bluuebunny/crossref_metadata_2025_split huggingface dataset:
Determination of conditions that may prevent the effective use of blood in blood transfusion
Authors: Kilinc Seyma , Kockar Cigdem 
Published: February 2025

Objective: This study was conducted to determine conditions that may prevent the effective use of blood in blood transfusion.
Methods: The study's universe consisted of transplanted and wasted blood and blood products (n=309) in a university research hospital orthopedics and traumatology, neurosurgery, pediatric hematology and pediatric intensive care clinics. Between 10.12.2014 and 20.04.2015, in the mentioned clinics, the data about blood waste and reasons was collected. The rates of use and waste of blood according to clinics, the rates of use and waste of blood according to the age of patients and the rates of use and waste of blood according to blood groups were analyzed by using independent t test.
Results: When the blood ratios used and wasted according to the clinics were examined, the mean blood amount used in the neonatal intensive care clinic was 27,79 ml, while the amount of blood wasted was 472,43 ml (Due to 500 ml Blood bags). The mean amount of blood used in the pediatric hematology clinic was 189.62 ml, and the amount of blood wasted at the same clinic was 310.38 ml. When the reasons of blood waste were examined, it was concluded that the rate of not using pediatric blood bags was 40.1% and the rate of unnecessary request was 59.9%.
Conclusion: As a result, despite the fact that there is still not enough blood donations nowadays, it seems that blood is wasted because of preventable causes and not being used effectively.
Should the chronic form of tularemia be defined? Should the treatment of the chronic form be managed differently?
Authors: Yesim Alpay  
Published: February 2025

Background: Tularemia is a bacterial, zoonotic diseasecaused by Francisella tularensis. Although the ulceroglandular form is the most common form in the world, oropharyngeal tularemia is the most common form in Turkey. Lymph node suppuration is the most common complication. F. tularensis causes granulomatous and suppurative lesions in the lymph nodes and other organs.
Methods: Seventeen suspected oropharyngeal form tularemia cases complicated with suppurated lymphadenitis have been examined in this study. All of the patients (17, 100%) had cervical lymphadenopathies and had a history of beta-lactam antibiotic use with the diagnosis of tonsillitis. Tularemia cases were diagnosed according to the case definition of World Health Organization (WHO).
Results: All of the patients (17, 100%) had cervical lymphadenopathies ranging in size from 2-8 cm and unilateral lymphadenopathy, while 12 (71%) patients had right-sided lymphadenopathy. The rate of fever was 41% and the rate of pharyngitis or tonsillitis was 52% at presentation. All patients had a history of beta-lactam antibiotic use with the diagnosis of tonsillitis. Seven patients recovered with first-line monotherapy. In the remaining 10 patients, treatment was rearranged, and these patients were switched to combination treatment or another anti-infective. Surgical drainage was performed on all but two of the patients.
Conclusions: The diagnosis of tularemia is often delayed. It may take a significant length of time to diagnose the condition and the disease may become complicated. As it is understood from our study and other studies, the types and duration of treatment can vary and differences can be observed in cases that are past the acute stage. Although the guideline has included a classical treatment approach for the tularemia, there is no standard approach to cases with delayed diagnosis, complicated cases and those refractory to conventional regimens. These observations and other examinations have raised the question whether the chronic form of tularemia should be defined, and whether the treatment options and durations should be re-standardized according to the ‘chronic tularemia’ definition as a ‘chronic granulomatous disease’
A single group, pretest-posttest clinical trial for the effects of botulinum toxin injection using dual guidance into the upper extremity muscles for the treatment of focal spasticity in patients with chronic stroke
Authors: Ata Emre , Dincer Umit 
Published: February 2025

Objective: This study aimed to determine if ultrasonography and electrical muscle stimulation-guided botulinum toxin injection into the upper extremity muscles increases the efficacy of the treatment of focal spasticity in patients with chronic stroke.
Materials and Methods: This study included 22 chronic hemiplegic stroke patients with grade 2 and 3 spasticity in the upper extremity muscles, based on the Modified Ashworth Scale. The study hypothesis was that ultrasonography and electrical muscle stimulation-guided botulinum toxin injection would increase the efficacy of the treatment of spasticity. The Modified Ashworth Scale, Tardieu Scale, Barthel Index and Fugl-Meyer Motor Assessment Scale were administered at baseline, and at 2 weeks and 2 months post treatment.
Results: All parameters were improved significantly at 2 weeks post treatment, as compared to baseline, and the observed improvement persisted at 2 months post treatment (P < 0.05).
Conclusion: Ultrasonography and electrical muscle stimulation-guided botulinum toxin injection significantly improved spasticity and functional recovery in chronic stroke patients with upper extremity spasticity.
Impact of menopause on quality of life: A cross sectional study in menopausal females in the north of Jordan
Authors: Al-Mehaisen Lama , Al-kuran Oqba 
Published: February 2025

Aims: Menopause can severely effects the somatic, urogenital and psychological aspects of life, our aim is to find out the Health Related Quality of Life in female patients with menopause in a tertiary care hospital.
Methods: A cross-sectional, observational study was conducted in the Gynecology out-patient department. All female patients with menopause attending the Gynecology OPD of tertiary care hospital for various complaints were included in the study. After obtaining written informed consent, demographics, relevant medical and surgical history was noted and they were then administered validated questionnaire ‘Health related Quality of Life Questionnaire: Menopause Rating Scale’ (HRQoL).
Results: The overall population sample size was 409. The mean age of menopause was 48.91± 4.76 years. Hot flushes and sweating (somatic symptom) were the commonest symptom (86.31%), followed by anxiety (psychological symptom) in 76.53%. Maximum score was attributed to psychological symptoms, while urogenital domain had the minimum score. The association between the duration of menopause (early versus late post-menopause) and severity of symptom complex was found to be significant in psychological symptoms only. Frequency of psychological symptoms decreased as the duration since onset of menopause increased. Occurrence of somatic and urogenital symptoms is not significantly associated with duration of menopause.
Conclusion: Menopausal symptoms commonly affect a large number of early and late post-menopausal women and adversely affect health related quality of life. Menopausal symptoms are common in postmenopausal women and except psychological symptoms there is minimal difference in the frequency and severity of other symptoms with duration.
Extreme Star of Phenylenes for the Merrifield-Simmons Index
Authors: Ita Guillermo De , Bello López Pedro , López Cristina , Aguilar Edgar 
Published: February 2025

We identify extremal graphs concerning the number of independent sets for polyphenylene dendrimers. Specifically, we demonstrate that for a certain number of phenylenes, for example to k phenylenes, the compound formed as a star with a phenylene core achieves the maximum Merrifield-Simmons (M-S) index for a 1-connected component with an equal number of phenylenes. However, by relaxing the constraint of dendrimers to allow vertices with degrees greater than 3, it becomes possible to obtain topologies for compounds with a higher M-S index value. In this scenario, the starting point where every cut-edge is incident to the same vertex of the phenylene core emerges as the extremal topology concerning the M-S index for a 1-connected component with k phenylenes. These insights could facilitate the development of advanced molecular designs and contribute to enhanced performance in applications such as boiling points, drug delivery, molecular electronics and other nanotechnological innovations.
Mekanisme Pengusulan dan Penetapan Propemperda dalam Pelaksanaan Keputusan DPRD Nomor 14 Tahun 2020 Tentang Penetapan Program Pembentukan Peraturan Daerah Kabupaten Sambas Tahun 2021
Authors: Nadia  
Published: February 2025

Penelitian ini bertujuan untuk menganalisis mekanisme pengusulan dan penetapan propemperda di tingkat legislatif maupun eksekutif dalam pelaksanaan Keputusan DPRD Nomor 14 Tahun 2020 Tentang Penetapan Program Pembentukan Peraturan Daerah Kabupaten Sambas Tahun 2021.Fokus masalah dalam penelitian ini bagaimana mekanisme pengusulan dan penetapan Propemperda di tingkat Legislatif maupun Eksekutif dalam pelaksanaan Keputusan DPRD Nomor 14 Tahun 2020 Tentang Penetapan Program Pembentukan Peraturan Daerah Kabupaten Sambas Tahun 2021.Jenis penelitian ini termasuk kedalam penelitian kualitatif. Penelitian kualitatif adalah penelitian yang melakukan pengamatan tentang fenomena dalam suatu keadaan ilmiah untuk menelaah penelitian. Penggunaan penelitian kualitatif bertujuan untuk menjalankan fenomena melalui pengumpulan data sedalam-dalamnya. Pendekatan empiris merupakan pendekatan dalam meneliti hukum sebagai obyek penelitiannya tidak hanya dipandang sebagai disiplin yang preskriptif dan terapan belaka, tetapi juga empirical atau kenyataan hukum. Untuk memperoleh data, menggunakan teknik observasi, wawancara dan dokumentasi. Hasil penelitian Mekanisme pengajuan Propemperda oleh Bupati yaitu dimana Bupati menugaskan pimpinan perangkat daerah dalam penyusunan propemperda si lingkungan Pemerintah. Penyusunan propemperda dikoordinasikan oleh Bagian Hukum, dan dapat mengikutsertakan instansi vertikal terkait.Hasil penyusunan Propemperda diajukan oleh Bagian Hukum kepada Bupati melalui Sekretaris Daerah. Selanjutnya Bupati menyampaikan hasil penyusunan Propemperda di lingkungan Pemerintah Kabupaten kepada Bapemperda melalui Pimpinan DPRD Kabupaten.
Efecto de una intervención educativa en el tabaquismo en adolescentes
Authors: Hernández Enríquez Francisco Javier , Robledo González Mónica , Martínez Fernández Sergio Carlos , Ruiz Hernández Carolina , Gonzalo Giovanny Silva Enríquez 
Published: February 2025

Antecedentes: Un factor que conlleva al tabaquismo en adolescentes es la falta de información y capacitación, por lo que se deben realizar intervenciones para disminuir el riesgo. Objetivo: Determinar el efecto de una intervención educativa en el tabaquismo en adolescentes. Métodos: Se realizó un estudio de tipo analítico, observacional, cuasiexperimental, longitudinal, prospectivo y homogéneo. Con una muestra probabilística de 91 participantes con criterios de inclusión, exclusión y eliminación. Se realizó una evaluación pre y post intervención, se aplicó el instrumento susceptibilidad del consumo del tabaco y su alfa (0.88). Posteriormente se analizó con pruebas no paramétricas. Resultados: De acuerdo a una intervención educativa, los adolescentes con familias con núcleo no integrado, disminuyeron significativamente el riesgo de tabaquismo, el cual se representó con un puntaje de 201 clasificado con un (39%) de riesgo al tabaquismo. Al recibir la intervención educativa los adolescentes presentaron un riesgo del tabaquismo con un puntaje de 164 (30%); disminuyendo un 9% de riesgo personal al tabaquismo, bajando de un riesgo medio a un riesgo mínimo. Conclusión: La Intervención educativa demostró tener resultados positivos para la prevención del tabaquismo en adolescentes, el instrumento de Susceptibilidad de tabaquismo en adolescentes, nos demostró una significancia estadística. Esta investigación fue de gran beneficio para los adolescentes, se disminuyó factores de riesgo, mejorando la toma de decisiones en adolescentes con familias con núcleo desintegrado.
A Framework for Supporting Intrapreneurialism in Nursing Academia
Authors: Morrison-Beedy Dianne , Yashin-Shaw Irena , Ackerman Michael 
Published: February 2025

Background
To prepare nurses for increasingly complex and challenging roles, nursing education must include a focus on developing an intrapreneurial mind-set that students take with them to future employment and leadership positions.

Method
Intrapreneurs take on responsibility for innovating within their organization. The combination of skills and energies encompassing leadership, cognitive flexibility, and a future orientation can facilitate the success of nurses in health care organizations, academic institutions, and diverse employment settings. Case studies provide examples regarding how to best integrate the concepts of intrapreneurship into nursing education.

Results
Nurse educators play a vital role in developing, encouraging, and building an intrapreneurial mentality. Faculty who lead by example serving as intrapreneurial role models can help students and colleagues prepare to innovate within today's rapidly changing health care system.

Conclusion

This article discusses the importance of intrapreneurial skills for nurses and posits a framework for supporting intrapreneurialism in nursing academia.

[
J Nurs Educ
. 2025;64(2):69–73.]
Experts on the defensive: The Tsiganologue versus Romani activism (1959-1973)
Authors: Barrera López Begoña 
Published: February 2025

This article discusses the figure of the Tsiganalogue, the expert on the “Tsigane question,” in post-World War II France. Specifically, it analyses the role played by one of these experts in the police persecution of Roma ethnic activism during the 1960s and early 1970s. Drawing on this case study, its objective is two-fold: firstly, to show the central role that Tsiganalogues played in the hounding of the Romani movement; secondly, to explain how the self-perceptions of these experts (of their authority and role) were decisive factor in their interventions with the public authorities. The article draws on a wide range of sources from the French Ministry of the Interior and the Ministry of Health and Population. It is structured in five parts: the first briefly defines and explains the concepts of expert, expert knowledge and ethnicity; the second describes the context and profile of the main agents studied (the Tsiganalogues, Romani activists and the French police); the third and fourth parts examine in extenso the primary documentation; and finally, the fifth part offers a reflective summary of the profile of the Tsiganalogue.
The impact of the COVID-19 pandemic on forensic pathology services in Limpopo province, South Africa
Authors: Mamashela Thakadu A. , Ntuli Samuel T. 
Published: February 2025

Background: To evaluate the effects of coronavirus disease 2019 (COVID-19) and the preventative measures taken, especially how they affect forensic pathology services in rural South Africa.Methods: This retrospective analysis includes referred post-mortem cases from all forensic pathology services in Limpopo province, comparing the period before the COVID-19 pandemic (01 January 2019 to 31 December 2019) with the pandemic period (01 January 2020 to 31 December 2020). Data analysis was performed using STATA 16.0 software (StataCorp; College Station, TX). Chi-square test was employed for comparison, with a p-value 0.05 deemed statistically significant.Results: Approximately 9319 cases were submitted for post-mortem examinations, with 4857 occurring before the pandemic and 4462 during it, marking an 8.1% decrease. There was a decrease in the number of unnatural death cases, while the instances of natural deaths rose. Cases under investigation saw a notable increase. There was a marked decrease in referrals for forensic examinations across all districts. In addition, except for one facility, there was a decline in the number of cases sent for autopsies at all facilities.Conclusion: In conclusion, forensic pathology services in this province had been severely disrupted by the COVID-19 outbreak and the lockdown that followed, especially in the tertiary hospital. It has led to new challenges for case management and necessitated changes to operating procedures.Contribution: It has required modifications to operational procedures and has introduced various challenges in case management.
Community-Driven Nursing Interventions: Enhancing Prevention and Early Detection of Chronic Kidney Disease in Hypertensive Patients at Non-communicable Disease Clinics
Authors: Arumugam Sumathi , Ethiraj Theranirajan , Rajendran Shankar Shanmugam , Tamilselvi Palani , Periyasamy Umamaheswari , Elumalai Ghercy , Subbaiya Saranya 
Published: February 2025

ABSTRACT

Background:
Chronic kidney disease (CKD) is one of the global key health issues; hypertension continues to be among the leading risk factors. This, therefore, calls for early detection and prevention with the aim of reducing the disease’s progression and socioeconomic burden. It is through such community-based nursing interventions that the gap in prevention and early detection may be bridged.

Aim:
This study aims to assess the effectiveness of a community-based nursing intervention aimed at improving knowledge, attitudes, and practices (KAP) related to CKD prevention among hypertensive clients attending an non-communicable disease (NCD) clinic.

Materials and Methods:
Quasi-experimental design with 100 hypertensive clients purposively divided into experimental and control groups. The experimental group received community-based nursing interventions, which included educational sessions, whereas the control group received routine care. The pre- and post-intervention KAP were measured through structured questionnaires. Data analysis was set in SPSS version 22 and fixed at P ≤ 0.05.

Outcome:
Pre-intervention, both groups had poor knowledge and practices. Post-intervention, 68% of the intervention group showed adequate knowledge, and 66% displayed good practices, while no change was observed in the control group. Correlations were found between KAP score and demographics—age and BMI, in the intervention group.

Conclusion:
Community-based nursing interventions enhance KAP related to CKD prevention in hypertensive clients in an effective manner. Including these interventions in routine care will ultimately be cost-effective and crucial, mainly in low-resource environments.
In Vitro Analysis of Compressive Strength of Three Different Aesthetic Restorative Materials
Authors: Nagar Rohit , Grandini Simone , Gaeta Carlo , Dubey Sumit , Maiti Niladri , Jadhav Madhura Avinash , Konthoujam Neerieza 
Published: February 2025

ABSTRACT

Aim:
The study aims to assess and contrast the compressive strengths of three aesthetically pleasing restorative materials.

Materials and Methods:
Using metallic molds, 30 pellets were created, then split into 3 groups of 10, each meeting the required specifications. Glass Ionomer Cement (GIC) cylindrical specimens are in Group A; Resin Modified GIC (RMGIC) cylindrical specimens are in Group B; and Zirconomer cylindrical specimens are in Group C. A universal testing equipment was used to compress all of the samples, and the results were acquired. Tukey’s post
hoc test and one-way ANOVA were used for statistical analysis.

Result:
Zirconomer’s compressive strength is significantly higher than that of RMGIC and GIC.

Conclusion:
The compressive strength of Zirconomer is the highest. As a result, Zirconomer may be the preferred material for aesthetic restorative procedures.
Enhancing Safety and Slip Resistance of Epoxy Flooring Materials through the Reuse of Aluminum Machining Chips
Authors: Sami Abdelhalim , Ali Salih Eltahir Elmarud , Ali Abdulrahman Khamaj , Ali Abdullah A. Faqihi , Bafakeeh. O. T  
Published: February 2025

The present study is part of a wide research project conducted by the authors. The overarching purpose of this project is to explore the reuse of aluminum machining chips for the development of design recommendations for epoxy floor materials, specifically focusing on safety requirements and slip resistance based on friction measurements. The aim is to address the potential danger of electrostatic charge generation during walking.

Epoxy floor coatings are commonly used in commercial and industrial settings. They are typically applied over concrete floors to create a smooth, durable surface that can withstand heavy loads and provide a high-performance flooring solution. Many industrial sites, warehouses, and commercial buildings rely on epoxy floors to maintain clean and safe conditions for workers, equipment, and inventory.
Prevalence Of Urinary Incontinence in Post Natal C- Section Women in Age Group (21- 45 Years) - A Cross-Sectional Observational Study
Authors: Rucha Jodh , Asmita Kadel 
Published: February 2025

Background- According to the ICS (International Continence Society), urinary incontinence (UI) is characterized by any loss of involuntary urine associated or not with efforts . It is more frequent in women, due to anatomical reasons and hormonal changes, as well as births and pregnancies that can generate overload and favour structural damage to the pelvic floor tissues. The purpose of the study was to assess the postpartum prevalence of urinary incontinence following ceasarean section in women with age group 21-45yrs. Methodology and analysis - A cross-sectional study was conducted among 94 postnatal caesarean section women aged 21 – 45 years using convenient sampling. Women with any Recent abdominal surgery , any neurological pathology ,Obesity , prenatal women were excluded . Their urinary incontinence symptoms were investigated using QUID questionnaire. Result- The findings revealed that urinary incontinence was prevalent in post natal c-section women in age group 21-45years where stress incontinence was more prevalent than urge incontinence. Conclusion- The study concluded the prevalence of urinary incontinence by 31.91% in post c-section women age group of 21-45yrs. In which 27.65% women show positive result for stress incontinence and 4.25% for urge incontinence so elective ceasarean section did not prevent urinary incontinence.
Prevalence of Maternal blues in Primiparous and Multiparous Women Using Maternal Blues Suryani Scale : An Observational Study
Authors: Mahvish Shaikh , Ashwini Kalsait , Radhika Talapalli , Jaywant Nagulkar 
Published: February 2025

Aim- To study the prevalence of Maternal Blues in Primiparous women and Multiparous women using Maternal Blues Suryani Scale. Relevance of study - Maternal Blues if not detected and taken care off in time can progress to major clinical postpartum depression and it has adverse effects on development and health of infant and mother such as that mothers might become triggered to engage in self-injury, suicide, or abandoning their babies. Methodology- In this observational study 102 females were selected, according to the inclusion and exclusion criteria. Out of which 51 women were Primiparous and 51 were Multiparous. Written consent was taken from the subjects prior to the study. The entire procedure was explained to the participants and demographic details of the patient were taken. Participants were given printed copy of the scale in their language; Maternal Blues Suryani Scale, and a pen. Participants were asked to carefully read each statement in the scale and then tick the appropriate answer. Result- Total 102 women were the participants of this study. Out of which 51 were primiparous women and 51 were multiparous women. Mean age of Primiparopus women was 21.35 and that of Multiparous was 27.52. Mean % of Maternal Blues in Primiparous women is 55.15% and that in Multiparous women is 52.03%. Conclusion- Prevalence of Maternal Blues is slightly higher in Primiparous(55.15%) women than in Multiparous women(52.03%).