Autoimmune CTDs. 2.To study different titres and patterns shown by ANA positive samples.

Materials and Methods:
For IFA, patient’s sera is incubated with substrate cells, and bound antibodies are detected by incubation with a dye-conjugated anti-human immunoglobulin which are visualized by fluorescent microscopy and different ANA titres and patterns were analysed.

Results:
57 samples were examined for ANA by Indirect IFA, of which 21 (36.8%) were ANA positive with a female preponderance (71.9%) in the peri-menopausal age group. Most common pattern reported was Speckled followed by Homogenous. The sensitivity & specificity of IIFA was found to be comparable with ELISA.

Conclusion:
CTD’s are a group of autoimmune disorders with a plethora of clinical presentations, necessitating the need of a more specific and accurate screening test. ANA by IIFA gives patterns, which are associated with specific antibodies that help in reaching a diagnosis. ANA testing is a cost effective and non-invasive technique that can be used as a reliable screening test for Autoimmune disorders.
Intraocular lens power calculation in challenging cases
Authors: Ma Jack X. , Wang Li , Koch Douglas D. 
Published: June 2024

AbstractIn this article, we reviewed recently published papers of intraocular lens (IOL) power calculation in special eyes. In short eyes, accurate estimation of effective lens position is critical, and the ZEISS artificial intelligence IOL calculator produces the best outcomes. In long eyes, accuracy has been improved with axial length (AL) adjusted formulas such as the Wang–Koch AL adjustment and newer IOL formulas. In keratoconic eyes, hyperopic refractive outcomes increase with steeper keratometric values, and accuracy is poor in eyes with keratometric values ≥50.0 D. Two keratoconus-specific formulas (Barrett True K for keratoconus and Kane keratoconus) have been introduced. In eyes undergoing combined Descemet membrane endothelial keratoplasty and cataract surgery, steeper corneas and corneas with a lower anterior/posterior ratio may have higher degrees of corneal flattening, and more myopia ranging from −0.75 to −1.0 D should be targeted. The postrefractive IOL power calculator from the American Society of Cataract and Refractive Surgery website has been a useful tool for postrefractive IOL power calculation. Recently, newer IOL formulas incorporating both anterior and posterior corneal measurements were introduced for eyes with previous corneal refractive surgery: Barrett True-K TK, Pearl-DGS, EVO 2.0, and Hoffer QST. It is recommended to obtain IOL calculations using as many formulas as possible and select the IOL power based on the consensus of multiple methods, with more weight given to the newer IOL power calculation formulas.
THRESHOLD BERAT MUATAN MOBIL BARANG DALAM HUBUNGANNYA DENGAN JUMLAH GAYA REM PADA PENGUJIAN KEMAMPUAN REM
Authors: Ermanto Surya Aji , Sasue Riz Rifai Oktavianus , Pradana Adrian 
Published: June 2024

Uji kemampuan rem utama pada kendaraan bermotor dilakukan melalui proses yang dinamakan pengujian rem (brake tester) yang dilakukan pada setiap sumbu roda di kendaraan bermotor yang diuji. Uji kemampuan rem utama tersebut dilakukan dengan menggunakan beban muatan kosong atau tanpa adanya muatan sama sekali saat proses uji rem tersebut. Hal ini jelas sangat bertolak belakang dengan kenyataan di lapangan karena mayoritas setiap kendaraan bermotor terutama dengan jenis mobil barang sesuai dengan peruntukannya selalu mengangkut barang/muatan saat beroperasi di jalan. Proses uji berkala pada pengujian rem (brake tester) yang dilakukan saat kendaraan bermotor dalam keadaan kosong tersebut, tentu tidak mencerminkan kondisi saat dioperasikan di jalan sehingga hasil uji kemampuan rem tersebut masih diragukan kemampuannya terutama saat kendaraan bermotor mengangkut barang/muatan sesuai dengan daya angkut yang telah ditetapkan. Atas dasar pemikiran di atas, maka penulis tertarik untuk membuat penelitian dengan judul “Threshold Berat Muatan Mobil Barang Dalam Hubungannya Dengan Jumlah Gaya Rem Pada Pengujian Kemampuan Rem”. Metode penelitian yang digunakan termasuk dalam penelitian eksperimen kuantitatif. Penelitian ini menghasilkan beberapa hal antara lain Hubungan antara massa dummy dengan kemampuan rem kendaraan adalah berbanding terbalik. Semakin besar massa dummy maka kemampuan rem semakin menurun; Pada pertambahan massa dummy sebesar 231 Kg kemampuan rem sudah tidak lolos uji dengan nilai 49,9 %; Persentase massa yang diangkut adalah sebesar 26,3 % dari massa kosong kendaraan agar kemampuan rem masih lolos uji; Kemampuan rem pada saat massa kosong sangat berbeda jika dibandingkan dengan saat dilakukan penambahan massa muatan. Ketika berat kosong kemampuan rem mencapai 88 % sedangkan pada pertambahan massa 250 Kg kemampuan rem turun sampai 46,3%.
School Heads’ Competence, Teachers’ Performance in the Light of Philippine Professional Standards for Teachers, and Students’ Academic Performance
Authors: Estrada Mary Joy , Gumban Joey 
Published: June 2024

School heads' competence and teachers' performance play vital roles towards the school's overall performance which includes the students' academic performances. Hence, the purpose of this study was to find out the factors which influenced teachers' ratings and students' academic performances. This descriptive-comparative-correlational research design aimed to investigate the level of school heads' competence, teachers' performances, and students' academic performances, the difference of students' academic performances according to sex, socio-economic status and parents' educational attainment, and relationship between the variables. The study was conducted to 180 Grade 6 students of the Division of Cadiz City. Mean and standard deviation were used for descriptive analysis, Mann-Whitney, Krustal Wallis, and Welch Anova Test for comparative analysis, and PPM Person Product Moment of Correlation was utilized to determine relationship among variables. Self-made questionnaire based from the domains of the PPST was used. The results revealed that females outperformed males, also, there's a gap between the students' academic performances whose parents are college and elementary graduates. Furthermore, there was no significant difference shown in the students' academic performance when grouped according to socio-economic status. Also, there was a significant relationship between the school heads' competence and teachers' performance while no significant relationship between teachers' and students' academic performance was found. In conclusion, learner's gender and parents' education influence students' academic performance while socioeconomic status revealed no significance on students' performances. Moreover, school heads' competence is a factor in the teachers' performance while teachers' performance showed no relation to the learner's academic achievements in schools.
Enhancing Students’ Writing Skills via Whatssapp Group at SD Negeri Gelam 1 Candi Sidoarjo
Authors: Andayani Tri , Sulistyaningsih Sulistyaningsih 
Published: June 2024

In contemporary human life, along with the development of educational technology, it has also developed. The use of technology in education can influence English teaching and learning methods, in particular writing, which has evolved, namely using online writing forums. Online writing forums provide many benefits for researchers or students such as the WhatsApp Group platform as a means of communication. This study aims to improve the ability of students of SD Negeri Gelam 1Candi, Sidoarjo in English lessons, especially writing. Because the students' grades have not been able to reach the KKM number determined by the teacher, this study is a classroom action research conducted on 26 students in 3 cycles. During 3 cycles, students are given topics in English and invited to submit written opinions and refute or respond to the opinions of their classmates. Based on the results of the study, students' writing ability scores using WhatsApp Group, in Pre-cycle got a score of ? 75 (19%), Cycle 1 got a score of ? 75 (75.07%), and Cycle 2 got a score of ? 75 (100%). Scores reflecting students' writing ability, as assessed through WhatsApp Group, showed improvement in 21 students, or 80.76% when comparing the pre-cycle period with cycle 2. It is proven that the use of WhatsApp Group can improve students' learning ability. Writing skills improved after using WhatsApp Group as a strategy for writing text. The research reflects positive perceptions among students regarding the use of WhatsApp Groups in improving their writing skills, with significant benefits seen in creativity, expression, and overall writing quality. And students are declared graduates because they can obtain and exceed the specified KKM score.
Evolutionary Search for Stochastic Optimization with Binary Choice Relations Under Fuzzy Modeling
Authors: Irodov Vyacheslav , Dubrovskyi Serhii , Dudkin Kostiantin , Chirin Dmytro , Aldrich Yuliya 
Published: June 2024

The article is devoted to presenting an approach to decision-making in fuzzy modeling of systems based on a limited number of experiments characterizing the system's behavior. An iterative algorithm is proposed for use, in which the functions of generation and selection of solutions with several branches of evolutionary search are successively implemented. The generation function is built, for the most part, regardless of the content of the task. The selection function is built using a selection procedure that is completely dependent on the problem to be solved. The resulting information is used to guide the search process, making it understandable for guided machine learning. The convergence of algorithms for finding optimal solutions in the presence of constraints in the form of inequalities and additional constraints in the form of binary relations is analyzed. The results of solving test problems of stochastic optimization are given. The described approach solves the problem of fuzzy modeling for decision-making based on a limited set of experimental data, which makes it possible to identify regularities and generalize them to evaluate the performance and accuracy of machine learning algorithms.

Received: 21 February 2024 | Revised: 1 April 2024 | Accepted: 29 April 2024

Conflicts of Interest
The authors declare that they have no conflicts of interest to this work.

Data Availability Statement
Data sharing is not applicable to this article as no new data were created or analyzed in this study.

Author Contribution Statement
Vyacheslav Irodov: Conceptualization, Methodology, Validation, Formal analysis, Investigation, Resources, Data curation, Writing – original draft, Writing – review & editing. Serhii Dubrovskyi: Conceptualization, Methodology, Validation, Formal analysis, Investigation, Data curation, Writing – original draft, Writing – review & editing. Kostiantin Dudkin: Validation, Investigation, Resources. Dmytro Chirin: Validation, Resources. Yuliya Aldrich: Validation, Formal analysis.
Operationalizing Microaggressions: Definitions, Conceptualization and Typologies
Authors: McCallaghan Sean , Steyn Renier 
Published: June 2024

Microaggressions are a form of subtle everyday discrimination. Originally proposed in the 1970s, the concept of microaggressions has received increasing attention, particularly in the current cultural focus on social justice. However, recent research has presented a challenge, as several authors have redefined microaggressions and proposed various conceptual frameworks and typologies based on the context of the deed. In this study, a systematic literature review of mainstream definitions, typologies and conceptual features of microaggressions was conducted to consolidate these frameworks. In total 108 research items were found; after screening, 39 research items were included in the review. The main findings suggest that microaggressions are a real form of subtle everyday discrimination, often committed unknowingly by the aggressor. They can take the form of microinsults, microassaults and microinvalidation. While many of the typologies in the research are linked to the minority status of the victim, all microaggression conceptualizations share a distinct but linked set of actions and reactions. The study concludes that there is a need to reconsider the context-specific use of microaggression conceptualizations. In addition, future research should attempt to work within a universal conceptual framework that can be applied across target groups and environments. This will contribute to the development of a larger and more credible body of knowledge, as research findings can then be conceptually linked, opening up possibilities for meta-analyses. Overall, this research provides a summative and inclusive definition and central typology for microaggressions, which will aid in conceptualization and assessment in various contexts.
أثر التمويل الزراعي علي إنتاج سلعة القمح دراسة حالة " البنك الزراعي السوداني في تمويل سلعة القمح في السودان" " في الفترة من 2005-2021م"
Authors: احمد بابكر احمد نمارق 
Published: June 2024

المستخلص :
إستهدفت الورقة دلراسة وتحليل أثر التمويل الزراعي علي سلعة القمح وإنتاج تلك السلعه والمساحه المزروعه والناتج المحلي الإجمالي والوارد من سلعة القمح . وتم إختيار سلعة القمح لكونها واحدة من مكونات المخزون الإستراتيجي وأهم سلعه للأمن الغذائي وذلك في الفتره (2005م–2021م) بدراسة حالة البنك الزراعي السوداني . وتتمثل مشكلة الورقة في الإجابة علي الأسئله التاليه : هل يؤثر التمويل الزراعي علي إنتاج سلعة القمح ، هل يؤثر في الناتج المحلي الإجمالي والمساحه المزروعه والوارد من سلعة القمح . وإستخدمت الدراسة منهج التحليل الوصفي لمعرفة صحت وعدم صحت فرضيات الدراسة التي إفترضت وجود علاقه ذات دلاله إحصائية بين التمويل الزراعي (متغير مستقل) والإنتاج الزراعي والمساحه الزراعية والناتج المحلي الإجمالي والوارد من سلعة القمح (أبعاد إنتاج سلعة القمح هو المتغير المستقل). وتوصلت الورقه الي أن التمويل الزراعي يؤثر إيجابياً علي إنتاج سلعة القمح ، وأن له أثر ضعيف علي الناتج المحلي الإجمالي لانه يؤثر به عدة عوامل أُخرى غير التمويل الزراعي وعلي المساحه المزروعه من سلعة القمح ، وأيضا أثره معنوي علي الوارد من سلعة القمح . توصي الورقه ببناء إستراتيجية ورؤية مستقبلية متكاملة لتنمية القطاع الزراعي , و زيادة التمويل الزراعي المقدم وأيضاً دعم الإنتاج الزراعي وخاصة إنتاج سلعة القمح لكونها سلعه هامة وتمثل مصدر الغذاء الرئيسي للسكان .
تحسين أمن وسرية الحوسبة السحابية من خلال دمج صفات خوارزمية Blowfish و (RSA)
Authors: محمد عبدالحليم مختار رندا , السماني عبدالجبار الطيب 
Published: June 2024

المستخلص
الحوسبة السحابية هي تكنولوجيا حديثة تستخدم الإنترنت ، وخوادم مركزية لتنظيم البيانات والتطبيقات ، التي تمكن العملاء من استخدامها ، كما تمكن الشركات والمؤسسات بمختلف أشكالها وأحجامها ومجالاتها بالخدمات السحابية للوصول الى موارد وخدمات كبيره ، مثل الاحتفاظ بنسخة احتياطية من البيانات، واستخدام الاميل ، وتحديث البرامج واختبارها، وتحليل البيانات الكبيرة، ولكن بالمقابل تواجه الحوسبة السحابية العديد من المشاكل وواحدة من أهم هذه المشاكل هي أمن المعلومات المخزنة فيها ، فيتم التحكم في المعلومات بالكامل من قبِل مقدم الخدمة وليس بواسطة العميل ونتيجة لذلك تكون معلومات العميل غير آمنة على جانب الخادم. يغطي هذا البحث الأهداف الأساسية لأمن البيانات وهي: السرية وسلامة البيانات بإستخدام هجين من خوازميات التشفير المتماثلة وغير متماثلة (RSA-Blowfish) بهدف تحسن الأمان وضمان البيانات من قبل مزودي الخدمات السحابية حيث تم مقارنة مشاكل خوارزمية BlowFish مثل الوقت البطئ المستغرق في التشفير وفك التشفير والهجوم المعتاد لها والذي يجعلها وسيلة مستهدفة سهلة الكسر ولكن عن طريق الخوارزمية الهجينة المقترحة إذا اراد المستخدم رفع ملف ، أو تنزيله من التخزين السحابي فيقوم يتنفيذ الخوارزمية المهجنة التي تأخد مزايا RSA و Blowfish و يتم تطبيقها علي الملفات المرسلة بصورة عشوائية لتشفير هذا الملف وايضا يقوم البرنامج بعملية فك التشفير باسترجاع معلومات عملية التشفير لفك تشفير الملف بعد تنزيله من التخزين السحابي مما حسن من مستوى أمان البيانات مقارنة بخوارزميات التشفير المنفردة في الحوسبة السحابية.