bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preoperative predictive factors of difficult laparoscopic cholecystectomy
Authors: Saad Mohamed R. , Kabbash Mansour , Yassen Alaa , Suleiman Khaled A. T. , Elzayat Ibrahim 
Published: January 2024

Background
Laparoscopic cholecystectomy is a routine start-up procedure for any surgeon interested in the field of laparoscopy. However, one may encounter complex cases that may increase the risk of perioperative complications. It is crucial to identify these cases preoperatively for better surgical planning. Herein, we studied preoperative risk factors for difficult cholecystectomy procedures in our Egyptian tertiary care center.

Methodology
One hundred patients were enrolled in our study, and their cholecystectomy procedures were classified as easy, difficult, or very difficult based on two parameters; preoperative scoring system and intraoperative findings.

Results
There was a significant agreement between preoperative difficulty prediction score and intraoperative findings (k=0.858, P<0.001). Procedure difficulty was associated with patient hospitalization (P<0.001), previous supraumbilical surgeries (P=0.004), previous acute cholecystitis (P<0.001), previous jaundice (P=0.049), previous endoscopic biliary clearance (P=0.022), increased gallbladder wall thickness (P=0.001), and pericholecystic fluid collection (P=0.014). Conversion to the open approach was needed in 6 cases (6%). Age, sex, BMI, and impacted stone did not significantly impact procedure difficulty (P>0.05).

Conclusion
Multiple preoperative parameters have been significantly associated with the increased difficulty of the laparoscopic cholecystectomy procedure. Properly identifying these parameters and their inclusion into a scoring system would be greatly helpful in determining difficult cases during the preoperative period.
Comparative study of low-pressure versus standard-pressure pneumoperitoneum in laparoscopic cholecystectomy
Authors: Abdallah Hassan A. , Kabbash Mansour M. , Saad Mohamed Rabie 
Published: January 2024

BackgroundA pressure range of 12–14 mmHg is used in standard-pressure pneumoperitoneum during laparoscopic cholecystectomy. Utilizing low-pressure pneumoperitoneum, which ranges between 7 and 10 mmHg, has become widespread as a way to reduce the effects of pneumoperitoneum on human physiology while still allowing for sufficient working space.AimThis study’s objective is to evaluate the outcome of laparoscopic cholecystectomy with low-pressure pneumoperitoneum against standard-pressure pneumoperitoneum.Patients and methodsThe study comprised 80 patients who underwent laparoscopic cholecystectomy and for symptomatic gallstone disease. The participants were divided into two groups of 40. During the procedure, 40 patients underwent standard-pressure pneumoperitoneum, while another 40 patients underwent low-pressure pneumoperitoneum. Operative time, intraoperative injuries or mortality, conversion to open surgery, alterations in blood pressure and heart rate during operation, incidence of postoperative shoulder tip pain, need for additional analgesia postoperatively, and incidence of postoperative nausea and vomiting were all recorded as outcome parameters.ResultsThe mean time of operation in patients with low-pressure pneumoperitoneum was 65±10.6 min and with standard-pressure pneumoperitoneum was 61±9.7 min. Neither blood pressure nor heart rate changed in a way that was statistically significant when lower pressure pneumoperitoneum was used. Compared to the standard-pressure laparoscopic cholecystectomy group, the low-pressure group experienced statistically less postoperative shoulder pain (P<0.05). Nothing significantly different was seen in nausea and vomiting between the two groups (P=0.767).ConclusionWhile reduced intensity postoperative shoulder pain is a benefit of low-pressure pneumoperitoneum for the patient, it has no positive impact on intraoperative hemodynamics, operative time, intraoperative injuries, or mortality.
Impact of posterior wall gastrojejunostomy versus anterior wall gastrojejunostomy in pancreaticoduodenectomy on delayed gastric emptying and enhanced recovery: a prospective study
Authors: Sabry Ahmed M. , Naga Mohamed A. , Saber Hatem S. 
Published: January 2024

Background
Pancreaticoduodenectomy (Whipple operation) is considered the main surgical management for duodenal, pancreatic head, and lower end common bile duct neoplasm. Gastrojejunostomy orientation has a direct impact on enteral feeding and delayed gastric emptying (DGE).

Aim
The primary outcomes were reviewing the effect of changing the orientation of gastrojejunostomy either anterior wall vertical gastrojejunostomy versus posterior wall vertical gastrojejunostomy on DGE, early enteral feeding, leakage, and overall enhanced recovery with early start of chemotherapy.

Patients and methods
A prospective randomized trial 55 patients total number of patients after substraction of lost follow up was 50 patients and were divided into two group; group A: 27 patients underwent posterior wall gastrojejunostomy and group B: 23 patients underwent anterior wall gastrojejunostomy both techniques done in antecolic vertical manner.

Results
Operative time, postoperative bleeding, and leakage was not significantly different between the two groups. The total incidence of DGE was significantly lower in group A (posterior wall vertical) than group B (anterior wall vertical), regarding grades of DGE grade a was significantly lower in group A while the incidence in grades B and C was not significantly different regarding the number of patients. Ryle removal and starting oral intake was earlier and statistically significant in posterior wall vertical gastrojejunostomy when compared to anterior wall vertical gastrojejunostomy. Readmission, the actual use of prokinetics and need for nutritional support was higher in group B (anterior wall vertical gastrojejunostomy) than group A (posterior wall vertical gastrojejunostomy) but was not statistically significant.

Conclusions
Posterior wall vertical gastrojejunostomy has a better overall significant better outcome regarding early enteral feeding and DGE over anterior wall vertical gastrojejunostomy group also has better enhanced recovery and earlier time of starting chemotherapy. This topic should be evaluated in depth in a large-volume studies.
Noise-induced Hearing Loss: Continuous versus Impact/impulse Noise
Authors: Davari Mohammad Hossein , Jalalian Mohammad Taghi , Mirmohammadi Seyyed Jalil , Shojaoddiny-Ardekani Ahmad , Ardakani Mojgan Piri , Mehrparvar Amir Houshang 
Published: January 2024

Abstract

Background:
Impact/impulse and continuous noise are two main causes of noise-induced hearing loss (NIHL) in workplaces. The aim of this study was to compare the effects of impulse/impact noise and continuous noise on hearing status.

Methods:
In this study, 259 workers referred to the occupational medicine clinic of Shahid Rahnemoun hospital, Yazd, Iran, entered the study and were divided into two groups: with exposure to impact/impulse noise and with exposure to continuous noise. Hearing thresholds were measured and compared between the two groups by pure-tone audiometry (PTA). The frequency of hearing loss and audiometric notch according to the results of PTA was compared between the two groups. Data were analyzed by SPSS (ver. 16) using Student’s t-test, Chi-square test, and Mann–Whitney U test.

Results:
Hearing thresholds were significantly higher at all frequencies in the impact noise group. The hearing threshold at 6000 Hz was higher than other frequencies in both groups. The frequency of hearing loss at high frequencies was higher in the impact group. The frequency of audiometric notch was not significantly different between the two groups.

Conclusions:
The results of this study showed that hearing loss after exposure to impact/impulse noise is probably more frequent and more severe than exposure to continuous noise, but the pattern of hearing loss is similar in both types of noise exposure.
Designing a Hybrid Method of Artificial Neural Network and Particle Swarm Optimization to Diagnosis Polyps from Colorectal CT Images
Authors: Harchegani Hossein Beigi , Moghaddasi Hamid 
Published: January 2024

Abstract

Background:
Since colorectal cancer is one of the most important types of cancer in the world that often leads to death, computer-aided diagnostic (CAD) systems are a promising solution for early diagnosis of this disease with fewer side effects than conventional colonoscopy. Therefore, the aim of this research is to design a CAD system for processing colorectal Computerized Tomography (CT) images using a combination of an artificial neural network and a particle swarm optimizer.

Method:
First, the data set of the research was created from the colorectal CT images of the patients of Loghman-e Hakim Hospitals in Tehran and Al-Zahra Hospitals in Isfahan who underwent colorectal CT imaging and had conventional colonoscopy done within a maximum period of one month after that. Then the steps of model implementation, including electronic cleansing of images, segmentation, labeling of samples, extraction of features, and training and optimization of the artificial neural network (ANN) with a particle swarm optimizer, were performed. A binomial statistical test and confusion matrix calculation were used to evaluate the model.

Results:
The values of accuracy, sensitivity, and specificity of the model with a P value = 0.000 as a result of the McNemar test were 0.9354, 0.9298, and 0.9889, respectively. Also, the result of the P value of the binomial test of the ratio of diagnosis of the model and the radiologist from Loqman Hakim and Al-Zahra Hospitals was 0.044 and 0.021, respectively.

Conclusions:
The results of statistical tests and research variables show the efficiency of the CTC-CAD system created based on the hybrid of the ANN and particle swarm optimization compared to the opinion of radiologists in diagnosing colorectal polyps from CTC images.
Effect of long-term cochlear implant use on education and occupation: A systematic review
Authors: Kumar Nethra R , Chinnaraj Geetha 
Published: January 2024

Abstract

Purpose:
Cochlear implant (CI) technology has improved significantly positively impacting the quality-of-life of the users. Over the past few decades. Nevertheless, the results of the studies on the academic performance of CI users are contradictory in the literature.

Aim and objective:
The current study aimed to systematically review the articles published in the past 10 years (2011–2021) on the effect of the long-term use of CIs on education and occupational outcomes.

Method:
The reviewers selected 10 articles from 11,037 in various databases in this systematic review.

Results:
The review showed mixed results from the selected studies. Some research found that CIs users did worse than their typical peers. In contrast, a few other studies found that CI recipients performed equal to or better than their typical peers or the general population. CI recipients have considerably lower occupational levels than the general population. Many factors could influence educational and occupational outcomes in long-term CI users.

Conclusion:
Even though there are varied results regarding educational outcomes in long-term CI users, some studies showed good academic performance in CI recipients. However, there is a need for more studies to understand better the factors that affect the educational and occupational abilities of long-term CI users.
Development and standardization of phonological awareness test for Hindi-speaking 3 to 6 year old kindergarten children (PATH-KG)
Authors: Rawat Neha , Kiran Uraimindi Venkata 
Published: January 2024

Abstract

Purpose:
Development of phonological awareness skills plays an important role in acquiring early literacy skills. This study aimed to develop a psychometrically sound tool to measure phonological awareness skills of 3–6 years old native Hindi-speaking children aged of 3–6 years.

Materials and Methods:
Tasks were extracted at different linguistic levels. The test items were selected and sent for a familiarity check with teachers. The development and standardization of the test followed a systematic procedure, including randomized sample selection, expert judgment to evaluate items, face and content validity analysis, determination of I-CVI and kappa, reexamining the items after two rounds of judgment by experts, pilot study, analysis of the descriptive measures including the t test, and calculation of Cronbach α and SEm. The test–retest reliability was also measured. The test was developed and standardized for Hindi-speaking 3–6-year-old children (N = 270).

Results:
The Cronbach α was computed as 0.81, indicating high internal consistency. The standard error of the measurement indicating the reliability of the test was found to be 0.70. Pearson’s r for the test–retest correlation for the three age groups was found to be ≥0.78. Descriptive statistical measures were computed and data were analyzed for comparison across age and gender.

Conclusions:
With adequate content validity, good internal consistency and test-retest reliability, the developed test represents a standardized assessment tool for native Hindi-speaking 3–6-year-old children. With this test, children with deficient phonological awareness skills and at risk of reading difficulties can be identified early for timely intervention.
Treatment of benign rectal stricture caused by repeated anal insertion by endoscopy and balloon dilation: A case report
Authors: Liu Shih-Hung , Kang Jung-Cheng , Hu Je-Ming , Chen Chao-Yang , Lin Kuan-Hsun , Pu Ta-Wei 
Published: January 2024

BACKGROUND
Benign rectal strictures can be categorized as primary (disease-related) and secondary (surgical anastomosis-related). Secondary strictures arise from surgical complications, whereas primary strictures have diverse etiologies, including various inflammatory conditions. Benign strictures are usually managed by surgery and endoscopy. We present an unusual etiology of benign rectal stricture caused by the repeated insertion of foreign objects into the rectum for sexual purposes, resulting in rectal injury and subsequent chronic inflammation.
CASE SUMMARY
A 53-year-old man presented to the outpatient clinic of the Colorectal Surgery Department with symptoms of chronic constipation and bloody stools. The patient previously experienced rectal injury due to foreign object insertion for sexual purposes. Colonoscopy revealed benign circumferential narrowing of the rectum. He underwent treatment by endoscopic argon plasma coagulation and balloon dilation and follow-up as an outpatient for 4 months. A colonoscopy at the end of the follow-up period revealed no evidence of rectal stricture relapse.
CONCLUSION
A history of rectal injury, followed by chronic inflammation, should be considered in patients with benign rectal strictures. Management with endoscopic argon plasma coagulation and balloon dilation can prevent the need for surgical resection of benign rectal strictures.
How Adolescents Perceive Stunting And Anemia: A Qualitative Study In Stunting Locus Area In Yogyakarta Indonesia
Authors: Siswati Tri , Kasdjono Heru Subaris , Olfah Yustiana , Paramashanti Bunga Astria 
Published: January 2024

Persepsi merupakan interpretasi unik dari suatu situasi sebagai proses kognitif kompleks yang memengaruhi perilaku seseorang. Penelitian ini bertujuan untuk membahas persepsi remaja tentang stunting dan anemia. Penelitian ini dilakukan di wilayah lokus stunting yang mencakup Kabupaten Kulon Progo dan Gunung Kidul, Yogyakarta, Indonesia pada tahun 2020. Penelitian ini dilakukan dengan metode rapid assessment procedures (RAP) dengan wawancara mendalam. Sebanyak 33 orang terdiri dari 25 siswa SMP baik laki-laki maupun perempuan serta 8 guru, orang tua, dan tokoh masyarakat berpartisipasi dalam penelitian ini. Analisis data dilakukan berdasarkan tema definisi, penyebab, dampak, pencegahan, dan hambatan dalam penanggulangan stunting dan anemia. Berdasarkan hasil wawancara mendalam, beberapa remaja menyatakan bahwa anemia sama dengan tekanan darah rendah. Di antara hambatan untuk mengatasi anemia adalah remaja sering memiliki citra tubuh ingin menjadi lebih ramping, lebih kurus, membatasi makanan bergizi, kurang tidur, dan khawatir berlebihan terhadap tubuhnya. Ada beberapa kendala dalam mencegah dan mengendalikan stunting, antara lain tabu tentang makanan tertentu, persepsi stunting yang keliru, genetik sebagai penyebab utama, dan stigma. Namun, untuk mendorong persepsi ini, diperlukan dukungan serta strategi komunikasi, informasi, dan edukasi sehingga target penurunan stunting dapat tercapai. Tenaga kesehatan perlu merancang strategi komunikasi perubahan perilaku yang tepat untuk menanggulangi anemia dan stunting pada remaja. AbstractPerception is an individual’s unique interpretation of a situation as a result of a complex cognitive process that influences behavior. This study aims to explore adolescents’ perceptions of stunting and anemia. This qualitative study was conducted in Kulon Progo and Gunung Kidul Districts, Yogyakarta, Indonesia, in 2020. The study was carried out by rapid assessment procedures (RAP) using in-depth interviews. A total of 33 informants consists of 25 male and female of junior high school students, and 8 persons, including teachers, parents, and the community involved in this research. We thematically coded the data by definitions, causes, impacts, prevention, and obstacles in tackling stunting and anemia. This finding is that some adolescents state that anemia equals to low blood pressure. The barriers to prevent anemia are body image, lack of nutritious food intake, less sleep, and excessive upset. Meanwhile, stunting is a genetic problem, so if the parents are short, their children must be short too. To achieve the goal of reducing stunting, however, it is required to implement methods for communication, education, and information dissemination. So health professionals must develop suitable behavior change communication strategies.
Standar Nasional Pendidikan Dasar Dan Menengah
Authors: Alawiyah Faridah 
Published: January 2024

Education is an important aspect in a nation development. However, the achievement of education in Indonesia currently has not yet reached the best quality of education. Various policies in an effort to improve the quality of education have been done by the government and is still an ongoing process. Implementation of education in Indonesia refers to eight standards compiled by the National Education Standards Agency (BSNP). The material of these standard has been contained in various government policies. However, in order to achieve goals of these standards are still encountered various problems such as the low quality of education. This article tries to describe in general the standardization of education, eight national standards of education, and various problems in the achievement of national education standards at the level of primary and secondary education. Education that meets the standards must be met based on various criteria that have been set forth in various laws and regulations. The results of this article established that the standard of education still faces various problems, especially on the components of graduate competency standards, inadequate standards of facilities and infrastructure, standard of educator and education personnel, and also the management of standards.Pendidikan merupakan aspek penting dalam pembangunan bangsa. Namun, pencapaian pendidikan di Indonesia saat ini belum mencapai kualitas pendidikan terbaik. Berbagai kebijakan dalam upaya meningkatkan kualitas pendidikan telah dilakukan oleh pemerintah dan masih terus berlanjut. Pelaksanaan pendidikan di Indonesia mengacu pada delapan standar yang disusun oleh Badan Standar Nasional Pendidikan (BSNP). Materi standar ini telah terkandung dalam berbagai kebijakan pemerintah. Namun, untuk mencapai tujuan standar ini masih ditemui berbagai masalah seperti rendahnya mutu pendidikan. Artikel ini mencoba untuk mendeskripsikan secara umum standardisasi pendidikan, delapan standar pendidikan nasional, dan berbagai masalah dalam pencapaian standar pendidikan nasional di tingkat pendidikan dasar dan menengah. Pendidikan yang memenuhi standar harus dipenuhi berdasarkan berbagai kriteria yang telah ditetapkan dalam berbagai peraturan perundangundangan. Dari hasil artikel ini diketahui bahwa standar pendidikan masih menghadapi berbagai masalah, terutama pada komponen standar kompetensi lulusan, standar sarana dan prasarana yang tidak mencukupi, standar pendidik dan tenaga kependidikan, serta pengelolaan standar
Analisis Pesan Dakwah pada Media Sosial Podcast Login Habib Ja’far dan Onad
Authors: Sya'bani Muhammad Hilmi , Razzaq Abdur , Hamandia Muhammad Randicha 
Published: January 2024

Islamic Da'wah is often carried out to spread Islamic knowledge, namely the process of inviting or persuading someone to consciously accept and adhere to a religion in order to awaken and restore a person's innate potential. and live a happy life in this world and the hereafter. The purpose of this research is to determine the da'wah message and communication strategy in the Habib Ja'far and Onad login podcast in the social interaction "Strengthen the Faith Podcast Full of Pitfalls". This research uses descriptive qualitative methods, collecting data through observation, interviews and documentation. The results of the research show that: (1) The preaching message in Habib Ja'far and Onad's login podcast in the social interaction "Strengthen the Faith Podcast is Full of Pitfalls" is divided into three aspects: moral message, sharia message, and faith message. First, the moral message found concerns the value of tolerance as a form of learning about differences. Second, the sharia message about the value of patience, especially in the form of learning the differences in fasting. Fasting becomes a barrier that breaks down the walls of tolerance, mutual trust, mutual understanding and mutual respect. Third, the message of faith in the #LogIndiCloseTheDoor podcast seems to be about the value of tolerance in the form of recognizing differences, especially religious differences. Different religions may have different tastes and sensitivities but religious beliefs should not be a problem and (2) Habib Husein Ja'far Al-Hadar's preaching communication strategy in the #LogIndiCloseTheDoor and Onad podcast is preaching using media, preaching using humor, adapting material da'wah with mad'u needs, preaching using correct words, preaching with direct, effective and clear words, preaching with good, polite and not harsh words, preaching using a simple appearance, preaching using attractive titles, and preaching discuss interesting topics.