bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengaruh Kompetensi Manajerial Dan Konflik Organisasi Terhadap Kinerja Guru
Authors: Hidayatullah Syarif , Prasetyo Muhammad Anggung Manumanoso 
Published: February 2025

Penelitian ini bertujuan mengetahui pengaruh kompetensi manajerial dan konflik organisasi terhadap kinerja guru. Penelitian berjenis kuantitatif dengan teknik analisis jalur. Penelitian berjenis kuantitatif dengan teknik analisis jalur. Penelitian dilakukan pada Madrasah Aliyah Swasta di Kota Lhokseumawe. Dalam hal ini sampel diambil dari MAS dengan akreditasi A. Argumentasi penentuan sampel berdasarkan MAS terakreditasi A mewakili madrasah swasta lain di kota Lhokseumawe. Hasil penelitian menemukan adanya pengaruh positif dan signifikan kompetensi manajerial dan konflik organisasi terhadap kinerja guru MAS di Kota Lhokseumawe. Pengaruh kompetensi manajerial terhadap kinerja dengan p value 0,000 < 0.005. Terkait dengan keterlibatan konflik organisasi dalam peningkatan kinerja guru di antara subskala kompetensi manajerial kepala madrasah. Namun, menurut analisis data, hambatan kritis terhadap praktik konflik organisasi dapat memoderasi hubungan antara kompetensi manajerial dan kinerja guru madrasah. Penelitian ini memiliki arti penting bagi pertumbuhan model pengelolaan konflik organisasi sebagai stimulus peningkatan kinerja guru madrasah. Identifikasi terhadap variabel lain yang mempengaruhi kinerja guru selain variabel kompetensi manajerial dan konflik organisasi diantaranya standar kompetensi kepemimpinan, budaya madrasah, kebijakan pemerintah. Penelitian berimplikasi secara akademik sebagai referensi teori konflik organisasi. Sedangkan penelitian berimplikasi secara social bahwa konflik organisasi terjadi pada setiap madrasah yang harus disikapi secara positif agar bersifat konstruktif terhadap kemajuan madrasah.
Open abdomen: do we really know what we do? Update according to the latest international guidelines.
Authors: Santidrián Zurbano M , Ibañez Rubio M , Ercoreca Tejada S , Mohamed Chairi NH , Villar del Moral JM 
Published: February 2025

Resumen

El abdomen abierto es una estrategia quirúrgica cada vez más empleada, sobre todo en cirugía de control de daños. Sin embargo, sus indicaciones y manejo no están estandarizados, existiendo multitud de variables en su aplicación. El objetivo del presente artículo es recopilar las recomendaciones dadas tanto por la World Society for Emergency Surgery(WSES) como por el resto de literatura actual sobre las indicaciones, el manejo, el cierre temporal y definitivo, las complicaciones y el seguimiento del abdomen abierto. La utilización de la técnica del abdomen abierto debe ser multidisciplinar y estar orientada a su cierre precoz. En ello influirá la indicación para el abdomen abierto y la técnica de cierre abdominal temporal utilizada. Siempre que se pueda está indicado el cierre primario simple. La terapia de presión negativa con tracción fascial continua debería ser la técnica elegida para el cierre temporal.
Complications associated with advanced vesicular neoplasm: giant cholecystocolonic fistula with secondary pneumoperitoneum.
Authors: Díaz Ríos P , Ercoreca Tejada S , Mohamed Chairi MH , Santidrian Zurbano M , Villar Del Moral JM 
Published: February 2025

Resumen

La neoplasia de vesícula biliar es una patología maligna rara, aunque representa casi el 50% de todos los cánceres de vías biliares. El estadio avanzado en el momento del diagnóstico hace que el cáncer de vesícula biliar presente un mal pronóstico. La causa más frecuente de fístula colecistocolónica (FCC) es la colelitiasis crónica, siendo excepcionales los casos a consecuencia de una enfermedad maligna.

Se presenta el caso de una paciente con diagnóstico reciente de neoplasia vesicular avanzada que desarrolla una FCC como complicación.
Laparoscopic resolution of gallstone ileus
Authors: Chinelli J , Fierro M , Rodríguez G 
Published: February 2025

Resumen

Introducción: El íleo biliar es una causa infrecuente de obstrucción intestinal, predominando en pacientes añosos.

Caso: Paciente de sexo femenino de 81 años, portadora de una oclusión intestinal, siendo el diagnóstico imagenológico de íleo biliar. Se realizó la enterolitotomía laparoscópica sin incidentes, con buena evolución postoperatoria.

Discusión: El ileo biliar supone un reto diagnóstico y terapéutico. Existen diversas opciones tácticas, dentro de las cuales la enterolitotomía sola resulta adecuada en la mayoría de los casos, no siendo necesario actuar en forma diferida sobre la fístula colecisto-duodenal. La resolución laparoscópica se reporta en un 10% de los casos.

Conclusión: El abordaje laparoscópico es desafiante, aunque seguro y factible si es llevado a cabo por equipos entrenados.
Daylighting and lighting
Authors: Dubois Marie-Claude , Gentile Niko , Laike Thorbjörn , Mattsson Pimkamol , Bournas Iason , Alenius Malin 
Published: February 2025

After nearly a century in which electric lighting has dominated interior building design, there is now a shift back to using daylight as the primary ambient light source. This return is driven by considerations of energy efficiency, environmental impact, and human health. Effective daylighting in building interiors not only supports low energy consumption, but also has the potential to reconnect people to the natural day-night cycle, which is known to enhance health and well-being.
Daylight is particularly significant for people in the Nordic countries, where light is scarce in the winter and overabundant near the summer solstice. The unique character of Nordic daylight—characterized by weak intensity in winter and low sun angles in summer—demands careful study and consideration, as it holds special value in this region.
However, the trend of urban densification makes it increasingly challenging to ensure adequate daylight in buildings under Nordic sky conditions, particularly in winter. Advanced building simulation tools are often necessary to accurately predict daylight levels and guide design adjustments. Building regulations and certification standards, which play a critical role in promoting sustainable daylighting practices, must be thoroughly understood by practitioners. Additionally, integrating state-of-the-art electric lighting technologies, such as LEDs and advanced control systems, with daylighting design is essential for optimal results.
Addressing these challenges, this book offers essential knowledge and background for students and practicing professionals seeking to illuminate buildings under a Nordic sky. It focuses on utilizing daylight as the primary ambient light source, with support from energy-efficient electric lighting systems.
Frequency Of Hyponatremia In Children Admitted To The Pediatric Intensive Care Unit In A Tertiary-Care Hospital: A Cross-Sectional Study
Authors: Khan Ammar Yasir , Idris Arooba , Shabbir Asad , Rashid Sobia , Danish Asad Iqbal , Qudrat Syeda Mamoona 
Published: February 2025

Objective: Hyponatremia is relatively common in children with acute diarrhoea, occurring in around 10-15% of cases. This study aimed to determine the prevalence of hyponatremia in children with acute diarrhoea.
Methods: A facility-based cross-sectional study was conducted at the Department of Pediatrics, Benazir Bhutto Hospital, Rawalpindi from April 2023 to September 2023. A total of 335 pediatric patients of both genders, aged up to 5 years, who were presented with acute diarrhoea and admitted to the pediatric intensive care unit (PICU) were enrolled in the study. Each child was assessed by taking a detailed history from the mother/caregiver regarding the frequency and duration of diarrhoea of the patient. A blood sample for serum electrolyte (Na) was taken under aseptic measures and was sent to the hospital’s laboratory. Patients were labelled as having hyponatraemia or normal serum sodium and results were confirmed by a consultant pathologist. Appropriate entries were made in the structured study proforma. Data were analyzed using SPSS version 22. Statistical significance was set at p < 0.05.
Results: In this study, out of 335 cases, 28.96% (n=97) were between 0-2 years of age whereas 71.04% (n=238) were between 3-5 years of age. Mean±SD was calculated as 3.29±1.40 years, 69.25% (n=232) were male and 30.75% (n=103) were females. The frequency of hyponatremia in children with acute diarrhoea was recorded in 4.18% (n=14) whereas 95.82% (n=321) had no findings of morbidity.
Conclusion: This study concluded that the frequency of hyponatremia in children with acute diarrhoea is not very high, however, other national and international studies are varied and need early management of this morbidity.
Estimation of Knowledge, Attitude and Prevalence of Female Sex Dysfunction in Elderly Pakistani Women
Authors: Noreen Khola , Ayyaz Farah , Meraj Lubna , Khalid Tabinda , Malik Javara , Randhawa Muhammad Akram 
Published: February 2025

Objective: The study aimed to investigate knowledge, attitude and prevalence of FSD in middle-aged and elderly ladies of our community.
Methods: A cross-sectional survey was conducted from 15 June 2022 to 15 June 2023, using a structured questionnaire after obtaining approval from the Ethical Review Board (ERB) of Rawalpindi Medical University (RMU), Rawalpindi. Mean and standard deviation were calculated for quantitative and frequency and percentages for qualitative variables. Binary logistic regression was calculated to find an association between the level of knowledge with socio-demographic variables. Data was analysed using SPSS version 26 and a p-value less than 0.05 was taken as statistically significant.
Results: A total of 150 middle-aged and elderly women were randomly included in the study.The females reporting with some medical or gynaecological problem at the teaching hospital of RMU, willing to participate and gave informed written consent where recruited. Their mean age was 54.5+ 2.5 and the overall FSD prevalence rate, estimated from the ‘Yes’ response to questions related to FSD symptoms, was 56.9%. Two-thirds of 110 (73%) had adequate knowledge about FSD. Around 60% knew that women take more time to get ready and the desire for matting and satisfaction also decreases after 40-50 years of age. Around 70% (106) reported that they felt depressed because of sexual problems. Results of binary logistic regression analysis showed that females aged 40-50 years were 2.2 times (p=0.007) more knowledgeable about FSD as compared to elderly women > 60 years. Regarding attitude, more than half of 99 (66%) initially felt embarrassed when asked about their sex problem. However, they mostly felt satisfied (98, 65.3%) when they realised they were being enquired about an important issue of elderly females.
Conclusions: A significant burden of FSD exists in the middle-aged and elderly women of our community and they had adequate knowledge about the problem. The study indicates that our middle-aged and elderly ladies need more attention and education so that they can get appropriate treatment for FSD, which would not only improve their quality of family life but also prevent them from going into depression.
Uric Acid: A Potential Marker For Predicting Maternal And Fetal Morbidity
Authors: Javed Aeman , Tahir Umber Arooj , Tauseef Hafsa , Hussain Syeda Luba , Siddiqui Sana Shaukat 
Published: February 2025

Objective: To find out serum uric acid levels in normal and preeclamptic pregnant women in the third trimester.
Methods: It was a cross-sectional analytical study conducted from July 2022 to December 2023. All primigravida women aged 20-45 years in the third trimester of singleton pregnancy attending in Obstetrics and Gynecology outpatient department of Ibn-e-Seina Hospital in study duration were included in the study. After obtaining approval from the ethical review committee and informed consent from the participants, relevant data were recorded on a predefined data sheet. Statistical analysis was performed by using SPSS version 14. A chi-square test was performed to find the statistical difference regarding uric acid distribution between groups and the ‘p’ value <0.05 was considered as significant.
Results: A total of 1264 subjects were included in the study fulfilling the inclusion and exclusion criteria. The mean age of the study participants was 28.5±08.43 years with a mean gestational age of 29.35±3.08 weeks. Out of a total of 1264 women, 85.1% were normal and 14.9% had preeclampsia. In our study out of 189 preeclamptic women, 54.5% had raised serum uric acid levels. The difference between uric acid levels between preeclamptic and non-preeclamptic women was found to be significant (p<0.001).
Conclusion: Serum uric acid level in pregnant women can be used as a useful and inexpensive marker in the prediction of preeclampsia and preventive measures can be taken accordingly.
Evaluation of serum Ferritin level in patients presenting with dysphagia: A hidden marker to diagnose Plummer Vinson syndrome
Authors: Tumrani Rukhsana , Qayum Afshan , Munir Kashif , Ijlal Ahmad , Sana Mehvish 
Published: February 2025

Objective:1) To evaluate the serum ferritin level in patients presenting with dysphagia.2) To determine the frequency of low serum ferritin in Plummer Vinson syndrome
Methods: Cross sectional study conducted in Department of Otorhinolaryngology and Department of Chemical Pathology, Sheikh Zayed Hospital, Rahim Yar khan from November 2022 to September 2023. Patients between 20 to 60 years of age, both genders, presenting with dysphagia in outdoor were included and subjected to the estimation of serum ferritin level and barium swallow to diagnose Plummer Vinson syndrome. Data was collected on predesigned proforma for different variables. Serum ferritin level was estimated on chemiluminescence based immunoassay analyzer in serum sample and low ferritin level was labelled on the basis of cut-off provided by the manufacturer i.e., 8ng/ml. Effect modifiers controlled through stratification and post-stratification chi square test used to see the statistically significant difference between subgroups. P value <0.05 was taken as significant.
Results: Mean age of the study subjects was 37.79±8.451years and 53(26.1%) were male and 150(73.9%) were females. Of the total 203 study subjects, 22(10.8%) were diagnosed as Plummer Vinson syndrome and among all these cases, 18(81.8%) were having low serum ferritin ≤8.0ng/ml with statistically significant difference between subgroups (p value <0.001).
Conclusion:On the basis of our study, it is concluded that serum ferritin level can be a useful marker in patients of Plummer Vinson syndrome and it can help in early diagnosis and management of the patients to prevent its malignant transformation.
Key words:Serum Ferritin, Dysphagia, Plummer Vinson syndrome
Comparison Of Glucagon Like Peptide/1 Levels In Diabetic Women With Ovarian Polycystic Syndrome And Healthy Women
Authors: Iqtidar Namra , Zaidi Imran Ali , Niaz Sobia , Latif Javaria , Naveed Amir , Yousaf Ayesha 
Published: February 2025

Objective: The aim of the study is to compare Glucagon-Like Peptide-1 levels in polycystic ovarian syndrome patients having diabetes mellitus (DM) and healthy women.Polycystic ovarian syndrome (PCOS) is one of the routine endocrinological disorders of reproductive-aged women and it is associated with many problems and complications later in life. A relatively novel peptide hormone which is included in incretins (Gut-derived hormones) is Glucagon-like peptide-1(GLP-1). This gut cells-derived peptide hormone originates from L cells which are endocrine cells in the intestine. The receptors of GLP-1 hormones are found in multiple places. Mostly it is found in islet pancreatic beta-cells, in the brain, in the cardiovascular system, and the lungs. The main function of GLP-1 is the reduction of glucose blood levels during hyper-glycemia through the mechanism of increased secretion of hormone insulin and reduced glucagon hormone secretion. GLP-1 promotes satiation and slows up stomach emptying, and hence reduces post-meal glucose blood levels. Moreover, GLP-1 is required to significantly stimulate GnRH (Gonadotropin Hormone releasing hormone) secretion because of the presence of GLP-1 brain receptors located on the GnRH neurons which cause more LH (Luteinizing hormone) secretion.
Methods: A total of 104 subjects participated in the study. Out of them, 52 had PCOS with DM (Group 2), and 52 were age and weight-matched healthy subjects (Group 1) with no signs of hormonal abnormalities.
Results: Mean ± SD of GLP-1 levels in healthy women was 0.41± 0.04 ng/dl as compared to 0.18± 0.03 ng/dl levels in PCOS with DM (p= <0.05). Mean Fasting blood sugar levels in healthy women were 99.92 ± 4.46 mg/dl as compared to 150.19 ± 30.20 mg/dl in PCOS with DM (p= <0.05).
Conclusion: The study shows low GLP-1 levels are seen in PCOS with DM as compared to healthy women.
COVID-19 Vaccination-Related Concerns Amongst Healthcare Workers
Authors: Saeed Ammarah , Rabbani Bushra , Dhedhi Naseem Amin , Ahmed Faisal , Umar Mehrunnisa , Ahmed Jameel 
Published: February 2025

Objective: To assess the concerns regarding the safety and efficacy of COVID-19 vaccination amongst healthcare workers of a medical university in Karachi.
Methods: A cross-sectional study was conducted at Baqai Medical University, Karachi from 15th July 2021 to 30th September 2022. A total of 197 healthcare workers, using a non-probability convenience sampling technique, were interviewed about their concerns regarding the safety and efficacy of COVID-19 vaccination, using a structured online questionnaire. Data were analyzed on SPSS version 20. To determine the association of demographic characteristics with concerns of healthcare workers about COVID-19 vaccination, binary logistic regression was applied for inferential analysis. A two-tailed p-value of <0.05 was considered statistically significant.
Results: The mean age of the study participants was 38.28±11.73 years, the majority were females (n=110, 55.8%), married (n=132, 67.0%), doctors by profession (n=129, 65.5%), non-smoker (n=169, 85.8%) and had no comorbidity (n=155, 78.7%). Out of 197 participants, 66 (33.5%) respondents exhibited their concerns regarding the side effects and efficacy of COVID-19 vaccination. Furthermore, doctors were found to have significantly lower odds of having concerns regarding COVID-19 vaccination than nurses/paramedics (AOR 0.17, 95% CI 0.08-0.34, p<0.001).
Conclusion: A substantial number of healthcare workers revealed their concerns regarding the safety and efficacy of the COVID-19 vaccine. Compulsion for vaccination may lead to inert participation towards COVID-19 vaccination programs. It is therefore imperative to address their concerns on an urgent basis.
Keywords: COVID-19, Vaccination, Health Personnel, Vaccine Hesitancy, Vaccine Efficacy
Can We Reduce Postoperative Airway Symptoms Related To Endotracheal Intubation In Elective General Anesthesia?
Authors: Asad Sehrish , Ali Muhammad , Ahmed Saleem , Feroze Faheem , Chaudhry Sadia , Qamar Nighat 
Published: February 2025

Objective: To assess whether applying betamethasone-gel to an endotracheal tube is more effective than using an unlubricated endotracheal tube in minimizing the occurrence of postoperative sore throat, hoarseness, and cough.
Methods: 144 patients of the American Society of anaesthesiologists-physical status (ASA-PS) I and II, aged 18–65 years of either gender planned for elective surgery under general anaesthesia with endotracheal intubation were included. Patients undergoing ENT /oral cavity / oropharyngeal surgeries and upper respiratory tract infections were excluded. Patients were divided into two groups. In group X, patients were intubated with an endotracheal tube lubricated with 0.05% betamethasone-gel. In group Y patients were intubated with the unlubricated endotracheal tube. All patients were evaluated for the frequency of POST, HOV and PEC at 24 h after extubation.
Results: Post-operative sore throat was present in 25 (34.7%) patients in group X and 29 (40.3%) patients in group Y. Post-extubation cough was present in 06 (8.3%) patients in group X and 9 (12.5%) patients in group Y. Hoarseness of voice was present in 04 (5.6%) patients in group X and 6 (8.3%) patients in group Y. A comparison of both groups showed a p-value of 0.0001 which is statistically significant.
Conclusion: Using betamethasone-gel to lubricate the endotracheal tube markedly diminishes the frequency and intensity of postoperative airway symptoms.
Keywords: Endotracheal intubation, betamethasone, sore throat, cough, hoarseness, anesthesia.
Role Of Cyberchondria In Mediating Health Anxiety, Fears And Obsessions Among Students Of Private Medical Colleges Sargodha
Authors: Usman Muhammad , Afzal Adnan , Afzal Muhammad , Ahmad Sundas , Habib Bilal , Iqbal Amina 
Published: February 2025

Objective: This study was conducted to examine the role of cyberchondria in mediating health anxiety, fears and obsessions among Students of private medical college.
Methods: This descriptive correlational study was conducted at department of Psychiatry & behavioural sciences and Medical OPD of Rai Medical College, Sargodha. For this purpose data was collected from 150 medical students. The Cyberchondria Severity Scale (CSS‑12) was used to measure cyberchondria severity and Short Health Anxiety Inventory (SHAI) scale was used to measure Anxiety in patients. The Obsessive–Compulsive Inventory – Revised (OCI‑R) scale was used to measure Obsessive Compulsive Disorder (OCD) in patients.
Results: Descriptive statistics (i.e. frequency distribution, percentages, mean, standard deviations, Pearson correlation and Anova) were the analytical methods to test the objectives. Results of correlational analysis showed positive but non- significant correlation between cyberchondria and mobile usage per day. Results of linear regression analysis indicate that cyberchondria has significant impact on health anxiety. Findings also indicate significant gender differences on health anxiety and cyberchondria, Females are more concerned about health and have more cyberchondria tendencies than males. However, non-significant difference on OCD patterns, mobile phone daily usage.
Conclusion: This study shows that feeling constantly worried about your health and obsessively checking the internet for information can make you feel more anxious and stressed, and can also lower your quality of life. It also shows that cyberchondria has a great impact on health anxiety. Gender differences exist in health anxiety and cyberchondria.
Keywords: Cyberchondria, Health Anxiety, Fear, OCD.
Unveiling Thrombocytopenia Trends In Pediatric Epilepsy: The Valproate Connection
Authors: Nayab Kiran , Ain Qurrat ul , Tariq Ayesha , Liaqat Israr , Javed Samra , Mumtaz Nadia 
Published: February 2025

Objective: To determine the frequency and association of thrombocytopenia in patients on valproate therapy in the Pediatrics department of Pakistan Atomic Energy Hospital, Islamabad.
Methods: A descriptive cross-sectional study, conducted in the department of Paediatrics, PAEC General Hospital, Islamabad from 06-June-2022 to 05-December-2022. A total of 125 diagnosed cases of epilepsy and valproic acid therapy were included. After written informed consent from parents/guardians, demographic details were noted, and patients underwent testing for platelet count and thrombocytopenia was labelled as a platelet count of <150000/µL.
Results: The mean age of patients included in this study was 8.13±2.80 years. The mean duration of epilepsy was 3.44±1.56 years. Thrombocytopenia was observed in 31 (24.80%) patients on valproic acid therapy and a strong association between higher dosage of valproic acid and thrombocytopenia was observed (p <0.001).
Conclusion: An increased risk of thrombocytopenia is observed when valproic acid is used as a monotherapy or a part of polytherapy. Mostly this thrombocytopenia is not life-threatening but the importance of serial monitoring of platelet count during prolonged valproic acid use cannot be ignored due to the associated risk of bleeding, as children on higher doses of valproate are at greater risk of thrombocytopenia.
Keywords: Epilepsy, Valproic Acid, Thrombocytopenia.