bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of fluid and haemodynamic management in cytoreductive surgery with hyperthermic intraperitoneal chemotherapy on postoperative outcomes – A systematic review
Authors: Solanki Sohan Lal , Maurya Indubala , Sharma Jyoti 
Published: October 2023

Background and Aims:
Cytoreduction surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an extensive surgery associated with significant fluid shift and blood loss. The haemodynamic management and fluid therapy protocol may impact postoperative outcomes. This systematic review was conducted to find the effect of haemodynamic monitoring and perioperative fluid therapy in CRS-HIPEC on postoperative outcomes.

Methods:
We searched PubMed, Scopus and Google Scholar. All studies published between 2010 and 2022 involving CRS-HIPEC surgeries that compared the effect of fluid therapy and haemodynamic monitoring on postoperative outcomes were included. Keywords for database searches included a combination of Medical Subject Headings terms and plain text related to the CRS-HIPEC procedure. The risk of bias and the certainty assessment were done by Risk of Bias-2 and the methodological index for non-randomised studies.

Results:
The review included 16 published studies out of 388 articles. The studies were heterogeneous concerning the design type and parameter measures. The studies with goal-directed fluid therapy protocol had a duration of intensive care unit (ICU) stay that varied from 1 to 20 days, while mortality varied from 0% to 9.5%. The choice of fluid, crystalloid versus colloid, remains inconclusive. The studies that compared crystalloids and colloids for perioperative fluid management did not show a difference in clinical outcomes.

Conclusion:
The interpretation of the available literature is challenging because the definitions of various fluid regimens and haemodynamic goals are not uniform among studies. An individualised approach to perioperative fluid therapy and a justified dynamic index cut-off for haemodynamic monitoring seem reasonable for CRS-HIPEC procedures.
Comparison of ultrasound-guided transversalis fascia and posterior transversus abdominis plane block for postoperative analgesia following caesarean delivery: A double-blinded randomised controlled trial
Authors: R Sripriya , G Janani , T Sivashanmugam 
Published: October 2023

Background and Aims:
Posterior–transversus abdominus plane (TAP) block and transversalis fascia plane (TFP) block have been used for postoperative analgesia following caesarean delivery. We compared the analgesic efficacy of the TAP vs TFP plane blocks in patients undergoing elective caesarean delivery.

Methods:
We randomised 90 women undergoing caesarean delivery under spinal anaesthesia to receive either a posterior-TAP (Group-TAP), TFP (Group-TFP) or no block (Group-C) postoperatively. The primary objective was the postoperative analgesic requirements. Secondary objectives were duration of analgesia, pain scores and infra-umbilical sensory loss, which were recorded at specific intervals for 24 h. Statistical analysis was carried out using Statistical Package for Social Sciences version 16.0 software.

Results:
The patients requiring one, two or nil rescue analgesics were comparable between the interventions and the control (P = 0.32). The duration of analgesia was longer in Group-TAP when compared to Group-C, 4.76 (1.2) vs. 6.89 (2.4); P < 0.001, whereas Group-TFP, 5.64 (2.1) h, was not significantly different from Group-C. The static pain score in Group-TAP was significantly less than that in Group-C at 4 h and beyond 12 h (P < 0.001), whereas Group-TFP was comparable with Group-C at all time points except at 4 h and 24 h (P = 0.002). Only Group-TAP demonstrated midline infraumbilical sensory loss.

Conclusion:
TAP and TFP blocks did not decrease the rescue analgesic requirement compared with the control group. The posterior-TAP block prolonged the duration of analgesia by 2 h, maintained the median static pain score at 0 beyond 12 h, and demonstrated sensory loss at the infraumbilical dermatomes.
Association between fitness tracker use, physical activity, and general health of adolescents in Eastern Province of Saudi Arabia
Authors: AlSayegh Layla A. , Al-Mustafa Maria S. , Alali Ali H. , Farhan Manal F. , AlShamlan Nouf A. , AlOmar Reem S. 
Published: October 2023

BACKGROUND:
Physical inactivity is a major problem of adolescents worldwide. Fitness trackers are widely used technologies that assess physical activity and allow self-monitoring of daily activities. Thirty-five percent of the Saudi population is made up of adolescents, which makes them an important target population. Few studies have evaluated the association of fitness trackers with physical activity levels of adolescents. This study aimed to evaluate physical activity among adolescents and its relationship to their use of fitness trackers and overall health.

MATERIALS AND METHODS:
A cross-sectional study was carried out among adolescents in middle and high schools in the Eastern Province. Data was collected using a structured questionnaire and physical activity was assessed using International Physical Activity Questionnaire for Adolescents. Chi-square test and ANOVA were performed to test for statistical significance. Unadjusted and adjusted odds ratios (ORs) were obtained through ordered logistic regression models. Model diagnostics were run as post hoc analyses.

RESULTS:
Majority of participants (82.6%) had low physical activity levels, 12.2% had moderate and 5.2% had vigorous activity level. The model revealed that as participants’ ages increased, the odds of having higher levels of physical activity decreased (OR = 0.92; 95% confidence interval [CI]: 0.85–0.99). Moreover, participants who did not go to a gym regularly or own a fitness tracker were less likely to have higher physical activity levels (OR = 0.43; 95% CI:0.30–0.61, and OR = 0.44; 95% CI: 0.33–0.59, respectively). Motivation for using fitness trackers was mostly “no specific reason” for females. However, “luxury and esthetics” were mostly reported by males.

CONCLUSION:
Physical activity tends to be higher in younger adolescents who use fitness trackers, or go to the gym regularly, with no significant difference between males and females. However, the motivation behind adolescents’ use of fitness trackers varied by gender.
Risk factors associated with fatal thrombosis in hospitalized coronavirus disease 2019 (COVID-19) patients on anticoagulant therapy
Authors: Kaliyeva Sholpan , Yukhnevich Yekaterina , Myasnikova Zhanna , Simokhina Natalya , Dyussembaeva Nailya , Bikbatyrova Yuliya , Drobchenko Yelena , Sagadatova Torgin , Semenikhina Polina 
Published: October 2023

BACKGROUND:
The purpose of this study was to determine the factors that increase the risk of fatal thrombotic events in hospitalized coronavirus disease 2019 (COVID-19) patients receiving standard therapy according to the National Clinical Practice Guidelines (National Guidelines).

MATERIALS AND METHODS:
In this case–control study, cases included 83 adults with COVID-19 who had died from thrombosis and controls comprised 83 COVID-19 patients with comparable criteria who survived. Data was abstracted by reviewing the medical records of selected patients and analyzed using Statistica. Parametric and non-parametric tests, as appropriate, were used to compare continuos variables between cases and controls, whereas Chi-square test was employed to compare categorical variables. Odds ratio (OR) was also calculated to measure the strength of association of case status and various independent variables.

RESULTS:
Fatal outcomes were higher in patients with chronic tubulointerstitial nephritis, (OR = 2.4, 95% CI 1.2–4.9); obesity, (OR = 2.1, 95% CI 0.5–8.6); and coronary heart disease (OR = 1.6, 95% CI 0.8–3.2). In the group with a D-dimer level from 250 to 1000 ng/ml, a statistically significant moderate positive correlation was found between the day of death and D-dimer level (P = 0.026). The lack of use of the PADUA Prediction Score for the risk of venous thromboembolism scale (PADUA Scale) and control of laboratory parameters (APTT and D-dimer) were associated with increased risk of fatal outcome. Overall, 19.2% cases and 8.4% of controls had no coagulation control; (OR = 2.6, 95% CI 1–6.7).

CONCLUSION:
Chronic tubulointerstitial nephritis, obesity, and coronary heart disease were associatied with fatal thrombosis. A slight elevation of D-dimer level, lack of the PADUA Scale and laboratory monitoring in the management of hospitalized patients with COVID-19. was associated with an increased risk of thromboembolism.
Accuracy of body mass index compared to whole-body dual energy X-ray absorptiometry in diagnosing obesity in adults in the Eastern Province of Saudi Arabia: A cross-sectional study
Authors: Alqarni Amani M. , Aljabr Abdullah S. , Abdelwahab Moataza M. , Alhallafi Ahmed H. , Alessa Mustafa T. , Alreedy Abdullah H. , Elmaki Sara A. , Alamer Naheel A. , Darwish Magdy A. 
Published: October 2023

BACKGROUND:
Obesity is a major health concern that requires accurate diagnosis and management. Body mass index (BMI) commonly used to diagnose obesity, has limitations in accurately assessing body fat. Body fat percentage (BF%) from whole-body dual energy X-ray absorptiometry (DEXA) scans is gaining popularity as a more accurate method in diagnosing obesity.

MATERIALS AND METHODS:
This cross-sectional study included 319 adult patients who underwent whole-body DEXA scans in the Eastern Province of Saudi Arabia from May 2016 to December 2021 were recruited from three medical centers, where data for whole-body DEXA were available. Body fat percent was obtained from the whole-body DEXA scan reports and were compared to BMI to evaluate prevalence of obesity. Data was extracted by reviewing patients’ records using a structured data collection tool. BMI was defined using WHO criteria, and diagnostic performance was assessed by estimating specificity, sensitivity, likelihood ratios, and predictive values, and by constructing receiver operating characteristic (ROC) curves for BMI to detect obesity by age group.

RESULTS:
The gender-specific BF% cutoff points revealed a higher prevalence of obesity than BMI cutoff points. BMI misclassified 40.6% of participants, and optimal cutoff points yielding highest area under the curve were 24 kg/m2 and 24.3 kg/m2 for males and females, respectively.

CONCLUSION:
The study underscores the importance of using accurate and comprehensive diagnostic tools such as whole-body DEXA scans to assess obesity.
OSMANLI DEVLETİ'NDE BOLŞEVİZM ALGISI ve BOLŞEVİK TESİRLER
Authors: BAYTAL Yaşar 
Published: October 2023

1917 Bolşevik Devrimi, Rusya’nın bir iç meselesi olarak doğmuş ve zamanla birçok devleti derinden etkilemiştir. Savaşın başından itibaren Rusya’daki genel durum hakkındaki bilgilere yer veren Osmanlı basını, Devrimin çıkışıyla birlikte Rusya’daki iç durumla daha yakından ilgilenmeye başlamıştır. Ancak basın, olayları bütüncül bir yaklaşımla ele almaktan ziyade sulh ve Osmanlı-Rus ilişkileri çerçevesindeki değerlendirmelere daha çok yer vermiştir. Bu durum, Rusya’daki Devrimin temel ideolojisinin anlaşılmasını güçleştirmiştir.
İşgale karşı ulusal direnişin başlamasıyla birlikte Bolşeviklerin Anadolu’ya ilgisi giderek artmıştır. İşgalcilere karşı direnen Türk ulusalcıları için Bolşevik yardımlar, kritik öneme sahiptir. Bu yüzden Bolşevik yönetimle iyi ilişkiler kurulmak istenmiştir. Bu süreçte Anadolu’da sola yatkın davranışlar, Bolşeviklerin de etkisiyle yayılma imkânı bulmuştur. Ancak Bolşevik düşünceyi gayrı milli bulan Mustafa Kemal Paşa, bu tür davranışların Anadolu’da vücut bulmasına izin vermemiştir. Bolşeviklerle olan ilişkiler, iki müstakil devletin ittifak esasları çerçevesinde yürütülmesine özen gösterilmiştir.
Bu çalışmada Bolşevik Devrimin Osmanlı Devleti üzerinde bıraktığı tesirler üzerinde durulmuştur. Bu tesirlerin, işgal dönemi İstanbul ve Anadolu’daki yansımaları ayrı ayrı ele alınmış; Bolşevik düşüncesinin etkisi ve kapsamı değerlendirilmeye çalışılmıştır. İşgale karşısında Anadolu’da ulusal direnişin başlamasıyla birlikte Bolşeviklerin Anadolu’ya yönelmesinin temel nedenleri yine bu çalışmada ele alınmıştır. Anadolu’daki bağımsızlık mücadelesinin yankıları sürerken Bolşeviklerin Anadolu’daki faaliyetleri ve sonuçları üzerinde durularak Sakarya Savaşına kadar Türk-Bolşevik ilişkilerinin genel seyri hakkında genel değerlendirmeler yapılmıştır.
ATATÜRK’ÜN PERSPEKTİFİNDEN TBMM VE 1921 TARİHLİ TEŞKİLÂT-I ESÂSİYE KANUNU
Authors: DEMİR Enes 
Published: October 2023

Birinci Dünya Savaşı sonrası Osmanlı toprakları, birçok cihetten işgal edilmiş; başkent İstanbul’un da resmen işgaliyle hükûmet işlevsiz bırakılmıştır. Bunun üzerine, Millî Mücadele Hareketi’nin öncülüğünde Ankara’da Büyük Millet Meclisi (TBMM) 23 Nisan 1920’de açılmıştır. Kritik bir dönemde önemli görevler üstlenen TBMM, 20 Ocak 1921’de egemenliğin millete ait olduğunu resmileştiren Teşkilât-ı Esâsiye’yi yürürlüğe koymuş; böylece Cumhuriyet’e giden yolu da açmıştır.
Bu kapsamda makalede, Millî Mücadele’nin icra organı TBMM’nin üstlendiği fonksiyon ile hazırladığı Teşkilât-ı Esâsiye’nin yeri ve önemi, bu mücadelenin lideri Mustafa Kemal Paşa’nın (Atatürk) perspektifinden ele alınmıştır. Böylece Millî Mücadele’de TBMM ve Anayasasının, Cumhuriyete giden yoldaki belirleyici etkisinin ortaya konulması hedeflenmiştir. Nitel analiz yöntemiyle hazırlanan çalışmanın kaynaklarını Atatürk’e ilişkin başvuru eserleri ile bu alandaki literatür ihtiva etmektedir.
ATATÜRK DÖNEMİ KILIK KIYAFET DÜZENLEMELERİ VE TOPLUM ÜZERİNDEKİ ETKİLERİ
Authors: YILDIRIM Tuncay 
Published: October 2023

Kılık kıyafet; insanların tutum ve davranışları üzerinde önemli bir göstergedir. İklim,
coğrafya, tabiat şartları, dini inanışlar, kültürel değerler kılık kıyafeti etkileyen unsurlardır.
Ayrıca, Kılık kıyafet insanların, mevkiini, cinsiyetini, milliyetini, bölgesini, ait olduğu
kabilesini, medeniyetini, inanç, duygu ve düşüncesini de ortaya koymaktadır.
Mustafa Kemal Atatürk Türkiye Cumhuriyeti’ni kurduktan sonra toplum düzenini
değiştiren köklü inkılâpları hayata geçirmiştir. Bunlardan biride Kılık Kıyafet inkılâbıdır.
Kılık kıyafet inkılâbının amacı toplumu çağdaşlaştırmak, dış görünüşü ile de modernleştirmek
olduğu kadar bu dönemde kıyafetteki karmaşayı da ortadan kaldırmaktır. Atatürk
gerçekleştirdiği inkılâpları, Osmanlı İmparatorluğunu geri bıraktıran doğu zihniyetini
değiştirmek için araç olarak kullanmıştır. Kılık kıyafet inkılâbının halka benimsetilmesi de
bunun bir örneğidir. Zihniyetin değiştirilmesi insanların tutum ve davranışlarının yani
kültürel değerlerinin değiştirilmesi demektir. Kültür değişiminde ise kimliğin, özgünlüğün ve
bütünlüğün değiştirilmemesi önem arz etmektedir.
Bu çalışmada; Eski Türklerden Atatürk döneminin sonuna kadar geçen sürede kılık
kıyafette yapılan reformlar, değişiklikler ile çıkarılan kanunlar ve yöntemler konu edinilmiş
bu inkılâp gerçekleştirilirken kişi ve toplum üzerindeki psikolojik ve sosyolojik etkileri ele
alınmıştır.
Pengaruh Harga dan Kualitas Produk terhadap Loyalitas Pelanggan Melalui Kepuasan Pelanggan sebagai Variabel Intervening
Authors: Asma'ul Khusna Elda Fitra , Nirawati Lia 
Published: October 2023

This study aims to determine the effect of price and product quality on customer loyalty through customer satisfaction as an intervening variable on @vivo_indonesia Instagram followers. This type of research is quantitative research, while in this study, the population used is the @vivo_indonesia Instagram account which has 857,171 followers, with the sampling technique using purposive sampling. Data was collected through a questionnaire with descriptive and inferential statistical analysis techniques using the Smart-PLS 4.0 program. Based on the results of this study, it is concluded that price has a positive and significant effect on customer satisfaction. Product quality has a positive and significant effect on customer satisfaction. Customer satisfaction has a positive and significant effect on customer loyalty. Price has a positive and insignificant effect on customer loyalty. Product quality has a positive and significant effect on customer loyalty. Price has a negative and significant effect on customer loyalty through customer satisfaction. Product quality positively and significantly affects customer loyalty through customer satisfaction.
Keywords: Price, Product Quality, Customer Satisfaction, Customer Loyalty
Risk Management Strategies for Healthcare Organizations: A Comparative Analysis of Patient Safety Measures in Kenya
Authors: Kimani Peter 
Published: October 2023

Purpose: The study sought to investigate the Risk Management Strategies for Healthcare Organizations: A Comparative Analysis of Patient Safety Measures in Kenya
Materials and Methods: The study adopted a desktop methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library
Results: The results revealed that risk management strategies play a crucial role in improving patient safety within healthcare organizations. By comparing different strategies, the research may highlight which ones are particularly effective in reducing errors and enhancing overall safety. The study also concludes that leadership styles and organizational culture have a significant impact on the success of risk management strategies. Healthcare organizations with supportive leadership and a culture of safety tend to perform better in patient safety measures.
Unique contribution to theory, practice and policy: The study recommends that there should be a culture of safety that encourages reporting of errors and near misses, learning from mistakes, and implementing solutions to prevent recurrence. A culture of safety can foster trust, transparency, and accountability among healthcare staff and patients. Conduct regular risk assessments to identify potential hazards, vulnerabilities, and threats to patient safety and organizational performance. Risk assessments can help prioritize areas for improvement, allocate resources, and monitor progress.
The Experimental and Theoretical Effect of Fire on the Structural Behavior of Laced Reinforced Concrete Deep Beams
Authors: Kareem Abbas , Mohammed Shatha D. 
Published: October 2023

A Laced Reinforced Concrete (LRC) structural element comprises continuously inclined shear reinforcement in the form of lacing that connects the longitudinal reinforcements on both faces of the structural element. This study conducted a theoretical investigation of LRC deep beams to predict their behavior after exposure to fire and high temperatures. Four simply supported reinforced concrete beams of 1500 mm, 200 mm, and 240 mm length, width, and depth, respectively, were considered. The specimens were identical in terms of compressive strength ( 40 MPa) and steel reinforcement details. The same laced steel reinforcement ratio of 0.0035 was used. Three specimens were burned at variable durations and steady-state temperatures (one hour at 500 °C and 600 °C, and two hours at 500 °C). The flexural behavior of the simply supported deep beams, subjected to the two concentric loads in the middle third of the beam, was investigated with ABAQUS software. The results showed that the laced reinforcement with an inclination of 45˚ improved the structural behavior of the deep beams, and the lacing resisted failure and extended the life of the model. The optimal structural response was observed for the specimens. The laced reinforcement improved the failure mode and converted it from shear to flexure-shear failure. The parametric study showed that the lacing bars remarkably improved the strength of the deep beams and they were not affected more by the steady-state temperature and duration. Furthermore, a greater increase in load-carrying capacity was associated with an increase in the flexural diameter of approximately 12 and 16 mm by approximately 24.77% and 87.61%, respectively, compared to the reference LRC deep beams.
School Principals’ Attitudes and Level of Technology Integration in Moroccan Public Schools
Authors: Laouni Nour-eddine 
Published: October 2023

This study investigates the relationship between school principals’ attitudes and the impact this has on the level of technology integration in Moroccan public schools. Data were collected by surveying 167 school principals via two different instruments. The computer attitude scale (CAS) (Gressard and Loyd, 1986) measures attitude toward computers and computer use and the level of technology integration (LoTi) Moersch (1999) measures the various levels of technology integration. Findings suggest that there is a negative correlation between school principals’ attitudes and their level of technology integration at the Computer Attitude Scale (CAS) with (r = -.32, n = 167, p< .0005) and at the four sub-scales as well. The results obtained at this level accentuate another negative correlation existing between Computer confidence with (r = -.23, n = 167, p < .0005), computer liking (r = - .40, n = 166, p< .0005), computer usefulness (r = - .25, n = 167, p < .0005) and finally, computer anxiety with (r = - .08, n = 167, p < 0005) and level of technology integration. Recommendations for research and practice are provided.
The Influence of Communication and Teamwork on Employee Performance at PT. Aneka Warna Indah in Jakarta
Authors: Armadhan Rizky Tinto , Joesyiana Kiki , Mar’aini Mar’aini 
Published: October 2023

The purpose of this study was to determine the effect of communication and teamwork on employee performance at PT Aneka Warna Indah in Jakarta. The place of this research was carried out at PT Aneka Warna Indah in Jakarta. This research is a quantitative study with communication and teamwork variables on employee performance. This study uses data collection techniques by distributing questionnaires. The number of samples in this study were 40 respondents who were taken using a purposive sampling technique. The data analysis technique used is multiple linear regression, coefficient of determination and hypothesis testing. Based on the results of the study, the results of multiple linear regression analysis yielded a value of -27.974 + 0.510X1 + 0.833X2 and the results of the communication t test (X1) used the t test with t count = 3.453 > t table = 2.02619 teamwork (X2) yielded t count = 2.385 < t table = 2.02619. F test results Fcount > Ftable or 56,747 > 3.25 with a significant value of 0.000 < 0.05 and the results of the coefficient of determination test yield Adjusted R Square = 0.746, meaning 74.6% simultaneously the communication variable (X1) and teamwork (X2) ) contributed 74.6% to teamwork (Y) at PT Aneka Warna Indah in Jakarta, while the remaining 25.4% was contributed by other variables not examined in this study.