bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pembelajaran Geometri Berbantuan Goegebra untuk Meningkatkan Kemampuan Komunikasi Matematis Siswa
Authors: Nidya Nina Ichiana  , Abdul Razzaq  , Andi Kamal Ahmad  
Published: December 2023

Pembelajaran geometri merupakan pembelajaran yang penting di satuan SMP, data berikut ini menunjukan bawa sebagian besar siswa yang diajarkan di satuan SMP memiliki presentasi kebutuhan materi sebagai berikut. Materi geometri memperoleh persentase terbesar (41%), dibandingkan dengan aljabar (29%), angka (18%), dan statistika/probabilitas (12%). Sehingga perluh untuk mendesain pembelajaran geometri yang mampuh dipahami siswa secara menyeluruh, sehingga dapat meningkatkan kemampuan komunikasi matematis terutama dalam pembelajaran geometri yang tergolong sulit. Sehingga sangat perluh media pembelajaran baik, salah satu media pembelajaran yang ditawarkan dalam penelitian ini adalah pembelajaran geometri berbantuan Geogebra, kerena pembelajaran pembelajaran geometri menjadi lebih mudah dipahami jika dengan menggunakan perangkat lunak seperti Geogebra. Tujuan dari penelitian ini adalah untuk meningkatkan kemampuan komukasi matematis siswa pada materi Geometri. Metode yang di guanakan dalam penelitian ini adalah metode penelitian kuasi Eksperimen. Hasil penelitian menunjukan bahwa terjadinya peningkatan kemampuan komunikasi matematis siswa secara siginifikan, dengan pencapaian kategori tinggi (>0,7) sebesar 56,25%, dengan kategori sedang (0,3 ≤ x ≤ 0,7) memperoleh peresentase sebesar 34,38%, sedangkan kategori rendah (< 30) memeperoleh presentasi sebesar 9,38%. Hal ini dapat tarik kesimpulan bahwa sebagian besar siswa mengalami peningkatan kemampuan komunikasi matematis. Pembelajaran geometri merupakan pembelajaran yang penting di satuan SMP, data berikut ini menunjukan bawa sebagian besar siswa yang diajarkan di satuan SMP memiliki presentasi kebutuhan materi sebagai berikut. Materi geometri memperoleh persentase terbesar (41%), dibandingkan dengan aljabar (29%), angka (18%), dan statistika/probabilitas (12%). Sehingga perluh untuk mendesain pembelajaran geometri yang mampuh dipahami siswa secara menyeluruh, sehingga dapat meningkatkan kemampuan komunikasi matematis terutama dalam pembelajaran geometri yang tergolong sulit. Sehingga sangat perluh media pembelajaran baik, salah satu media pembelajaran yang ditawarkan dalam penelitian ini adalah pembelajaran geometri berbantuan Geogebra, kerena pembelajaran pembelajaran geometri menjadi lebih mudah dipahami jika dengan menggunakan perangkat lunak seperti Geogebra. Tujuan dari penelitian ini adalah untuk meningkatkan kemampuan komukasi matematis siswa pada materi Geometri. Metode yang di guanakan dalam penelitian ini adalah metode penelitian kuasi Eksperimen. Hasil penelitian menunjukan bahwa terjadinya peningkatan kemampuan komunikasi matematis siswa secara siginifikan, dengan pencapaian kategori tinggi (>0,7) sebesar 56,25%, dengan kategori sedang (0,3 ≤ x ≤ 0,7) memperoleh peresentase sebesar 34,38%, sedangkan kategori rendah (< 30) memeperoleh presentasi sebesar 9,38%. Hal ini dapat tarik kesimpulan bahwa sebagian besar siswa mengalami peningkatan kemampuan komunikasi matematis.
CURRENT TRENDS IN THE DEVELOPMENT OF FUNCTIONAL FOOD INDUSTRY IN THE REPUBLIC OF KAZAKHSTAN AND ABROAD
Authors: Baizhanova Sholpan , Konarbayeva Zulfiya , Kaldybekova Zhanat 
Published: December 2023

Modern society development is quite a contradicting process, on the one hand we could see outstanding achievements of science and technology, on the other hand it is difficult to ignore dangerous environmental situation, an increase in information, changes in the nature and rhythm of life and nutrition. Currently, it is obvious that the way of eating is the most important factor affecting a person's health, his ability to work, the ability to resist all kinds of external influences and, ultimately, determining the duration and quality of life.
Analyzing the collected data, we came to the conclusion that functional food plays a significant role in the concept of healthy nutrition. It is expected the growth of the market will increase the already high demand for nutritional and fortifying dietary supplements.
The work shows the analysis of registered specialized food products by countries producers. The leading countries in terms of supplies are Japan, the USA, Russia and Germany. The share of domestic products was determined, making possible to see which forms prevail in the structure of the range of specialized food products in our republic.
Reducing the risks of nuclear war; the role of health professionals
Authors: Zielinski Chris 
Published: December 2023

According to the United Nations, the risk of nuclear weapons use is higher than at any time since the Cold War: "The Russian Federation’s recent announcement of plans to station non-strategic nuclear weapons in Belarus represents the first 'nuclear sharing' agreement made since the Treaty on the Non-Proliferation of Nuclear Weapons entered into force in 1970." At this moment of extreme danger, we are preparing to distribute an editorial on the role of health professionals in reducing nuclear danger. We hope to time the announcement of the release of this editorial to the August 6 anniversary of the bombing of Hiroshima to underline the very real danger that nuclear weapons may be used again.
The editorial was co-authored by the group of journal editors and other supporters of the Nobel-prizewinning International Physicians for the Prevention of Nuclear War listed below. All of the authors’ journals will be publishing the editorial.
Having so many respected journals around the world publishing the editorial should attract political and media attention. We hope that giving health professionals a more prominent voice in this debate will encourage profound changes in the system of nuclear arms control that has resulted in the current dangerous situation that threatens the health of people and the planet.
Nursing Performance and Smartphone Use in Clinical Settings
Authors: Noghan Nesa , Sadri Mohadese , Hejazi Sima Sadat , Noghan Nima , Jalilv Meysam , Shirahmadi Samaneh 
Published: December 2023

Objectives:
The present study was conducted to examine the relationship between smartphone dependency and its effect on clinical tasks of nurses in educational and medical centers of Hamadan, in western Iran.

Method:
In this cross-sectional study, 248 nurses were selected via the proportional allocation sampling method. The required data were collected using a self-report, reliable and validated questionnaire, covering patterns of smartphone use, smartphone dependency, effects of smartphone dependency, and influence of smartphone on the clinical performance of nurses. The collected data were analyzed through descriptive statistics and logistic regression analysis.

Results:
The average age of the participants was 30.43 (± 5.68) years. The average smartphone dependency, effects of smartphone dependency, and clinical performance of the examined nurses were, respectively, 38.65 (20.93), 20.78 (13.90), and 29.48 (10.03). Clinical performance of nurses decreased with age (P = 0.02) and increase of smartphone dependency (P = 0.02), effects of smartphone dependency (P ≤ 0.001), and smartphone use while working (P ≤ 0.001). Higher work experience (P = 0.02) and the application of smartphone multiple capabilities (P = 0.02) had positive effects on the clinical performance of the examined nurses.

Conclusions:
The results of this study indicated that using smartphones affects the clinical performance of nurses, and if not well managed, it can lead to some physical, psychological, and social problems for the individual nurse, patients, and society. Thus, training nurses and developing regulations for the use of smartphones in the workplace must be considered by the relevant authorities.
Estimating Air Pollution in Operation Rooms Generated from Cautery, Drills, and Other Equipment, Utilizing a Particulate Counter and Gas Analyzer
Authors: Rao Rajana S. , Sasiharan Gopalakrishnan Madhavan , Ganapathy Sachit 
Published: December 2023

Background:
Air pollution, especially indoor air pollution, is increasingly recognized as a worldwide hazard that reduces life expectancy. Pollution caused by equipment such as surgical cautery is not just a nuisance but a workplace hazard that exposes the staff to respirable particulate matter and toxic chemical agents. It has not yet received much recognition in India, nor have mitigating measures like smoke evacuators and dedicated scavenging systems become prevalent.

Methods:
We aimed to do a prospective observational study of the extent of this hazard in the operation rooms in our tertiary care, Government-run hospital using a consumer-grade pollution measuring equipment (CAIR +™, Prana Air, New Delhi). We measured and compared the particulate pollutant matter (PM) levels, Total Volatile Organic Compounds (TVOC), formaldehyde, and carbon dioxide at multiple areas of interest at different time points.

Results:
The particulate pollution level in PM 1.0, PM 2.5, and PM 10 and TVOCs rose many times the baseline near the surgical team during cautery use. It remained high near the anesthesia workstation. The median PM 2.5 level in µg/m3(micrograms/cubic meter) was 181 near the surgical team during cautery use, and it was 25 at the anesthesia workstation. This peak level was 30 times the basal level of 6 µg/m3 at the start of the day and was above the annual population-weighted mean PM 2·5 breakpoint of 40 μg/m3 recommended by the National Ambient Air Quality Standards in India.

Conclusions:
The pollution levels increase dramatically when surgical cautery is used, potentially exposing the team to large peak elevations in particulate matter and TVOCs. We recommend the mandatory use of smoke evacuators and optimization of the air conditioning.
Assessment of Work Ability of Patients with COPD in Relation to the Workplace
Authors: Biscevic-Tokic Jasmina , Brekalo-Lazarevic Sanja , Tokic Nedim , Ajanovic Zurifa , Dervisevic Lejla 
Published: December 2023

Context:
Chronic obstructive pulmonary disease (COPD) is one of the most common chronic lung diseases and is an important cause of mortality and morbidity in the world. Chronic obstructive pulmonary disease is a heterogeneous and multisystemic disease. Aims of the study was to assess workability of patients with COPD in relation to the workplace.

Settings and Design:
Prospective study.

Methods and Material:
The study was conducted on 150 patients with COPD. Each patient was examined by an occupational medicine specialist and a standardized COPD Questionnaire was completed. A physical examination was performed with special emphasis on auscultatory findings on the lungs. Spirometric testing was performed. Using the statistical methods, the results of the parameters of temporary (number of lost working days) and permanent incapacity (exercised right to some kind of disability) of the examined group were analyzed.

Statistical Analysis Used:
Descriptive statistics. SPSS 10.0. Results of the study showed that out of 150 patients, 48.67% had preserved working capacity for jobs. There are mostly jobs without special working conditions. Out of 150 patients, 51.33% had reduced working capacity for jobs.

Conclusions:
These are mostly workplaces with special working conditions, where respondents are exposed to the harmfulness of the workplace. Reduced working capacity was found in 51.33% of examined simple.
A Retrospective Study on Tinnitus Prevalence and Disease Associations in the Hospital-Based Population
Authors: Yilmaz Oguz , Yeral Cem 
Published: December 2023

Background:
Tinnitus is the perception of sound, which is not generated by external stimulus. Due to its clinical heterogeneity, lack of objective measurements and accompanying symptoms, a gold standard treatment, i.e., effective for every patient has not been established yet. The aim of the present study was to assess the prevalence and characteristics of tinnitus, disease, and lifestyle factors associated with tinnitus.

Materials and Methods:
Data were obtained from a total of 224 patients (mean age 46.21 ± 12.65), 141 men and 83 women, who attended the audiology department between 2015 and 2021.

Results:
We found that the tinnitus pitch perception (PP) of males was significantly higher than females (P < 0.001). In addition, we observed a significant positive correlation between tinnitus PP and tinnitus loudness perception (P < 0,005). 12.1% (27 patients) of the individuals included in the study had metabolic disorders (Vitamin D deficiency, diabetes, and cholesterol). Fifty-four percent (121 patients) of the individuals included in the study had normal hearing.

Conclusions:
Metabolic and cardiovascular diseases should be taken into account for tinnitus anamnesis. The amount of tinnitus patients with normal hearing is also notable.
Changing Trends in Managing Facial Nerve Paralysis Secondary to Temporal Bone Fractures: Our Institutional Experience
Authors: Sethi Ashwani , Galagali Jeevan R. , Sethi Deepika , Mishra Awadhesh Kumar 
Published: December 2023

Aim:
The aim of the present study is to share our experience in managing high-grade posttraumatic facial nerve paralysis using both surgical as well as nonsurgical approaches.

Materials and Methods:
A retrospective analysis of 31 cases of high-grade (House–Brackmann [HB]: V/VI) facial nerve paralysis following undisplaced temporal bone fracture treated at our tertiary care hospital between 2016 and 2019 was done. Patients’ assessment included clinical, audiological, computer tomography scans, and electromyography (EMG) evaluation. Fourteen of the cases presenting between February 2016 and November 2017 underwent surgical decompression of the facial nerve based on our prevailing institutional protocol during that period. However, the next 17 patients presenting between January 2018 and May 2019 were managed conservatively on the basis of our surgical experience in managing such patients before this period and some contemporary data suggesting good results with conservative management, using oral steroids and facial physiotherapy. The patients were assessed clinically and using EMG at 4 weekly intervals as a standard institutional protocol.

Results:
Among the 14 patients who underwent surgical decompression, lesions were predominantly found in the perigeniculate region. Analysis of results after 12 months revealed 86% (12 out of 14) of cases who underwent surgery had a satisfactory recovery (HB Grade I-II). A satisfactory recovery was achieved in 94% (16 out of 17) of conservatively managed patients (HB Grade I-II). However, there was no statistically significant difference identified between the outcomes of the two groups.

Conclusion:
The outcome of patients presenting with high-grade facial paralysis with unfavorable EMG findings secondary to undisplaced temporal bone fractures is generally good with or without surgical intervention. The recovery may take around 2–3 months to initiate. We recommend giving nonsurgical conservative management to such patients with regular clinical and electrophysiological monitoring.

Clinical Significance:
The outcomes and our experience of managing such cases may be useful for clinicians in deciding the course of action in patients presenting with high-grade facial nerve palsy following temporal bone fractures.
Extended High-frequency Hearing Loss in Chronic Suppurative Otitis Media Patients Complaining of Tinnitus but with Normal Cochlear Function on Conventional Pure-tone Audiometry
Authors: Gupta Nitika , Bhagat Samiksha , Thakur Shivane , Kalsotra Parmod , Saraf Aditiya 
Published: December 2023

Objective:
The aim of the study is to find the incidence of extended high-frequency hearing loss (EHFHL) in chronic suppurative otitis media (CSOM) patients complaining of tinnitus but with normal cochlear function on conventional pure-tone audiometry (PTA). CSOM often results in conductive hearing loss, but recent studies have shown sensorineural hearing loss, thus indicating inner ear damage.

Study Design:
The stud design was a prospective study.

Setting:
The study was conducted at a tertiary care hospital.

Methods:
In a prospective observational study, a total of 141 patients with CSOM were reviewed. Seventy-four CSOM patients presented with tinnitus, and the mean age of presentation was 31.4 ± 6.82 years. Only those with normal cochlear function based on PTA (250 Hz to 8 kHz) were included. They were further tested at extended frequencies of up to 12 kHz. The severity of tinnitus was assessed using the Tinnitus Handicap Index Questionnaire.

Results:
The prevalence of EHFHL in the normal cochlear function CSOM patients with tinnitus was 68.9%, whereas the prevalence in the tinnitus negative group was 22.38%. EHFHL and tinnitus in CSOM patients show statistically significant association (P < 0.05). Furthermore, there was a significant association between the severity of tinnitus and EHFHL.

Conclusion:
The findings demonstrate that the patients of CSOM with tinnitus and normal hearing in conventional PTA have EHFHL that indicates damage has occurred in the inner ear. The severity of the tinnitus can be predicted by the degree of higher frequency hearing loss.
Comparison of the Functional and Audiological Success of Temporalis Fascia and Tragal Perichondrium as a Graft in Type 1 Tympanoplasty
Authors: Prinja Sumit , Kumar Kuldeep , Singh Gurbax , Bansal Garima , Pushkal  
Published: December 2023

Context:
Temporalis fascia and tragal perichondrium are the most commonly used graft materials in tympanoplasty, though contradictory reports are available in literature regarding their efficacy.

Aims:
To investigate the success rates and hearing outcomes of temporalis fascia and tragal perichondrium as grafts used for Type 1 tympanoplasty.

Settings and Design:
The present prospective study was carried out for a period of 18 months including 60 patients of either sex from 18 to 70 years of age.

Subjects and Methods:
This prospective study included 60 consecutive cases of chronic otitis media in a tertiary care center randomized in two groups of 30 patients each to be subjected to Type 1 tympanoplasty using either temporalis fascia graft (Group A) or tragal perichondrium (Group B). Graft uptake rates and subjective as well as objective hearing improvement at 1 and 3 months postoperative follow-up were compared.

Statistical Analysis Used:
IBM-compatible Statistical Package for the Social Sciences (SPSS) version 21.0.

Results:
The mean age of presentation in Group A was 31.30 years and in Group B was 30.67. In our study, the graft uptake after 3 months of surgery was 87% in the temporalis fascia graft group and 90% in the tragal perichondrium graft group. The mean pre- and postoperative PTA at 1 month and 3rd month postoperatively showed that there was significant improvement in hearing after 1 month in the temporalis fascia graft group compared to the tragal perichondrium graft group.

Conclusions:
Both temporalis fascia and tragal cartilage perichondrium are suitable graft materials for tympanoplasty. Graft uptake was superior with tragal perichondrium, while hearing improvement was better with temporalis fascia at 1 month postoperatively, although the results were not statistically significant at 3 months postoperative.
Indian Real-world Evidence of Rivaroxaban Use in Coronary Artery Disease – A Prospective Observational Cohort Study (IN-RECORD): Study Design and Baseline Characteristics
Authors: Jayagopal P. B. , Raghuraman Bagirath , Khetan Anup , Magarkar Vilas , Premchand Rajendra Kumar , Ezhilan J. , Sharma Vinod , Kumar A. Sreenivas , Dabhade Dhammdeep , Shewale Rishikesh , Suryawanshi Sachin , Vikneswaran G. 
Published: December 2023

Abstract

Background:
Antiplatelet therapy (APT) is the cornerstone for cardiovascular (CV) prevention in patients with coronary artery disease (CAD). However, there is potential for greater effectiveness in vascular prevention for patients with stable CAD or peripheral artery disease (PAD) through the use of rivaroxaban alone or in combination with aspirin, surpassing the benefits offered by aspirin alone.

Materials and Methods:
INdian Real world EvidenCe Of Rivaroxaban use in coronary artery Disease – A prospective observational cohort study (IN-RECORD) study is designed as a prospective, observational study. The objective of this study is to compare the real-world effectiveness and safety of rivaroxaban in combination with APT (dual pathway inhibition therapy [DPIT]) versus dual APT (DAPT) in Indian patients with CAD and peripheral arterial disease (PAD). The study will encompass multiple clinical sites across the Indian geography. The study’s primary outcome is the comparison of net clinical benefit between the two groups which is defined as the composite of effectiveness (reduction in incidence of CV death, stroke, and myocardial infarction [MI]) and safety (life-threatening or fatal bleeding).

Results:
From June 2021 to December 2022, we enrolled 374 patients from the participating sites from India. We enrolled 225 and 149 patients in the DAPT and DPIT groups, respectively. The mean observed age and weight at the baseline were 63.05 ± 10.09 years and 64.15 ± 11.43 kg, respectively. There was a male preponderance observed in the enrolled patients (males: 86.63%, females: 13.37%). The most frequent comorbidity observed in CAD patients was hypertension, followed by diabetes and MI. At baseline, a significant percentage of patients were taking antiplatelet medications besides aspirin.

Conclusion:
IN-RECORD will provide information on the efficacy and safety of rivaroxaban in combination with APT versus APT in the Indian patient population in real-life clinical scenario.
Successful Use of Angiotensin Receptor–Neprilysin Inhibitor along with Intravenous Inotropes, in a Postcardiac Surgery Child with an Anomalous Left Coronary Artery from the Pulmonary Artery Repair
Authors: Rajeev Meera , Sahu Manoj Kumar , Singh Ummed , Singh Sarvesh Pal , Satsanghi Amitabh , Talwar Sachin 
Published: December 2023

Abstract
Treating heart failure (HF) in postoperative congenital cardiac repair in children with an anomalous left coronary artery from the pulmonary artery (ALCAPA) is a daunting task. Regular anti-failure measures with angiotensin-converting enzyme (ACE) inhibitors may become inadequate or resistant in certain situations. Angiotensin receptor–neprilysin inhibitor (ARNI) in place of ACE inhibitors can be an alternative to help these postcardiac surgical children convalesce better. Sacubitril/valsartan is an ARNI-approved treatment for HF in adults, and in pediatric HF patients, it is showing promising benefits. However, in postcardiac surgical children with HF, its effects are not known. We used ARNI successfully in one of our postcardiac surgical infants with ALCAPA repair in HF, and we describe this case here.