bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stress-coping strategies among bankers in Southwest Nigeria
Authors: Adekeye Abolaji Paul , Elegbede Adetokunbo , Tunde-Ayinmode Mosunmola F. 
Published: March 2024

Background:
Work-related stress is the reaction individuals may have when faced with work expectations and forces that are not in tandem with their skill set and capacities and which frustrate their ability to cope. Coping strategies are paradigms used to limit the impact of stressful experiences, thus inhibiting the psychological and physical responses and making it more possible to maintain normal functioning at the time.

Aim:
This study aims to determine how bankers cope with stress from work in Ado-Ekiti, Southwest Nigeria.

Materials and Methods:
This cross-sectional study was done among three hundred and two bankers in Ado-Ekiti, Ekiti state. A sociodemographic questionnaire was designed to obtain data on the sociodemographic characteristics of the respondents, while coping with work-related stress was assessed with The Brief Coping Orientation to Problems Experienced (Brief-COPE).

Results:
Two hundred and ninety-eight respondents (98.7%) used adaptive coping strategies, while four (1.3%) did not use them. One hundred and ninety-seven respondents (65.2%) used maladaptive strategies, while one hundred and five respondents (34.8%) did not cope with them. In essence, the majority of the respondents used adaptive strategies to cope with stress.

Conclusion:
Most of the bankers utilized adaptive strategies in coping with work-related stress.
Fragmentation patterns of cell-free DNA and somatic mutations in the urine of metastatic breast cancer patients
Authors: Lin Shaoyan , Wang Shusen , Xu Binghe 
Published: March 2024

ABSTRACTBackground:Urinary cell-free deoxyribonucleic acid (DNA) (ucfDNA) holds promise as a biomarker; however, its potential remains largely unexplored. We examined the fragmentation pattern of ucfDNA and identified somatic mutations within urine samples from metastatic breast cancer (MBC) patients.Methods:Urine and blood specimens were collected before treatment from 45 MBC patients and posttreatment urine samples from 16 of the 45 patients at the China National Cancer Center. Somatic mutations and tumor mutational burden (TMB) in the urine and plasma of 10 patients were analyzed by next-generation sequencing (NGS). Fragmentation patterns of cfDNA were displayed using electropherograms. Differences in the extracted amount of cfDNA, length of cfDNA fragments, and TMB between urine and plasma were compared using a Wilcoxon test.Results:The fragmentation patterns of ucfDNA were categorized as follows: (1) profile A (n = 26) containing a short peak (100–200 bp) and a long peak (>1500 bp); (2) profile B (n = 8) containing only a long peak; and (3) profile C (n = 11) containing flat pattern. For profile A patients, the short-peaked ucfDNA circulating in the bloodstream was much shorter compared with plasma cfDNA (149 vs. 171 bp, Wilcoxon test,P= 0.023). The fragmentation patterns in lung metastasis patients exhibited a higher propensity toward profile C (P= 0.002). After treatment, 87.5% of the patients exhibited consistent fragmentation patterns. The concordance rate for somatic mutations in the plasma and urine was 30%, and the median TMB of urine and plasma was not significantly different.Conclusions:This study established a fragmentation pattern for ucfDNA and detected somatic mutations in the urine of MBC patients. These results suggest the potential application of ucfDNA as a biomarker for MBC.
High-sensitivity Troponin I Assay for Early Detection of Myocardial Injury in Carbon Monoxide Intoxication
Authors: Tsai Tsung-Neng , Shen Chih-Hao , Lin Gen-Min , Liu Pang-Yen , Liu Ming-Yueh , Huang Li-Yen 
Published: March 2024

Abstract

Background:
Carbon monoxide (CO) intoxication is the most common gas-related event resulting in emergency room (ER) visits, often leading to myocardial injuries measured through the assessment of troponin levels. Recent efforts have focused on developing high-sensitivity troponin assays for more accurate acute myocardial infarction diagnosis. However, studies using high-sensitivity troponin I (hs-TnI) assays to identify myocardial injury following CO intoxication are lacking.

Aim:
We compared the measurement of circulating troponin I levels using the hs-TnI assay and the contemporary troponin I (cTnI) assay.

Materials and Methods:
We prospectively analyzed 50 patients with CO intoxication who were admitted to the ER between September 2012 and October 2013. Clinical, demographic, electrocardiographic (ECG), echocardiographic, and laboratory data were compared. Circulating troponin I levels were measured using hs-TnI and cTnI assays upon arrival in the ER and 24, 48, and 72 h after admission.

Results:
Most patients with moderate or severe CO intoxication had elevated circulating troponin I levels, as detected using the hs-TnI assay. In addition, none of the results above or below the cutoff value for circulating troponin I changed from those found in the ER. In the cTnI assay, elevated circulating troponin I above the cutoff value in the ER was detected in 21 of 36 patients (58%). Participants with elevated troponin I levels, as measured by the hs-TnI assay, were more likely to experience various unfavorable clinical outcomes.

Conclusion:
The hs-TnI assay can detect elevated circulating troponin I levels earlier than the cTnI assay in patients with CO intoxication and myocardial injury.
The Effect of Intraoperative Music on Sedation, Anxiety, and Hemodynamic Responses among Patients Undergoing Lower Segment Cesarean Section under Spinal Anesthesia
Authors: Kaur Harpreet , Shukla Veena , Singhal Ruby , Harsh Harsh K. , Pareek Ravi 
Published: March 2024

Background and Aim:
Anxiety levels are high in spinal anesthesia as patients are awake. Sedation has an advantage that patients feel comfortable but if sedative drugs are not used judiciously, they can suppress the cardiovascular and respiratory system, lower core body temperature, or severely lower blood pressure. Music reduces awareness under anesthesia and has antianxiety effects. The effect of music on sedation using bispectral index (BIS) along with anxiety and hemodynamic parameters at different time intervals has been studied.

Material and Methods:
A hospital-based prospective randomized interventional study was done on 60 patients aged between 18 and 35 years undergoing lower segment cesarean sections. Two groups (music headphones with music and nonmusic headphones without music), each containing 30 subjects, were formed using a simple random technique by the sealed envelope method. The levels of sedation using BIS were measured preoperatively, after giving spinal anesthesia, then every 10 min till the end of surgery. Moreover, hemodynamic parameters were also monitored and recorded preoperatively and every 10 min till the end of surgery. Anxiety was measured using a visual analog score for anxiety preoperatively and postoperatively.

Results:
The BIS index was significantly lower in the music group compared to the nonmusic group from 20 min after start of surgery to the end of surgery (86.17 ± 4.48 vs. 75.73 ± 3.97, P < 0.001). Anxiety was also significantly lower in the music group than in the nonmusic group (4.03 ± 1.47 vs. 0.50 ± 1.57, P < 0.005). Heart rate (HR) was lower in the music group after 20 min of music therapy compared to the nonmusic group (87.87 ± 11.21 vs. 79.67 ± 6.67, P = 0.004) but there was no statistically significant difference in systolic blood pressure, diastolic blood pressure, mean arterial blood pressure, and saturation of oxygen between two groups.

Conclusion:
Our data showed that intraoperative music listening under regional anesthesia has effect on sedation, anxiety, and physiological variables. Therefore, music therapy can be used as nonpharmacological intervention for reducing anxiety and sedation during surgery.
Crystalloid Preloading versus Prophylactic Ephedrine Infusion for Prevention of Hypotension during Caesarean Section
Authors: Sathyavrdhan Gaurav S. , Kamath Shaila S. 
Published: March 2024

Context:
Central neuraxial blockade is widely practiced in obstetric anesthesia. The prevention of maternal systemic hypotension is of importance.

Aim:
To compare between crystalloid preloading and prophylactic intravenous ephedrine in the prevention of maternal systemic hypotension after spinal anesthesia for cesarean section.

Settings and Design:
Study was conducted in a tertiary care hospital; comparative observational study.

Methods and Materials:
One hundred fifty six healthy parturients, posted for elective cesarean section. The parturients who were preloaded with 10 mL/kg of Ringer Lactate over 20 minutes before spinal anesthesia by treating anesthesiologist were included in Group P. Parturients were administered prophylactic ephedrine 0.125 mg/kg infusion after spinal anesthesia at the onset of sympathetic block by treating anesthesiologist were included in Group E.

Statistical Analysis Used:
Data were entered in Microsoft excel and analyzed using SPSS software version 25 (IBM).

Results:
In our study, we found that fall in blood pressure was statistically significant from fourth to 14th minute in Group P compared to Group E. The mean arterial pressure became significantly low in Group P compared to Group E. Heart rate was found to increase in Group P from second minute compared to sixth minute in Group E. Fetal wellbeing assessed by appearance (colour), pulse, grimace (response to touch), activity (tone) and respiration (APGAR) score was better in Group E compared to Group P and was statistically significant. Nausea and vomiting were more in Group P compared to Group E and was statistically significant.

Conclusions:
We conclude that prophylactic ephedrine infusion has better control over maternal hemodynamic than crystalloid preloading in cesarean section under spinal anesthesia.
KLE Academy of Higher Education and Research’s Scholarly Research Trends: Bibliometric Study
Authors: Kumara B. M. Prasanna , Patil M. M. 
Published: March 2024

Abstract

Aim:
The purpose of this article is to give an analysis of developing trends and research hotspots within the KLE Academy of Higher Education and Research (KAHER) Group using bibliometric methodologies.

Materials and Methods:
Using co-authorship, co-citation, and co-occurrence analysis, publications from the Scopus database for the years 1973–2022 are examined and analyzed on a variety of factors. R-Programming (Biblioshiny) and VOSViewer, an application for scientific visualization, are used to do the analysis.

Results:
There were 1721 publications in Scopus throughout the study period, with 83.9% of those being journal articles and the remaining 6% being letters and case studies. Research generally shows a constant rise with growing multi-authorship. The most sought-after magazine for publishing by the writers at KAHER is “Reproductive Health,” and they prefer to collaborate on research pieces. In addition, health-care science services and medical informatics have steadily developed into new areas of scientific interest.

Originality:
This study offers a thorough and comprehensive analysis of the KAHERs’ formative environment. This study can serve as a solid starting point for future research and can be used to analyze how health science research has changed overtime.

Conclusion:
The study reveals KAHER’s robust publishing productivity and impact, with a diverse output among authors and a consistent growth in the number of publications. The dominance of collaborative research, high citation rates, and the prevalence of medical research suggest the importance of international collaborations and the implementation of an institutional online repository system for enhanced research efficacy and accessibility.
Promoting Resilient Outcomes among Internationally Adopted Children from Child Care Institutes: Role of The Life Story
Authors: Malhi Prahbhjot , Bharti Bhavneet 
Published: March 2024

Abstract

Objective:
The objective of this study was to examine the role of the life story in three cases of internationally adopted children in promoting resilient outcomes among these children.

Methodology:
The pediatric adoption clinic in the department of pediatrics in a tertiary care center facilitates the adoption of children from Government Run Child Care Institutes. The qualitative narrative methodology was used to explore how international adoptive families navigate the adoption process to improve and enhance the probability of optimal adoption outcomes. Descriptions of the qualitative interviews and discussions regarding the families’ experiences and struggles of procuring information and personal stories of the adopting children from India are presented. Verbal consent was taken from all the parents.

Results:
The Indian Adoption Regulations of 2017 allows for documentation and permission for sharing memory albums and interests of the child with the adoptive families. However, there are instances where the child care institutes do not maintain any records and have little to share with the families leading to feelings of grief and loss postadoption among internationally adopted children. The three families interviewed expressed a desire to maintain an association with the child’s culture and sought guidance on how they could help their adoptive children develop an ethnic identity that supports their psychological well-being. Maintaining records and chronicling the child’s biographic preadoption history is one way to help children to understand their personal stories and develop a stable identity.

Conclusions:
Adoption agencies and associated professionals should encourage and facilitate all activities that enhance attachment and creates emotional bonds between adoptive parents and the adoptees.
A Crosssectional Observational Research on Assessment of Patterns of Discharge Medications in Patients with Chronic Kidney Disease Associated with Diabetes Mellitus and Hypertension
Authors: Sajan Cyril , Saggu Varunsingh , Nair Jitin , Trivedi Krunal , Hadia Rajesh , Rajput Hemraj Singh 
Published: March 2024

Abstract

Background:
Chronic kidney disease (CKD), also known as chronic renal insufficiency, progressive kidney deterioration, or nephropathy, is an illness, in which the kidneys fail to function properly. When prescription and over-the-counter medications are combined, the risk of adverse drug reactions and interactions increases, which are the main causes of hospitalizations and mortality. The aims and strategies for reducing the incidence, morbidity, mortality, and health costs of CKD in India are outlined in this new chapter.

Aim:
A cross-sectional observational study to estimate the pattern of discharge prescription pattern in patients of CKD associated with hypertension and diabetes mellitus.

Methodology:
100 patients with CKD and comorbidities of hypertension, diabetes, or both were included in observational cross-sectional research done at the Nephrology Department of Dhiraj Hospital. The laboratory findings, as well as their comorbidity, discharge prescription medicines, and comorbidity, were all documented and examined.

Results:
Calcium channel blockers (CCBs) were the most often recommended antihypertensive medication for hypertensive patients with CKD. Diuretics were the least often given class of antihypertensive medicine. In antidiabetic medication, class sulfonylurea and dipeptidyl peptidase-4 inhibitors had similar prescription rates which are the highest prescribing medication for diabetes mellitus with CKD. Biguanides were the least prescribed class of drugs.

Conclusion:
Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers are widely used to treat hypertensive patients with CKD; but due to chances of arrhythmia, CCBs are prescribed. This research might aid in the identification of educational and quality-improvement opportunities to minimize medication-related errors and increase benefits in this population.
Improving Students' Speaking Skills through Learning Media and the Mastery of Different Discourse Markers
Authors: Suryadi Suryadi , Muhyidin Asep , Syafrizal Syafrizal , Erlangga Fajar 
Published: March 2024

Objective: This research aims to ascertain the differences in improving students' English-speaking skills through using learning media and mastering proficiency in discourse markers. Method: This research uses a quantitative approach and experimental design. The design used the non-equivalent 2 x 3 factorial design. The research sample consisted of 1000 Madrasah Aliyah students in Serang Regency. However, in this study, only 10% of the population 100 was sampled using systematic random sampling techniques. The instruments used to collect data include speaking and discourse marker tests. We analyzed the research data using two-way ANOVA statistics with SPSS 26. Results: The results of this research are grouped into four research findings, namely (1) differences in students' speaking abilities between students who were treated using the learning media Scrabble Word and flashcards, (2) differences in students' speaking abilities with high, medium and low mastery of students' discourse markers, (3) an interaction between learning media and high, medium, and low students' mastery of discourse markers on students' speaking abilities, and (4) differences in mastery of discourse markers based on students' gender, from the average of pre-test and post-test. Novelty: This research is intriguing due to variations from prior studies in emphasis, subjects, outcomes, gender disparities in mastery of discourse markers, and incorporation of research variables. Previous studies concentrated solely on utilizing Scrabble words and flashcards to enhance vocabulary and students' reading abilities. Prior research only examined one research variable, specifically scrabble words, flashcards, and discourse markers.
The Role of Brain-Based Learning in Training Students' Critical Thinking Skills
Authors: Rahmawati Yuni , Madlazim Madlazim , Sudibyo Elok 
Published: March 2024

Objective: This research aims to determine the role of brain-based learning in training students' critical thinking skills. Method: The research method used is a review article from 20 main scientific articles obtained from Google Scholar, Google, and Science Direct online with the keywords brain-based learning and critical thinking skills. Results: The results show that brain-based learning can be applied to gain critical thinking skills in mathematics and natural science material compared to conventional learning. Brain-based learning notes how the brain processes and interprets information after processing. A learning method that aligns with how the brain functions naturally will help students become more adept at critical thinking. Novelty: One of the most challenging issues of the 20th century is the improvement of information technology and the environment. Building quality human resources is a strategic and critical function of high-quality education. Today's students need to learn how to think critically.
STUDI EVALUASI STANDARISASI KONTRUKSI SALURAN DISTRIBUSI PADA JARINGAN TEGANGAN MENENGAH DI KEC. MEDAN BARU
Authors: Gea Eldo Kusuma , Sitompul Mangontang Marzuki , Napitupulu Janter 
Published: March 2024

Dalam membangun intalasi tegangan menegah tenaga listrik diperlukan standar kriteria deasain engenering kontruksi distribusi tenaga listrik. Disamping itu kontruksi saluran distribusi jaringan menengah yang merupakan penjabarn dari bermacam-macam atau berbeda-beda , ada hal yangperlu diperhatikan dengan seksama, fungsi suatu alat penyulang (tiang listrik) yang telematika, semakin sulitnya memperoleh lokasi gardu yang cukup dan tepat serta kemajuan teknelogi material saluaan distribusi tenaga listrik. Dan dapat memenuhi efesiensi dengan perlu di pertimbangankan aman atau tidak lingkungan memehami standar kontruksi yang ada sekarang, sehingga akan dijadikan pondasi yang sesuai dengan teknologi yang berkembang. Sistem distribusi adalah salah satu tulang punggu dalam penyaluran tenaga listrik yang harus di perhatikan kelayakan bagi lingkingan mau pun tidak layak bagi komponen standar dalam pembangungan sistem distribusi. Untuk menjaga saluran distribusi harus melakukan pengecekan skala berkala dan pemeliharan sesuai kontruksi
Análise espaço-temporal da modificação da linha de costa do município de Aquiraz-CE
Authors: De Souza Paula Rodrigo , Sopchaki Carlos Henrique 
Published: March 2024

A Planície Costeira é um ambiente extremamente dinâmico com formações geológicas recentes. Esta configuração geomorfológica é bastante suscetível às influências de processos costeiros naturais e de fatores antrópicos que alteram o balanço sedimentar, provocando de forma direta ou indireta, processos erosivos e deposicionais que causam diversas consequências socioambientais e econômicas. Após os anos 1970 no município de Aquiraz/CE, o veraneio, associado à ocupação desordenada dos ambientes de zona de praia, pós-praia, campo de dunas e na ponta rochosa da Praia do Iguape acarretou em problemas na morfodinâmica da área, principalmente em razão da erosão costeira. Esta pesquisa tem o objetivo principal de analisar a evolução espaço-temporal dos componentes de praia e pós-praia do município de Aquiraz entre os anos de 2015 e 2022, através de técnicas de geoprocessamento e produtos de sensoriamento remoto. Foram utilizados produtos de sensores remotos da família Planet para os anos de 2015 a 2022. Após esta etapa, as imagens foram tratadas no software ArcGIS 10.5 e, posteriormente, foi utilizada a extensão Digital Shoreline Analysis System (DSAS), desenvolvida pelo United States Geological Survey (USGS), com o intuito de realizar análises quantitativas dos níveis de erosão e deposição na área escolhida, sendo necessário para isso estabelecer a linha de costa do local nos recortes temporais estabelecidos. A partir dos elementos encontrados, foi constatado que cerca de 59% da área estudada encontra-se em algum estágio de erosão.
Entrepreneurial behavior is reviewed from financial literacy and use of social media with self efficacy as a moderating variable
Authors: Aprilia Novita , Surjanti Jun , Susanti  
Published: March 2024

The aim of this research is to see how financial literacy and use of social media impact entrepreneurial behavior, with self-efficiency as a moderating variable. In this study, the population consisted of students from the economics and business faculties at Surabaya State University. The purposive sample selection method was used to select the sample, which resulted in 44 students as the sample. The research tool used in this study was a questionnaire distributed to students involved in faculty-funded ventures. This business lasts for one year and can be done online or offline. This research uses the structural equation model (SEM) hypothesis, which is supported by the partial least squares (PLS) analysis method. The results of this research show that financial literacy influences entrepreneurial behavior, social media use influences entrepreneurial behavior, and the self-efficiency moderating variable cannot strengthen the influence of financial literacy on entrepreneurial behavior, while the self-efficiency moderating variable can strengthen the influence of social media use on entrepreneurial behavior.

Keywords: Financial Literacy, Use of social media, entrepreneurial behavior, self-efficacy