bluuebunny/crossref_metadata_2025_split huggingface dataset:
Doppler Resistive Index as a Predictors of Sperm Retrieval in Azoospermic Iraqi Patients
Authors: Al -Essawi Saad Al -Deen Ghali , Al-Haidery Ahmed Mohsin Jasim , Al-Fatlawi Hayder  Kadhum Hussein 
Published: March 2023

Objective: To evaluate the Doppler ultrasound in prediction the success of sperm retrieval in Iraqi azoospermic patient using the resistive index (RI).
Methodology: This cross sectional study conducted in the Doppler unite and the Fertility center in the AL-Sadder Medical City in a period between April 2013 and January 2014 .The study included 72 patients with azoospermia, their age ranging from 20 to 50 years , US and Doppler study were done for them prior to testicular sperm extraction (TESE) . Statistical analysis was done by using SPSS version 20 in which use two by two tables to compute different accuracy measures.
Results: There were 33 patients with positive post-surgical results and 39 patients with negative results. The accuracy of RI in predicting post-surgical result was (76.4%). The study shows that when the size of the testis was normal and the RI was < 0.7, the accuracy of the successful rate of sperm retrieval will be higher (82.2%) and when the size of the testis was small and the RI ≥ 0.7, the accuracy was lower (66.7%).
Conclusion: This study concludes that Doppler ultrasound using RI parameter can be used as a predictor of sperm retrieval in azoospermic patients and this will be increase if taken with testicular size parameter.
Recommendations: This study recommends the use of RI parameter of Doppler ultrasound and testicular size as a predictor of sperm retrieval in azoospermic patients.
Assessment of the Factors that Contribute to Lymphoma's Patient in Hematology Wards at Baghdad Teaching Hospitals
Authors: Kadhim Alaa  Jawad 
Published: March 2023

Background: The factors and conditions that contribute to any disease, such as Hodgkin and Non- Hodgkin lymphoma and anyone and may include genetic which are related to the characteristics of genes, as well as factors associated with the environment or lifestyle and circumstances Life, such as smoking and poor nutrition or obesity or alcohol abuse or working conditions (such as the constant exposure to radioactive materials).
Objectives: the study aims to assess the factors that contribute to lymphoma's Patient in Hematology wards and to find out the relationship between the factor of lymphoma's patient and some variables like (Age, Gender, Marital Status, Occupational Status, Education Status, Ownership of Housing, Body mass Index (BMI))
Methodology s: A descriptive study was started in 4th October 2014 to 5th May 2015. Non-probability sample of (32) Lymphoma patients who in hematology wards at (4) Baghdad Teaching Hospitals . The data (questionnaire) were collected 3rd April to 4th May of 2015; by interviewed technique used which include two parts: Part 1: Patients' demographic characteristics which include (7) items. Part 2: Include (14) item medical information for study samples at hematology wards. Validity of the instruments was determined through use of panel of (10) experts, the reliability of the tool determined (r = 0.92) which was adequately reliable. A pilot study was conducted on a purposive sample of (10) patients which were selected Baghdad Teaching Hospital in hematology ward. The data were analyzed by using descriptive statistical measures which included frequencies, percentages; mean of score (Severity) as well as the use of inferential statistical measures which include correlation and reliability coefficient for the Pilot study were used for the data analysis under application of the statistical package of social science (SPSS) ver. (16).
Results: the findings of the study indicated that more than half of patient' ages between (65 and above) years old who were males accounted for 18 (56.2%), and majority of the samples 14 (43.8%) who were obese and total mean of score for (14) studied items for Hodgkin and Non-Hodgkin lymphomas patients factors were (1.47) at moderate severity mean of score. The study indicated that there is a significant relationship between age group, gender, Body Mass Index and factor for Hodgkin and Non- Hodgkin lymphoma patient.
Conclusions: the study conclude that the obesity, smoking, genetic factor, exposure to radioactive materials, Immune deficiencies and Rheumatic disease are a major of the factors that contribute to Lymphoma.
Recommendations: the study recommended that Specific health education program by the staff at ministry of health about lymphoma risk factors for patients. A booklet should be designated and distributed to all patients at hematology wards. Recommended MOH to reduce radiotherapy and chemotherapy staff work time or years of employment.
Re-Examining the Use of Inclusive Society as a Solution to Social Inequalities: It’s Time we Address the Elephants in the House
Authors: Obisike Ebere Ellison , Adalikwu-Obisike Justina N. , Romeo Cheyanne , Cox D’von , Adjei Tracy-Ann 
Published: March 2023

Social inclusion is one of the many social constructs of contemporary governments’ social integration policy. This paper critically analysed the policy goals of an inclusive society by examining the socioeconomic and politico-cultural milieus in which governments implement this policy. With references to the United States’ Affirmative Action and Canada’s Multiculturalism, one can infer that disadvantaged individuals, groups, or communities are neither included nor empowered through the processes of social inclusion. Consequently, this paper concluded that the process of social inclusion cannot lead to effective social integration, given the stagnant socio-economic and politico-cultural environments in which government implements this policy. Instead, most social inclusion programs have become the tools for forced social cohesion with minimal policy objectives to integrate disadvantaged individuals into mainstream society. In summary, social inclusion is a politically correct opiate that is being used to sedate socially excluded individuals or underprivileged communities until they disappear into obscurity.

Received: 4 January 2023 / Accepted: 26 February 2023 / Published: 6 March 2023
Reengineering Small-Scale Business Enterprises as Predictors of Youth Employment and Poverty Alleviation
Authors: Atah Cletus Akpo , Ushie Godwin Beshibeshebe , Chukwurah Margaret , Idike I. M. , Ochui Moses Orim 
Published: March 2023

The study examines the reengineering of small-scale business enterprises as predictors of youth employment and poverty alleviation. Four objectives and four research questions were posed. The population of the study was two hundred and sixty (260) registered businesses. The study was carried out using a survey research design. A research-created questionnaire titled "Reengineering of Small-Scale Business Enterprises as Predictors of Youth Employment and Poverty Alleviation" was used to collect data (RSCBEPYEPA scale). The instrument was validated by one test and measurement expert and two vocational education experts. A trial/pilot test was conducted on 40 registered businessmen and women in Akwa Ibom State who were not part of the main study population, and the study received an overall reliability coefficient of 0.92 using Cronbach's alpha data analysis. The survey was given to 260 registered businesses. The entire study population was used. To answer the research questions, the data was analyzed using means and standard deviation, and the multivariate analysis of variance (MANOVA) statistic was used to test the hypothesis at the 0.05 level of significance. The result showed that the government provided small-scale businesses in Cross River State with financial support, capacity-building programs, legislative support, and the provision of facilities for youth employment and poverty alleviation. It was recommended, among other things, that small-scale business entrepreneurs should take advantage of the financial support provided by the government to boost their businesses.

Received: 10 January 2023 / Accepted: 26 February 2023 / Published: 6 March 2023
Motivation and Implications of Conflict of Interest on Public Procurement Sustainability: A Case of Effia Nkwanta Regional Hospital in Sekondi, Ghana
Authors: Mensah Ronald Osei 
Published: March 2023

The focus of the study is to assess the motivation and implications of conflict of interest on public procurement sustainability in Ghana's Effia Nkwanta Regional Hospital. From a target population of 123 employees working in the supply chain department, 94 respondents were chosen via Yamane's statistical sample determination technique. The research was carried out utilizing a descriptive research design with a questionnaire serving as the primary data collection tool. The study used a multiple-stage sampling method. In all rounds, Effia Nkwanta Regional Hospital was chosen at random from among Ghana's 10 regional hospitals, as well as 94 respondents from the general population, using a straightforward random sampling methodology, specifically the lottery method. The collected data was analysed using both quantitative and qualitative methodologies. The descriptive statistics feature in SPSS was used to analyse the quantitative data to produce information that was displayed by employing graphs, tables, percentages, and frequency distribution tables. Based on observations and sample analysis, inferential statistics were also employed to draw conclusions or predictions about the population. The regression model was used to illustrate the relationship between the response variable and the independent variables. For this study, a sample size of 94 respondents was intended, and 82 of them returned with all of their responses. The study determined the impact of conflict of interest on procurement sustainability in the Effia Nkwanta Regional Hospital. It can be summed up by saying that one should always put their organization's interests first in all transactions, execute the procurement process skilfully, and adhere to any established policies. According to the study, to protect suppliers and public institutions from improper and unethical practices in procurement operations, such as fraudulent supplier activities, organizations should emphasize sustainability measurement, establish proper checks for all contracts, set supplier selection structures that avoid political interference and increase accountability management practices.

Received: 5 August 2022 / Accepted: 29 October 2022 / Published: 6 March 2023
Adoption of Virtual Assistants Application to Estate Surveying and Valuation Practice in Nigeria
Authors: Ayedun C.A. , Oni A.S. , Oluwatobi O.A. , Kurya D.M. , Alimi R.K. 
Published: March 2023

The Estate Surveying and Valuation practice in Nigeria has come a long way and has been facing various kind of challenges one of which is its inability to keeping up with technological trends in facilitating the efficiency of its operations. The need to subscribe to the trends in technology has now become more important than ever before. One of such technologies is the application of Virtual Assistant to real estate services which has become household tool in developed economy but which has received little attention in developing countries such as Nigeria. It is in view of the aforementioned that this study is set to examine the application of virtual assistants in the estate surveying and valuation practice especially in the area of property marketing in the Abuja Metropolis area of Nigeria. Data for the study was obtained with the aid of questionnaire administered to sixty (60) randomly selected estate surveyors and valuers practicing Abuja Metropolis of Nigeria with a response rate of 100%. Descriptive statistical tools such as frequencies, percentages, and Relative Importance Index (RII) were used to analyse the data obtained. The study revealed that the greatest factor mitigating the application of virtual assistants to be lack of knowledge regarding its utilization and benefits. The study recommends creation of awareness about the inherent benefits in the application of virtual assistants to the estate surveying and valuation profession be vigorously embarked upon at professional workshops and seminars to be the most plausible measure to be taken towards ameliorating the inherent problems to the application of virtual assistants.

Received: 4 April 2022 / Accepted: 3 February 2023 / Published: 6 March 2023
Tridax procumbens pharmacological activities-An updated review
Authors: Ahmed Syed Sagheer , Mani Rupesh Kumar , Kiran Sai , D R Bharathi , Shaji Athulya , Sunny Aldona , Raveendran Anjuna 
Published: March 2023

Tridax procumbens is also known as coat buttons belongs to family Asteraceace. It is the important medicinal plant which is mainly found in central and South America. It is also seen in tropical, subtropical and mild temperate regions worldwide. It is a flowering plant and widespread weed that contains several medicinal values. The whole plant extract is used as drug. Tridax procumbens has been described to use as antidiabetic, antioxidant, hepatoprotective, wound healing. It is also used in the treatment of infectious skin diseases, liver disorders and kidney stone diseases. The major active constituents of this plant are flavanoids, alkaloids, saponins, tannins, terpenes, kaempferol and isoquercetin. Traditionally it has been used for treating blisters, ulcer, jaundice, respiratory problems and gastritis.
The Relationship between Metabolic Control Status and Microalbuminuria in Pediatric Diabetes Mellitus Patients at Dr. M. Djamil General Hospital, Padang, Indonesia
Authors: Sindi Fatmah , Aumas Pabuti  , Eka Agustia Rini  
Published: March 2023

Background: Diabetes mellitus (DM) is a complex metabolic disorder that can cause many complications. HbA1c measurement can help monitor long-term serum glucose regulation. Microalbuminuria in DM patients is a risk factor for these complications, so evaluation of risk factors for prevention is necessary. This study aimed to determine the relationship between metabolic control status and microalbuminuria in pediatric diabetes mellitus patients at Dr. M. Djamil General Hospital, Padang, Indonesia.
Methods: This study is an analytic observational study with a cross-sectional approach. A total of 34 children with DM aged 1-18 years participated in this study. Sampling was carried out using the consecutive sampling method at the pediatric polyclinic of Dr. M. Djamil General Hospital, Padang, Indonesia, from November 2021-April 2022. Metabolic control status was assessed by measuring HbA1C levels and microalbuminuria by measuring the urine albumin-creatinine ratio. Data analysis used the Chi-square test, with a p-value <0.05.
Results: The average respondent was 13.2 ± 3.3 years old with a duration of suffering from DM 2.5 ± 2 years. Most of the respondents were male (52.9%), suffered from type 1 DM (94.1%), had uncontrolled metabolic control status (82.3%), had a normal creatine albumin ratio (82.4%), never had diabetic ketoacidosis (79.4%), had no family history of DM (85.3%) and had normal blood pressure (94.1%). It is known that the average urea and creatinine are within normal limits. The average HbA1c value is 11.9 ± 3.39%. The median urine creatine albumin ratio was 7.98 (0-255.74) ug/mg. Microalbuminuria in uncontrolled metabolic control status was found in as much as 17.6%, whereas in controlled metabolic control status, no microalbuminuria was found. Statistically, there is no significant relationship (p>0.05).
Conclusion: There is no relationship between metabolic control status and microalbuminuria in pediatric diabetes mellitus patients at Dr. M. Djamil General Hospital, Padang, Indonesia.
Application of E-Learning for Online Learning During the Covid-19 Pandemic at University of Pembangunan Panca Budi
Authors: Kurniawan Heri 
Published: March 2023

During the COVID-19 pandemic, all activities must be carried out at home as a result of the policy of restricting people's movement. As a result of this policy, all learning at the school and university levels must be carried out remotely or online. In particular, universities have not been able to carry out distance or online learning for all courses and all meetings. Of course, during the pandemic, it is a challenge for all universities to be able to carry out distance learning or online learning. So far, all universities in Indonesia are still implementing a blended learning system, or mixed learning between face-to-face meetings and online meetings. Usually 30% of face-to-face meetings and 70% online use e-learning. At University of Pembangunan Panca Budi, e-learning-based blended learning has been implemented and developed since 2012. Even though UNPAB's infrastructure and human resources are quite ready to carry out fully online learning during a pandemic, there are challenges that must be anticipated, namely student readiness. because most of the students are in the area.
Keywords : (e-learning, distance learning, covid-19)
Proceso para la toma de decisiones en la fase de definición de la metodología seis sigma
Authors: Montiel-Pérez Diana , Anaya-Fuentes Gustavo Erick , Ramírez-Reyna Sergio Blas 
Published: March 2023

Seis sigma es una metodología enfocada en la minimización de las variaciones de los procesos de las organizaciones, considerada como una métrica, una meta y una la cual incluye un conjunto de herramientas a utilizar en cada una de las 5 fases que la constituyen, sin embargo, en nuestro conocimiento no existe una guía clara para el uso de tales herramientas ante situaciones específicas de la metodología, por lo anterior, el presente trabajo propone una metodología específica para la fase de definición de seis sigma, considerando las herramientas preestablecidas para esta fase, los resultados demuestran la utilidad de contar con una metodología para la fase de Definición, al contar con un instrumento de apoyo para seleccionar a las herramientas más apropiadas en la definición del proyecto que permita identificar las necesidades prioritarias del cliente y convertirá en especificaciones técnicas del producto. Adicionalmente, se incluye una aplicación de la metodología propuesta a una empresa del sector metal mecánico, la cual define el proyecto Seis Sigma siguiendo los pasos propuestos.
El modelo de comunicación de la revocación de mandato
Authors: Esteinou Madrid Javier 
Published: March 2023

El 10 de abril de 2022 el gobierno de la Cuarta Transformación (4-T) convocó a la primera consulta popular para la Revocación de Mandato del presidente Andrés Manuel López Obrador. Para ello, se estableció un marco normativo muy preciso sobre la forma como debía ejecutarse, especialmente en el ámbito comunicativo, y el Instituto Nacional Electoral realizó todas las acciones necesarias para que dicho plebiscito se pudiera realizar correctamente. Sin embargo, el Poder Ejecutivo, diversos funcionarios de la administración lopezobradorista, legisladores, gobernadores y alcaldes de la 4-T violaron recurrentemente la reglamentación jurídica con objeto de intentar obtener más votos.
Todo ello, confirmó rotundamente que dicha primera consulta ciudadana en lugar de haberse convertido en un ejercicio ejemplar de respeto al orden del derecho y a los procesos democráticos, terminó siendo una dinámica fallida que debilitó la democracia en México por la cantidad de irregularidades, violaciones y corrupciones cometidas.
Risk factors for stent dysfunction during long-term follow-up after EUS-guided biliary drainage using lumen-apposing metal stents: A prospective study
Authors: Geyl Sophie , Redelsperger Benjamin , Yzet Clara , Napoleon Bertrand , Legros Romain , Dahan Martin , Lepetit Hugo , Ginestet Claire , Jacques Jérémie , Albouys Jérémie 
Published: March 2023

ABSTRACT

Background:
EUS-guided choledoco-duodenostomy using electrocautery-enhanced lumen-apposing metal stents (ECE-LAMS) is becoming the gold standard in case of endoscopic retrograde cholangio-pancreatography failure for distal malignant obstruction. Long-term data in larger samples are lacking.

Methods:
This was a prospective monocentric study including all patients who underwent EUS-guided choledochoduodenostomy (CDS) between September 2016 and December 2021. The primary endpoint was the rate of biliary obstruction during follow-up. Secondary endpoints were technical and clinical success rates, adverse event rates, and identification of risk factors for biliary obstruction.

Results:
One hundred and twenty-three EUS-guided CDS using ECE-LAMS were performed at Limoges University Hospital were performed during the study period and included in the study. The main cause of obstruction was pancreatic adenocarcinoma in 91 (74.5%) cases. The technical and clinical success rates were 97.5% and 91%, respectively. Twenty patients (16.3%) suffered from biliary obstructions during a mean follow-up of 242 days. The clinical success rate for endoscopic desobstruction was 80% (16/20). In uni- and multivariate analyses, only the presence of a duodenal stent (odds ratio [OR]: 3.6, 95% confidence interval [CI] 95%: 1.2–10.2; P = 0.018) and a bile duct thinner than 15 mm (OR: 3.9, CI 95%: 1.3–11.7; P = 0.015) were the significant risk factors for biliary obstruction during the follow-up.

Conclusion:
Obstruction of LAMS occurred in 16.3% of cases during follow-up and endoscopic desobstruction is efficacious in 80% of cases. The presence of duodenal stent and a bile duct thinner than 15 mm are the risk factors of obstruction. Except in these situation, EUS-CDS with ECE-LAMS could be proposed in the first intent in case of distal malignant obstruction.
Assessment of Knowledge, Attitudes, and Practices toward Kala-azar in an Endemic District in Bangladesh: A Cross-Sectional Survey
Authors: Faria Shyla , Hossain Sarder Mahmud , Islam Md. Sahidul , Chowdhury Vashkar , Chowdhury Rajib 
Published: March 2023

ABSTRACT.
We undertook a study to assess current knowledge, attitudes, and practices related to kala-azar to advise the national kala-azar elimination program in Bangladesh. A community-based cross-sectional study was conducted in two endemic subdistricts (upazilas): Fulbaria and Trishal. Based on upazila health complex surveillance data, one endemic village was selected randomly from each of these subdistricts. A total of 511 households (HHs) (261 in Fulbaria and 250 in Trishal) were included in the study. An adult from each HH was interviewed using a structured questionnaire. Specifically, data were collected on knowledge, attitudes, and practices related to kala-azar. Of the respondents, 52.64% were illiterate. All study participants had heard approximately kala-azar, and 30.14% of the HHs or neighboring HHs have had at least one kala-azar case. Of the respondents, 68.88% knew that kala-azar is transmitted through sick people, and more than 56.53% of the study participants said that mosquitoes transmitted kala-azar, even though 90.80% were aware of the presence of sand flies. Of the participants, 46.55% were aware that insect vectors laid their eggs in the water. The Upazila Health Complex was the preferable health-care facility for 88.14% of the villagers. In addition, 62.03% used bed nets for preventing sand fly bites and 96.48% of the families had mosquito nets. Based on these observations, the national program should strengthen its current community engagement activities to increase the knowledge of kala-azar in endemic communities.