bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effects of Smokeless Tobacco "Maras Powder" on Homocysteine and Cardiovascular Risk Parameters
Authors: ALKAN BAYLAN Filiz , YARAR Esra , CANSUN Funda , DOĞANER Adem , SÖKMEN Gülizar 
Published: April 2023

Objective: This study aims to investigate the relationship between smokeless tobacco (Maras powder) and cigarette consumption with homocysteine, Paraoxonase-1 (PON-1), Arylesterase (ARE), and Lipoprotein-a (Lp (a)), which are known as risk factors for cardiovascular diseases.
Material and Methods: The individuals included in the study were divided into three groups as Maras powder users (n = 38), cigarette smokers (n = 38), and healthy volunteers who did not use either tobacco group (n = 38). Serum homocysteine, PON-1, ARE, and Lp (a) levels of all participants were examined.
Results: When the groups are compared, the highest homocysteine level was in the Maras powder group. While the difference between the control group and the Maras powder group was statistically significant, the difference between the control and smokers groups was statistically insignificant. Although PON values were lower in both the Maras powder and smokers groups than the control group, the difference was significant only in the smoking group. ARE was significantly lower, and Lp (a) was significantly higher in both tobacco smokers groups compared to the control group.
Conclusion: Serum homocysteine, PON-1, ARE, and Lp (a) level are associated with Maras powder use. Homocysteine may be a useful early marker for cardiovascular disease in those who use Maras powder.
PENGARUH KEPEMIMPINAN KEPALA SEKOLAH DAN KINERJA GURU TERHADAP MUTU PENDIDIKAN DI SMP NEGERI KECAMATAN TUKDANA KABUPATEN INDRAMAYU
Authors: Wardani Wardani , Ruhita Ruhita , Supriadi Andri 
Published: April 2023

Perhatian utama pembahasan dalam penelitian ini adalah menyangkut kepemimpinan kepala sekolah dan Kinerja guru serta pengaruhnya terhadap mutu pendidikan SMP Negeri di Kecamatan Tukdana Kabupaten Indramayu baik secara parsial maupun ganda. Metode penelitian menggunakan metoda survey terhadap guru SMP Negeri di Kecamatan Tukdana Kabupaten Indramayu. Teknik pengumpulan data, selain melaksanakan observasi langsung, mengadakan wawancara dengan pihak terkait, dan menyebarkan angket terhadap 85 orang responden. Hasil penelitian menyatakan bahwa: (1) Terdapat pengaruh yang positif dan signifikan kepemimpinan kepala sekolah terhadap mutu pendidikan SMP Negeri di Kecamatan Tukdana Kabupaten Indramayu. Adapun besaran pengaruhnya setelah melalui perhitungan regresi parsial adalah sebesar 20,8 %, sementara selebihnya sebanyak 79,2 % merupakan pengaruh lain. (2) Terdapat pengaruh yang positif dan signifikan Kinerja guru terhadap mutu pendidikan SMP Negeri di Kecamatan Tukdana Kabupaten Indramayu. Adapun besaran pengaruhnya setelah melalui perhitungan regresi parsial adalah sebesar 27,5 %, sementara selebihnya sebanyak 72,5 % merupakan pengaruh lain. (3) Terdapat pengaruh yang positif dan signifikan kepemimpinan kepala sekolah dan Kinerja guru secara simultan mutu pendidikan SMP Negeri di Kecamatan Tukdana Kabupaten Indramayu. Adapun besaran pengaruhnya setelah melalui perhitungan regresi ganda adalah sebesar 28%, sementara selebihnya sebanyak 71,5% merupakan pengaruh lain. Penulis menyarankan, bahwa: (1) Selama ini kepemimpinan kepala sekolah telah berlangsung cukup baik. Artinya masih perlu ditingkatkan lagi, karena terbukti kepemimpinan kepala sekolah berpengaruh terhadap mutu pendidikan. Salah satu cara untuk meningkatkan kepemimpinan kepala sekolah adalah dengan memperbaiki perencanaan yaitu lebih melengkapi data sebelumnya agar perencanaan dibuat dengan data yang cukup, selanjutnya mengimplementasikan serta menindaklanjutinya. (2) Sesuai hasil penelitian bahwa kinerja guru berpengaruh secara signifikan terhadap mutu pendidikan. Oleh karena itu untuk meningkatkan kepemimpinan kepala sekolah dapat dilakukan dengan cara meningkatkan kinerja guru melalui komunikasi yang baik, pemberian tanggung jawab yang jelas dan memberikan pengakuan atau apresiasi terhadap guru yang berprestasi.
NON-FINITE CLAUSES IN THE INTRODUCTION SECTION OF SKRIPSIS AND RESEARCH ARTICLES
Authors: Widiawati Sarovah 
Published: April 2023

Non-finite clauses are clauses which have no tenses. This study aimed to find the forms and functions of non-finite clauses in the introduction section of skripsis(ISoS) and research articles (ISoRA) in English field. Content analysis was used in this research. The ISoS and the ISoRA were selected randomly. The findings showed that there were three forms of non-finite clauses in the ISoS and ISoRA. In terms of functions, there were non-finite clauses as minor clause, qualifier, epithet, non-finite clauses as conjunction, non-finite clauses after conjunction, circumstance, prepositional phrase, actor, goal, carrier, attribute, possessive, identified, identifier, phenomenon, behaver, and existent. The ISoS were frequently presented in non-finite constructions as minor clauses and had more non-finite constructions in clause simples rather than clause complexes. The non-finite constructions in the introduction section of skripsisand research articles made the clauses dense.
TRANSLATING THE IDIOMATIC TERMS ON DIARY OF A WIMPY KID “DOG DAYS” OF JEFF KINNEY’S NOVEL
Authors: Supian Supian , Harnadi Kunkun K , Thamrin Husni , Pratiwi Regita 
Published: April 2023

This study is to analyzethe types of idiomatic expressionsthat are mostly had on Diary of a Wimpy Kid“Dog Days” by Jeff Kinneyand strategies which are mostly applied by the translators in translating the idioms based on the strategies proposed by Baker (1992).This study useddescriptive method to describe the type of idiomatic expression and strategy in translating idiom.The types of idioms which are mostly found in the novel entitled Diary of a Wimpy Kid (Dog Days). As the sample of the data taken from idioms in the novel. It had 52 idioms as the sample of the data. The data show that phrasal verbs are the most frequent idioms found in the novel with a total of 27 occurrences or 52% idioms. From 52 idioms found in the novel, the translators mostly used paraphrased as the strategy in translating idioms into the target language with a total 42 occurrences or 81% of idioms. In other words, the idioms found in the source language were translated into non-idioms in Indonesian language. This kind of strategy can be done by the translator as long as the translator can keep the natural meaning in the target language, so the reader can enjoy the story comfortably.
Anxiety of parents and children undergoing gastrointestinal endoscopy correlates with sedative doses
Authors: ERDOĞAN Elif , TEKİN Selda , POLAT Esra , ADIYEKE Esra , BAKAN Nurten 
Published: April 2023

Aim: Sedation is a fundamental component of the pediatric gastrointestinal endoscopy (GIE). The dosing of drugs to be used for sedating the child is an important aspect of the efficacy and safety of procedural sedation. Besides, outpatient procedures are stressful situations for pediatric patients and also their families, and therefore, parental anxiety may affect children indirectly. The first aim of the study was to assess the association between parental anxiety and required sedative dose in children undergoing GIE. The second aim was to assess the factors associated with children’s preoperative anxiety.
Material and Method: This study was a prospective, observational, and single-center study performed by the same fellowship-trained pediatric gastroenterology specialist and the same anesthesiology specialist. Parental anxiety was evaluated with the State-Trait-Anxiety-Scale (STAI) and children's anxiety was evaluated with the Modified Yale Preoperative Anxiety Scale (mYPAS). Midazolam, ketamine, propofol, and fentanyl were administered for the children’s sedation. There were 2 comparisons in this study, the anxiety of parents according to mean STAI scores, and anxiety of children according to mYPAS scores.
Results: Of 120 children and parents, 87 parents (73%) and 57 children (48%) had high anxiety. Of 120 parents, 111 parents (92%) were mothers of the children. Younger children had higher anxiety levels. Before and the start of the GIE heart rates of children were higher both in the high anxiety group of parents and children. In sedatives, high anxiety parents’ children and high anxiety children were required more ketamine dosages. (p
Comparative assessment of patients' admission to urology departments during and before the COVID-19 pandemic: a retrospective cohort study
Authors: KELEŞ Ahmet , KARAKECİ Ahmet , OZAN Tunç , YUVANÇ Ercan 
Published: April 2023

Aim: To determine the diseases that presented to the urology department during the COVID-19 pandemic and for hospital-based comparison with the diseases that presented in the same period of the previous year.
Material and Method: In this retrospective follow-up study, patients who were admitted to the tertiary university hospital and secondary state hospital urology departments between April-July 2019 and April-July 2020 were included in the study. We searched the health administrative data using the International Classification of Diseases-10 codes. The number and variety of patients who were admitted to the urology departments in the same months of 2019 and 2020 were compared.
Results: In both hospitals, the total number of admissions decreased during the pandemic in 2020 compared to the pre-pandemic year. Also, elective admissions decreased in 2020 compared to the pre-pandemic year (p
Comparison of I-Gel insertion conditions with two different induction methods in children: a prospective observational study
Authors: KAŞIKARA Hülya , ÖZMERT Sengül 
Published: April 2023

Aim: Insufficient depth of anesthesia is one of the important causes of laryngospasm in pediatric patients undergoing surgery. Propofol is a widely used anesthetic agent for induction of anesthesia in children. Its use alone in induction may be insufficient to suppress laryngeal reflexes during laryngeal mask insertion and may lead to complications such as cough, hiccups, and laryngospasm. In this study, the effects of fentanyl-ketamine mixture and remifentanil used as co-induction in anesthesia induction in children on I-gel insertion conditions and hemodynamic stability were compared. In addition, the evaluation of propofol injection pain after the use of coinduction agent was made.
Material and Method: The study included 60 patients aged 2-10 years, of ASA I-III class, who underwent ambulatory surgery. For anesthesia induction, the KF group (n:30) were administered intravenous (iv) 1 mcg/kg fentanyl + 0.5 mg/kg ketamine followed by 3 mg/kg propofol, and the R group (n:30) were administered iv 0.5 mcg/kg remifentanil followed by 3 mg propofol. The I-gel insertion conditions were evaluated by scoring the six variables of mouth opening, ease of insertion, swallowing, coughing, movement, and laryngospasm. Pain during propofol injection was graded using a four-point scale.
Results: No statistically significant difference was determined between the groups in terms of I-gel insertion conditions total score values (p>0.05). The pain of the propofol injection was determined at a significantly higher level in Group R (p
The effect of generalized joint hypermobility on functional capacity, pulmonary function, respiratory muscle strength, and chest expansion in healthy young adults
Authors: KEPENEK VAROL Büşra , ŞIRAYDER Ukbe , SANDAL Metehan , TUNCER Deniz 
Published: April 2023

Aim: Genetic involvement of connective tissue containing elastin, collagen, and fibrils in joint hypermobility determines the tightness and laxity of the ligaments, thereby increasing the possibility of injuries by affecting the stability of joint capsules and the extensibility of tendons. The aim of this study was to investigate the effects of generalized joint hypermobility (GJH) on respiratory function, respiratory muscle strength, chest expansion, and functional capacity in healthy young adults.
Material and Method: Thirty subjects aged between 18-25 years with a four or higher Beighton Score were included as the GJH group, and 30 healthy age-gender volunteers with three or lower scores were included as the control group. Functional capacity was measured with the 6-Minute Walk Test (6MWT), the quadriceps muscle strength with a digital dynamometer, pulmonary function and respiratory muscle strength with a spirometry, and chest expansion with a tapeline.
Results: There were significant differences in the 6MWT distance (p=0.017), FVC (p=0.001), FEV1 (p=0.001), and MEP (p0.05). There is a significant difference in the xiphoid (p
The relationship between uric acid variability and cardiovascular risk factors in patients with diabetes
Authors: AKBAŞ Emin , AKBAŞ Nergis 
Published: April 2023

Aim: This study aimed to evaluate the relationship between uric acid variability and cardiovascular risk factors, primarily albuminuria and blood lipids, in patients with diabetes.
Material and Method: Data from 174 patients with diabetes whose biochemical parameters were examined at least once a year were collected over the course of five years of regular follow-up. The five-year averages and standard deviations of each parameter for each person were calculated. The adjusted standard deviation for each parameter was considered as a measure of individual variability. The patients were divided into two groups according to the median of the mean uric acid and the median of the adjusted standard deviation of uric acid.
Results: Between low and high uric acid variability groups, while there was no statistically significant difference for the mean values of following parameters, there was a difference in the variability of glucose (p=0.010), HbA1c (p=0.016), total cholesterol (p=0.008), and low-density lipoprotein-cholesterol (p=0.002). Moreover, there was difference in mean albuminuria (p= 0.019), albuminuria variability (p=0.040), mean triglyceride (p=0.011), triglyceride variability (p=0.018), and mean high-density lipoprotein-cholesterol cholesterol (p=0.008).
Conclusion: Clinicians should pay attention to uric acid variability in addition to basal uric acid levels since it is associated with albuminuria, an atherogenic lipid profile, renal functions, and the variability of these parameters, independent of HbA1c and glucose levels.
Functional outcomes of periprosthetic and non-periprosthetic distal femur fractures: a comparative study
Authors: ERGİŞİ Yılmaz , TIKMAN Mesut , KORKMAZER Selçuk , KEKEÇ Halil , ÖZDEMİR Erdi , YALÇIN Muhammed Nadir 
Published: April 2023

Aim: The purpose of this study was to compare the outcomes of locked plating in closed distal femur periprosthetic, and non-periprosthetic fractures. We hypothesized that the outcomes would be superior in the non-periprosthetic distal femur fracture group.
Material and Method: Patients who underwent surgery for distal femur fractures between January 2019 and January 2022 were retrospectively reviewed. Patients aged under 18 years, who had multiple fractures, pathological fractures, follow-up less than 6 months, previous history of revision knee arthroplasty, interprosthetic fractures between hip and knee arthroplasties, fixation performed other than distal locking femoral plate and intra-operative periprosthetic fractures were excluded. Patients’ age, gender, laterality, length of hospital stay, and follow-up duration were obtained from hospital registry notes. Fractures were classified using the AO classification system. At the last follow-up, visual analogue scale (VAS), Tegner activity score, Lysholm knee score, and short form 36 (SF-36) scores were noted.
Results: A total of 30 patients met the inclusion criteria and were included in the study. There were 14 patients in the non-periprosthetic fracture group and 16 patients in the periprosthetic fracture group. The periprosthetic group had significantly lower mean VAS score (p=0.047), Tegner activity score (p=0.015), and Lysholm knee score (p=0.034) than the non-periprosthetic group. The periprosthetic fracture group had significantly inferior quality of life scores compared to non-periprosthetic groups based on SF-36 sub-parameters.
Conclusion: Periprosthetic distal femoral fractures have inferior clinical outcomes and quality of life than non-periprosthetic fractures despite having similar fracture healing rate. Orthopaedic surgeons should be aware of the frailty of the patients caused by prior total knee arthroplasty surgery.
The effect of the pretreatment systemic immune-inflammatory index and C-reactive protein-to-albumin ratio on prognosis in pediatric patients with IgA vasculitis
Authors: GÜNGÖRER Vildan , DİŞÇİ Işık , ARSLAN Şükrü  
Published: April 2023

Aim: Indices related to blood parameters that indicate inflammation have recently started to be used in determining prognosis for many diseases. Visceral involvement is the most important factor affecting prognosis in immunoglobulin A vasculitis (IgAV). In this study, we sought to explore the value of the systemic immune-inflammation index (SII) and the C-reactive protein-to-albumin ratio (CAR) in predicting visceral involvement in IgAV.
Material and Method: Patients diagnosed with IgAV who had gastrointestinal, renal, testicular, or central nervous system involvement were considered patients with visceral involvement. All patients with IgAV were divided into two groups, those with and without visceral involvement. The effect of SII and CAR in predicting visceral involvement was evaluated by logistic regression analysis.
Results: We found that in the summertime, the percentage of patients with visceral involvement was significantly higher than those without visceral involvement (p=0.010). The rates of the recurrence of the disease, arthralgia, arthritis, and fever were significantly greater in those with visceral involvement (p=0.032, p
Percepção dos enfermeiros em relação ao tratamento da sífilis gestacional em um distrito do municipio de Curitiba-PR
Authors: Valdeira Laryane Pinheiro , Souza Marli Aparecida Rocha de , Rabelo Marcelexandra , Pereira Romulo 
Published: April 2023

As infecções sexualmente transmissíveis (IST) são causadas por mais de 30 agentes etiológicos, podendo ser: vírus, bactérias, fungos e protozoários, transmitidas principalmente por contato sexual e, eventualmente, por via sanguínea. Dentre estas doenças, uma das mais comuns é a sífilis, de caráter sistêmico, curável e exclusiva do ser humano. Objetivo: Descrever as percepções dos enfermeiros em relação ao tratamento de sífilis gestacional em um distrito sanitário (DS) do município de Curitiba/PR. Método: O método teve abordagem qualitativa com caráter descritivo, no qual foram realizadas questionário semiestruturadas com 15 enfermeiros da Rede de Atenção em Saúde (RAS) em um Distrito Sanitário (DS) de Curitiba/PR, posteriormente estas foram transcritas e agrupadas em uma planilha do Microsoft Excel para o início da análise de conteúdo de Minayo, Resultados: A análise resultou em quatro categorias destacadas como: falta de adesão ao tratamento; dificuldades encontradas na realização do protocolo; falta de conhecimento científico sobre a patologia; e realização de capacitação aos profissionais enfermeiros no tratamento da sífilis na gestação. Considerações finais: Evidenciou-se a necessidade de abordagem com estratégias em educação permanente em saúde, promovendo, além de constantes atualizações, reflexões e debates sobre os problemas levantados pelos próprios profissionais. Entre eles os desafios mais percebidos foram a insegurança e alta demanda na rotina diária do enfermeiro, o que impede a realização de protocolos específicos da categoria, entre eles o tratamento da sífilis gestacional.
Adaptação e validação do conteúdo da escala de utilização das tecnologias digitais na gestão escolar
Authors: Gonçalves Antoniel Borges , Pedro Neuza 
Published: April 2023

Objetivo: traduzir, adaptar e validar o conteúdo da escala de utilização das tecnologias na gestão escolar do contexto da língua portuguesa europeia para contexto da língua portuguesa brasileira. Metodologia: o processo metodológico foi orientado na seguinte ordem: i) obtenção de autorização para adaptação da escala; ii) tradução da escala da língua portuguesa europeia para a língua portuguesa brasileira, iii) adaptação por consenso do conteúdo das traduções, iv) validação do conteúdo adaptado, optando-se pela validação por 3 juízes especialistas no tema e contexto do estudo. através da aplicação do Coeficiente de Validade de Conteúdo (CVC), v) concordância dos autores da escala, quanto a versão final desenvolvida da escala. Resultados: a média do CVC dos 3 especialistas avaliadores, subtraído como um todo pelo Erro Padrão (Pe) da polarização dos avaliadores foi de 0,98. Em relação a Concordância dos itens, o valor do CVCt foi 1.0. A Coerência dos itens apresentou valor do CVCt de 1.0. Objetividade dos itens registou-se um valor de CVCt de 1.0. Na Pertinência dos itens, o valor do CVCt foi de 0.9. No parâmetro Adequação do Conteúdo dos itens, registou-se um valor de CVCt de 1.0. Conclusão: o objetivo deste estudo foi alcançado com êxito considerando que a média obtida do CVC, por parte dos 3 especialistas avaliadores, foi de 0,98. Considerando-se a indicação da literatura, quão mais próximo de 1.0 for o CVCt, maior é a confiança do conteúdo.
Importância da educação em direitos humanos
Authors: Santos Douglas Vargas dos , Claudino Wendel Oroski , Gonçalves Roberto Leonardo , Puerari Rodrigo , Pola Paula dos Santos 
Published: April 2023

As crianças e jovens devem ter acesso à educação em direitos humanos (EDH) e que as escolas são um dos principais meios pelos quais a EDH deve ser disponibilizada. No entanto, atualmente há conhecimento limitado sobre a presença e a forma de EDH em contextos escolares, e não há meios estabelecidos através dos quais a oferta de EDH nas escolas seja avaliada. Este artigo propõe uma estrutura teórica para apoiar a classificação das responsabilidades do ensino em relação à EDH e argumenta que é necessária uma mudança sistêmica nos sistemas educacionais para que a oferta de EDH seja realizada de maneira mais ampla e consistente. A viabilidade da estrutura desenvolvida foi então testada aplicando-a aos resultados dessas análises. A contribuição teórica feita pelo documento aprofunda o conhecimento e a compreensão sobre a natureza das responsabilidades atribuídas aos professores para educar os alunos sobre os direitos humanos e fornece uma base para estimular o debate sobre o que constitui práticas efetivas de EDH escolar.
The Relationship of Economic Growth, Export Value and Inflation with The Autoregressive Distributed Lag (ArDL) Approach
Authors: Fitriyanto Nur 
Published: April 2023

Economic growth is one of the benchmarks for the success of a country in running the economy along with the factors that influence it, so this is important to observe. Many previous studies have proven the influence of export value and inflation on economic growth. This study chooses the Autoregressive Distributed Lag (ARDL) model approach to see the dynamics of long-term and short-term relationships for the variables of export value, inflation and economic growth. The research period is quarterly, starting from 2011:Q1 – 2019:Q4 with the type of time series data. The results of this study, through the ARDL model, the variables of export value and inflation are proven to have long-term cointegration or move together in the long term towards economic growth. This study also succeeded in revealing that the variables of export value and inflation have a short-term relationship with a relatively fast adjustment time, which is 2-3 months to return to balance. Keywords:ArDL, export value, economics growth