bluuebunny/crossref_metadata_2025_split huggingface dataset:
Importance of using tissue PCR to diagnose CMV colitis in ulcerative colitis
Authors: ERÜRKER ÖZTÜRK Tuba , KIYICI Murat , GÜLTEN Macit , DOLAR Enver , GÜREL Selim , GİRAY NAK Selim , EREN Fatih 
Published: June 2023

Objective: To show the importance of tissue Cytomegalovirus (CMV) PCR to diagnose CMV infection in patients with treatment-resistant ulcerative colitis.
Methods: Fifteen patients who had previously been diagnosed as ulcerative colitis with clinical, endoscopic, histological, and radiological criteria and who had referred to our clinic with acute exacerbation who were diagnosed with CMV colitis and received CMV treatment, were evaluated retrospectively. After the demographic and clinical characteristics of the patients were noted, Mayo scores were evaluated to determine ulcerative colitis activity. Patients' age, gender, laboratory values, type of colitis, and Mayo scores were recorded. Biopsy results, CMV IgM, serum, and tissue CMV DNA levels were noted. Descriptive statistical parameters of the demographical data were calculated.
Results: Eleven of the patients were male, and four were female. The mean age of the patients was 42±11,3. The mean duration of the disease was 28±46 months. Twelve patients had pancolitis, and three patients had distal colitis. All patients' Mayo score was 12 points. All patients were steroid-resistant, and none had previously received biological agent therapy. 7 of 15 patients had serum CMV DNA levels over 1000 copies/mL. Tissue CMV DNA levels of 8 patients were found higher than 250 copies/mg, although serum CMV DNA levels were below 1000 copies/mL. Pathology samples of 11 patients were evaluated, and CMV inclusion bodies were not detected. All patients received ganciclovir for CMV treatment. After treatment, CMV DNA of all patients was negative, and diarrhea and inflammation markers were reduced.
Conclusion: For the diagnosis of CMV, CMV-PCR in colon tissue specimens should also be considered in addition to endoscopic appearance and serum CMV DNA levels.
Influence of Graduate Teachers’ Knowledge of the Senior High School Social Studies Curriculum/ Instructional Objectives on Assessment Items
Authors: Brew­­ Emmanuel , Opare Francis 
Published: June 2023

Aim: This study aimed at determining the influence of graduate teachers’ knowledge of the Senior High School Social Studies curriculum/ instructional objectives on assessment items.
Methods: This study employed a qualitative and interpretive methodology, using the case study design. The population for the study included all the 15 graduate Social Studies teachers at the Senior High Schools in the Eastern Region of Ghana. The researchers by the use of the purposive sampling technique, selected ten (10) trained graduate Social Studies teachers out of the fifteen (15) teachers for the one-on-one interview. Qualitative data collection instruments were used in gathering data for the study. The data collection methods involved an interview guide made up of fifteen (15) semi-structured items for ten (10) graduate Social Studies teachers at the Senior High School level.
Results: Findings from the study indicate that teachers’ assessment practices were to a very large extent not influenced by the objectives of the subject. The observational session revealed that not only did the performances in the test items match with performances in the curriculum/instructional objectives; but the choice of assessment techniques was inappropriate as the participants for instance used pencil-and–paper test in evaluating learning objectives dealing with valuing and the development of skills. Interestingly enough, even though all the participants agreed that the overall goal of Social Studies is citizenship education; their assessment practices did not reflect the curriculum/instructional goals of the subject.
Conclusion: From the findings, the participants failed to consider the curriculum/ instructional objectives in their assessment practices. Most of the participants’ choices of assessment techniques were incongruent with their instructional objectives. Even though the participants demonstrated a very good knowledge of the objectives of teaching the subject, they failed to translate theory into practice.
Recommendations: In order to ensure success in improving the educational system, there must be monitoring in the curriculum design, and its implementation. Educational policy could fail if there are lapses at any of the levels, that is, curriculum design, implementation and monitoring. In this study, however, the improvement of attitudes must be seen as the hallmark of social studies programme at the training institutions. This can be done with an increase in supervisory role carried out by the training institutions or universities in the country to see how their products are performing. These could help the programme to achieve its goals and objectives of teaching it.
Assessment of Nurses’ knowledge about Enteral Feeding at Critical Care Units in Hospitals of Al-Anbar Governorate
Authors: Abdulrahman Thiab Ahmed  , Huda Baker Hassan  
Published: June 2023

Objectives of the study: The present study aims to evaluate nurses’ knowledge about enteral feeding in critical care units.
Methodology
A descriptive study design was carried out in the critical care units at Al-Ramadi Teaching Hospital and Al-Fallujah Teaching Hospital of Al-Anbar Governorate for the period 6th of December 2020 to 5th of January 2021. A non-probability (purposive sample) consists of 32 nurses was selected based on the study criteria. The instrument consist of, the reliability of instrument was = 0.87.
The instrument consist of 30 items of knowledge about enteral feeding, the first part, included the study sample's socio-demographic characteristics of age, gender, level of education, years of experience in nursing field, years of experience in critical care unit, and training course on enteral feeding, second part is a questionnaire to assess nurses’ knowledge about care provided to patients undergoing enteral feeding.
Descriptive and inferential statistical analysis approaches were used for data analysis.
Results: The findings of the study indicated that most of the nurses had fair level of knowledge about enteral feeding.
Conclusions: The study concluded that most of critical care nurses did not have a good knowledge about enteral feeding and this can lead to inadequacy of calorie intake in critically ill patients.
Recommendations: The study recommends developing and improving the nurses’ knowledge about the correct method of enteral feeding through education program and participation in training course programs about safe administration of enteral feeding.
Assessment of Health Follow up and Weight Control for Women with Osteoporosis in Baqubah City
Authors: Manal Y.  Mohammed  , Hala S. Abdulwahed  
Published: June 2023

Objective(s): assessment of the health follow up and weight control for women with osteoporosis and find out the relationship between their health follow up and weight control and their socio-demographic characteristics.
Methodology: A descriptive study was conducted on women with osteoporosis for the period of September, 26th 2020 to Jun, 20th 2021. Non- probability (convenient) sample of (70) women with osteoporosis selected from (5) Private Clinics for Joints and Fractures in Baqubah City. A questionnaire was designed though extensive review of literatures and it consists of three parts: the first part includes women’s socio demographic characteristics, the second part includes items on women’s health follow up , and the third part includes items on women’s weight control. Interview technique was used for data collection. The reliability and validity of the questionnaire was determined through a pilot study and a panel of (9) experts. The data was analyzed through the use of descriptive and inferential statistical analysis approaches.
Results: The results of the study show that the majority of the study sample are within the age group of (40-49) years , married and housewives, low educated, with low family monthly income, and living in the rural area. most of these women are between fair level and a good level of health follow-up and fair level of weight control.
Conclusions: The study concluded that women of osteoporosis need to be more complied with health follow up and weight control. Age is the only trait of women's demographic characteristics that has a relationship with their health follow up and weight control.
Recommendations: The study recommend for the conduction of Health education programs about weight control to presented for women with osteoporosis , and mass media can play an essential role in raising women’s awareness about health follow up and weight control.
Nurses’ Knowledge and Practices concerning Physiotherapy Protocol at Intensive Care Units in AL-Nasiriyah City
Authors: Waheed Noor 
Published: June 2023

Abstract:
Objective (s): This study aims to assess nurses' knowledge and practice regarding physiotherapy protocol at intensive care units
Methodology: descriptive cross-sectional study design executed at the ICU in the city hospitals of AL- for the time of 13th October/ 2021 to 7th April /2022. Questionnaire filled by 75 nurses who work in ICU who had chosen by non-probability (purposive) selection collected the data. Then the researcher used an observational checklist to evaluate nurses’ practice. The data was analyzed using descriptive statistics and SPSS.
Results: the study found a deficit in nurses’ knowledge and practices regarding physiotherapy protocol in intensive care units. The nurses are not fully familiar with physiotherapy techniques, which is reflected in the low level of performance.
Recommendations: Providing an educational program to increase nurses' knowledge and practices regarding physical therapy techniques. Making another studies on physical therapy in other settings.
Epidemiological Trends of Malaria in Eastern Shan State, Myanmar 2000-2016
Authors: Thet Ba Soe , Swaddiwudhipong Witaya , Thimasarn Krongthong , Thi Aung , Soe Than Naing , Lin Zaw 
Published: June 2023

Malaria is a priority communicable disease in Eastern Shan State (ESS) of Myanmar. This study aimed to describe the malaria situation, epidemiology and treatment services in ESS during 2000-2016. Data from township malaria monthly reports in ESS during 2000-2016 were analyzed by time, place, person, species and treatment services. Malaria morbidity, mortality and case-fatality rate decreased from 25.0 to 3.7 per 1,000 population, 15.0 to 0.2 per 100,000 population and 4.6% to 1.3%, respectively, during 2000-2016. The male to female ratio was 3:2 and those over 15 years old constituted 60% of all cases. The number of cases declined by 88% and 99% among those younger than 5 years of age and pregnant women, respectively. During 2011-2016, the case detection rate increased from 2% to 12%, and 94% of blood examinations used a rapid diagnostic test. Plasmodium vivax (63%) was the most prevalent parasite species, followed by Plasmodium falciparum (33%) while mixed parasites accounted for 4% of all infections. Non-government-controlled areas contributed more than 80% of cases between 2013 and 2016. Remarkable reductions in malaria morbidity and mortality in ESS followed improvements in early detection, appropriate treatment and effective vector control. However, the overwhelming contribution on caseload in non-government-controlled areas remain a challenge for the elimination of malaria in Myanmar.
Strategi Penyelesaian Pembiayaan Bermasalah
Authors: Ma'ruf Faried 
Published: June 2023

Analisis faktor penyebab pembiayaan bermasalah di Koperasi dan strategi penyelesaikannya adalah tujuan dari penelitian ini, karena bila tidak diselesaikan segera dapat menggrogoti kinerja koperasi dan akan menjadi hambatan dalam pengembangan usaha karena kesulitan keuangan. Analisis kualitatif digunakan dalam penelitian dengan melakukan pendalaman mengenai strategi penyelesaian pembiayaan masalah dengan pendekatan observasi dan pengamatan mendalam pada pengurus koperasi tentang kondisi kesehatan koperasi. Temuan penelitian ini menunjukkan bahwa faktor penyebab terjadinya pembiayaan bermasalah pada koperasi di Kota Tangerang Selatan disebabkan karakter nasabah yang tidak mendasari itikad baik, selanjutnya adalah kinerja usaha nasabah yang buruk dan meninggal dunia apalagi setelah terjadinya pandemi Covid-19 yang menyebabkan banyak korban meninggal setelah terinfeksi positive virus covid-19 serta krisis ekonomi dan kesulitan keuangan pada koperasi secara umum yang disebabkannya. Adapun strategi Penyelesaian pembiayaan bermasalah dalam menanggulangi faktor-faktornya adalah dengan melakukan pendekatan persuasif kepada nasabah serta mencari jalan keluar terbaik dengan program reschedule, reconditioning pembiayaan macet. Hasil penelitian menunjukkan penyebab terjadinya pembiayaan macet adalah kegagalan usaha ,karakter yang kurang baik dari Nasabah , bencana alam dan meninggal dunia. Strategi penyelesaikan pembiayaan bermasalah dengan rescedulling dan reconditioning
Pelatihan Penggunaan Aplikasi SPK-TB bagi Programmer Tuberkulosis dan Kader Kesehatan di Puskesmas Kartasura, Kabupatem Sukoharjo, Jawa Tengah
Authors: Setyowati Maryani 
Published: June 2023

Kasus Tuberculosis atau TBC masih banyak dijumpai di Indonesia, khususnya di Wilayah Kabupaten Sukoharjo. Besar dan luasnya permasalahan akibat TBC yang mengharuskan semua pihak berkomitmen dan bekerjasama dalam melakukan pencegahan dan pengendalian TBC karena kerugian yang diakibatkannya sangat besar bukan hanya dari aspek kesehatan tetapi juga dari aspek sosial maupun ekonomi, dengan demikian TBC masih menjadi ancaman terhadap cita-cita pembangunan dalam meningkatkan kesejahteraan rakyat secara menyeluruh. Sistem Pendukung Keputusan Tuberculosis atau SPK-TB berbasis desa telah diterapkan, namun sejauh mana penerapannya untuk meningkatkan pencarian suspek TBC dengan dukungan dari kader TBC di desa. Masalah yang ditemukan yaitu belum munculnya dukungan dari para kader kesehatan dalam membantu pelaksanaan penjaringan suspek TBC dengan menggunakan SPK-TB di wilayah Kabupaten Sukoharjo. Sehingga penelitian ini mempunyai tujuan untuk membuat Model Pemberdayaan Kader Tuberculosis dalam rangka mendukung Pemberantasan Tuberculosis yang berbasis SPK-TB. Metode yang daigunakan adalah sosialisasi dan pelatihan penggunaan SPK-TB. Adapun mitra yang terlibat adalah Programmer TB dan kader kesehatan Puskesmas Kartasura, Kabupaten Sukoharjo sebanyak 5 Orang. Hasil yang dicapai menunjukkan SPK-TB sudah diterapkan di Puskesmas Kartasura, namun masih mengalami kendala yaitu peranan Kader Tuberkulosis belum optimal untuk penggunaan SPK-TB di lapangan dan adanya kesibukan dari petugas sehingga belum melakukan updating data pada sistem ini
Evaluasi Postur Kerja Menggunakan Metode RULA Pada Aktivitas Bongkar Muat di CV. Karyatama Perintis Fajar
Authors: Dicky Dicky Alfiansyah , Marikena Nita 
Published: June 2023

Satu di antara proses logistik yang utama adalah kegiatan proses bongkar muat ( manual material handling ), Proses manual material handling pada aktivitas bongkar muat terbagi atas 2 proses yaitu proses bongkar barang dan proses muat barang. Pada penelitian ini difokuskan pada proses bongkar barang sebaliknya. Aktivitas ini rentan terhadap terjadi nya cidera pada pekerja. beresiko pada muskuloskeletal yang biasa disebut dengan musculoskeletal disorders (MSDs) Tujuan penelitian ini untuk mengidentifikasi dan mengevaluasi postur kerja akibat dari aktvitas bongkar barang Metode yang digunakan adalah RULA (Rapid Upper Limb Assessment), menilai postur, gerakan dan gaya pada aktivitas kerja berdasarkan penilaian dari RULA untuk gangguan pada anggota tubuh bagian atas yaitu postur (pergelangan tangan, lengan atas, lengan bawah, perputaran pergelangan tangan, posisi kaki, leher dan punggung) setelah itu menentukan level resiko berdasarkan hasil dari skor akhir bahwa postur tubuh tersebut diperlukan perbaikan atau tidak. Hasil dari perhitungan dengan metode RULA diperoleh bahwa pekerja untuk postur tubuh memiliki nilai 4 pada penilaian skor akhir maka dari itu dalam katagori level resiko 2 yang menunjukan adanya penyelidikan dan perbaikan dibutuhkan. Hal tersebut dipengaruhi oleh postur tubuh yang tidak ergonomis (membungkuk dan menahan beban yang berat ). Kesimpulan dari hasil penelitian ini ialah postur kerja MMH pada CV. Karyatama Perintis Fajar diperlukan adanya penyelidikan dan perbaikan dibutuhkan. Saran yang dapat penulis berikan yaitu mengadakan evaluasi metode dan sistem kerja dan perancangan fasilitas kerja.
Las tecnologías digitales en un contexto de escasez de recursos: análisis de la competencia digital del profesorado de español en Benín
Authors: Legba Sètongnon Mélaine Prisca 
Published: June 2023

With the advent of COVID-19, the world faced a number of challenges, including the continuity of education despite the closure of training centers and schools. As a solution, several countries in a situation of scarce resources have been forced to introduce digital technologies in their teaching practice, requiring teachers to be proficient in their use. The aim of this research is to analyse whether teachers of Spanish as a second language in Benin (Africa) are digitally competent to be able to introduce these technologies in their classes and to take stock of the technology at their disposal in order to be able to offer a proposal for improvement adapted to their needs. In order to do this, we have used a mixed methodology in which we have used information gathering techniques such as questionnaires and interviews with a sample of 85 Spanish teachers. Among the main results we can highlight the low knowledge of digital tools and in general a low level of digital competence. In the context analysed, a comprehensive proposal for improvement is needed, ranging from teacher training to a better provision of digital resources.
Con la llegada del COVID-19, el mundo se enfrentó a varios desafíos, incluida la continuidad de la educación a pesar del cierre de centros de formación y escuelas. Como solución, varios países que se encuentran en una situación de escasez de recursos se han visto abocados a introducir las tecnologías digitales en su práctica docente siendo necesario que el profesorado dominara el uso de las mismas. El objetivo de esta investigación es analizar si los profesores de español como segunda lengua en Benín (África) son competentes digitalmente para poder introducir estas tecnologías en sus clases y hacer un balance de la tecnología a su disposición para poder ofrecer una propuesta de mejora adaptad a sus necesidades. Para ello hemos empleado una metodología mixta en la que se han utilizado técnicas de recogida de información como el cuestionario y la entrevista contando con una muestra de 85 profesores de español. Entre los resultados principales podemos destacar el bajo conocimiento de las herramientas digitales y en general un bajo nivel de competencia digital. En el contexto analizado se hace necesaria una propuesta integral de mejora que vaya desde la formación del profesorado a una mejor dotación de recursos digitales.
A multi-class classification algorithm based on hematoxylin-eosin staining for neoadjuvant therapy in rectal cancer: a retrospective study
Authors: Wu Yihan , Liu Xiaohua , Liu Fang , Li Yi , Xiong Xiaomin , Sun Hao , Lin Bo , Li Yu , Xu Bo 
Published: June 2023

Neoadjuvant therapy (NAT) is a major treatment option for locally advanced rectal cancer. With recent advancement of machine/deep learning algorithms, predicting the treatment response of NAT has become possible using radiological and/or pathological images. However, programs reported thus far are limited to binary classifications, and they can only distinguish the pathological complete response (pCR). In the clinical setting, the pathological NAT responses are classified as four classes: (TRG0-3), with 0 as pCR, 1 as moderate response, 2 as minimal response and 3 as poor response. Therefore, the actual clinical need for risk stratification remains unmet. By using ResNet (Residual Neural Network), we developed a multi-class classifier based on Hematoxylin-Eosin (HE) images to divide the response to three groups (TRG0, TRG1/2, and TRG3). Overall, the model achieved the AUC 0.97 at 40× magnification and AUC 0.89 at 10× magnification. For TRG0, the model under 40× magnification achieved a precision of 0.67, a sensitivity of 0.67, and a specificity of 0.95. For TRG1/2, a precision of 0.92, a sensitivity of 0.86, and a specificity of 0.89 were achieved. For TRG3, the model obtained a precision of 0.71, a sensitivity of 0.83, and a specificity of 0.88. To find the relationship between the treatment response and pathological images, we constructed a visual heat map of tiles using Class Activation Mapping (CAM). Notably, we found that tumor nuclei and tumor-infiltrating lymphocytes appeared to be potential features of the algorithm. Taken together, this multi-class classifier represents the first of its kind to predict different NAT responses in rectal cancer.
Relationship between Karl Pearson’s Coefficient of Skewness (Sk) and Ginni’s Coefficient of Concentration (G) under the purview of Digital Payments in India
Authors: Tarikere Kirankumar , Joshi Akhil Dattatraya 
Published: June 2023

Aims: Statistics is one of the most important fields. It carries out observation, collection, analysis and interpretation of collected data with necessary techniques and tools for analysis. There are many parameters which help in analyzing the data. Amongst them, Karl Pearson’s Coefficient of Skewness and Ginni’ Coefficient of Concentration are very important. Karl Pearson’s Coefficient of Skewness plays an important role in measuring the symmetry. Symmetry and its measure help in knowing the manner of distribution carried out by the population. Karl Pearson’s Coefficient of Skewness is represented by Sk. Apart from Karl Pearson’s coefficient of Skewness, Ginni’s Coefficient of Concentration is also one more term which is the ratio of Ginni’s Coefficient of Mean deviation and two times of Mean of the distribution. The range of Ginni’s Coefficient of Concentration is from 0 to 1. It is represented as G. This paper tries to find the relationship between Karl Pearson’s Coefficient of Skewness and Ginni’s Coefficient of Concentration.
Methodology: Theoretical framework is being constructed with the help of known formulas of Karl Pearson’s Coefficient of Skewness and Ginni’s Coefficient of Concentration. A new formula is being generated between Karl Pearson’s Coefficient of Skewness and Ginni’s Coefficient of Concentration by mediating mean as the common factor between the two parameters.
Result: There is a positive relationship between Karl Pearson’s Coefficient of Skewness and Ginni’s Coefficient of Concentration.
Conclusion: With the help of the generated formula, Karl Pearson’s Coefficient of Skewness can be calculated once Ginni’s Coefficient of Concentration is known where all other parameters are considered to be known.