bluuebunny/crossref_metadata_2025_split huggingface dataset:
Roux-en Y with J pouch versus simple roux-en Y reconstruction after total gastrectomy for gastric cancer functional assessment and quality of life
Authors: Rashed Mohamed Samy EL-Saeid , Gad Khalied H. , EL-Hefny Amr M. M. , Saad Ahmed Saeed 
Published: December 2023

Background
Replacement of the reservoir function of the stomach after total gastrectomy is of particular importance. And several types of gastric substitutes have been suggested. The most widely accepted is the Hunt-Lawrence- Rodino or Jejunal pouch.

Aim and objectives
To compare the nutritional, functional outcomes and quality life of a Jejunal pouch reconstruction to the simple Roux -en-Y esophago jejunostomy in patients who had total gastrectomy due to cancer.

Subjects and methods
40 patients underwent total gastrectomy and reconstruction at the upper GIT surgery unit of the Department of Surgery of the University Medical School of Ain shams between august 2020 and October 2022. Patients divided into two groups, group (A) 20 patients reconstructed by simple roux -en – y esophagojejunostomy. Group (B) 20 patients reconstructed by roux - en – y esophagojejunostomy with oral type jejunal pouch. Both groups were compared regarding anthropometeric, nutritional and laboratory values at preoperative, 3 and 6 months p o , also early postoperative complications, post gastrectomy and reflux symptoms and patient’s QOLI using Eypasch questionnaire at 6 month p o.

Results
No significant difference regarding morbidity or mortality associated with pouch reconstruction (P-value >0.05) .also no significance regarding body weight, BMI at 3 and 6 months p o. the pouch group was associated with a lower incidence of dumping, diarrhea and reflux symptoms (P-value <0.05)., also a better food intake, and better quality of life parameters at 6 months post -operative (P-value <0.05).

Conclusion
In a 6-month follow-up after total gastrectomy, pouch reconstruction was superior to Roux-en-Y esophagojejunostomy in terms of p o food intake, incidence of dumping, diarrhoea, and reflux symptoms, as well as quality of life.
Possibility and predictors of surgical salvage of infected mature arteriovenous fistula for hemodialysis
Authors: Elnaggar Ahmed A. , Diab Khaled , Rahim Amr A. , Elsayed Ahmed M.A. , Aboelnor Mahmoud I. 
Published: December 2023

Background
Infection in arteriovenous fistula (AVF) is a common complication in patients with end-stage renal disease (ESRD) requiring dialysis. The standard management includes ligation of the AVF to prevent the progression of septicemia. Till now, there is limited evidence on the effectiveness and possibility of salvage of infected AVFs.

Aim
To evaluate the effectiveness and safety of salvage of infected mature autogenous AVF.

Methods
This prospective study was conducted at the Fayoum University Hospital from September 2015 to April 2023. We included patients with dysfunctional and functioning infected AVF. Patients with infected synthetic grafts and immature infected AVFs were excluded. We aimed to excise the infected part of the vein wall and surrounding tissues to restore fistula patent and functioning after direct vein repair. We followed-up with all patients for 1 year and examined the repaired AVFs for patency and the possibility of re-infection. Tissue cultures were obtained to identify the commonest responsible organism and the recommended antibiotics.

Results
A total of 46 patients with infected AVFs were included. At the end of the follow-up period, 11 patients were ligated, and 35 underwent AVF salvage procedures. 19 cases experienced some complications: 5 cases had hematoma required surgical intervention, 2 cases had hematoma managed conservatively, 2 patients had wound dehiscence, 3 patients required hybrid angioplasty for acute failed AVF, and 7 cases required angioplasty for failing AVF.

Conclusion
When performed correctly and with expert hands, salvage of infected mature AVFs seems possible with excellent efficacy and high patency for up to 1 year.
Value of total leucocytic count and pelvic-abdominal ultrasound in distinguishing complicated from noncomplicated acute appendicitis
Authors: Khattab Mohamed , Nashed George A. , Thapa Nirmal , Saber Mohamed 
Published: December 2023

Background
Complicated appendicitis is associated with elevated rates of morbidity and mortality compared with noncomplicated appendicitis. In this study, we aimed to investigate the role of combining total leucocytic count (TLC) and abdominal ultrasound (US) in distinguishing simple from complicated appendicitis.

Patients and methods
This is a prospective study that included patients with acute appendicitis who underwent appendectomy. The patients’ data regarding demographic characteristics, clinical, laboratory, and US findings, as well as intraoperative findings and postoperative complications, were recorded and analyzed.

Results
This study included 80 patients. Overall, 48 (60%) patients had noncomplicated appendicitis, and 32 (40%) had complicated appendicitis. Patients with complicated appendicitis had significantly higher ages and TLC. Concerning the US findings, significantly higher cases of visualized blind-ended loop (P = 0.042), right iliac fossa fluid (P = 0.006), and pelvic collection (P < 0.001) were shown in the complicated group. Multiple regression analysis revealed that TLC and the presence of pelvic collection by the US were the only variables significantly predicting complicated appendicitis. Adopting either a TLC cut-off value of 12.95×109/l and/or the presence of pelvic collection for the diagnosis yielded a sensitivity of 90.6%, a specificity of 77.1%, and an accuracy of 82.5%.

Conclusion
The presence of a TLC cut-off value of 12.95×109/l and/or a pelvic collection in abdominal ultrasound seems to be reproducible for the preoperative prediction of complicated acute appendicitis.
Duct-to-mucosa versus invagination pancreaticogastrostomy reconstruction after pancreaticodudenectomy: a comparative study
Authors: Salama Ibrahim A. , Aziz Amr M. , Yassen Taha E. , Hamam Abdelrahman S. , Ayoub Eslam I. 
Published: December 2023

Background
Pancreaticoduodenectomy (PD) is the most used standard operation for both benign and malignant diseases in the pancreatic head. Panc. Fistula following pancreaticoduodenectomy is relatively common and remains a major cause of mortality and morbidity.

Aim
To evaluate the early outcome of the main two techniques of pancreatic duct anastomosis with the stomach (duct-to mucosa vs. invagination) in patients who undergo pancreaticodudenectomy.

Patients and methods
This is a prospective randomized study was conducted on 50 patients with elective PD with two schedule techniques of pancreatic anastomoses with the stomach divided in two groups: group A (duct-to mucosa technique) and group B (invagination technique) performed in the department of the Hepato-pancreaticobiliary surgery, National Liver Institute, Menoufia University form October 2019 to October 2021.

Results
This study showed that, postoperative pancreatic fistula (POPF) developed in 1 (4%) case in group A and 5 (20%) cases in group B. regarding Delayed Gastric Empting (DGE), 15 (60.00%) patients had no DGE, 5 (20.00%) patients had grade A, 4 (16.00%) had grade B,1 (4.00%) had grade C among group A while, among group B, 20 (80.00%) patients had no DGE, 5 (20.00%) patients had grade A, with no significant difference (P = 0.126). Also, there was no statistically significant difference between the two groups regarding diagnostic tools, preoperative drainage as well tumor size, type of tumor regarding histopathological examination as the majority of examined specimens were adenocarcinoma.

Conclusion
Our study concluded that were Duct-to-mucosa pancreaticogastrostry is safer anastomosis. Following pancreatico duodenectomy other than invagination technique.
Comparison of the efficacy and safety of intralesional triamcinolone injection with the combination of triamcinolone, five fluorouracil, and hyluronidase enzyme in the treatment of keloids and hypertrophic scars
Authors: Mohamed Ahmad E. , Mahmoud Radwa E. 
Published: December 2023

Hypertrophic and keloids scars are frequent benign disorders. These disorders occur due to the deposition of aberrant collagen in the scar tissue and can cause significant clinical presentations such as itching, discomfort, and disfigurement. Many therapeutic approaches have been proposed for their treatment without any acceptable outcomes.

Methods
After receiving ethical committee approval, a randomized prospective control trial was done in the clinic of plastic surgery at Suez Canal University Hospital for 3 months, from June 2023 to September 2023. 30 patients of both sexes and above the age of 14 were enrolled in the study and classified into two equal groups of 15 each: group (A) patients injected with triamcinolone alone, and group (B) patients injected with the combined therapy. All lesions were evaluated at 4, 8, and 12 weeks of injection. Scars were evaluated by the patient and observer scar assessment scale (POSAS) score. Complications such as atrophy of the skin, superficial ulcers, and telangiectasia have also been reported during or after injection.

Results
At 12 weeks of injection, both doctors and patients gave remarkably lower patient and observer scar assessment scale scores compared with those before injection, and there was a statistically significant difference between both groups. Group (B) scars improved more than group (A) scars in terms of itching, discomfort, pain, movement limitation, and aesthetic concern. Recurrence occurred only in group (A) patients.

Conclusion
The injection of the combined solution is effective more than triamcinolone alone. It results in a faster response, and an acceptable aesthetic outcome with few adverse effects.
Four decades of laparoscopic appendectomy. does it have the same role in the management algorithm of a postappendectomy abscess?
Authors: Osman Tarek A. , Fouad Ramy H. , Guirguis Nader N. , Shoka Ahmed A. 
Published: December 2023

Background/Objective
Postappendectomy abscess (PAA) is the most controversial complication after appendectomy. We aimed to identify the actual incidence of PAA and to compare the success rate of different lines of treatment both in adult and pediatric age groups in our institute.

Methods
A prospective study was conducted on patients who had a radiologically confirmed PAA. They were subdivided into adults (group A) and children (group B). A stepwise approach was used for the management of the PAA. The success rate of each line of treatment was recorded and compared between both groups.

Results
Five hundred twenty appendectomy patients were included in this study (321 adult and 199 pediatric patients). In group A, 14 (4.36%) patients had a PAA in comparison to 9 (4.52%) children in group B. In group A, the success rate of both the medical and surgical treatment was 66.7%, whereas the radiological drainage was successful in the three cases. In group B, medical treatment was successful in 83.3% and the patient who failed medical treatment was drained laparoscopically. The remaining three cases were radiologically drained.

Conclusion
This is the first trial to compare the success rate of different lines of treatment of PAA between adult and pediatric patients. Our results conclude that there is no statistically significant difference between the success rate of each line of treatment.
The use of nonpharmacological agent to accelerate gastrointestinal recovery in patients undergoing pancreatic head resection
Authors: Mahani Andrew M. , Mourad Farouk , Hamad Mostafa , Taha Ahmed 
Published: December 2023

Background
Ileus is a frequent complication following abdominal surgery that can cause a delay in recovery. Ileus onset is thought to be complex, and several prevention strategies have been researched. According to the study’s hypotheses, chewing gum promotes quicker recovery of gastrointestinal function, which reduces the risk of postoperative ileus.

Aim
To investigate the impact of chewing gum on hospital stay and bowel movement in individuals undergoing whipped surgery.

Patients and methods
This is a prospective randomized controlled study that included 40 cases, randomly assigned into two groups; 20 cases took chewing gum after whipped operation and 20 cases were not, which were randomly selected and were operated in the Department of Surgery, Assiut University hospitals.

Results
The findings of this study showed that there was a highly significant difference between the study group and control group as regards all items related to postoperative findings at P value 0.05, and there was a highly significant difference as regards satisfaction score between the study group and control group at P value 0.001.

Conclusion
Based on the findings of this study, we concluded that chewing gum is an efficient way to reduce the frequency and length of Postoperative Ileus in patients who have had whiple surgery and are returning from the hospital.
A prospective study to test the correlation between recent or past coronavirus disease 2019 infection and mesenteric venous vascular occlusion
Authors: Aziz Amir H. F. , Maaty Sameh A. A. , Abd El Moaty Karim F. , Fawzy Fawzy S. 
Published: December 2023

Introduction
The severe acute respiratory syndrome-causing coronavirus 2 (SARS-CoV-2) has been identified by the World Health Organization as coronavirus disease 2019 (COVID-19). The coagulation abnormalities and thromboembolic events linked to COVID-19 have also been investigated in other research. The elevated risk of hypercoagulability, disseminated intravascular coagulation, and thromboembolic events in COVID-19 patients has been noted by these investigations.
The relationship between COVID-19 and mesenteric vascular occlusion (MVO) has been examined in a number of research. The pro-coagulant characteristics of the virus, according to the authors, could be a factor in the mesenteric blood arteries becoming blocked.

Patients and methods
This is a prospective study that was performed on 50 adult patients who were admitted to El-Demerdash Hospital presenting with MVO. They were subdivided into three groups; group I: COVID-negative, group II: previous COVID infection, and group III: COVID-positive. Each patient was assessed thoroughly through full medical and surgical history, laboratory tests, and imaging studies.
Follow-up of patients on a daily basis from admission till discharge and recording the progressive notes for each patient especially success of conservative treatment, need for surgical intervention, ICU admission, morbidity or mortality.
The collected data were revised, coded, tabulated, and introduced to a PC using a statistical package for social science (SPSS Statistics for Windows, Version 27.0.1. Armonk, NY: IBM Corp.). Frequency and Percentage were used for presenting qualitative data. χ
2 test and Fisher Exact test were used to analyze qualitative data. P value less than 0.05 was considered statistically significant.

Results
The study found that 24% of MVO cases were COVID-negative, 28% had a previous COVID infection, and 48% were COVID-positive. There was a significant association between COVID infection and MVO (P<0.001). There was no significant difference between the three groups in terms of demographic factors or associated comorbidity. However, a significantly higher proportion of patients in group III required surgical intervention and had a higher mortality rate compared with the other groups (P<0.05).

Conclusion
In conclusion, the present study implies that COVID-19 patients are at risk of developing mesenteric vascular occlusion and that the underlying mechanism associated with the two requires further investigation. The study highlights the need for physicians to monitor COVID-19 patients closely for the condition and that early detection and appropriate treatment could be critical in improving patient outcomes.
E-Tax Compliance in Nigeria: Implications for Company Income Tax and Petroleum Profit tax
Authors: Ifeyinwa Asomba U. , Chukwuma Madunezim J. , Azubuike Maureen K. 
Published: December 2023

This work examines the effect of e-tax compliance in Nigeria: Implication on Company Income Tax and Petroleum Profit Tax. As Nigeria's economy continues to evolve in the digital age, the taxation landscape has seen significant changes with the advent of e-tax compliance. This work therefore aims to explore the implications of e-tax compliance on two key revenue streams for the Nigerian government: Company Income Tax (CIT) and Petroleum Profit Tax (PPT). The study reveals that the amount of capital gain tax revenue before (before the arrival of e-taxation) and after (after the advent of e-taxation) shows a positive, negligible difference and that the Petroleum Profit Tax also has a positive negligible difference between pre- (before the advent of e-taxation) and post- (after the advent of e-taxation). The study concluded that the transition to electronic tax compliance in Nigeria has been driven by the need for efficiency, transparency, and improved revenue collection. It has not only streamlined the tax assessment and payment process but has also increased the government's ability to monitor and collect taxes from this lucrative industry. Federal Inland Revenue Services should develop measures to ensure that defaulters are brought to book and dealt with in accordance with the laws, in addition to establishing a collaborative pattern between the government, Federal Inland Revenue Services, and Nigerian taxpayers to enable them to observe any difficulty felt by the taxpayers or the shortcomings besetting the effectiveness of the system.
Omuz Sıkışma Sendromu’nun Dominant ya da Non-Dominant Tarafta Olması Üst Ekstremite Fonksiyonunu ve Ağrıyı Etkiliyor mu?
Authors: YILMAZ GÖKMEN Gülhan , KEÇELİOĞLU Şule 
Published: December 2023

Amaç: Omuz Sıkışma Sendromu’nun dominant veya non-dominant tarafta olmasının üst ekstremite fonksiyonelliğine, işteki fonksiyonelliğe ve istirahatte, aktivite sırasında ve gece oluşan ağrı şiddetine etkisini inceleyerek birbirleriyle ilişkisini araştırmak amaçlanmıştır.
Gereç ve Yöntem: 18-75 yaş arasında 81 gönüllü çalışmaya dahil edildi. Dominant tarafı etkilenen 44, non-dominant tarafı etkilenen 37 kişi vardı. Katılımcıların üst ekstremite fonksiyonu Kol-Omuz-El Sorunları Anketi ile; istirahatte, aktivite ve gece oluşan omuz ağrısı Görsel Analog Skalası ile değerlendirildi.
Bulgular: Gruplar arasında fonksiyonellik ve ağrı parametreleri arasında istatistiksel olarak anlamlı fark yoktu (p>0.05). Bütün hastaların verilerinin korelasyonunda Kol-Omuz-El Sorunları Anketi-Fonksiyon/Semptom ile istirahat, aktivite ve gece ağrısı arasında (sırasıyla p
SISTEM INFORMASI ANTREAN BERBASIS WEB DAN LED MATRIX DISPLAY
Authors: Zulkarnaen Zulkarnaen , Nizar Mukhsin  
Published: December 2023

Queues are often encountered in daily activities. The queuing process is a process related to the arrival of customers at a service facility, waiting to get service until they finally get service and leave the service facility. Many queue models use single-server, single-phase system and multiple-server, single-phase system. Currently, there are still service facilities that have not utilized technology to provide convenience for the users.
One way to improve service quality is by using a queuing system. The method applied in building this system is Prototype method. The prototype method consists of communication, which is the stage of data collection through the method of literature, observation, experiments which are described in use cases, activity and sequence diagrams as well as device requirements. Modeling Quick Design is the stage of making a brief description of the design in the form of architecture and appearance design. Construction of Prototype is the design stage, built using PHP MVC, MySQL, C++, JavaScript, JSON, NodeMCU ESP8266 microcontroller as a link for each device via a Wi-Fi network as well as a P10 led matrix display controller. P10 led matrix and monitor displays the queue number. The web server installed on the PC acts as a center for managing queue numbers, queue voice calls via text to speech as a voice generator in the Edge browser. Deployment Delivery & Feedback are the testing stages. the results obtained are to produce a web-based queue number information system and led matrix display that has been tested using black box testing that this system can run well
PSYCHOLOGICAL EMPOWERMENT, WORK ENGAGEMENT AND PAY SATISFACTION: A PATH MODEL ON RETENTION AMONG SECONDARY SCHOOL TEACHERS
Authors: Fernandez Edgar O. , Quines Lyndon A. 
Published: December 2023

In this study, psychological empowerment, work engagement, and pay satisfaction were used to estimate the best fit model for teacher retention at the Department of Education in Region XII. The study employed quantitative research design using path analysis and correlational approach which are under non-experimental research design. Using the stratified random sampling technique, the 400 secondary teachers from the divisions of South Cotabato, Koronadal, General Santos, and Sarangani were identified. The statistical tools that were used in interpreting the data were weighted mean, Pearson r correlation coefficient, and path analysis. Additionally, survey questions that had been adjusted, changed, and validated were employed. The outcome demonstrates the extremely high degree of psychological empowerment among secondary educators. Teachers also exhibit high levels of work engagement. Nonetheless, secondary teachers have a poor degree of salary satisfaction. As a result, secondary teachers have a high rate of teacher retention. Additionally, the results indicated that pay satisfaction was substantially connected with teacher retention when each independent variable was examined in relation to teacher retention. Additionally, there was a strong correlation between teacher retention and psychological empowerment. The best fit model for predicting teacher retention is model 3. According to the model, among secondary school teachers in Region XII, psychological empowerment and pay satisfaction are predictive factors of teacher retention.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0089/a.php" alt="Hit counter" /></p>
ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN THAI PHỤ MẮC COVID-19 THỂ NẶNG ĐIỀU TRỊ TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI - CƠ SỞ 2
Authors: Tạ Việt Cường , Nguyễn Thị Thu Hà , Nguyễn Hồng Trang 
Published: December 2023

Đối tượng nghiên cứu bao gồm 142 thai phụ bị mắc COVID-19 thể nặng được điều trị tại Bệnh viện Phụ sản Hà Nội, cơ sở 2. Mục tiêu đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan của thai phụ bị mắc COVID-19 thể nặng được điều trị tại Bệnh viện Phụ sản Hà Nội, cơ sở 2. Phương pháp nghiên cứu được tiến hành theo phương pháp dịch tễ học mô tả với thiết kế nghiên cứu hồi cứu. Kết quả trong số 142 thai phụ bị nhiễm COVID-19 thể nặng, có tuổi trung bình là 32,26 ± 5,57 tuổi. Nhóm tuổi thai từ 28-36 tuần vào viện là lớn nhất, chiếm 53,5%. Hầu hết các ĐTNC chưa tiêm vắc xin COVID-19, chiếm 84,5%. Tỷ lệ thai phụ bị ho, sốt, khó thở khi nhập viện lần lượt là 34,5%, 47,2% và 25,4%. Hầu hết các thai phụ đều có chỉ số D-dimer và CRP tăng rất cao (> 94,0%). Có mối liên quan giữa triệu chứng ngạt mũi và tiền sử tiêm vắc xin COVID-19; khó thở và các nhóm tuổi thai với p < 0.05%. Có mối liên quan giữa triệu chứng cận lâm sàng CRP với tuổi thai lúc vào viện, với p < 0,05. Kết luận: Thai phụ nhiễm COVID-19 thể nặng có các triệu chứng lâm sàng chủ yếu: ho, sốt, khó thở. Giá trị CRP và D-dimer tăng nhiều ở nhóm thai phụ này và CRP có liên quan đến tuổi thai lúc vào viện