bluuebunny/crossref_metadata_2025_split huggingface dataset:
The interaction of dexamethasone with sugammadex and rocuronium during general anesthesia in rhinoplasty surgeries
Authors: ŞAHİN Taylan , EREN Eryigit 
Published: August 2023

Aims: Sugammadex is a cyclodextrin specifically designed to reverse the action of rocuronium through encapsulation. Theoretically, it is possible that sugammadex can encapsulate cortisone. There have been conflicting results regarding clinical dexamethasone-sugammadex interactions in patients under general anesthesia. The primary outcome of the present study is to investigate any possible alteration in the efficacy of sugammadex as a reversal of rocuronium due to dexamethasone injection in rhinoplasty surgery. The secondary outcome is evaluation of clinical observation sugammadex in these groups of patients.
Methods: Adult patients with the American Society of Anesthesiology (ASA) II risk class undergoing rhinoplasty were included. All patients received standard general anesthesia with neuromuscular blockade using rocuronium. Patients were allocated to either the dexamethasone group or control group. The anesthesiologist measured the time interval between sugammadex injection and the recording of the 90% train of four. Additionally, the duration required for extubation after sugammadex injection was recorded. Finally, the signs of residual respiratory insufficiency and muscle weakness were checked in the post-anesthesia care unit until the 2nd-hour post-surgery.
Results: Sixty-one patients were enrolled in the study. The dexamethasone group included 30, and the control group included 31 patients. The comparison of demographic and surgical characteristics of these two groups showed no statistical difference. The duration required for extubation was higher in dexmethasone group compared to control group (p=0.001). The total rocuronium administration dose was higher in dexmethasone group (p=0.01). The time required for the recovery of the head, upper, and lower extremity lifting was longer in the dexamethasone group (p=0.001, 0.003, and 0.047, respectively).
Conclusion: The present study demonstrated an interaction between sugammadex and dexamethasone, which affected the reversal of neuromuscular blockade during rhinoplasty surgeries.
The efficacy of volumetric computed tomography histogram analysis in adrenal masses
Authors: NALBANT Mustafa Orhan , İNCİ Ercan 
Published: August 2023

Aims: The rate of adrenal mass detection has increased due to the development of imaging modalities. It is vital to differentiate benign adrenal adenomas from other adrenal masses in order to establish whether an active management strategy is essential. Volumetric CT histogram analysis calculates the percentage of covered pixels in the negative attenuation region. The goal of this research was to evaluate the diagnostic utility of volume histogram analysis for adrenal tumors confirmed histopathologically as well as the ideal slice thickness for CT histogram analysis to differentiate between benign and malignant lesions with a density greater than 10 Hounsfield units (HU).
Methods: The research analyzed the CT images of 127 individuals with 136 adrenal masses that were verified histopathologically after resection (57 lipid-poor adenomas, 21 pheochromocytomas, 47 metastases, and 11 adrenocortical carcinomas). For imaging, a 40-row MDCT device (Siemens Medical Solution, Erlanger, Germany) was utilized. 1 mm and 5 mm unenhanced CT images were obtained. Two separate radiologists manually assessed the Hounsfield units (HU) of the masses. The 5th to 95th percentiles of HU values, as well as the minimum, mean, and maximum values, skewness, kurtosis, and variance, were calculated. Interobserver agreement was determined by means of the interclass correlation coefficient (ICC).
Results: The HU parameters for the malignant group were all higher than those of the benign group, and the difference in the 5 mm slice thickness was more significant than the 1 mm slice thickness. The difference between HUmin (P=0.007), HUmean and HUmedian (P
Relation of parathyroid hormone with malnutrition in peritoneal dialysis patients
Authors: TALI Emel , KAZANCIOGLU Rumeyza 
Published: August 2023

Aims: Protein-energy wasting syndrome is a risk factor specific to ESRD is protein-energy wasting (PEW) syndrome. Clinical and experimental studies have suggested that secondary hyperparathyroidism plays a vital role in increasing energy expenditure in patients with ESRD. The geriatric nutritional risk index (GNRI) is used to evaluate nutritional status in various pathological conditions. Considering the effect of parathormone on malnutrition and studies indicating that parathyroid hormone causes weight loss, we aimed to investigate the relationship between malnutrition and parathyroid hormone (PTH) in our patients using GNRI.
Methods: Forty-nine patients without known malignancy, liver disease, or chronic inflammatory disease who underwent peritoneal dialysis were included in the study. Patient data were recorded from these files. Height and weight were measured. GNRI was calculated by the formula 14.89 × serum albumin (g/dL) + [41.7 × bodyweight/ideal body weight
Results: Forty-nine patients (29 females, 59.2%) were included in the study. Three (6.1%), seven (14.3%), and seven (14.3%) patients had severe, moderate, and mild malnutrition, respectively. GNRI was positively correlated with albumin, hematocrit, and calcium levels (r=0.757, r=0.355, r=0.423; p
YouTube™ as an information source for speech and language disorders
Authors: YAŞA İbrahim Can , ÇAPAR Serpil Hülya , PERKER Yiğitcan 
Published: August 2023

Aims: The purpose of this study is to evaluate the quality of the information provided by the top 100 videos when searching for "speech and language disorders" on YouTube™.
Methods: The results of the YouTube™ search were examined using the keyword “speech and language disorders”. The search was limited to the first 100 videos. Modified DISCERN, Global Quality Score (GQS), Video Information and Quality Index (VIQI), and the Journal of American Medical Association (JAMA) criteria were used for the evaluation of the videos. The Kruskal-Wallis H Test, Mann-Whitney U, and Spearman's RHO correlation were used for statistical analyses. The significance level was taken as p
Design modifications and evaluation of the silicone artificial finger joints
Authors: Alnaimat F.A. , Owida H.A. , Al-Nabulsi Jamal I. , Al-Naami B. , Al-Ghraibah A. , Al-Ayyad M. , Altayeb Muneera , Al Sharah Ashraf 
Published: August 2023

BACKGROUND: There are many reasons that could lead to finger joint arthroplasty, and the most familiar reason is osteoarthritis. Silicone finger joint are the most commonly used implants. However, these implants might fracture with time and cause wear which will lead to chronic inflammation and synovitis for the patient and then implant failure. OBJECTIVE: The aim of this study is to improve the design of the silicone finger joint and simulate the different designs using finite element analysis (FEA) simulation. METHOD: Three different designs were drawn and FEA has been used in this study using Solidworks software. The first design is the silicone finger joint design without any modification, the second one is modified design with added ribs to the junction of distal stem and hinge and the third design was added filler material inside the body of the artificial joint. An axial force with 625 N that was applied on the upper part of the distal stem which is nearly represents the maximum value of the grip strength for normal males. RESULTS: The results showed improvement on the design in which the concentrated stress at the junction of the distal stem and hinge of the design was distributed. In addition, the Von Mises stress was stable for the modified design with added ribs and the added filler material designs after 15°. CONCLUSION: The design modification could improve the stress distribution and stability of the artificial finger joint and increase the lifetime expectancy of these implants.
Results of experimental research on the cutting of highly abrasive materials with abrasive reinforced circles
Authors: Maksimyuk Yuriy , Pochka Kostyantyn , Abrashkevych Yuriy , Prystailo Mykola , Polishchuk Andriy 
Published: August 2023

In order to carry out experimental studies of the process of cutting highly abrasive materials with abrasive reinforced wheels, a dynamometer stand for registering the force load of the author's design of the KNUCA was modified, which made it possible to conduct full-fledged experimental studies taking into account all the valid factors of the interaction of the working environment and the working body during cutting with the supply of water to the cutting zone to dedust the working process The use of refractory bricks is proposed as the working environment, and the abrasive reinforced wheel for cutting highly abrasive materials with a strength of up to 60MPa is used as the working body. As a result of the research conducted for the dynamometric stand for force load registration during the study of the process of cutting highly abrasive materials with an abrasive reinforced wheel, the tangential forces that perform the work of destruction and overcoming friction between the side surfaces of the wheel and the material were analytically determined. According to the results of theoretical studies, it was established that the limits of the change in the resistance to cutting, determined for a natural installation for cutting highly abrasive materials (refractories) with an abrasive reinforced wheel and for a laboratory stand, are the same, and the nature of their change is also similar and related by a similarity coefficient.
In order to check the adequacy of theoretical calculations, experimental studies of cutting refractory bricks with temporary resistance to uniaxial compression of the rock σв=60 MPa were carried out on a dynamometric stand. The conducted experimental studies fully confirm the adequacy of the theoretical calculations, and the comparison of the theoretical and experimental results of determining the tangential cutting forces showed their sufficient convergence and, accordingly, the legitimacy of using analytical expressions when calculating the power parameters of machines with an abrasive tool. The maximum value of the error in determining the tangential cutting forces theoretically and experimentally on the laboratory bench for recording the cutting forces of highly abrasive materials with abrasive reinforced wheels is Δδ=13,8%.
Pre-Operative Anxiety and Health Problems of Patients Attending Hospitals of Kirkuk, Iraq
Authors: Rashid Hayman Mohammed Saeed , Hamad Kareem Jamal , Ahmed Bestoon Mohammed 
Published: August 2023

Background: Preoperative anxiety is a challenging problem in the preoperative care of patients. A common low level of anxiety is an expected reaction to unpredictable and potentially life-threatening circumstances, especially for a patient’s first surgical experience. It is a response to external or internal stimuli that can have behavioral, emotional, cognitive, and physical symptoms. This study aimed to identify the anxiety prevalence among preoperative patients attending Kirkuk hospitals and associated factors.
Objectives: To assess the anxiety level and identify the association between sociodemographic characteristics and patients’ anxiety.
Method: A cross-sectional hospital-based study was conducted on 152 patients arranged for surgery at governmental hospitals of Kirkuk City by using a systematic random sampling procedure. Collecting data was performed from the 1st of January to the end of March 2023 by direct interview after informed consent was taken, and a proper questionnaire was used for the study. The data entry and analysis were done by using SPSS version 24(IBM STATA). Frequency percentage was used, and Chi-square was performed to assess the effect of association of variables. A p-value ≤ 0.05 was considered statistically significant.
Results: Among 152 patients, the anxiety level was 27(17.8%), and one-fourth of them 38(25%) were at age 40-49 years. This study divided the anxiety levels into high, medium, and low. The anxiety levels were significantly higher among males (p-value 0.04), who were illiterate (P=0.011), and businessmen (P=0.001). Interestingly, the history of surgery was not significantly associated with state anxiety (p-value 0.96), those diagnosed with hypertension disorders (P=0.021) reported the highest proportion of anxiety.
Conclusion: The level of anxiety showed nearly one-fifth, and the ratio of male: to female participants was 2:1, there was a significant association between the anxiety level and male gender, illiterates, Businessmen, and people who hypertension diagnosis report the highest proportion of anxiety level.
KAJIAN SISTEM CADANGAN PANGAN MASYARAKAT PEDESAAN DAN PERKOTAAN AKIBAT COVID 19 UNTUK MENGURANGI RESIKO KERAWANAN PANGAN DI MALANG RAYA
Authors: Arifin Zainol , Khoirunnisa Ninin 
Published: August 2023

Penelitian ini bertujuan untuk menganalisis komposit secara individual dan kerentanan kerawanan pangan. Untuk mengetahui kelangkaan pangan akibat covid 19, dan Kerentaan akibat dampak covid 19 dalam masa pandemic. Dengan menggunakan rumus ini, maka akan mudah untuk mengklasterisasikan terhadap dampak covid 19, yang menjadikan masyakat harus waspada dengan rumus sbb. Ln = ? ?i Xi +? Kemampuan: Pi = Metode opprtunities skala kecil ke I dapat dilaksanakan simpanan makanan karena Pi = 1 untuk skala kecil yang dapat dilakukan simpanan pangan dan Pi = 0 untuk skala kecil yang tidak dilakukan simpanan pangan. Xi= Model faktor-faktor yang diduga mempengaruhi rumahtangga melakuka cadangan pangan, yaitu antara lain tingkat produksi komoditas pangan, asset lahan, tingkat pendapatan rumah tangga, price komoditi pangan ?i= variabel penduga, ?= angka konstan. Metode pengendali logistic (logit). Model secara luas dengan memberikan logit. Penelitian memilih Kota Malang dan Kabupaten Malang sebagai wilayah studi. Analisis terhadap ketentuan dikurangi dampak tingkat kelaparan dilaksanakan ke tingkat besar serta kecil. Tingkatan skala makro analisis dikembangkan pada daerah kawedanan yang mendasarkan pada empiris juga diperoleh oleh World Food Programme (WFP). Analisis pengurangan resiko rawan pangan dilakukan dengan simulasi dari indikator kelaparan makanan pokok yang dapat dikendalikan, serta yang berkaitan termasuk pertumbuhan agraris maupun pengembangan di sektor agraris. Hasil analisis yang didapat adalah dengan diperoleh data-data kampung yang masih memiliki potensi untuk kerawanan pangan, dengan mewaspadai adanya covid 19 sehingga memilki skala-skala yaitu 1, 2 dan 3. yang nantinya akan jadi rekomendasi ke kabupaten kota di Malangraya selama pandemi.
PENGEMBANGAN KEMAMPUAN VOCABULARY BAHASA INGGRIS MELALUI METODE AUDIO LISTENING PADA SISWA KELAS 1 SMPN JAYA ACEH JAYA
Authors: Suri Murnia , Halimatussakdiah Halimatussakdiah 
Published: August 2023

Kegiatan berkomunikasi dilakukan secara lisan dan tulisan melalui bahasa. Keterampilan bahasa salah satunya ditentukan oleh penguasaan kosakata. Demikian halnya untuk menguasai bahasa Inggris sebagai bahasa kedua di Indonesia. Pada tingkat sekolah menengah pertama, bahasa Inggris tercantum sebagai mata pelajaran muatan local yang artinya waktu yang tersedia untuk pelajaran ini lebih sedikit dari pelajaran lainnya. Hal ini berdampak pada lemahnya penguasaan kosakata bahasa Inggris bagi para lulusan. Dalam penelitian terhadap 43 orang siswa kelas 1 SMPN 1 Jaya Kabupaten Aceh Jaya melalui metode belajar audio bertujuan untuk meningkatkan penguasaan kosakata Bahasa Inggris mereka. Melalui metode yang berpusat pada pendengaran ini, siswa diperdengarkan sebuah informasi ringan untuk kemudian dapat menangkap, memahami dan mengingat informasi tersebut. Berdasarkan hasil test yang dilakukan dalam dua tahap ini diketahui bahwa 67.44% (29 orang) siswa dapat melaksanakan kegiatan tersebut sehingga ada perubahan positif dalam penguasaan kosakata bahasa Inggris mereka. Kata Kunci: Peningkatan Vocabulary, Metode Pembelajaran AudioCommunication activities are carried out orally and literally through a language. One of language skills is determined by vocabulary mastery. The same goes for mastering English as the second language in Indonesia. At the junior high school level, English is listed as a local content subject, which means that the time available for this lesson is less than for other subjects. This has an impact on the weak mastery of English vocabulary for graduates. This field research to 43 students on the first grade of SMPN 1 Jaya, Aceh Jaya District through audio learning method with the aim to improve the students’ English vocabulary mastery. By applying this hearing-centred method, the students are listened to a light piece of information to then be able to capture, understand and remember the messages. Based on the results of the tests carried out in two stages, it is found that 67.44 % (29 students) who can carry out the activities so that there is a positive change in their English vocabulary mastery.Key words: Vocabulary Improvement, Audio Learning Method
Implementasi Pusat Informasi Konseling Remaja/Mahasiswa (PIK R/M) Sebagai Wadah Pendidikan Kesehatan Reproduksi (Kespro) Pada Remaja di Wilayah Kerja Petugas Lapangan Keluarga Berencana (PLKB) Meuraxa Kota Banda Aceh
Authors: Safrizan Safrizan , Fajriati Rafni 
Published: August 2023

Program Penyiapan Keluarga Berencana bagi Remaja (PKBR) dibentuk sejak tahun 2006, kemuadian berganti nama menjadi Program Generasi Berencana (KRR) di tahun 2015. Salah satu tujuan KRR sebagai upaya preventif dalam mengatasi permasalahan Kesehatan Reproduksi Remaja (KRR) dengan wadah Pusat Informasi Konseling Remaja/Mahasiswa (PIK R/M). dalam implementasinya terdapat banyak PIK R/M di Kota Banda Aceh yang pasif. Metode Penelitian : penelitian kualitatif menggunakan pendekatan studi kasus melalui wawancara mendalam terhadap informan dengan tujuan melakukan Evaluasi implementasi Program Resehatan Reproduksi Remaja (KRR) sebagai upaya preventif masalah kesehatan reproduksi remaja di Kota Banda Aceh menggunakan model CIPP (Context, Input, Process dan Product). Hasil : Analisis evaluasi, komponen contect menunjukan adanya hubungan kerja sama yang baik antara program KRR dengan instansi lain seperti Dinas Pendidikan, Kesehatan dan Kementrian agama. Pada komponen Imput program KRR telah menyiapkan tim penyuluh lapangan dan konselor sebaya dalam menjalankan wadah PIK R/M. pada komponen Process program KRR telah melakukan pelatihan setiap tahun guna meningkatkan kualitas SDM dalam implementasi program KRR. Pada komponen Product telah terbentuknya BKR dan PIK R/M di Seluruh SMA di wilayah Meuraxa Kota banda Aceh.Kata Kunci : KRR, BKR, Kesehatan Reproduksi, remajaThe Family Planning Preparation Program for Adolescents (PKBR) was formed in 2006, then changed its name to the Generation Planning Program (KRR) in 2015. One of KRR's goals is as a preventive measure in overcoming Adolescent Reproductive Health (KRR) problems with the Adolescent Counseling Information Center as a forum /Student (PIK R/M). in its implementation there are many PIK R/M in Banda Aceh City who are passive. Research Method: qualitative research using a case study approach through in-depth interviews with informants with the aim of evaluating the implementation of the Adolescent Reproductive Health Program (KRR) as a preventive measure for adolescent reproductive health problems in Banda Aceh City using the CIPP model (Context, Input, Process and Product). Results: Evaluation analysis, the context component shows that there is a good cooperative relationship between the KRR program and other agencies such as the Office of Education, Health and the Ministry of Religion. In the IMPUT component, the KRR program has prepared a team of field extension workers and peer counselors to run the R/M PIK platform. in the Process component the KRR program has conducted training every year to improve the quality of human resources in implementing the KRR program. In the Product component, BKR and PIK R/M have been formed in all high schools in the Meuraxa area, Banda Aceh City.Keywords: KRR, BKR, health Reproduction, youth
Gambaran Faktor-faktor Psikologis yang Mempengaruhi Karyawati Suzuya Mall Banda Aceh Usia Dewasa Madya Hidup Melajang
Authors: Syahputra Andi , Eliza Nur 
Published: August 2023

Dasarnya kehidupan melajang bisa merupakan suatu pilihan hidup ataupun suatu keterpaksaan akibat belum adanya pasangan yang sesuai. Kehidupan melajang yang dialami ini memiliki kendala masing-masing dari responden sehingga belum melangsungkan ke jenjang pernikahan.Semua orang menginginkan kebahagiaan dalam hidupnya, kebahagiaan itu sendiri dapat dicapai dengan terpenuhinya kebutuhan hidup dan ada banyak cara yang ditempuh oleh masing-masing individu.fenomena yang terjadi saat ini adalah individu yang masih belum menikah atau berstatus lajang hingga usianya memasuki masa dewasa madya, bagi karyawati lajang memilih hidup untuk meniti karir selain tuntutan ekonomi juga dikarenakan belum menemukan pasangan hidup. Pendekatan dalam penelitian ini menggunakan pendekatan Kualitatif dengan metode deskriptif. Penelitian ini cara pengambilan sampel menggunakan purposive sampling, yang artinya teknik ini digunakan untuk mencapai tujuan-tujuan tertentu “. Penelitian ini dilakukan di Suzuya Mall Kota Banda Aceh dengan jumlah responden sebanyak lima (5) orang. Berdasarkan hasil penelitian dapat disimpulkan secara umum terdapat empat tema yang ditemukan mengenai pilihan hidup melajang pada subjek penelitian, yaitu : (1) keterbatasan ekonomi, (2). Tidak memperoleh jodoh, (3).ingin menjalani hidup secara bebas, (4). Fokus pada pekerjaan. Penelitian ini memberikan kesempatan bagi para responden untuk lebih terbuka mengenai hidupnya.Kata Kunci : Faktor-Faktor Psikologis, Wanita Dewasa Madya, Wanita Hidup MelajangBasically single life can be a life choice or a compulsion due to the absence of a suitable partner. The single life experienced by each respondent has its own obstacles so that they have not yet entered into marriage. Everyone wants happiness in their life, happiness itself can be achieved by fulfilling the needs of life and there are many ways that are taken by each individual. Currently are individuals who are still unmarried or single until they enter middle adulthood, for single female employees choose life to pursue a career in addition to economic demands also because they have not found a life partner. The approach in this study uses a qualitative approach with a descriptive method. This research uses purposive sampling, which means that this technique is used to achieve certain goals. This research was conducted at Suzuya Mall Banda Aceh City with the number of respondent as many as five (5) people. Based on the results of the study, it can be concluded that in general there are four themes found regarding the choice of single life in the research subjects, namely: (1) economic limitations, (2). Not getting a mate, (3) wanting to live life freely, (4). Focus on work. This study provides an opportunity for respondents to be more open about their lives.Keywords: Psychological Factors, Middle Adult Women, Single Women