bluuebunny/crossref_metadata_2025_split huggingface dataset:
Frequency of Iliotibial Band Tightness and Its Association with Anterior Knee Pain in Healthcare Workers
Authors: Humayun Khushboo , Siddiqi Daniyal , Ahmad Irtasam , Ajmal Saira , Iftikhar Ayesha , Maqsood Hafiz , Shafique Kaiynat , Ghaffar Tamjeed 
Published: October 2023

Purpose: Iliotibial band tightness can raise the risk of injury by altering biomechanics. ITB tightness leads to abnormal patellar alignment and tracking and causes pain and several other problems. To assess the frequency of iliotibial band tightness and its relation with anterior knee pain in health-care workers
Methodology: It was a cross-sectional research conducted from September 2021 to February 2022. Sample size of the study was 210. Study settings included the government and private hospitals of Faisalabad. In order to recruit healthcare providers, a convenient sampling technique was utilized. Inclusion criteria of the study were both male and female healthcare workers of age between 21 to 45 years working from at least 2 years. Ober's test was used to determine the tightness of the IT band. The anterior knee pain was evaluated by numeric pain rating scale (NPRS). Data was analyzed and interpreted by SPSS version 25. Data was presented in forms of tables and charts.
Findings: Out of 210 subjects, 64.76% were men and 35.23% were women. Iliotibial tightness was found to be present in 110(52.38%). On NPRS, 100(47.61%) participants reported mild to moderate pain and 30(14.28%) reported severe to worst pain in the anterior knee. Chi-square tests shows a statistical significant association (p<0.05) between iliotibial band and anterior knee pain.
Recommendations: In conclusion, iliotibial tightness was found to be present in 52.38% of the health workers. Results of the study showed that anterior knee pain occurs in iliotibial band tightness. This study, grounded in biomechanical and anatomical theories, demonstrated a significant association between iliotibial band tightness and anterior knee pain. Healthcare workers should focus on proper body biomechanics and incorporate regular muscle stretching in their routine to prevent the muscle tightness and associated problems.
Early vs Traditional Postoperative Feeding in Patients Undergoing Small Bowel Surgery
Authors: Javed Hina , Gummon Abdul , Rana Muhammad , Shoukat Rafia 
Published: October 2023

Purpose: The postoperative management of patients undergoing gastrointestinal (GI) surgery was followed by keeping them ‘nil by mouth' and provide gastric decompression via a nasogastric tube (NGT) until the postoperative ileus resolves and bowel function resumes. Early feeding and recovery are being portrayed as the new solution for these problems. To compare the outcomes in early vs traditional postoperative feeding in patients undergoing small bowel surgery.
Methodology: Study design: Randomized controlled trial. Setting: Department of General Surgery, Services Hospital Lahore. Data collection: The sample size is calculated as 60 (30 in each group), by using WHO sample size calculator by keeping the confidence interval equal to 95%, power equal to 80%, and hospital stay as 4 ± 0.64 days vs. 6.1 ± 0.84 days in early vs late feeding group respectively.
Findings: In group A, the mean age of was 33.59±9.34 years and in group B, the mean age of was 34.76±9.87 years. In group A, there were 14 (46.7%) males and 16 (53.3%) females. In group B, there were 14 (46.7%) males and 16 (53.3%) females. In group A, the mean duration of surgery was 59.17±17.28 min. In group B, the mean duration of surgery was 57.17±16.54 min. In group A, there were 4 (13.3%) patients who had postoperative vomiting. In group B, there were 13 (43.3%) patients who had postoperative vomiting (p<0.05). In group A, there were 3 (10%) patients who had postoperative anatomic leak. In group B, there were 5 (16.7%) patients who had postoperative anatomic leak (p>0.05).In group A, the mean time to pass first stool was 4.14±0.90 days. In group B, the mean time to pass first stool was 6.42±1.09 days (p<0.05). In group A, the mean hospital stay was 4.76±0.73 days. In group B, the mean hospital stay was 6.83±1.34 days (p<0.05).
Recommendations: The conclusion of the study that early feeding cases are beneficial as compare to conventional (delayed) feeding. It reduces infection complications and length of hospital stay.
KWS bleibt auf Wachstumskurs
Authors: Schaal René 
Published: October 2023

Frankfurt a.M. „Wir sind in einem herausfordernden Umfeld überall dynamisch gewachsen und haben unsere Profitabilität klar verbessert“, kommentierte Eva Kienle, CFO von KWS, am Mittwoch im Rahmen der Bilanzpressekonferenz des Unternehmens.
FINANCIAL ASSESSMENT OF GREECE'S TOP 10 ENERGY ENTERPRISES AMID THE COVID-19 PANDEMIC
Authors: Emmanouil Taxiarchis Gazilas  
Published: October 2023

This study conducts a comprehensive financial assessment of Greece's ten largest energy companies during the tumultuous period of 2019 to 2022, amidst the unprecedented challenges posed by the COVID-19 pandemic. Employing a meticulous analysis of crucial profitability ratios, I delve into the financial resilience and adaptability of these firms within the ever-evolving energy sector landscape. My findings reveal a diverse spectrum of financial performances during the early pandemic years (2019-2020), with notable discrepancies in net profit margins. As the world transitioned to the post-pandemic era (2021-2022), I witnessed varying degrees of adaptability, with certain companies demonstrating impressive resilience while others grappled with shifting market dynamics. This research underscores the imperative of tailored financial strategies and adept cost management practices within the energy sector to effectively weather the challenges of an uncertain world. The insights gleaned offer valuable guidance to industry stakeholders and decision-makers in navigating the complex terrain of Greece's energy landscape.
Keywords: Energy Companies, Financial Resilience, COVID-19 Pandemic, Financial Ratios, Greece.
DIAGNOSTIC ACCURACY OF CONTRAST ENHANCED T2 FLAIR IN DIAGNOSING INFECTIVE MENINGITIS CONSIDERING CSF ANALYSIS AS GOLD STANDARD
Authors: Muhammad Sehran Khalid  , Sadaf Arooj  , Aisha Asghar  , Ali  Mansoor  , Mahjabeen Masood  , Faiza Afzal  
Published: October 2023

OBJECTIVE: To determine diagnostic accuracy of contrast enhanced T2 FLAIR in diagnosing infective meningitis considering CSF analysis as gold standard.
METHODS: A prospective study of 101 patients with clinical suspicion of meningitis, referred to the radiology department of Mayo Hospital Lahore for MRI examination was done. Patients with reduced renal function, claustrophobia and metallic implants were excluded from the study. The MRI brain with contrast including postcontrast T1WI and FLAIR sequences was performed at 1.5 T machine. The images then evaluated by the competent experienced radiologists. Cerebrospinal fluid (CSF) analysis of the patients was done through lumbar puncture and was considered the “gold standard” against which comparison of MRI findings was done. Data analysis was done by using SPSS 23.
RESULTS: Sensitivity and specificity of contrast enhanced T2 FLAIR MRI in detecting infective meningitis was 95.08% (CI-95%: 86.51-98.31) and 82.5% (CI-95%: 68.05, 91.25). While positive predictive value and negative predictive value was 89.23% (CI-95%: 79.4, 94.68) and 91.67% (CI-95%: 78.17, 97.13) respectively. Diagnostic accuracy was 90.1% respectively.
CONCLUSION: Results of this study showed higher sensitivity and specificity for contrast enhanced T2 FLAIR in diagnosing infective meningitis. So use of contrast enhanced T2 FLAIR can be helpful in early screening and diagnosis of meningeal infections.
Frequency of Iron Deficiency in Children With Hypochromia and Microcytosis on Blood Smears
Authors: Muhammad Faisal  , Sajid Mustafa  , Muhammad Yasin  , Jovaria Saeed  
Published: October 2023

Background: The relationship between iron deficiency and certain phenomenon like hematological alterations, inadequate growth, altered thermoregulatory function and reduced cognitive function have been well known.
Objectives: To determine the frequency of iron deficiency in children with hypochromic and microcytic anemia on blood smears.
Methods: This case-control study was performed in the department of pediatrics, Sahiwal Teaching Hospital, Sahiwal, Pakistan from May 2022 to April 2023. For cases, we included 179 children of both genders aged between 1 month and 15 years with hypochromia and microcytosis. Similar number of healthy children (n=179) of both gender and aged below 15 years were enrolled as controls. At the time of enrollment, socio-demographic information like gender, age and residential area were recorded. Local institutional laboratory was utilized for the hematological parameters. Hypochromia and microcytosis were labeled as MCV< 76fl and MCHC < 30 g/dl of red cells while blood film also depicted hypochromia and microcytosis. IDA was termed as serum ferritin < 12 ng/dl.
Results In a total of 358 children, there were 192 (53.6%) boys. The mean age was 7.8±3.2 years while 184 (51.4%) children were between 6-15 years. Residential status of 196 (54.7%) children was rural. Overall, iron deficiency was diagnosed in 209 (58.4%) children. Among cases, 171 (95.5%) children had iron deficiency while among controls, 38 (21.2%) children had IDA (p<0.0001). Cases and controls were compared for various hematological laboratory parameters and statistically significant differences were observed for all parameters among cases and controls (p<0.0001).
Conclusion: The frequency of iron deficiency was 95.5% among children with hypochromia and microcytosis on blood smears. Hematological parameters were significantly deranged among children with hypochromia and microcytosis when compared to healthy children.
ASSOCIATION OF HER2/NEU EXPRESSION WITH PATIENT PROGNOSIS IN PRIMARY GASTRIC ADENOCARCINOMA
Authors: Aamir Shirin , Khan Nazia , Riaz Syeda Kiran , Khalid Sheikh Ahmareen , Mushtaq Mehreen , Akbar Aisha , Khan Sarah 
Published: October 2023

Introduction: Gastric carcinoma is the second leading cause of cancer related deaths in the world. Aim of the present study was to determine the association of HER2 overexpression with prognostic factors in gastric adenocarcinoma affected Pakistani patients.
Methods: For this purpose, immunohistochemical staining of gastric cancer patients (n=200) was performed. HER2 was found to be overexpressed in 70% of cases included in the study. Association of HER2 expression with age greater than 40 years at the time of diagnosis, histological types and moderately differentiated grades of primary gastric adenocarcinoma was observed.
Results: HER2 was found to be overexpressed in 20% of cases. No association of HER2 was identified with the gender of the patients. Interestingly, HER2, overexpression was present in 75% of intestinal and 37% of diffuse type gastric adenocarcinoma. Based on tumor differentiation, well-differentiated (grade I) and moderately differentiated type (grade II) adenocarcinoma showed overexpression of HER2 in 90 and 80% patients respectively. Moreover, 60% patients having poorly differentiated adenocarcinoma (grade III) also exhibited HER2 overexpression.
Conclusion: Due to presence of HER2 overexpression in diffuse type gastric carcinoma as well, it is suggested that every case of gastric adenocarcinoma should be tested for HER2 overexpression so that they can be offered targeted molecular therapy for better survival.
Influence of Sexual Attitudes on the Education Participation of Secondary School Girls in Homa Bay County, Kenya
Authors: Sifuna Andrew Barasa , Ouda James Bill , Otieno Kenneth 
Published: October 2023

Secondary schooling for girls is associated with much vulnerability. Sexual research is sometimes curtailed by religious and cultural taboos that consider it inappropriate. Given that girls’ education participation continues to experience setbacks that have a sexual bearing, research breaching these taboos is justified. Hence, the purpose of this study was to investigate the influence of sexual attitudes on the education participation of secondary school girls in Homa Bay County (HBC). The study adopted a Concurrent Transformative research design- majorly quantitative with an embedded qualitative bit. The study took place in Homa Bay County. The targeted population was all secondary school girls in HBC. Solvin’s formula was used to arrive at a sample size of 393. Respondents were chosen by proportionate stratified sampling method. Additionally, one guidance/counselling teacher, one principal and one area education director from the participating schools were purposefully included in the study to provide complementary qualitative data. Data from female students was collected by means of questionnaires while interview schedules were used to collect data from the rest of the participants. The validity of the test was established through expert input and adaption of tests used in similar studies. A pilot study was conducted to ensure instrument efficiency. Instrument reliability was confirmed by a test-retest test that returned a correlation coefficient of 0.786. The quantitative data was coded and analyzed using SPSS version 24.0. Linear regression was run between education participation and gender norms and the outcome was an equation model. Qualitative data provided evaluative references in the discussion. The relationship between the independent variables and the dependent variable was found to be statistically significant (t= 29.576, p <.001). Data evidence against the null hypothesis validated the alternative hypothesis. The study found that the sexual attitudes of the majority of the girls in Homa Bay County were inclined towards sexual gratification. The study data revealed that this behaviour undermined girls’ education participation. The study recommends that school authorities promote the formation of girls’ sexual sobriety peer teams (SSPT) that meet regularly to unpack the potential risks of romantic relationships on their educational participation. Interventions to improve girls’ education participation will benefit from these findings. More similar studies are needed to gauge the plausibility of generalizing these findings.
Effects of Debtors’ Management on Financial Performance of Savings and Credit Cooperative Organizations in Nandi County, Kenya
Authors: Jelagat Ogla , Musenga Maniagi , Shitseswa Ayub 
Published: October 2023

Savings and Credit Cooperative Organizations (SACCOs) are key components of the economy and social development. However, it’s experiencing both internal and external issues that should be handled. The study attempted to identify the effects of business financial parameters on the performance of SACCOS in Nandi County. Specifically, the study investigated the effects of the management of loan debtors on the financial performance of SACCOs in Nandi County. The study was guided by liquidity preference theory, human capital theory, efficient structure theory, and Pecking order theory. The study used a descriptive research design to examine all the influences on financial performance. The target population was therefore all the ten SACCOS in Nandi County registered and licensed as of January 2023, where eighty-seven employees were randomly sampled to participate. The primary sources of data collection used in data collection were structured questionnaires as the main tool. Content validity was used to determine the validity, while Cronchbach’s alpha coefficient was used to determine the reliability of the research instrument. The data was analyzed using both descriptive and inferential statistics. For descriptive statistics, tables and narratives were used, and for inferential statistics, correlations and regression analyses were used. The Statistical Package for Social Sciences software (SPSS) helped with data analysis. The study findings indicated that there was a positive and significant effect of loan debt management on the performance of Saccos in Nandi County (t = 9.833, P < 0.05). The study recommended that Sacco management should maintain a credit policy manual to help in debt recovery and even avail the required resources needed for effective management of loan debtors.
Pemetaan Tata Guna Lahan Pertanian dan Perkebunan Di Desa Cikelat
Authors: Kelompok 11 Nuari Gemintang Ramadhan W 
Published: October 2023

Land use is very important for the Village Government to find out the potential income that exists. Utilization of land use maps in analyzing and presenting natural conditions with the help of existing data in Cikelat Village. Every Village Government must carry out spatial mapping as the basis for the preparation of the Medium-Term Village Development Plan (RPJMD) so that it knows the potential and development plans that exist in its area, and realizes the importance of structuring a village spatial arrangement. The existence of a Village Spatial Plan (RTRW) Making village development more synergistic, directed, and sustainable, can reduce conflicts between interests. Therefore, KKN Group 11, University of Nusa Putra took the initiative to map land use for agriculture and plantations in Cikelat Village, aiming for our learning materials and assisting villages in planning the development of agricultural land and plantations.
Tata guna lahan menjadi sangat penting bagi Pemerintah Desa untuk mengetahui potensi-potensi penghasilan yang ada. Pemafaatan Peta Tata Guna Lahan dalam menganalisa dan mempresentasikan kembali kondisi alam dengan bantuan data yang ada di Desa Cikelat. Setiap Pemerintah Desa harus melakukan pemetaan ruang sebagai dasar penyusunan Rencana Pembagunan Desa Jangka Menengah (RPJMD) sehingga mengetahui potensi da rencana pembangunan yag ada di wiliyahnnya, serta menyadari pentingnya dilakuka penataan dilakukan penataan runag desa. Adanya Rencana Tata Ruang Wilayah (RTRW) Desa Menjadikan pembagunan Desa lebih bersinergis, terarah, dan berkelanjutan, dapat menekan terjadinya konflik antar kepentingan. Oleh karena itu KKN Kelompok 11 Universitas Nusa Putra Berinisiatif untuk pemetaan Tata Guna Lahan Pertanian dan Perkebuna di Desa Cikelat, bertujua untuk bahan pembelajaran kami dan membantu desa dalam perencanaan pembanguna lahan pertanian dan perkebunan.
Pengaruh Media Pembelajaran Google Classroom Terhadap Hasil Belajar Siswa Pada Mata Pelajaran PAI
Authors: Hardianti Dian , Saifullah Iman , Amirudin Ja'far 
Published: October 2023

Riset ini dilatar belakangi oleh sebagian anak didik di Sekolah Menengah Kejuruan(SMK) Ciledug Al- Musaddadiyah Garut yang sedang sedikit pemahamannya pada mata pelajaran pembelajaran agama islam, perihal ini dibuktikan dengan angka anak didik yang belum sanggup melampaui angka patokan minimun( KKM). Riset ini bermaksud buat mempelajari mengenai gimana akibat alat penataran google classroom kepada hasil berlatih anak didik pada mata pelajaran pembelajaran agama islam dikelas XII Sekolah Menengah Kejuruan(SMK) Ciledug Al- musaddadiyah Garut. Tata cara yang dipakai pada riset ini merupakan tata cara kuantitatif dengan metode analisa deskritif survei, ialah riset yang didapat bersumber pada kejadian yang terjalin dengan mengutip ketetapan dari informasi hasil ilustrasi dengan memakai percobaan statistik. Hasil yang didapat dari pengerjaan informasi membuktikan kalau alat penataran google classroom di Sekolah Menengah Kejuruan(SMK) Ciledug Al- Musaddadiyah Garut mempunyai angka pada umumnya 76% dengan patokan bagus, sedangkan hasil berlatih anak didik pada mata pelajaran pembelajaran agama islam pada anak didik kategori XII Sekolah Menengah Kejuruan(SMK) Ciledug Al- Musaddadiyah Garut mempunyai angka pada umumnya 74% dengan patokan bagus. Alhasil akibat alat penataran google classroom pada anak didik kategori XII Sekolah Menengah Kejuruan(SMK) Ciledug Al- Musaddadiyah Garut menciptakan angka hubungan sebesar 0, 72. Lalu nilai t hitung 7,80 > t tabel 1,98 artinya nilai t hitung lebih besar daripada t tabel. Hingga bisa ditarik kesimpulan kalau ada akibat yang penting antara alat penataran google classroom kepada hasil berlatih anak didik pada mata pelajaran pembelajaran agama islam. Kata Kunci: Media Pembelajaran, google classroom, Hasil Belajar siswa.
Pengaruh Bimbingan Santri Senior Terhadap Efektivitas Belajar Santri (Penelitian di Pondok Pesantren Darunnajah Karangpawitan Garut)
Authors: Agung Rizki , Nazib Fiqra 
Published: October 2023

Penelitian ini dilatar belakangi karena banyaknya kegiatan kepesantrenan di pondok pesantren Darunnajah kurang efektif disebabkan guru ngaji di pesantren tersebut banyak kesibukan di luar kegiatan pesantren. Sehingga para santri tidak ada yang mengontrol dan membimbing secara langsung. Tujuan penelitian ini untuk mengkaji dan menganalisis tentang Pengaruh Bimbingan Santri Senior Terhadap Efektivitas Belajar Santri (Penelitian di pondok pesantren Darunnajah Karangpawitan. Secara umum penelitian ini dilakukan dengan menggunakan penelitian kuantitatif dan metodenya Deskriptif, dengan populasi penelitian 40 santri. Teknik pengumpilan data yang digunakan adalah angket, observasi, wawancara dan studi dokumentasi. Hasil yang diperoleh dari pengolahan data menunjukan bahwa Pengaruh Bimbingan Santri Senior Terhadap Efektivitas Belajar Santri di Pondok Pesantren Darunnajah menghasilkan nilai korelasi 0,780 dengan nilai thitung sebesar 7,679. Nilai tersebut lebih besar dari pada nilai ttabel 2,048 (7,679 > 2,048). Maka dapat ditarik kesimpulan bahwa. Terdapat Pengaruh Bimbingan Santri Senior Terhadap Efektivitas Belajar Santri di Pondok Pesantren Darunnajah .Kata kunci: Bimbingan, Efektivitas Belajar, Santri Senior