bluuebunny/crossref_metadata_2025_split huggingface dataset:
Early and Long-Term Morbidity and Mortality Following Pancreaticoduodenectomy for Periampullary Tumors in Elderly Patients
Authors: Aziret Mehmet , Aşıkuzunoğlu Feyza , Altıntoprak Fatih , Tozlu Mukaddes , Demirci Ayşe , Ercan Metin , Saydan Doğukan , İmran Küçük Ali 
Published: April 2024

Aim: The growing elderly population is facing an increasing risk of cancers, consequently raising the pancreatic cancer surgery rate. This study aimed to determine whether advanced age is a risk factor for morbidity and mortality following pancreaticoduodenectomy (PD) for periampullary tumors.
Materials and Methods: The present study included 90 patients who underwent PD for periampullary tumors. Patients were divided into two age-related groups, including those aged 60–74 years (n = 60) (Group 1) and those aged ≥75 years (n = 30) (Group 2). Each patient's characteristics, perioperative features, morbidity, and long-term results were evaluated retrospectively.
Results: In both univariate and multivariate logistic regression analyses, old age (≥75 years) was not a risk factor for morbidity and hospital mortality. The multivariate analysis demonstrated that male gender (p = 0.008), pancreatic duct diameter (<3 mm) (p < 0.001), and length of hospital stay (p = 0.005) were independent risk factors for pancreatic fistula post-operation and reoperation. Additionally, hospital mortality was significantly associated with reoperation (p = 0.011). The overall median survival was 27 ± 4.1 (18.8–35.1) months. Lymph node positivity (p < 0.001), neural tumor invasion (p = 0.026), and age ≥75 years (p = 0.045) were risk factors affecting the overall survival rate. Moreover, there was no statistically significant difference in terms of PD rates during the Coronavirus disease-19 (COVID-19) period among groups, and PD during this period was not related to the occurrence of pancreatic fistula.
Conclusion: PD can be performed effectively in selected elderly patients with tolerable morbidity and mortality rates.
The Nexus between Market Orientation and Organizational Performance
Authors: Mobusher Ali  
Published: April 2024

Current study is conducted to measure the impact of market orientation on banking performance. Organizational performance is as dependent variable which is measured with non-financial performance. Whereas, the study has taken market orientation as independent variable and is measured by (Intelligence generation, Intelligence dissemination and responsiveness to intelligence. The study results showed that intelligence generation has positive impact (t= 4.351/ p value=.000) on organizational performance. This study results also showed that intelligence dissemination has positive impact (t=3.423/ p value =.001) on organizational performance. This study also showed that responsiveness to intelligence has positive impact (t=6.124/ p value =.000) on organizational performance based upon primary data. Multiple regression has been used to check the impact of independent variables on dependent variable. While correlation has been used to check the relationship between variables.
Knowledge of Osteoporosis among women of 40 years and above in Nepalgunj sub-Metropolitan City
Authors: Neupane Arzoo , Pandeya Pawan , Baral Sushila , Chhetri Rashmita , Pandey Sony , Gautam Samjhana 
Published: April 2024

Background: Osteoporosis is a global problem with a lifetime risk of osteoporotic fractures among women. It is the condition that reduces bone mass per unit volume of normally mineralized bone resulting in fractures, even minor trauma which increases as an increase in age.
Objectives: The study aimed to assess the osteoporosis knowledge among women of 40 years and above residing in Muktipur-12, Nepalgunj, Banke.
Methods: A quantitative cross-sectional study was carried out in Muktipur-12, Nepalgunj Sub Metropolitan city among 150 women of 40 years and above. Face to face interview was conducted during July-August, 2018. Statistical Package for the Social Sciences (SPSS) version-16 was used for descriptive and inferential statistics.
Results: Study showed 61.3% women of 40 years and above had fair knowledge of osteoporosis. Personal presence of osteoporosis was reported by 26% of respondents. Diet low in calcium (79.3%), lack of exercise (57.3%) and personal history of fracture during adulthood (44.7%) were the major reported causes of osteoporosis. Regarding knowledge on symptoms, lower back pain (78%), stooped position (64.7%) and bone fracture (42.7%) were reported. More than three fourth (84%) answered adequate calcium intake as preventive measures for osteoporosis. Knowledge of osteoporosis was found to be significantly associated with age (p<0.001), literacy (p=0.028) and occupation (p=0.019) of the participants.
Conclusion: This present study concluded fair level of knowledge regarding osteoporosis. Osteoporosis awareness program need to be continued and expanded covering young age women which could minimize the future risk of osteoporosis.
Factors Associated with Birth Preparedness and Complication Readiness among Pregnant Women in Nepal
Authors: Sapkota Rajendra , Yadav Dr.Dipendra Kumar , Yadav Rajesh Kumar , Paudel Ajaya 
Published: April 2024

Background: Maternal and neonatal mortality is major problem especially affecting newly industrialized and developing countries. Birth preparedness and complication readiness is a strategy used in maternal and new-born health to promote safe and healthy pregnancy and delivery by preparing women and families to avoid complications. This includes utilization of prenatal care, identifying health worker and health facilities, managing budget and transportation, identifying potential complications, and receiving health services.
Objectives: The study aimed to assess the factors associated with birth preparedness and complication readiness among pregnant women in Nepal.
Method: A quantitative, community based cross sectional analytical study was conducted between January and July 2023 among 221 pregnant women who completed 14 weeks of gestational age. Birth preparedness and complication readiness were measured using standard tool of JIPIEGO. Epi-data version 3.1 for data entry and SPSS version 20 was used for further analysis. Chi-square test was used to observe the statistical association, similarly, predictors of birth preparedness and readiness were assessed using binary logistic regression analysis.
Results: The study revealed only one quarter (26.6%) of pregnant women were prepared. Among the participants, 50.7% had selected health facilities, 40% had arranged transportation, 38% saved money, 12.2% identified health workers and 10% identified possible blood donor. Education of mother (AOR=15.275, 95% CI: 1.775-131.421), family income (AOR=4.977, 95% CI: 1.263-19.608) and gestational age (AOR=3.716, 95% CI: 1.200-11.504) were found to be predictors of birth preparedness and complication readiness.
Conclusion: The study showed only about one fourth of the pregnant women were well prepared for birth complications and readiness. Birth preparedness and complication readiness play a vital role in the prevention of maternal and neonatal mortality. Health workers should emphasize to increase awareness and provide counselling during antenatal visits.
Covid-19 vaccine compliance among residents of Kathmandu Valley
Authors: Mishra Durga Khadka , Khati Krishna , Sharma Sudip , Karna Aditya Kumar , Bhatta Mahesh , Chhetri Prakash , Nath Mahesh 
Published: April 2024

Background: The Coronavirus disease 2019 (COVID-19) pandemic is a public health threat. Equitable access to safe and effective vaccines is critical to end the COVID-19 pandemic. Promoting the uptake of vaccines (particularly those against COVID-19) require the understanding whether people are willing to be vaccinated, and the reasons behind their decision.
Objectives: This study aimed to assess COVID-19 vaccine compliance and factors associated with it among residents of Kathmandu valley.
Methods: A cross-sectional analytical study was conducted among residents of Kathmandu valley through a pre-tested web-based self-administered questionnaire. A total of 390 respondents were selected to carry out this study. The collected data were entered into MS-excel and analyzed using SPSS IBM v. 25. Multivariable analysis was performed.
Results: Vaccine compliance was found in 94.1% of 390 respondents. Among the respondents, 91.5% had low risk perception of COVID-19; 85.4% had complete prior vaccination history; 61.3% perceived COVID-19 vaccine as effective; 65.6% perceived. COVID-19 vaccine as necessary whereas only 24.6 % believed the COVID-19 vaccine to be safe. Regarding COVID-19 vaccine compliance, females demonstrated a 3-fold higher likelihood than males (AOR= 3.0, 95%CI: 1.01-9.21). Complete vaccination history which had 31.9 times higher odds than no vaccination history (AOR=31.96, 95%CI: 9.72-105.14), perceived vaccine effectiveness which had 7.7 times higher odds than perceived ineffective (AOR= 7.75, 95%CI: 2.37-25.38), and high social influence which had 7.7 times higher odds compared to low social influence (AOR= 7.72, 95%CI: 2.19-27.12) were the associated factors with increased compliance.
Conclusion: This study revealed significantly high vaccine compliance rate in Kathmandu valley. Sex, complete vaccination history, perceived vaccine effectiveness and high social influence were the determinants for vaccine compliance which indicated the importance of ensuring people trust the vaccine's safety, utilizing social influence to encourage vaccination, and tailoring strategies to suit different demographics.
Determinants of Type II Diabetes Mellitus among Tuberculosis Patients in Yangon Region, Myanmar
Authors: Zaw Than , Mahato Roshan Kumar , Laohasiriwong Wongsa , Sornlorm Kittipong 
Published: April 2024

Background: Although having Diabetes Mellitus might adversely affect tuberculosis treatment outcomes and reduce the likelihood of a favorable outcome, studies are still limited to identify many problems related to diabetes mellitus.
Objectives: To identify factors influencing Type 2 diabetes mellitus among tuberculosis patients in Yangon region, Myanmar.
Methods: A case control study conducted in the Yangon Region of Myanmar. Structured interview questionnaires were used for data collection after obtaining the informed consent. This study included 73 cases (TB patients with DM) and 146 controls (TB patients without DM) who were under tuberculosis treatment in 2023. Unconditional multivariable logistic regressions, crude odds ratios, and Adjusted Odds Ratios (AOR) with 95% confidence intervals and P-values < 0.05 were applied for significant association.
Results: Of the 219 TB patients, 112 (51.14%) were male and 107 (48.86%) were female. The study observed that the risk factors of type 2 diabetes mellitus comorbidity among tuberculosis patients were: female TB patients (AOR= 2.84, 95% CI:1.36-5.94), aged 45 years and older (AOR=3.04, 95% CI: 1.45-6.37), who were married (AOR=2.28,95% CI:1.03-5.04), diagnosed by GeneXpert (AOR=2.66, 95% CI:1.22-5.79), those who had a family history of DM (AOR=4.08, 95% CI: 1.94-8.58), and those who had BMI ≥25 (AOR=9.00, 95% CI: 2.71-29.95).
Conclusion: Based on findings, women TB patients, TB patients aged 45 years and older, married TB patients, TB patients detected by GeneXpert results, and TB patients with a family history of DM and a higher BMI were strong determinants of having TBDM. Therefore, encouraging health promotion on physical exercise, TB awareness campaign, pre-diabetes and diabetes screening and management among TB patients is crucial for the management of lifestyle and effective measures for the TB and comorbid disease control program.
Spatial distribution of COVID-19 infection in Thailand and its related factors during 2020-2021
Authors: Yan ZiJie , Sornlorm Kittipong , U Ei Sandar 
Published: April 2024

Background: The COVID-19 pandemic, with over 759 million confirmed cases and 6.8 million deaths globally as of March 2023, underscores the critical need for effective control measures.
Objectives: This study investigates the spatial dynamics of the disease in Thailand from 2020 to 2021, focusing on the association between demographic, environmental, and socioeconomic factors and COVID-19 infection rates, utilizing Geographic Information Systems.
Methods: In this cross-sectional study, QGIS and GeoDa were employed to analyze the spatial pattern of COVID-19 infection rates using Local Moran’s I statistics for spatial autocorrelation. Spatial regression, specifically the Spatial Lag Model and Spatial Error Model was utilized to identify factors related to the observed spatial patterns.
Results: The study identified high incidence clusters in southern and central Thailand. Population density, age demographics, and urbanization were found to be positively correlated with incidence rates. Environmental factors such as temperature showed a negative correlation, while forest area coverage exhibited a complex influence. Socioeconomic variables, including income and alcohol density, displayed varying effects, while tobacco density was positively associated with incidence.
Conclusion: This comprehensive study underlines the importance of considering spatial dynamics in pandemic analysis. It reveals the multifaceted interplay between demographic, environmental, and socioeconomic factors in COVID-19 transmission. These findings provide valuable insights for targeted interventions and effective pandemic control strategies in Thailand and similar regions.
Assessment of Awareness, Knowledge, and Perception on the Purchase Intention towards Packaged Milk
Authors: N Venkatesa Palanichamy , M Kalpana , M Giruba , S Aruna Prabha 
Published: April 2024

India has the highest livestock population in the world with 50 percent of the buffaloes and 20 percent of the world’s cattle population, most of which are milk cows and milk buffaloes. The research was focused on the packaged milk purchasing behaviour of consumer. The study area is confined to Erode district because of its high population and narrowed down to Erode town since the packaged milk purchasing is higher in town area. From each selected wards, 20 sample respondents are randomly selected. A pre-tested questionnaire will be used to collect data for the study. The general characteristics of the sample respondents would help in understanding the nature and behavior of the sample respondents. The general characteristics of sample respondents such as, education, purchase decision of sample respondents etc have a significant bearing on the study. Percentage analysis was used to study the general characteristics of the consumers which included age, education, gender, income, occupation, awareness, preference, knowledge of the respondents, frequency of purchase, type of decision makers, quantity of purchase, place of purchase. Majority of the respondents were aware of branded and non-branded milk. Only few respondents were not aware so suitable step should take to create awareness, so that more customers will get motivated to buy branded and non-branded milk. Knowledge of the respondents on branded milk was depends on consumer interest and also education one of the reason to gain knowledge. Most of the respondents were preferred Aavin because booth there and availability of the Aavin milk is high compared to other brand. So expect Aavin other firms have to follow suitable marketing strategies to increase preference among the consumers. Knowledge of the respondents on branded milk was depends on consumer interest and also education is one of the reason to gain knowledge. About 33 per cent were had energy level knowledge on branded milk. Whereas 67 per cent of the respondents were had energy level knowledge on branded milk. About 11 per cent were had energy level knowledge on non-branded milk. And majority of the respondents 89 per cent were had energy level knowledge on non-branded milk.
White Luminescence from Multiple‐Dye‐Doped Electrospun DNA Nanofibers by Fluorescence Resonance Energy Transfer
Authors: Ner Yogesh , Grote James G. , Stuart Jeffrey A. , Sotzing Gregory A. 
Published: June 2009

AbstractA DNA spin‐off: Electrospinning of DNA complexes gives nanofibers with a highly ordered morphology that allows homogeneous distribution of encapsulated multiple chromophores. The emission color can be controlled by suitable choice of the donor–acceptor pair and the doping ratio. Pure white‐light emission from nanofibers is demonstrated (see picture).magnified image
Preservation of properties in discrete‐time systems under substitutions
Authors: Fernández‐Anaya Guillermo , Flores‐Godoy José‐Job , Álvarez‐Ramírez José 
Published: June 2009

AbstractFor discrete‐time systems, using substitutions of the variable z by 𝕄1 functions, we give results on preservation of stability, stabilization, positive real (PR), strictly positive real (SPR), bounded real (BR), and strictly bounded real (SBR) functions, along with the ℋ︁∞‐norm. These results can be interpreted in the sense of robust control or uniform systems. Based on these properties, we present results about preservation of the SPR Lemma and absolute stability for discrete‐time descriptor systems using linear matrix inequalities (LMIs) and substitutions. Copyright © 2009 John Wiley and Sons Asia Pte Ltd and Chinese Automatic Control Society
Stress experiences of family members of registered sex offenders
Authors: Tewksbury Richard , Levenson Jill 
Published: June 2009

AbstractThe collateral consequences of sex offender registration and notification (SORN) have been well established, although little evidence has supported the efficacy of SORN. Based on the belief that family members provide some of the most consistent, important, and intense forms of support for criminal offenders in general and registered sex offenders (RSOs) more specifically, the experiences of sanctions, losses, and stresses of these individuals is examined. Using survey responses from 584 individuals known to visit online support and advocacy groups for RSOs and their loved ones, this study identifies the stress levels and stressors experienced by this population. Findings show that family members of RSOs experience high levels of social isolation, fear, shame, property damage, and forced residential relocation. Perceived stress is significantly higher for those who are of lower economic means, feel isolated, have high levels of fear and shame/embarrassment, or were forced to move. Copyright © 2009 John Wiley & Sons, Ltd.
‘Not in our front garden’: Land use conflict, spatial meaning and the politics of naming place
Authors: Nash Nicholas , Lewis Alan , Griffin Christine 
Published: June 2009

AbstractStrategies aimed at reducing land use conflict often stress the need to make planning decisions more democratic. However, this goal is obstructed by overly‐narrow conceptual perspectives that neglect the symbolic significance of place. We illustrate this by examining place names, which function as repositories of socio‐political meaning. Drawing on elements of discursive and rhetorical psychology and subject positioning theory, we investigated the variety of meanings associated with place names in the context of a proposed housing development in Swindon, in the South of England. Thirty interviews with different stakeholders were conducted to gauge their opinions towards the proposal. Noting differences in the way the proposed site was named, we analysed the range of meanings associated with each name in relation to participants' stances towards development. Our results show how, in naming place, spatial meanings are negotiated and contested in ways that support contrasting political objectives. We conclude that planning professionals should exercise greater sensitivity towards existing spatial meanings, especially place names. In addition, socio‐political understandings of subjective spatial relationships can serve as a basis for achieving more productive dialogue and improving development designs. Copyright © 2009 John Wiley & Sons, Ltd.
A Combined Solid‐State NMR and MD Characterization of the Stability and Dynamics of the HET‐s(218‐289) Prion in its Amyloid Conformation
Authors: Lange Adam , Gattin Zrinka , Van Melckebeke Hélène , Wasmer Christian , Soragni Alice , van Gunsteren Wilfred F. , Meier Beat H. 
Published: June 2009

AbstractDynamic and rigid: The prion HET‐s(218–289) consists, in its amyloid form as shown here, of highly ordered and rigid parts and a very dynamic loop, which could be of great importance for fibril formation. Indeed, MD simulations explain the experimental NMR results and describe the dynamics of the salt‐bridge network that stabilizes the amyloid fibril, a feature not easily accessible by experiment.magnified imageThe three‐dimensional structure of amyloid fibrils of the prion‐forming part of the HET‐s protein [HET‐s(218–289)], as determined by solid‐state NMR, contains rigid and remarkably well‐ordered parts, as witnessed by the narrow solid‐state NMR line widths for this system. On the other hand, high‐resolution magic‐angle‐spinning (HRMAS) NMR results have shown that HET‐s(218–289) amyloid fibrils contain highly flexible parts as well. Here, we further explore this unexpected behaviour using solid‐state NMR and molecular dynamics (MD). The NMR data provide new information on order and dynamics in the rigid and flexible parts of HET‐s(218–289), respectively. The MD study addresses whether or not small multimers, in an amyloid conformation, are stable on the 10 ns timescale of the MD run and provides insight into the dynamic parameters on the nanosecond timescale. The atom‐positional, root‐mean‐squared fluctuations (RMSFs) and order parameters S2 obtained are in agreement with the NMR data. A flexible loop and the N terminus exhibit dynamics on the ps–ns timescale, whereas the hydrophobic core of HET‐s(218–289) is rigid. The high degree of order in the core region of HET‐s(218–289) amyloids, as observed in the MD simulations, is in agreement with the narrow, solid‐state, NMR lines. Finally, we employed MD to predict the behaviour of the salt‐bridge network in HET‐s(218–289), which cannot be obtained easily by experiment. Simulations at different temperatures indicated that the network is highly dynamic and that it contributes to the thermostability of the HET‐s(218–289) amyloids.
Biopolymere in textilen Anwendungen. Polylactid, Polyhydroxyalkanoate
Authors: Siegmund Felixine , Veit Dieter , Gries Thomas 
Published: June 2009

AbstractBiopolymere stellen eine interessante Polymerklasse dar, deren Potential bisher noch nicht endgültig erfasst ist. Sie gewinnen jedoch zunehmend an Marktwert. Vor allem Polylactid (PLA) hat sich bereits durchsetzen können, da es nicht nur aus nachwachsenden Rohstoffen hergestellt werden kann und abbaubar ist, sondern darüber hinaus ein Eigenschaftsprofil aufweist, das mit herkömmlichen thermoplastischen Kunststoffen vergleichbar ist und sich auch ähnlich gut verarbeiten lässt. Das Anwendungsfeld der Biopolymere reicht von Folien, Obst‐ und Gemüseschalen bis hin zu Hygiene‐ und Medizinartikeln und ist daher sehr vielfältig. Diese Vielfältigkeit wird sicherlich in der Zukunft weiter zunehmen.