bluuebunny/crossref_metadata_2025_split huggingface dataset:
Migration of the distal ventriculoperitoneal shunt catheter into the stomach with or without trans-oral extrusion: A systematic literature review and meta-analysis
Authors: Ghritlaharey Rajendra Kumar 
Published: December 2023

BACKGROUND
Intra-gastric migration of the distal ventriculoperitoneal shunt (VPS) catheter clinically presenting with or without trans-oral extrusion is one of the rare complications of VPS catheter insertion.
AIM
To identify the demographics, clinical presentation, clinical findings, and results of surgical therapy offered for the treatment of intra-gastric migration of the distal VPS catheter, clinically presented with or without trans-oral extrusion.
METHODS
An online search was performed for the extraction/retrieval of the published/ available literature pertaining to the above-mentioned VPS complication. Manuscripts were searched from PubMed, PMC (PubMed Central), ResearchGate, and Google Scholar databases using various terminology relating to the VPS complications. The first case of migration of a VPS catheter into the stomach was reported in the year 1980, and the data were retrieved from 1980 to December 2022. Cases were categorized into two groups; Group A: Cases who had migration of the distal VPS catheter into the stomach and clinically presented with trans-oral extrusion of the same, and Group B: Cases who had migration of the distal VPS catheter into the stomach, but presented without trans-oral extrusion.
RESULTS
A total of n = 46 cases (n = 27; 58.69% male, and n = 19; 41.3% females) were recruited for the systematic review. Group A included n = 32, and Group B n = 14 cases. Congenital hydrocephalus was the indication for the primary VPS insertion for approximately half of the (n = 22) cases. Approximately sixty percent (n = 27) of them were children ≤ 5 years of age at the time of the diagnosis of the complication mentioned above. In seventy-two percent (n = 33) cases, this complication was detected within 24 mo after the VPS insertion/last shunt revision. Clinical diagnosis was evident for the entire group A cases. Various diagnostic modalities were used to confirm the diagnosis for Group B cases. Various surgical procedures were offered for the management of the complication in n = 43 cases of both Groups. In two instances, intra-gastric migration of the distal VPS catheter was detected during the autopsy. This review documented four deaths.
CONCLUSION
Intra-gastric migration of the peritoneal end of a VPS catheter is one of the rare complications of VPS catheter implantation done for the treatment of hydrocephalus across all age groups. It was more frequently reported in children, although also reported in adults and older people. A very high degree of clinical suspicion is required for the diagnosis of a case of an intra-gastric migration of the distal VPS catheter clinically presenting without trans-oral extrusion.
Situs inversus totalis in an asymptomatic adolescent - importance of patient education: A case report
Authors: Hayashi Lauren C. , Acharya Ratna 
Published: December 2023

BACKGROUND
Situs inversus totalis (SIT) may be an incidental finding in asymptomatic children. Patients may not understand the implications of this condition and the importance of relaying the diagnosis to their healthcare providers.
CASE SUMMARY
We report an asymptomatic seventeen-year-old adolescent with previously-diagnosed SIT who presented for a routine well-child visit. During history taking, he denied any past medical conditions, including cardiovascular conditions. Only when physical exam revealed point of maximal impulse and heart sounds on the right side, did he convey that he had been diagnosed with SIT incidentally at age of 12 years. He was not aware of associated conditions or the potential implications of his diagnosis, nor did he realize it is pertinent medical history to be relayed to healthcare providers. Chest X-ray confirmed dextrocardia and abdominal X-ray showed right-sided stomach. Abdomen sonogram showed left-sided liver and right-sided spleen. Echocardiogram showed normal valvular structure and function. A comprehensive discussion was provided to address the patient’s lack of understanding that SIT is a medical diagnosis with potential implications.
CONCLUSION
While SIT is rare and mostly asymptomatic, affected patients may not comprehend the importance of the diagnosis and its potential ramifications. Recognition of the patient’s lack of awareness allows the healthcare provider to educate the patient and hopefully can prevent potential medical and surgical complications.
RELAÇÃO DAS ALTERAÇÕES HORMONAIS COM O DESENVOLVIMENTO DE ENDOMETRIOSE
Authors: Farias Rillary de Souza , Hara Rayane Teixeira e Silva , Silva Vanessa Lima , Santiago Milca Luiza da Costa , Cruz Wagna Taciane Muniz , Lima Filho Antônio Carlos Melo , Dos Santos Thais Ferreira Costa , Figueiredo Cristiane Santos Silva e Silva 
Published: December 2023

Objetivo: Mostrar a relação das alterações hormonais que desenvolvem a endometriose, mostrando suas causas, diagnóstico e tratamento, existe uma prevalência não estabelecida que apontam 10% das mulheres sendo mais frequentes entre as idades de 25 a 35 anos. Métodos: Refere-se a uma revisão bibliográfica sobre a relação de alterações hormonais com desenvolvimento de endometriose nos bancos de dados de periódicos online Scielo, PubMed e Google Acadêmico. Foram utilizados os descritivos “Endometriose”, “hormônios”, “diagnostico”, “mecanismos”. Resultados/Discussão: Constatou-se que hormônio que mais tem relação ao acometimento da doença é o estrógeno, ele aumenta ao longo do ciclo menstrual da mulher mais marcante na fase de reprodução onde é chamado de estradiol, o achado de uma atividade proliferativa persistente nas fases secretória e menstrual poderia ser explicado pela falha na expressão do receptor de progesterona que suprimiria tal proliferação. Conclusão: O tratamento mais eficaz para mulheres em caso de endometriose moderada e profunda é através de cirurgias para retirada do tecido endometrial ectópico e dos endometriomas, em outros casos são utilizados medicamentos e métodos de interrupção do ciclo menstrual.
Effets des excitons sur le rendement quantique de la cellule solaire CdS/CdTe par le modèle de la fonction diélectrique
Authors: Niasse Oumar Absatou , Mbengue Babacar , BA By A. , Ndiaye Abdoulaye M. , Youm Issakha 
Published: December 2023

Le rendement quantique de la cellule solaire CdS/CdTe est étudié par simulation numérique à travers cet article. Les calculs font appel aux coefficients d’absorption des deux semi-conducteurs. Leurs expressions sont établies en fonction des parties réelle et imaginaire de la fonction diélectrique L’effet des excitons plus présent dans la bande ultraviolette a permis d’expliquer l’allure du front d’absorption du CdS dans le rendement quantique de la cellule solaire CdS/CdTe. Une étude comparative des résultats théoriques avec des mesures expérimentales relevées sur deux cellules solaires CdS/CdTe a permis de tester le modèle étudié dans la bande allant de 1,1 eV à 5,7 eV. Les résultats ont permis de remonter aux paramètres réels de la cellule solaire n-CdS/p-CdTe.
Numerical 2D study of air flow controlled by passive technique in solar air collectors
Authors: Mahfoud Omar , Zedayria Merouane , Moummi Abdelhafid , Moummi Noureddine 
Published: December 2023

The article presents a numerical simulation on air flow and heat transfer characteristics in solar air collectors mounted with obstacles. Computational Fluid Dynamics, ‘CFD’ based on the finite volume method, SIMPLE algorithm and the turbulence standard model have been implemented. A numerical 2D model of dynamic air vein solar collectors with 1400 mm length and 25 mm air gap was used to evaluate hydrodynamic and heat transfer phenomena of flow patterns in the annular passageways, precisely the heat transfer around 13 chicanes. The chicane is formed with two parts: the first is perpendicular to the air flow and the second is titled they are mounted in successive rows, oriented perpendicular to the air flow. It is apparent that the turbulence created by the chicanes resulting in greater increase in heat transfer over the air vein. The pressure drops are analyzed vs. the Reynolds number and shown good agreements with experimental and semi-empirical relationship results. The mass flow rates effect on the velocity magnitude is analyzed. It was found that the mass flow rate variation has a slight effect on velocity evolution.
SYNTHESIS OF SILVER NANOPARTICLES USING LEAF EXTRACT OF ZINGIBER ZERUMBET (L.) SMITH AND THEIR ANTIBACTERIAL ACTIVITY STUDIES
Authors: Somashekarappa M. P , Bhavan H. P. 
Published: December 2023

Silver nanoparticles (AgNPs) were synthesized using the leaf extract of a medicinal plant, Zingiber zerumbet (L.) Smith. Characterization of the particles was done by Uv-visible spectroscopy, scanning electron microscopy (SEM), transmission electron microscopy (TEM) and powder X-ray diffraction (PXRD) studies. TEM analysis shows the presence of spherical and quasi-spherical shaped particles with the maximum of size distribution curve passing through 24 nm. The selected area x-ray diffraction (SAED) pattern and the diffraction pattern from PXRD spectrum indicate that the silver in their nanoparticles crystallize in to face centred cubic (FCC) structure. Bactericidal effect of the synthesized AgNPs against the spreading of gram-negative bacteria, Escherichia coli (E. coli) and gram-positive bacteria, Staphylococcuus aureus (S. aureus) were determined. The bactericidal effect was determined in terms of minimum inhibitory concentration (MIC) in nutrient agar media, and the MICs are found to be 13.75 ×10−5 g/mL against E. coli and 16.50 ×10−5 g/mL against S. aureus bacteria. The antibacterial effect exhibited by these AgNPs against both the bacteria is superior compared to that exhibited by the reference compound, ciprofloxacin selected for the study.
BÜYÜKŞEHİR BELEDİYELERİNDE İÇ KONTROL SİSTEMİ VE ETKİNLİĞİ
Authors: IŞIK Ayşe , AKDOĞAN Nalan 
Published: December 2023

Dünyada yaşanan gelişmeler toplum yapılarını etkileyerek halkın ihtiyaçlarının artmasına ve
değişmesine neden olmuştur. Özel sektörle başlayan bu değişim kamuyu da içine katmıştır. Bu oluşum
ile kamu, geleneksel örgüt yapısının değiştirilmesi gerekliliğini kavrayarak hizmet anlayışındaki
verimsiz unsurları terk edip verimli çalışma yöntemlerini geliştirmeye odaklanmıştır.
Kamu idareleri, yasalarla kendilerine verilen görevlerini yaparken şeffaf, hesap verebilir, etkili,
ekonomik ve verimli hizmet anlayışı ilkeleri doğrultusunda hareket edebilmek için iç kontrol sistemine
ihtiyaç duyarlar. Bu ihtiyaç çerçevesinde, uluslararası standartlardan oluşturulan 5018 sayılı Yasanın
getirdiği düzenlemelerle kamuda iç kontrol sisteminin kurulmasına dair bir yol çizilmiştir. Çizilen bu
yolda kamu idarelerinden biri olan büyükşehir belediyelerinin iç kontrol sistemlerini etkin hale getirip
getirmedikleri ile kamu iç kontrol standartlarına uyumları bu çalışma ile incelenmiştir.
Araştırma kapsamında; Türkiye’deki 30 büyükşehir belediyesine ait denetim, faaliyet raporları ile iç
kontrol eylem planları ele alınmış, bu metinlerde yer alan iç kontrol sistemine ilişkin veriler COSO
(The Committee of Sponsoring Organizations) modeli çerçevesinde incelenip sözel verilerden sayısal
sonuçlar oluşturulmuş ve analiz edilerek değerlendirilmiştir. Değerlendirme sonucunda; iç kontrol
sisteminin kurulması ve yürütülmesi konularındaki büyükşehir belediyelerinin uyumlarının yüzde 50
oranı ile hala istenilen düzeyde olmadığını ortaya koymuştur. Dünyadaki diğer büyükşehir belediyeleri ile kıyas yapabilmek için birkaç örnek alınmış ve iç kontrol
sistemini nasıl yürüttükleri incelenmiştir. Ayrıca tüm belediyelere yol göstermesi için çalışmaya bir
uygulama örneği eklenmiş ve Ankara Büyükşehir Belediyesinin bir birimi ile süreç, risk ve risk eylem
planı çalışması yapılmıştır.
Bu çalışma ile; Türkiye’deki büyükşehir belediyelerinin iç kontrol sistemlerinin kamu iç kontrol
standartlarına uyumları tespit edilerek sistemin eksik yönlerinin giderilmesi ile belediyelerde etkin bir
iç kontrol sistemi kurulmasına katkı sağlamak amaçlanmaktadır.
The Translation of Specialized Discriminative Expressions in Political Speeches within a CDA Framework
Authors: Ghafore Mahmood Shafeeq , Hamad Suha Rasheed 
Published: December 2023

Language is said to be the primary means of communication among humans and plays a significant role in daily living, including idea sharing and educating others about cultural differences. There are many different languages spoken around the world, and occasionally more than one in a single nation. Without a doubt, translation plays a minor role in language because it permits the sharing of ideas, cultures, and even points of view. Language is extremely crucial for communication and the exchange of knowledge and information among individuals who speak various languages.
This study focuses on the manner in which discriminatory expressions and the role of CDA in discriminative expression are translated, as well as how translators handle these expressions when they appear in speeches by prominent Americans, such as John F. Kennedy and Martin Luther King, discussing racism between Black and White Americans.
Membangun Jiwa Berwirausaha Bagi Siswa Melalui Pelatihan Kewirausahaan
Authors: Reswita  
Published: December 2023

SMP Negeri 23 is located in the Padang Betuah Village area, approximately 15 KM from Bengkulu City, has 10 teachers with PNS status, 7 people with honorary teacher status, and has 43 students in SMP 23 from grade 7 to grade 9. The problem that students of SMP Negeri 23 Bengkulu Tengah have is the low ability of the entrepreneurial spirit of students due to limited knowledge and low motivation for entrepreneurship. The objectives of carrying out this community service activity are: 1) Giving material about entrepreneurship and the importance of having an entrepreneurial spirit for students, 2) Demonstrating the manufacture of various food products that can be used as business ideas for students. The target of this Community Service activity is 20 students of SMPN 23. The method of implementing the activity is the provision of entrepreneurship materials and demonstrations of making products. The implementation of this activity went according to the expectations of the service implementers, because it received full support from the school in providing a place, getting support from teachers and students, as well as high interest and enthusiasm from teachers and students. The response from the participants was also very positive and supported the smooth running of the activity. This community service activity was successfully carried out in a predetermined plan, motivated students to be more active in entrepreneurship, increased students' knowledge and skills in made various business products such as food, which can be an inspiration for others
Pelatihan Strategi Pemasaran di Era Digital pada UMKM Desa Kuwonharjo Kecamatan Takeran Kabupaten Magetan
Authors: Ubaidillah Moh. , Widhianningrum Purweni , Novitasari Maya , Sudrajat Muhamad Agus 
Published: December 2023

Perkembangan teknologi informasi telah mengubah dunia pemasaran dalam beberapa tahun terakhir ini. Metode komunikasi pemasaran yang sebelumnya bersifat tradisional dan konvensional, kini telah terintegrasi dalam dunia digital. para pelaku UMKM hendaknya bisa memanfaatkan media digital sebagai salah satu upaya pemasaran produknya sehingga konsumen lebih mengenal produk yang dihasilkan. Akan tetapi dalam kegiatan pemasarannya masih sangat minim dan konvensional. Untuk itu UMKM ini perlu diberikan pelatihan tentang pentingnya pemanfaatan pemasaran digital agar sistem pemasarannya menjadi lebih baik sehingga dapat memperluas cakupan target usahanya serta dapat menunjang kegiatan penjualan yang lebih baik lagi. Metode pelaksanaan kegiatan pengabdian kepada masyarkat ini yang digunakan adalah dengan memberikan pelatihan berupa ceramah dan pemberian tutorial mengelola media sosial dan e-commerce. Dari hasil yang diperoleh dalam kegiatan ini adalah para pelaku UMKM dapat memperoleh pemahamanan dan mampu merancang serta mengoptimalisasikan strategi pemasaran digital yang tepat untuk mengembangkan usahanya sehingga dapat meningkatkan daya saing dan meningkatkan pendapatan pelaku UMKM.
Use of Mobile Applications in Establishing Inclusive Education in Pedagogy
Authors: Mirzakhmedova Khulkar V. , Omonov Qudratulla Sh. , Rikhsiyeva Gulchexra Sh. , Nasirova Saodat A. , Khashimova Saboxat A. , Khalmurzaeva Nadira T. 
Published: December 2023

Objective: The article explores the use of mobile applications in establishing inclusive education in pedagogy. The objective of this article is to explore the use of mobile applications in establishing inclusive education in pedagogy. The study aims to understand the impact of mobile applications on the learning experiences of students with diverse learning needs and abilities.

Method: The method employed in this study includes a comprehensive literature review, analysis of existing mobile applications, and a pilot study conducted in a diverse classroom setting. The study also incorporates interviews and surveys with teachers and students to gather insights on the effectiveness of mobile applications in inclusive education.

Result: The results of the article indicate that mobile applications have the potential to enhance inclusive education by providing personalized learning experiences, adaptive learning resources, and interactive platforms for students with diverse needs. Teachers also reported a positive impact on student engagement, motivation, and academic achievement.

Conclusion: Conclusion includes the findings suggest that the use of mobile applications can play a significant role in establishing inclusive education in pedagogy. However, it is essential to consider accessibility, usability, and equity in the development and implementation of mobile applications for inclusive education. Further research and collaboration among educators, technologists, and stakeholders are necessary to maximize the potential of mobile applications in promoting inclusive education.
Predictors of extubation in the operating room after pediatric cardiac surgery: A single-center retrospective study
Authors: Biçer Mehmet , Kozan Şima , Darçın Kamil , Çetin Seçil , Tanyıldız Murat , Kızılkaya Metehan , Baygül Arzu , Akçevin Atıf 
Published: December 2023

Background: In this study, we aimed to evaluate the outcomes of our on-table extubation strategy in patients with congenital heart disease.
Methods: Between April 2021 and November 2022, a total of 114 pediatric patients (58 males, 56 females; median age: 25.3 months; range, 57.5 to 4.4 months) who were operated for congenital heart diseases were retrospectively analyzed. The patients were evaluated according to the Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STS-EACTS) scoring system. Perioperative patient data were analyzed and correlated with the extubation status.
Results: Overall, 56% of the patients were extubated in the operating room. There was an association between fluid balance per unit body surface area, longer cardiopulmonary bypass and cross-clamp times and on-table extubation. Lactate value prior to extubation, STS-EACTS mortality category, estimated mortality, and estimated morbidity were statistically significant with regards to the achievability of extubation. Multivariate analysis revealed lactate value prior to extubation and estimated postoperative length of hospital stay to be significant factors affecting on-table extubation. There was a significant correlation between decreased length of intensive care unit and hospital stay and on-table extubation.
Conclusion: The outcomes of our on-table extubation strategy for patients with congenital heart disease reveal the feasibility of this approach. Higher lactate and fluid balance/body surface area levels, longer cross-clamp and cardiopulmonary bypass durations, increased surgical complexity are indicators of a failure to perform on-table extubation. This strategy is also associated with shorter intensive care unit and hospital length of stays as an additional clinical benefit.
Effect of cardiopulmonary bypass on thiol/disulfide homeostasis in congenital heart surgery
Authors: Tanyildiz Murat , Filiz Yetimakman Ayse , Uysal Yazici Mutlu , Kumbasar Ulas , Alisik Murat , Oguz Sinem , Bicer Mehmet , Bayrakci Benan , Erel Ozcan 
Published: December 2023

Background: This study aims to investigate whether thiol/disulfide homeostasis parameters measurements could be used as a new biomarker to predict the pre- and post-cardiopulmonary bypass oxidative status of pediatric patients undergoing congenital heart surgery.
Methods: A total of 40 children with congenital heart disease (17 males, 23 females; mean age: 39.6±40.0 months; range, 2 to 216 months) who underwent open-heart surgery were included. The control group consisted of 40 age- and sex-matched healthy children (18 males, 22 females; mean age: 42.8±46.6 months; range, 12 to 156 months). The patients with congenital heart disease were divided into two groups as cyanotic patients (n=18) and acyanotic patients (n=22). Thiol/disulfide parameters were compared among the cyanotic, acyanotic congenital heart disease patients, and control group preoperatively (pre-CPB). The effects of cardiopulmonary bypass on thiol/disulfide parameters, pre-CBP, immediately after cardiopulmonary bypass (post-CPB0), and 24 h after cardiopulmonary bypass (post-CPB24) were investigated.
Results: The mean native and total thiol levels in the cyanotic patients were significantly lower than those in the acyanotic patients and control group (p<0.0001). The cyanotic group exhibited higher disulfide levels than the acyanotic group (p<0.01). The mean native thiol and total thiol levels significantly decreased in the post-CPB0 (p<0.0001). The mean disulfide levels significantly increased in the post-CPB0 than the pre-CPB values (p<0.001). Post-CPB24 native and total thiol levels were elevated compared to post-CPB0 (p<0.0001). The mean disulfide levels significantly increased in the post-CPB24 period than the post-CPB0 values (p<0.001). The survivor patients responded better to oxidative stress than non-survivor patients.
Conclusion: Thiol/disulfide measurement is a promising biomarker in determining the pre- and post-cardiopulmonary bypass oxidative status of pediatric patients undergoing congenital heart surgery. The interpretation of thiol/disulfide levels, pre- and postoperatively, may be used in predicting mortality and outcomes of these patients earlier.
Aortic valve neocuspidization with the Ozaki procedure in congenital aortic valve disease: Early results
Authors: Cicek Murat , Ozdemir Fatih 
Published: December 2023

Background: In this study, we present our early results with the Ozaki procedure in the treatment of congenital aortic valve disease.
Methods: Between July 2021 and July 2023, a total of 14 patients (10 males, 4 females; median age: 13.9 years; range, 8.5 to 15 years) who underwent neoaortic valve reconstruction of three leaflets using Ozaki procedure were retrospectively analyzed. Preoperative, postoperative, and follow-up echocardiogram images were evaluated.
Results: Preoperative indications were aortic regurgitation (n=3) or combined aortic stenosis and regurgitation (n=11). The median aortic annular diameter was 23 (range, 19.5 to 25) mm on preoperative echocardiography. The median preoperative peak systolic aortic valve gradient for patients with aortic stenosis was 60 (range, 45 to 93) mmHg. The median preoperative aortic valve regurgitation grade was 4 (range, 3 to 4). Autologous pericardium and bovine pericardium were used in 12 and two patients, respectively. There was no conversion to valve replacement, myocardial infarction, or mortality in the early postoperative period. The median follow-up time was 8.5 (range, 6 to 19) months. One patient who performed the Ozaki procedure with bovine pericardium underwent valve replacement eight months later.
Conclusion: The Ozaki procedure can be performed safely and effectively in congenital aortic valve stenosis and insufficiency with promising early results.