bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perceived impact of a smartphone application: Knowledge, awareness, attitudes, and intention to change an abnormal neck posture among smartphone-addicted undergraduates
Authors: Akodu Ashiyat , Ipinnimo Oluwafemi , Osuntoki Akinniyi 
Published: May 2024

Objectives: This study explored the perceived impact of a smartphone app on awareness, knowledge, attitudes, help-seeking, behavior change, and intention to change an abnormal posture of the neck while using smartphones among undergraduates addicted to smartphone use.
Patients and methods: This descriptive survey involved smartphone-addicted undergraduates recruited between February 2022 and July 2022. The self-administered questionnaires used for gathering the data were a smartphone addiction survey and a mobile app rating scale on app-specific query assessing changes in awareness, knowledge, attitude, intention to change, health-seeking, and behavior change.
Results: The questionnaire was completed by 316 participants (218 females, 98 males; mean: 20.7±2.6 years; range, 16 to 35 years). One hundred forty-two (44.9%) of the respondents strongly agreed that the app improved awareness, while 143 (45.3%) strongly agreed that the app improved knowledge about the significance of addressing abnormal posture of the neck while using smartphones. One hundred thirty-two (41.8%) were of the opinion that the app could change participant attitudes, and 135 (42.7%) agreed that the app could increase intentions toward improving abnormal posture of the neck. One hundred eighteen (37.3%) participants agreed that the app could promote help-seeking for abnormal posture of the neck. Respondents’ age had a negative weak correlation with intention to treat (r=–0.191, p=0.001) and help-seeking (r=–0.199, p=0.0001).
Conclusion: Most of the respondents in this study agreed that the CerviTech app could increase awareness, knowledge, attitude, intention to change, help-seeking, and behavior change of abnormal posture of the neck while using smartphones, with significant impact according to the age of the respondents regarding the intention to change and help-seeking behavior.
Local ozone injection compared to local glucocorticoid injection in carpal tunnel syndrome: A randomized controlled trial
Authors: Hesam Farnaz , Khatibi Amid-Aldin , Vafaeenasab Mohamadreza , Tirandazi Behnaz , Sharifi Dorcheh Fereshteh 
Published: May 2024

Objectives: This study aimed to compare the effectiveness of local ozone (O3) injection versus corticosteroid injection in the treatment of mild to moderate carpal tunnel syndrome (CTS).
Patients and methods: This double-blind randomized controlled trial was performed on 42 patients (9 males, 33 females; mean age: 46.7±2.1 years; range, 18 to 70 years) with mild to moderate CTS between May 2021 and June 2021. The corticosteroid group (n=21) was injected with 40 mg triamcinolone, and in the O3 group B (n=21), 4 mL of a 10 mcg/mL oxygen (O2)-O3 mixture was injected. Symptom severity and functional impairments were assessed using a Visual Analog Scale and Boston Carpal Tunnel Questionnaire. Electrodiagnostic and ultrasonographic parameters were obtained at baseline and eight weeks after the procedure.
Results: The O2-O3 solution improved pain and Boston Carpal Tunnel Questionnaire score after eight weeks (p<0.001); however, the change was nonsignificant compared to the corticosteroid group (p>0.05). Sensory nerve and compound muscle action potential latencies were not significantly changed eight weeks after O2-O3 injection (p>0.05), while both were significantly decreased in the steroid injection group (p<0.001). Volar bulging and median nerve cross-section surface area were not improved after O2-O3 injection, while the improvement was significant in the corticosteroid arm (p=0.02).
Conclusion: Symptoms in patients with mild to moderate CTS may be alleviated by local O2-O3 injection; however, electrodiagnostic and ultrasonographic indices may be unchanged. Corticosteroid local injection may alleviate patient symptoms along with electrodiagnostic and ultrasonographic parameters.
Comparison of minimal invasive extracorporeal circulation versus standard cardiopulmonary bypass systems on coronary artery bypass surgery
Authors: Mert Ozgur Mustafa , Aksut Mehmet , Ozer Tanıl , Gurel Barış , Yerli İsmail , Şimşek Mine , Sarikaya Sabit , Kırali Kaan 
Published: May 2024

Background: In this study, we shared our experience with the minimal invasive extracorporeal circulation system for coronary artery bypass grafting patients.
Methods: A total of 163 patients were included in the retrospective study, with 83 patients (63 males, 20 females; mean age: 61.9±8.9 years; range, 35 to 81 years) undergoing coronary artery bypass grafting with minimal invasive extracorporeal circulation and 80 patients (65 males, 15 females; mean age: 60.5±8.8 years; range, 43 to 82 years) undergoing coronary artery bypass grafting with conventional cardiopulmonary bypass between July 2021 and April 2023. Elective coronary bypass performed by same surgical team were included in the study. Mortality, major adverse cardiac and cerebrovascular event, hospital stays and transfusion requirements were evaluated.
Results: There were no significant differences in sex distribution, age, comorbidities, and blood values between the two groups. Intraoperatively, the minimal invasive extracorporeal circulation group had a slightly higher number of distal anastomoses and comparable times for aortic cross-clamp and cardiopulmonary bypass. Postoperative outcomes such as tamponade, bleeding, atrial fibrillation, left ventricular ejection fraction improvement or reduction, and postoperative drainage were similar between the two groups. However, the minimal invasive extracorporeal circulation group had fewer transfusions of packed red blood cells and fresh frozen plasma and a shorter length of stay in the intensive care unit.
Conclusion: The minimal invasive extracorporeal circulation system effectively preserves blood, works with lower activated clotting time values without additional complications in coronary artery bypass grafting, and could present a better option for patients with anemia or patients with a relatively high risk for high-dose heparinization.
The intracranial effects of flow reversal during transcarotid artery revascularization
Authors: Tok Cekmecelioglu Busra , Legeza Peter , Tekula Pooja , Giesecke Martin , Bavare Charudatta S. , Garami Zsolt , Lumsden Alan 
Published: May 2024

Background: This study aimed to assess intraoperative cerebral hemodynamic responses and embolic events during transcarotid artery revascularization via transcranial Doppler, near-infrared spectroscopy, and bispectral index monitoring.
Methods: Twelve patients (7 males, 5 females; mean age: 72.8±9.0 years; range, 63 to 91 years) undergoing transcarotid artery revascularization with simultaneous transcranial Doppler, near-infrared spectroscopy, and bispectral index monitoring were analyzed in this retrospective study between September 2017 and December 2019. The mean flow velocity and pulsatility index of the middle cerebral artery, alongside near-infrared spectroscopy and bispectral index values, before flow reversal, during flow reversal, and after flow reversal phases were investigated. The presence and frequency of high-intensity transient signals were recorded to evaluate embolic incidents.
Results: Significant reductions in middle cerebral artery mean flow velocity were noted during flow reversal (40.58±10.57 cm/sec to 20.58±14.34 cm/sec, p=0.0004), which subsequently returned to and exceeded baseline values after flow reversal cessation (53.33±17.69 cm/sec, p=0.0005). Near-infrared spectroscopy (71±4.4% to 66±6.2%) and bispectral index (45.71±8.5 to 40.14±8.1) values mirrored these hemodynamic changes, with notable decreases during flow reversal, and recoveries after flow reversal. The highest concentration of high-intensity transient signals was observed during stent deployment, signifying a critical embolic phase. No perioperative neurological complications or other significant adverse events were documented.
Conclusion: Transcranial Doppler, near-infrared spectroscopy, and bispectral index effectively monitor cerebral hemodynamics and embolic potential during transcarotid artery revascularization, providing real-time data crucial for optimizing perioperative management. These findings underscore the clinical value of multimodal monitoring in improving patient outcomes in transcarotid artery revascularization procedures.
Analysis of bronchiectasis patients who underwent video-assisted thoracoscopic surgery in a tertiary thoracic surgery center: Ten years of experience
Authors: Aydoğdu Koray , Çetin Mehmet , Yılmaz Emre , Mustafa Demiröz Şevki , Türk İlteriş , İncekara Funda , Alagöz Ali , Fındık Göktürk 
Published: May 2024

Background: This study aimed to analyze our video-assisted thoracic surgery (VATS) experience in the surgical treatment of bronchiectasis and the reasons limiting VATS application.
Methods: Two hundred one patients (106 males, 95 females; mean age: 39.7±14.1 years; range, 12 to 68 years) who underwent surgical treatment for bronchiectasis between January 2012 and October 2021 were included in the retrospective study. Three groups were created based on the surgical technique used: VATS, thoracotomy, and patients who were converted from VATS to thoracotomy.
Results: The most significant presenting symptoms were cough (43%) and excessive sputum expectoration (40%). Surgical intervention was applied to the left side of 60% of the patients, and the most common resection performed in all three groups was left lower lobectomy. The rate of conversion from VATS to thoracotomy was 28.8%, and it was found that dense pleural adhesions were the most common reason. Revision surgery was performed on a total of 11 (5.47%) patients. The frequency of revision surgery did not differ significantly among the three groups (p=0.943). The most common postoperative complication was prolonged air leakage. There was no statistically significant difference in postoperative complication rates among the groups (p=0.417). The rate of surgical treatment of bronchiectasis with VATS was observed to have increased from 11.1% to 77.7% in our clinic.
Conclusion: In experienced hands, VATS can be safely applied in the surgical treatment of bronchiectasis.
Transverse arch stenting and its effect on systemic hypertension
Authors: Halil Demir İbrahim , Kardas Murat , Kemal Yucel İlker , İrem Yekeler Rukiye , Orhan Bulut Mustafa , Hekim Yılmaz Emine , Sürücü Murat , Epçaçan Serdar , Celebi Ahmet 
Published: May 2024

Background: This study aimed to investigate the safety and efficacy of transverse aortic arch stenting and evaluate the course of hypertension and the act of arch stenting on systemic hypertension.
Methods: The transverse aortic arch stenting procedures between January 2007 and May 2023 were retrospectively analyzed. Detailed procedure information, technical aspects, pressure measurements, angiographic data, balloons and stents used, complications, and immediate results were examined. Early and mid-term results were assessed.
Results: Eighteen patients (10 males and 8 females; mean age: 14.5±5.3 years; range, 4 to 23 years) were included in the study, all of whom were hypertensive before the procedure. The mean weight was 56.8±19.6 kg. In seven patients, the stent struts had to be dilated due to the stent causing jailing at the entrance of nearby arch vessels. After stenting, there was a significant increase in arch diameter and a decrease in ascending aorta pressure and the pressure gradient across the aorta. There were no early mortality or major complications. Late migration of the stent was observed in one patient. Three patients became normotensive immediately after the intervention, and five became drug-free during the follow-up. The requirement for dual antihypertensive therapy was significantly reduced.
Conclusion: Residual transverse arch lesions may contribute to the persistence of systemic hypertension after coarctation treatment. Transverse arch stent implantation can be performed safely with favorable outcomes, facilitating better blood pressure control. However, it should be noted that these patients remain at risk for lifelong hypertension and should be closely monitored in this regard.
The impact of previous COVID-19 pneumonia on postoperative outcomes and complications in coronary artery bypass grafting
Authors: Erçen Diken Özlem , Hafez İzzet , Ali Tünel Hüseyin , Onur Hanedan Muhammed , Alemdaroğlu Utku , İlkay Diken Adem 
Published: May 2024

Background: This study aimed to provide nuanced insights in managing patients with a history of coronavirus disease 2019 (COVID-19) pneumonia undergoing coronary artery bypass grafting.
Methods: This retrospective cohort study involved 168 patients (131 males, 37 females; mean age: 61.2±9.7 years; range, 51 to 72 years) undergoing isolated coronary artery bypass grafting surgery between December 2021 and December 2023. The study examined factors such as age, sex, comorbidities, blood test results, vaccination status, operative parameters, and postoperative complications. Patients’ health records were reviewed to confirm the presence of previous COVID-19 pneumonia and vaccination status. Patients were divided into two groups based on their history of COVID-19 pneumonia: Group 1 included 140 who had not been diagnosed with COVID-19 pneumonia, and Group 2 included 28 patients who had a documented history of COVID-19 pneumonia. Postoperative pulmonary complications, including atelectasis, pleural effusion, acute respiratory distress syndrome, and pneumonia, were noted.
Results: Patients with a history of COVID-19 pneumonia (Group 2, n=28) demonstrated significantly higher seropositivity for COVID-19 (89.3% vs. 29.3%, p=0.001) compared to those without a history (Group 1, n=140). Although pulmonary complications were higher in Group 2 (17.9% vs. 3.6%, p=0.013), postoperative mortality rates did not differ significantly between the groups. Pleural effusion was markedly higher in Group 2 (14.3% vs. 2.1%, p=0.015). Vaccination did not significantly affect perioperative and postoperative outcomes, except for a minor difference in postoperative drainage volume.
Conclusion: This study highlights the impact of prior COVID-19 pneumonia on postoperative outcomes in coronary artery bypass grafting patients. Although there was a rise in pulmonary complications, the mortality rates stayed similar among individuals with and without a prior history of COVID-19 pneumonia. Vaccination did not significantly influence outcomes, emphasizing the need for further research with larger cohorts to validate and expand upon these findings.
CAMPANHA DISFAGIA JUNTOS SOMOS MAIS FORTES: RELATO DE EXPERIÊNCIA
Authors: Borges Lohanny Vitória Morais , Souza Cibely Gonçalves de , Batista Sara Sarmento , Souza Iasmim Corrêa de , Cavalcante Maria Helena Rocha , Ramos Carla Marceli Medeiros , Oliveira Luzianne Fernandes de , Lynch Cinthya da Silva 
Published: May 2024

A disfagia é uma condição clínica caracterizada pela dificuldade de engolir alimentos, líquidos e até mesmo saliva e pode afetar qualquer faixa etária. Neste sentido, este estudo trata-se de um relato de experiência sobre um trabalho de divulgação da Campanha de 2024 alusiva ao Dia Nacional de Atenção à Disfagia com o tema Disfagia- “Juntos Somos Mais fortes”, para a população em geral. O objetivo deste estudo foi relatar a experiência dos discentes do Curso de Fonoaudiologia de uma Universidade Pública em Belém-PA sobre a divulgação e conscientização de riscos para a disfagia, a importância de diagnosticar e tratar precocemente. A ação aconteceu nas dependências da Universidade, realizada pelos acadêmicos dos terceiro e quinto semestres do Curso de Fonoaudiologia. Foram feitas pesquisas na base de dados Google Acadêmico e Scielo para o aprofundamento da temática a ser transmitida para a população, somado com o uso de materiais com recursos visuais, como os folders e cartazes da campanha. Percebeu-se no decorrer da atividade que a maior parte dos indivíduos abordados desconhecia o termo Disfagia, a maioria relatou algum sintoma ou o conhecimento de alguém que apresentava sintomas relacionados, após uma explicação aprofundada. Notou-se que a experiência forneceu aos discentes a percepção da magnitude da indissolubilidade entre teoria e prática sobre a temática durante a graduação, contribuindo para a qualificação profissional generalista, bem como, a necessidade do incentivo de outras ações extensionistas para a promoção de saúde da população e a divulgação da atuação do profissional fonoaudiólogo em Disfagia. Conclui-se que a experiência forneceu aos discentes a percepção da relevância da realização de mais ações relacionando teoria e prática sobre os conhecimentos de Disfagia, contribuindo para a formação profissional humanitária.
ANALISIS PENGGUNAAN APLIKASI ALEF EDUCATION PADA PEMBELAJARAN MATEMATIKA di MTs AL-MUJAHIDIN TOMOHON
Authors: Damopolii Inayah Putri , Tilaar Anetha L.F. , Sumarauw Sylvia J.A. 
Published: May 2024

Tujuan dalam penelitian ini yaitu mendeskripsikan penggunaan aplikasi Alef Education pada pembelajaran matematika di MTs Al-Mujahidin Tomohon. Penelitian ini menggunakan jenis penelitian kualitatif, dengan metode yang digunakan dalam pengumpulan data yaitu observasi sebagai cara untuk untuk mendapatkan data yang lebih spesifik. Kemudian wawancara sebagai teknik yang digunakan untuk mendapatkan informasi sehingga memperoleh data langsung dari sumbernya, dan dokumentasi yang bisa memperkuat penelitian. Subjek dalam penelitian ini yaitu guru mata pelajaran matematika dan siswa kelas VII MTs Al-Mujahidin Tomohon yang berjumlah 7 siswa. Analisis SWOT digunakan untuk menganalisis data. Hasilnya menunjukkan bahwa penggunaan aplikasi Alef Education di MTs Al-Mujahidin Tomohon memiliki beberapa Strengths (kekuatan); konten pembelajaran disajikan dengan menarik, waktu persiapan mengajar jadi lebih efektif dan efisien, materi pelajaran sudah sesuai dengan kurikulum di indonesia, tes dan ujian dinilai otomatis dengan grafik dan bagan, terdapat fitur yang membuat siswa bersemangan dan termotivasi untuk belajar, Weaknesses (kelemahan); Halnyal dapat digunakan saat tersedianya jaringan internet, Tidak semua siswa mempunyai galwali atau laptop yang bisa digunakan untuk mengakses internet, Keterbatasan sarana prasarana harus menjadi perhatian dari pihak sekolah dan guru sebagai fasilitator, Opportunities (peluang); Dapat menjadi aplikasi yang tepat untuk digunakan oleh seluruh instansi dan dapat menyediakan konten pembelajaran tidak hanya pada mata pelajaran matematika, serta Threats (ancaman); Adanya aplikasi pembelajaran lalin yang tidak kalah menarik, Aplikasi lain lebih maksimal mempromosikan berbagai keuntungan dan manfaatnya,, Kebijakan dari madrasah seperti larangan membawa al wali ke sekolah yang dapat mengganggu keberlangsungan pembelajaran matematika.
Los errores matemáticos identificados en el examen diagnóstico de álgebra a estudiantes de primer semestre del Centro de Estudios Científicos y Tecnológicos No. 16 “Hidalgo”
Authors: García Arroyo María Mónica , Atilano Belmonte Ana Laura 
Published: May 2024

Los exámenes diagnósticos de Álgebra son herramientas valiosas para evaluar el nivel de conocimiento y las habilidades de los estudiantes al inicio del primer semestre. Al analizar los errores más comunes que se presentan en estos exámenes podemos identificar áreas de oportunidad y desarrollar estrategias de enseñanza efectivas para la adquisición del conocimiento. Esta investigación es un estudio cualitativo efectuado en un plantel foráneo de nivel medio superior del Instituto Politécnico Nacional, el Centro de Estudios Científicos y Tecnológicos No. 16 “Hidalgo”, México, donde los profesores de la academia de matemáticas, en la revisión del exámenes para estudiantes de nuevo ingreso, realizó una clasificación de la periodicidad de errores en diferentes semestres a principios del 2022, detectando en ellos la falta de conocimiento en ortografía matemática, propiedades, leyes y axiomas matemáticos básicamente. Ahora bien, al hacer el análisis del examen diagnóstico de los dieciocho grupos de primer semestre del ciclo escolar 24-1 (agosto – diciembre 2023) de la unidad de aprendizaje de Álgebra se ha detectado un aumento en errores matemáticos, básicamente en tres aspectos: notación, conceptos y procedimientos, dando como resultado un incremento notable en el índice de reprobación y rezago académico. Por lo que se realizaron actividades transversales por semana reforzando la parte aritmética, así como la tutoría, ya sea individual o grupal, para casos específicos.
Serological effects of cypermethrin on the kidneys of rabbit (Oryctolagus cuniculus)
Authors: Shabbir Habiba , Hussain Dilawar , Hussain Zahra , Rafiq Maham , Akram Khadeeja , Subtain Areeba , Nazar Shanza , Raja Mahnoor 
Published: May 2024

Cypermethrin a commonly used synthetic pyrethroid insecticide, has become a big concern due to its harmful impact on animals. In this study, cypermethrin's (CY) serological effects were studied on the kidneys of rabbit (Oryctolagus cuniculus). Twenty rabbits were divided into four groups including three experimental (G2, G3 & G4) and one control group (G1). The three experimental groups were exposed to 500mg/kg (G2), 1000mg/kg (G3), and 1500mg/kg (G4) of dose of cypermethrin respectively, every day for fifteen days. Blood sampling was done on the 5th, 10th, and 15th day of the experiment, the serum was separated from blood samples and two parameters including urea and creatinine were studied. The results indicated that both Urea and Creatine values were significantly different (p≤0.05) in all three experimental groups that were given cypermethrin treatment compared to the control group. In conclusion, cypermethrin is highly dangerous for mammals including rabbits when exposed to high doses.
School Heads’ Instructional Supervisory Skills and Teachers’ Performance
Authors: Dane G. Go Anjel , T. Eslabon Rey 
Published: May 2024

The instructional supervisory skills of school heads and the teachers' performance are crucial in fostering a culture of excellence, continuous improvement, and student success within educational institutions. Effective instructional supervision supports teachers in meeting their professional goals, enhances the overall quality of teaching and learning, and contributes to achieving organizational objectives. In this context, this study aimed to determine the instructional, and supervisory skills of public elementary school heads in district IV-B, division of Bacolod City, during the school year 2022-2023. Data for this descriptive study was collected from 139 respondents using a self-made survey questionnaire that has passed the rigorist tests of validity and reliability. The findings indicate a high level of instructional supervisory skills among school heads, consistent performance across demographics, and notable excellence in teachers' performance. Moreover, instructional supervisory skills and teachers' performance remained consistent across most variables, although differences were observed in teachers' performance based on position and educational attainment. Additionally, no significant correlation was found between instructional supervisory skills and teachers' performance. The results call for school heads to prioritize fostering a learning culture through workshops and mentorship programs, encouraging teachers to pursue advanced degrees to elevate their capabilities, and ensuring that schools stay updated with best practices, fostering effective leadership and ultimately enhancing teaching effectiveness across the organization.