bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dilated sinuses of Valsalva subsequent to type A dissection surgery: Is reoperation inevitable?
Authors: Köse Yiğit , Özyurt Köse Selen , Uğur Koçoğulları Cevdet 
Published: September 2023

Background: This study aims to investigate the dilation of sinus valsalva in patients who underwent aortic repair due to type A aortic dissection and to evaluate its progression.
Methods: Between January 2004 and December 2019, a total of 68 patients (50 males, 18 females; mean age: 54.2±10.1 years; range, 30 to 82 years) who underwent root-preserving surgery and followed for at least one year in the outpatient setting were retrospectively analyzed. The patients were divided into two groups according to dilatation during follow-up. Group 1 (n=32) included patients with dilatation and Group 2 (n=36) included patients without dilatation. The sinus of Valsalva diameters were measured using pre- and postoperative computed tomography angiography.
Results: The mean follow-up was 4.9±3.1 (range, 1 to 4) years. Sinus of Valsalva dilatation was observed in 47% of the patients during follow-up. Preoperative sinus of Valsalva diameter was a risk factor for aneurysmatic dilatation. A diameter of ≥4.05 cm was calculated as a cut-off value for developing dilatation requiring reoperation.
Conclusion: Follow-up using postoperative echocardiography or computed tomography angiography is of utmost importance for the assessment of development of sinus of Valsalva dilatation which requires reoperation in patients without intervention to the aortic root.
Effects of rivaroxaban on myocardial mitophagy in the rat heart
Authors: Gencpinar Tugra , Bilen Cagatay , Kemahli Baris , Kacar Kivanc , Akokay Pinar , Bayrak Serdar , Erdal Cenk 
Published: September 2023

Background: This study aims to demonstrate the efficacy of rivaroxaban’s pharmacokinetic effects on myocardial mitophagy in rats by inducing apoptosis.
Methods: In this double-blind experiment, Wistar albino male rats were randomly divided into three groups for an experimental ischemia model: the sham group (Group 1; n=7), the control group (Group 2; n=7), and the drug group (Group 3; n=7). Rivaroxaban was perorally administered with gavage at 2 mg/ kg/day for 28 days in Group 3. The heart was surgically exposed, and ischemia was achieved by compressing the vessel around the proximal part of the left anterior descending coronary artery for 10 min. The heart tissue was then transected, removed, and morphologically and immunohistochemically examined under a light microscope.
Results: Heart sections were immunohistochemically marked with caspase 3, caspase 9, APAF1, and Bcl-2 antibodies. Group 1 was compared to the rivaroxaban-treated group, and the pathways inducing apoptosis was increased (caspase 3, caspase 9, APAF1; p<0.015, p<0.004, and p<0.01, respectively) and Bcl-2, the molecule that inhibits apoptosis, was decreased (p<0.01) in Group 3.
Conclusion: The present study provides an evidence that the mitophagy response is less in rivaroxaban-treated rats, showing the protective effect of rivaroxaban against acute ischemia. Rivaroxaban-treated rats may have reduced cell death in cardiomyocytes during myocardial infarction and thus have reduced damage to the heart tissue caused by myocardial infarction.
The impact of the apelinergic system in coronary collateral formation
Authors: Özsoyler İbrahim , Ali Uçak Haci , Onur Badak Tolga , Çakallıoğlu Ahmet , Bayraktar Muhammet , Süha Arslan Ahmet 
Published: September 2023

Background: This study aims to examine the relationship between the development of coronary collateral circulation and serum elabela levels.
Methods: Between January 2020 and December 2021, a total of 50 control individuals (29 males, 21 females; mean age: 63.2±10.0 years; range, 52 to 73 years) with no significant coronary artery disease as confirmed by angiography (Group 1) and 100 patients (55 males, 45 females; mean age: 66.6±9.6 years; range, 56 to 75 years) with coronary artery disease were included. The patients were further divided into two equal groups according to the Rentrop classification as poor (Group 2) and good coronary collateral circulation (Group 3). All groups were compared in terms of several parameters, particularly serum elabela levels.
Results: Serum elabela levels were found to be statistically higher in the group with good collateral than the other groups (p<0.05). Low serum elabela levels increased the risk of developing weak collaterals by 2.43 times.
Conclusion: The elabela protein is directly related to good collateral development and can be considered a potential agent for treatment.
Predictors and outcomes of conversion to sternotomy in minimally invasive coronary artery bypass grafting
Authors: Yaşar Emre , Mert Duman Zihni , Bayram Muhammed , Zeynep Kahraman Meliha , Köseoğlu Mehmet , Kadiroğulları Ersin , Aydın Ünal , Onan Burak 
Published: September 2023

Background: This study aims to investigate the risk factors and surgical outcomes of conversion to median sternotomy in minimally invasive direct coronary artery bypass grafting.
Methods: Between January 2017 and July 2022, a total of 274 patients (246 males, 28 females; mean age: 57.0±9.6 years; range, 33 to 81 years) who underwent conventional (n=116) or robot-assisted (n=158) minimally invasive direct coronary artery bypass grafting were retrospectively analyzed. The primary outcome measure of the study was conversion to median sternotomy, and the secondary outcome measures were operative mortality, length of intensive care unit and hospital stay.
Results: Conversion to median sternotomy was required in 26 (9.5%) patients. The most common cause of conversion was intramyocardial left anterior descending artery (27.0%). Among preoperative and operative characteristics, only age was statistically significant risk factor for conversion to sternotomy (odds ratio=1.06, p=0.01). Operative mortality occurred in one patient (0.36%) patient in the entire cohort. The length of intensive care unit and hospital stay was significantly longer in patients requiring conversion to median sternotomy (p=0.002 and p<0.001, respectively). There was no significant difference in other postoperative outcomes between the two groups (p>0.05).
Conclusion: Intramyocardial left anterior descending artery is the most common reason for conversion to sternotomy, and older age increases the risk of conversion. Minimally invasive coronary artery bypass grafting can be performed with satisfactory results, even if it requires conversion to sternotomy.
Carotid artery cut-down technique for ductus arteriosus stenting
Authors: Basgoze Serdar , Odemis Ender , Onalan Akif , Temur Bahar , Aydın Selim , Guzelmeric Fusun , Cevik Ayhan , Erek Ersin 
Published: September 2023

Background: This study aims to evaluate early and mid-term outcomes of ductal stenting via carotid artery surgical cut-down technique in neonates.
Methods: Between January 2015 and January 2022, a total of 17 neonates (12 males, 5 females; median age: 14 days, range, 5 to 34 days) who underwent carotid artery surgical cut-down technique for ductal stenting were retrospectively analyzed. Diagnoses of the patients, demographics, procedural success/failure, access-related complications, and neuroimaging findings were recorded.
Results: The primary indication for ductal stenting was pulmonary atresia in all patients. All patients who underwent carotid cut-down had vertical anatomy, with or without tortuous ductal anatomy, and they were not suitable for the femoral approach. The median body weight was 3 (range, 2 to 3.4) kg. Fifteen of the 17 interventions (88.2%) were successful. Two patients whose stenting failed underwent a systemic-to-pulmonary shunt operation. The early in-hospital mortality rate was 17.6% (n=3). No neurological or accessrelated complications were observed in any of the patients.
Conclusion: Stenting the ductus arteriosus with challenging anatomy is feasible and safe with carotid artery cut-down, particularly in small neonates. Based on our study findings, this technique may offer an effective and less invasive alternative to the systemic-to-pulmonary shunt operation.
СПОРТ ЖАРАЯНЫНДА ИНСАНДЫ РУХАНИЙ АДЕП-АХЛАККА ТАРБИЯЛОО
Authors: Сариева Матлюба 
Published: September 2023

Ар бир элдин басып өткөн тарыхый жолун, социалдык, экономикалык жана маданий жактан калыптанышына байланыштуу өзгөчө таалим- тарбияга болгон көз караштары, мекенге болгон сүйүүсү, патриоттуулугу, келечек жаштарды тарбиялоо боюнча мүдөөлөрү, салт – санаалары болору шексиз . Ушул жагдайдан алып караганда дени сак улутту түптөөдө дене тарбия менен спорт тармагын мамлекеттик колдоого алуу абдан маанилүү экендигин учурдун талабы көрсөтүп турат. Анткени, жан дүйнөсү нарк-насилге толгон, адеп-ахлактуу, билимдүү, күч-кубаттуу, сергек жашоону туу туткан жаш муунду тарбиялоо менен калыптандырып алсак, сөзсүз бакубат өлкө курууга жетишерибизде шек жок. Мында, дене тарбия жана спорт кызматкерлеринин жаш спорттун күйөрмандарын руханий адеп- ахлакка тарбиялоодо орду толгус мээнети бар экендигин белгилеп, коомдун өзгөрүү доорунда айрыкча спорт жаатында болуп көрбөгөндөй ийгиликтер, жетишкендиктердин жаратмандары болгон уул- кыздарыбыз элибиздин намысына бекем туруп, эл аралык спорттук аренада ийгиликтерди жаратуусуна зарыл шарттары түзүү учурдун көйгөйлөрү экендигинде. Андыктан, спорттун өзгөчөлүк тараптарын белгилей кетүү менен адамды ар тараптан тарбиялоодо анын өсүп- өнүгүүсүндө , ден соолукту чыңдоону камсыз кылып, өзүнүн массалуулугу менен мүнөздөлүп, спорттук мелдештерге жана машыгууларга катышуу ден соолукту чыңдоо, бош убакытты максаттуу пайдалануунун эң мыкты шарттарынын бирин көрсөтүп тургандыгы менен маанилүү маселелердин катарын толуктап турат.
АДАБИЙ ОКУУ САБАГЫНДА ЖОМОКТОРДУ ОКУТУУНУН ЫКМАЛАРЫ
Authors: Кубатбек кызы Элнура 
Published: September 2023

Бул макалада жомокторду айтып берүү жана аларды кɵрсɵтүү менен окуучулар алдын ала даярдалып турары маалым. Бул иш аркеттин башкы көрсөткүчү – баланын ой – кыял, мүдɵɵсүн жогорку деңгээлде өнүгүшүнɵ салым кошо алат. Фольклордук жанрдагы жомокторду окутуу менен балдарга чыгармачылыгын ɵстүрүү үчүн чыгармачылык окуу методун көп пайдаланары да таасирдү экенин баса белгилеп жазылды. Бала ошол жомокту угуп атып текстти кабыл алат жана аны жашоосунда элестетип ɵзүнɵ туура тарбия ала алгыдай болоруна шарт түзɵт. Жомоктор баланын ой – чабытын ɵнʏктʏрʏп, баланын ойлоо жɵндɵмдʏʏлʏгʏн арттырат. Илгертен абышка – кемпирлерлер жаш балдарды чогултуп алып, турмушта акылдуу болууга, жашоого даярдоо ʏчʏн жомок айтуу менен уктатып, жомок угуу менен жан – дʏйнɵсʏн байытып, толтуруп келет. Ошондуктан бул макалада жомоктун кайсы түрүн мисалга албайлы – адабий окуу сабагын ɵтүп жаткан учурунда же үйрөтүп жаткан учурда окуучулар алдын ала даярдалууга тийиш. Бул даярдыктын башкы көрсөткүчү – баланын кыял чабытынын жогорку деңгээлде өнүгүшүнɵ салым кошот.
Sick Leave Determinants in the Healthcare Sector (Part III): A Review of Individual-Level Factors
Authors: Brady Hugh D , McGrath Deirdre , Dunne Colum P 
Published: September 2023

Background The objective of this review is to describe individual-level factors that influence and contribute to sick leave in healthcare, and especially hospital, settings. In doing so, to utilize relevant publications from the period 2004 – 2022 in order to provide a comprehensive and evidence-based resource for readers interested in effective human resource management and healthcare or hospital workforce planning. The review referred to studies on the determinants of absenteeism in the healthcare setting. Methods To ensure that pertinent papers (2004 – 2022) were identified, a systematic literature review was performed searching Google Scholar, Econ Lit, PubMed, ResearchGate, ScienceDirect, Emerald Insight, Scopus, Medline, PsychInfo, and Web of Science. All abstracts were screened to identify papers that empirically investigated factors at individual level that are relevant to sickness absence in a healthcare population. A total of 494 papers were initially identified. These were reduced to 123 papers using pre-determined inclusion and exclusion criteria. Results Individual-level factors such as age, gender, health, marital status, personality, tenure and job satisfaction have moderately strong associations with absence. There is a negative relationship between ageing, health status and absenteeism. Conclusions The review concludes that consideration by administrators of the impact of ageing and life phases will assist greatly in strategic workforce planning in the healthcare sector. There are marked differences in rates of absenteeism by gender, specifically by life phase that should be considered in staffing decisions.
Relationship Between Mobility and Falls in the Hospital Setting
Authors: Kissane Heidi , Knowles Joanne , Tanzer Joshua R. , Laplume Heather , Antosh Heidi , Brady Donna , Cullman Judith 
Published: September 2023

Introduction Patients spend an inordinate amount of time in bed during acute care hospitalization leading to immobility harms and poor outcomes. Research has shown that structured mobility programs can decrease functional decline and hospital acquired conditions. Patient falls have financial consequences for hospitals along with potentially severe consequences to the patient. Analysis of this quality improvement project data aimed to determine the relationship between patient mobility levels and quantity of hospital falls. Methods Our quality improvement team tracked the average Johns Hopkins Highest Level of Mobility (JH-HLM) scores along with hospital fall occurrences during a set time period (2021-2022). We additionally highlighted our lived experiences regarding the relationship to mobility and falls in a typical hospitalized patient and patient outcomes. This provided examples of where the deconditioned patient improved with increased mobility and activity, as well as when the converse occurred. Results 28,075 patients discharged from a 247-bed acute care hospital from January 2021 to March 2022 were included in the sample. During this timeframe, falls were more likely to occur as patients became deconditioned and immobilized during hospitalization. Increased mobility did not lead to increased risk of falls and a clear inverse relationship was demonstrated between mobility levels and falls. Conclusions The growing body of evidence that links falls and immobility supports the continuation of inpatient mobility promotion quality improvement initiatives. We found frequent patient mobilization helped to prevent these harms.
PEMBERDAYAAN KELOMPOK PENGRAJIN KURSI BAMBU MELALUI PENGUATAN KWALITAS BAHAN BAKU DAN DESAIN DI DESA WOMBO INDUK
Authors: Hattab Syahruddin , Burhanuddin Burhanuddin 
Published: September 2023

Kerajinan kursi bambu merupakan salah satu bentuk usaha yang banyak dikembangkan oleh kelompok masyarakat yang mempunyai kerampilan. Usaha kerajinan kursi bambu bahan yang dikembangkan di desa Wombo induk bahan baku utanya adalah bambu. Potensi bambu yang ada di desa Wombo Induk cukup banyak hanyasudah sukupjauh olehnya perlu pembudidyaan dilokasi yang lebih dekat. Usaha kursi bambu dikembangkan melalui kerajinan Mustika bambu baru mengembangkan usahanya pasca gempa, olehnya itu melalui Program Kemitraan Masyarakat (PKM) melibatkan sebagai mitra agar lebih berkembang dan berkelanjutan. Melalui Program PKM ini lebih menitik beratkan pada peningkatan kualitas melalui bahan baku dan desai produk kursi bambuh. Salah kelebihan kerajinan bambu ini adalah mengintegrasikan limbah tempurung dalam pembuatan meja untuk meningkatkan kualitas bahan baku bambu maka dilakukan pengeringan dan pengawetan yang lebih berkualitas dan lebih efektif, murah dan mudah dilaksanakan. Olehnya itu pengawetan bahan baku bambu untuk menhasilkan produk kursi bambu yang berkualitas
Incidencia mundial de Covid-19: contagio, precauciones y fin de confinamiento
Authors: Mera Guzmán Pamela Elizabeth , Mera Guzmán Vanessa Carolina , Paliz Ibarra Santiago Javier , Aguirre Muñoz Adriana Alexandra , Barrezueta Bermeo Roxana Alejandra 
Published: September 2023

La investigación se desarrolló sobre el surgimiento del virus llamado COVID-19, el cual tuvo origen en la ciudad de Wuhan (China). Se pudo encontrar el origen de este y así deducir los síntomas y la manera en que se propaga puesto que este virus logro expandirse con gran facilidad por todo el mundo por lo que fue así como la OMS lo declaro pandemia. Este virus inicio afectando a las personas más vulnerables como: adultos mayores, personas con enfermedades catastróficas, niños menores de cuatro años, mujeres en estado de gestación y a personas con alto consumo de sustancias psicotrópicas, por lo tanto el objetivo es determinar la incidencias del Covid a nivel mundial, además se pudo logro identificar las vías de ingreso de este al cuerpo humano ya que al ser un virus volátil le es muy fácil acceder por vías como los ojos, la nariz y la boca.
Multi-objective Optimization of Laser Welds with Mixed WC/Co/Ni Experiments Using Simplex-centroid Design
Authors: ZHANG Chao-Yang , CHEN Shenyu , XIE Lin-gjun , YANG Echo , BU Tong , CHEUNG Ivan , JEAN Ming-Der 
Published: September 2023

This work involves the preparation of WC/Co/Ni blends using different mixing ratios to form Co/Ni/WC composite-based coatings by laser cladding. The effect of each component and their mixtures on the mechanical properties was evaluated using a mixture design approach. The morphologies and microstructures of the laser clads were characterized using a scanning electron microscope and X-ray diffraction techniques. Cracking behavior and fracture based on residual stresses are explored. In addition, the mathematical models between the three-component mixtures and the mechanical properties of the laser clad were established. The results showed that the welds containing 50 % WC-50 % Ni alloys were successfully deposited by laser cladding with favorable mechanical properties. These welds reduced the remarkable fracture crack activities and did not cause delamination in the laser clads. An increase in WC content significantly enhances wear resistance and microhardness, except for the crack susceptibilities in all mixtures. Additionally, when increased Co/Ni on WC, the reduction of adhesive wear is more significant than that of abrasive wear. Wear resistance is improved by the high content of WC particles in the laser-clad joints. Based on the mixture models, better mixed ratios for the blends that were developed using a multi-objective superimposed optimization technique make these blended materials promising candidates and can ensure the quality of laser clads. The findings from this study will greatly contribute to optimizing the blend ratio of the three-ingredient mixture based on mixture design to enhance structural evolution and mechanical properties, and also obtain better quality laser-clad coatings.
Online pornography use and sexual satisfaction in association with relationship satisfaction among middle-aged and older people
Authors: Sevcikova Anna , Gocieková Veronika , Stašek Andrea , Gottfried Jaroslav , Daneback Kristian 
Published: September 2023

After the age of 50, the frequency of partnered sex decreases, and coping strategies for dealing with this change may vary as people reach later adulthood. To date, little is known about how access to partnered sex, satisfaction with sexual frequency, and pornography use are related to relationship satisfaction in middle-aged and older adults. Using a convenient sample of internet users aged 50–96 (N = 693; 55.6% men), we estimated a hierarchical regression model for two groups: middle-aged (age 50–64) and older adults (age 64–96). Satisfaction with sexual frequency was the strongest predictor of relationship satisfaction in both mid and later adulthood. However, using pornography online showed a small negative effect on relationship satisfaction only in middle-aged adults. The findings show that, despite the known tendency of older people to reassess the importance of later-life sex, satisfaction with sexual frequency remains an important factor for relationship satisfaction in both mid and later adulthood.
Working conditions and cybersecurity: Time pressure, autonomy and threat appraisal shaping employees’ security behavior
Authors: Gerdenitsch Cornelia , Wurhofer Daniela , Tscheligi Manfred 
Published: September 2023

With the increasing importance of cybersecurity in organizations, it becomes crucial that employees behave securely. In the present article, we investigate the interplay of antecedents on this behavior. We conceptualize cybersecurity behavior through the components of compliance and participation and investigate the relationship between security knowledge, threat appraisal (i.e., severity and susceptibility), and working conditions (i.e., time pressure, decision-making autonomy). We conducted an online survey in four public organizations, collecting quantitative cross-sectional data from 214 employees. The survey captured subjective perceptions of the concepts. Findings showed a positive effect of security knowledge on security compliance and security participation. The perception of severity and susceptibility strengthened both effects. Additionally, the presence of time pressure reduced the effect of security knowledge on security compliance, while having decision-making autonomy increased the effect of security knowledge on security participation. Our study demonstrates the interplay between antecedents and highlights the role of working conditions in employees’ cybersecurity behavior. Implications for practice in terms of training approaches considering work design are discussed.
The psychological impacts of content moderation on content moderators: A qualitative study
Authors: Spence Ruth , Bifulco Antonia , Bradbury Paula , Martellozzo Elena , DeMarco Jeffrey 
Published: September 2023

Content moderation generally refers to the practice of monitoring user generated content and applying a set of rules defining what is acceptable. As a result, Content Moderators (CMs) are responsible for reviewing and removing harmful online material, which has the potential to cause psychological harm. However, little is known about the perceived impacts of the job. Semi-structured interviews were conducted with 11 commercial CMs who were exposed to child sexual abuse material (CSAM) as part of their job. Interviews were analysed using framework analysis to investigate any psychological impacts. Results demonstrated that CMs manifested with a range of symptoms consistent with experiencing repeated trauma. This included experiencing intrusive thoughts of CSAM, triggered by situations with similar contexts to those encountered at work, avoidance of children and negative cognitive and emotional effects such as cynicism, anxiety and detachment. These symptoms fit into a framework of post traumatic and secondary traumatic stress and suggest CMs wellbeing and exposure to stressful stimuli may be comparable to professionals working in the emergency services or caring professions, such as social workers. These personnel are at heightened risk of various problems including compassion fatigue, vicarious trauma and burnout. Companies which employ moderators should learn from these comparable professions and provide psychoeducation and trauma-informed care to CMs which have been demonstrated to help mitigate these challenges.