bluuebunny/crossref_metadata_2025_split huggingface dataset:
Role of renal doppler ultrasonography in evaluating renal haemodynamics in diabetic patients and its correlation with laboratory parameters (serum HbA1C and serum creatinine)
Authors: Sharma Kritika , Thakur Madhurjya Kumar , Mahela Sangita , Konwar Ranjumoni , Varma Dixit , Ullah Ibrahim Khalil , Baishya Nirupam Konwar 
Published: May 2023

Background: Due to high prevalence of Diabetes Mellitus in India, Diabetic nephropathy is on the rise. Diabetic Nephropathy is the leading cause of End stage renal disease and the major factor responsible for renal transplantation. Grey scale ultrasound can detect morphologic renal parenchymal changes late in the disease but the functional haemodynamic changes can be detected early on, by the means of doppler indices such as Resistive Index (RI) and Pulsatility Index (PI). Hence, application of renal doppler can aid in the diagnosis of early nephropathic changes to allow early medical intervention, therefore improving disease prognosis.
Methods: Renal doppler ultrasonography was performed in 64 diabetic individuals, in the main renal artery and at the interlobar arteries of both kidneys in the upper pole, interpolar region, and lower pole. RI and PI were obtained for each artery and averaged. The correlation between the Mean RI and Mean PI, each with HbA1c and serum creatinine was checked for every patient using relevant statistical tests.
Results: Mean RI and PI in study participants were above the normal range. RI and PI both showed a statistically significant positive correlation with serum creatinine, HbA1c as well as the age of the patient and duration of diabetes mellitus (p<0.001).
Conclusions: Evaluation of renal doppler indices while correlating them with laboratory parameters can help slow disease progression. The patient can be provided with medical intervention at the early stage on detection of altered renal indices, hence reducing morbidity and mortality and significantly improving disease prognosis and outcome.
Case series on herbal medication induced acute kidney injury in central India
Authors: Vinay Kumar A. V.  , Rathore Vinay , Vijayalakshmi Shanbhag  
Published: May 2023

Around 60 to 70 percent of the people from India reside in rural areas and usually opt for herbal medicine for illness from local traditional medicine practitioners before seeking allopathic advice. Kidneys play a central role in excretion of the metabolites of these substances or the substances themselves. Renal injury happens in the form of acute tubular necrosis, interstitial nephritis, rhabdomyolysis, nephrolithiasis, urothelial cancers and rarely renal cortical necrosis and progressive interstitial fibrosis. Physicians and patients may ignore the potential nephrotoxicity caused by certain herbal medicines, assuming them to be harmless. Adverse event reporting is usually done on a voluntary basis, and toxicity has been reported through case reports and series. It is important for clinicians to factor in the use of herbal medicines when treating patients with unexplained acute kidney injury or progressive chronic kidney disease. We hereby present a case series of renal injury mediated by herbal medications with different mechanism of injury to kidney. This article is first of its type reported from central India.
Multiple core histopathologies for discriminative diagnosis of phyllodes pathology in breast
Authors: Singh Vijay Pratap , Singh Akash Kumar , Jha Arun Kumar , Sircar Sumantra , Singh Vishal Mohan , Verma Pranab Kumar , Jaipuriyar Manish , Ranjan Priyadarshi , Singh Chandan Kumar , Kumar Sanjay 
Published: May 2023

Background: Historical patient’s records were analyzed. Patients diagnosed with phyllodes tumors of the breast who received preoperative core needle biopsy and undergone breast surgery at a tertiary cancer centre in Patna, Bihar, India from January 2020 to December 2020. The resulting data allowed us to compare the accordance between core needle biopsy and final histopathology of phyllodes tumor of the breast patients and evaluate the accuracy of core needle biopsy in preoperative diagnosis.
Methods: This is a retrospective study evaluated the case records of one hundred twenty (n=120) patients for core needle biopsy findings and subsequent histopathology reports post-surgery. Sensitivity and significance of core needle biopsy was determined for phyllodes tumor of the breast.
Results: A total of one hundred twenty (n=120) patients’ data were analyzed. There were ninety (n=90) fibroadenoma and thirty (n=30) phyllodes tumor patients. Sensitivity of core needle biopsy for benign tumor was 64.2%, borderline 40% and a malignant phyllodes tumor was 100% respectively.
Conclusions: Core needle biopsy provides a pathological basis for pre-operative diagnosis of phyllodes tumor, but it has a low accuracy and offers limited guidance for surgical decisions, if used alone. An integrated assessment using needle biopsies in combination with clinical data and imaging features is suggested as a reliable strategy to aid phyllodes tumor diagnosis and subsequent treatment.
Iatrogenic bile duct injury: a stitch in time
Authors: Mangipudi Surya Pratap  , Ravi Ranjan  , Gyan Saurabh  , Ranvir Singh  
Published: May 2023

Intraoperative bile duct injuries often are difficult to be identified intraoperatively can lead to a variety of complications and require complex surgical procedures for their definitive treatment. With multiple complicated treatment options, these injuries become a therapeutic challenge. We present a case of a 49-year-old lady diagnosed with symptomatic gallstone disease who underwent open cholecystectomy in an outside hospital, during which she had an iatrogenic bile duct injury which was diagnosed postoperatively. She was promptly referred to a higher centre. After investigations, the patient underwent a Roux-en-Y hepaticojejunostomy with a subhepatic drain. The patient was discharged post-successful recovery on post-op day 7. Iatrogenic bile duct injury can be missed intraoperatively in a cholecystectomy. The patient provides non-specific symptoms, and a high degree of suspicion can help in early diagnosis. Prompt treatment by an experienced hepatobiliary surgeon is necessary for the successful treatment of the condition.
Patella thickness in TKR- Intra operative measurement in Indian population
Authors: Kedia Ankit , Kadian Anuj Kumar 
Published: May 2023

Patellar resurfacing is one of the most contentious issues in total knee replacement, with anterior knee pain ranging from 4 to 49% post TKR. One of the important decision maker in patellar resurfacing techniques is thickness of patella. Minimum 14 mm native patella thickness is essential after 8 mm cut, to avoid patellar complications like loosening, pain and crepitus. We present a study of patellar sizes in Indian population, taken intra-operatively while performing total knee replacement of 73 consecutive knees. We measured thickness, superoinferior and mediolateral dimensions and compared them with height, weight and implant size.The average patellar size in Indian adults was 21.7 mm with 42 knees having patellar size less than 22 mm. In males it was 24.3 mm and in Indian adult females it was 20.8 mm. The patellar size had significant direct correlation with height of the patient. And smaller femoral and tibial implant size correlated with smaller patellar thickness. Average patellar thickness in Indian adults is small. Patelloplasty is a better alternative for such patients than resurfacing.
Impact of COVID-19 containment measures on children with cancer in Indonesia
Authors: El Salih Ibrahim , Widjajanto Pudjo Hagung , Sutrisni Sri , Hoogland Iris , Kaspers Gertjan , Mostert Saskia 
Published: May 2023

Containment measures to limit COVID-19 spreading profoundly impact children around the globe, especially in low- and middle-income countries such as Indonesia. The aim of this case series study is to uncover the impact that COVID-19 measures have on Indonesian children with cancer and their families. A case series study was conducted in July 2021. Investigators identiﬁed three children diagnosed with cancer at an Indonesian referral hospital and studied their medical records. Caretakers were interviewed inside the hospital by an independent interviewer using a semi-structured questionnaire. This study presents three children with cancer and their families. Access to proper healthcare was hindered during COVID-19 pandemic due to mobility restrictions, medical staff shortage, limited chemotherapy and blood products availability, postponed medical procedures, and delayed or modified treatment administration. Financial hardships resulted because caretakers lost their jobs due to lockdowns and medication costs were no longer fully covered by health-insurance. Children and their relatives suffered from mental health issues. Anxiety, depression, stress and loneliness were caused by the fear of receiving suboptimal cancer treatment, serious concerns about financial difficulties, and restricted social interactions. All families believed that COVID-19 measures worsened their children’s survival chances. COVID-19 measures adversely impact children with cancer and their families in Indonesia, and most likely in other low- and middle-income countries as well. Disruptions in timely and adequate childhood cancer treatment administration may importantly deteriorate survival chances. Governments and policymakers should take these indirect effects into account to protect vulnerable children and their families.
Acil servise başvuran yaşlı hastalarda eritorist dağılım genişliği ile hastane içi mortalitesi arasındaki ilişki
Authors: ŞAHİN Yusuf , AKYOL Pınar Yeşim , KARAKAYA Zeynep , TOPAL Fatih , ÇAKIR Adem 
Published: May 2023

Amaç: Eritrosit dağılım genişliği tam kan sayımı incelemesinde kullanılan bir parametredir. Son çalışmalar, kırmızı kan hücresi dağılımının, birçok hastalıkta mortalitede klinik olarak anlamlı prediktif değerde artan mortalite ile ilişkili olduğunu göstermektedir. Hastaneden taburcu olan hastaların eritrosit dağılım değerleri ile hastaneye yatan hastaların RDW düzeylerini karşılaştırdık ve hastane içi mortalite ile ilişkisi olup olmadığını araştırdık.
Gereç ve Yöntemler: Bu çalışma acil serviste yapılmış kesitsel retrospektif bir çalışmadır. Dışlama kriterlerini karşılamayan toplam 843 kişi (435 çalışma(eski) grubu ve 408 kontrol grubu) çalışmaya dahil edildi. Eritrosit dağılım değerleri çalışma ve kontrol gruplarına göre değerlendirildi.
Sonuç: Çalışma(eski) grubunda kırmızı kan hücresi dağılımının ortalama değeri 16.03 olarak bulundu. Kontrol grubunda ortalama eritrosit dağılımı değeri 14,67 bulundu. Mann Whitney U testi ile karşılaştırıldığında çalışma(eski) grubunda kırmızı kan hücre dağılım değerinin kontrol grubuna göre anlamlı olarak arttığı ve mortalite ile ilişkili olduğu gösterildi (p
Kendine Zarar Verme Davranışı Olan Ergenlerde Aile İşlevlerinin, Ebeveyn Ve Arkadaşlara Bağlanmanın, Karar Verme Stillerinin Ve Problem Çözme Becerilerinin Değerlendirilmesi
Authors: KAVURMA Canem , BİLAÇ Öznur , ÖNDER Arif , DOĞAN Yakup , UZUNOĞLU Gülçin , ADANİR Asli , KANDEMİR Hasan 
Published: May 2023

AMAÇ: Kendine zarar verme davranışı, intihar amacı olmaksızın kişinin kendi bedenine yönelik zarar verici davranışta bulunmasıdır. Yapılan çalışmalarda birçok psikiyatrik bozuklukla beraber olabildiği gösterilmiştir. Ayrıca kendine zarar verme davranışının etiyolojisinde kişiler arası etkileşim (aile ve arkadaşlara bağlanma), akran zorbalığı, istismar öyküsü gibi birçok etkenin yer aldığı bilinmektedir. Kendine zarar verme davranışı olan ergenlerin klinik uygulamalarda problem çözme ve karar verme becerilerinde güçlükler yaşadıkları görülmekle birlikte bu alanda yazında oldukça az araştırma olduğu dikkati çekmektedir. Çalışmamızda kendine zarar verme davranışı nedeniyle polikliniğe başvuran ergenlerin karar verme stillerini, problem çözme becerilerini, arkadaş ve ebeveyne bağlanmalarını, aile özellikleri ve işlevselliklerini sağlıklı ergenlerle karşılaştırarak incelemeyi amaçladık.
GEREÇ ve YÖNTEMLER: Çalışmamıza Manisa Ruh Sağlığı ve Hastalıkları Hastanesine başvuran, kendine zarar verme davranışı olan, 10-17 yaş aralığında bulunan 46 olgu ve 33 sağlıklı kontrol alınmıştır. Olgu ve kontrol grubundaki her ergene sosyodemografik veri formu, aile değerlendirme ölçeği, ebeveyn ve arkadaşlara bağlanma envanteri, ergenlerde karar verme ölçeği ve problem çözme envanteri uygulanmıştır.
BULGULAR: Gruplar sosyodemografik veriler açısından karşılaştırıldığında olgu grubunda anne baba boşanmasının daha sık ve ailenin aylık gelirinin daha düşük olduğu sonucuna varılmıştır. Kendine zarar veren grupta sigara kullanımı ve intihar girişimi istatistiksel olarak anlamlı derecede yüksek bulunmuştur. Kendine zarar veren ergenlerde aile değerlendirme ölçeğinin gereken ilgiyi gösterme ve genel işlevler alt boyutunda kontrol grubuna göre anlamlı derecede olumsuzluk saptanmıştır. Ergenlerde karar verme ölçeği değerlendirildiğinde karar vermede öz saygı bölümü kendine zarar veren grupta anlamlı derecede düşük bulunmuştur. Aynı ölçeğin panik kısmı hasta grubunda anlamlı derecede yüksek bulunmuştur. Kendine zarar veren grupta bağlanma envanterinin ebeveyn alt ölçeği anlamlı derecede düşük bulunmuştur. Problem çözme envanteri değerlendirildiğinde kendine zarar veren grupta anlamlı derecede yüksek puan aldığı saptanmıştır.
SONUÇLAR: Kendine zarar veren çocuk ve gençlerde aile ile olan ilişkide, karar verme süreçlerinde, aile bağlanması ve problem çözmede yazınla uyumlu şekilde sorunlar mevcuttur. Kendine zarar veren çocuk ve gençlerin bu alanlarda desteklenmesi tedavinin bir parçası olmalıdır.
Surgical Management of Basilar Invagination: Comparison of Clinical and Radiographic Outcomes Utilizing Differing Surgical Approaches
Authors: SANDAL Evren , KINALI Burak , KARADAG Ali , ÇAĞLI Sedat 
Published: May 2023

Aim: Previous studies have outlined various surgical approaches to treatment of basilar invagination, but none have compared multiple different treatment options using objective clinical and radiological criteria.
Material and Methods: We retrospectively reviewed the records of 30 patients with basilar invagination treated by five different surgical approaches. The surgical outcomes were evaluated and compared using objective clinical (Ranawat score) and radiological parameters (Chamberlain distance, atlantodental interval, and craniovertebral angle).
Results: Our results show a statistically significant improvement in the Ranawat score for patients undergoing 1) anterior decompression with posterior stabilization, 2) posterior decompression with posterior stabilization, and 3) the Goel procedure (posterior decompression, posterior reduction, cage distraction, and posterior stabilization). Of these, the Goel procedure produced the most significant improvement in functional and radiographic outcomes. Neither group without posterior stabilization (posterior decompression alone or endoscopic transnasal odontoidectomy alone) had a significant improvement in Ranawat score or radiographic outcomes.
Conclusion: For surgical management of basilar invagination, a combination of posterior decompression, posterior reduction, cage distraction, and posterior stabilization yielded the best clinical and radiological outcome. There is a risk of craniocervical instability and kyphosis and recurrence of stenosis in patients treated surgically without posterior stabilization. Therefore, when deciding on bacillary invagination surgery without posterior stabilization, it should be carefully considered.
Double-J Stentlerin Erkek Cinsel Fonksiyonu Üzerine Etkisi
Authors: ŞİRİN Mehmet Emin , KARAASLAN Mustafa , ÖLÇÜCÜOĞLU Erkan , POLAT Muhammed Emin , YILMAZ Mehmet 
Published: May 2023

Amaç: Bu çalışmamızla URS/RIRS sonrası çok sık kullanılan double-J stentler’in (DJS) erektil fonksiyon üzerine etkisini araştırarak literatüre katkıda bulunmayı amaçladık.
Gereç ve Yöntemler: Bu retrospektif çalışmada, üreter ve/veya böbrek taşı nedeniyle yapılan URS/RIRS sonrası DJS uygulanan erkek hastalar yer almaktadır. Hastaların stentli iken ve stent çıkarıldıktan sonraki İİEF-5 skor değişimi ile demografik verileri, alfa blokör kullanımı, cerrahi türü, IPSS, İİEF-5, VAS skoru ve stent takılı kalma süresi univariate analiz ile değerlendirildi. p
The Urgency of The Indonesian Notary Association (INI) In Development And Supervision Of Notary
Authors: Mahanani Elok Sunaringtyas , Hariyani Iswi 
Published: May 2023

Notary is a job or position that in carrying out its authority requires ethics. The code of ethics is used as a guideline for member behavior along with clear and strict sanctions for violators of the code of ethics. The notary code of ethics aims to make the notary profession run professionally with motivation and orientation to intellectual skills and to argue rationally and critically and uphold moral values. Enforcement and supervision of the implementation of the notary professional code of ethics is carried out through the Notary Honorary Council. Notaries feel the need to be supervised so that the possibility of irregularities in carrying out their positions that are not in accordance with the corridors of law and professional code of ethics as well as abuse of authority or trust given to Notaries can be avoided. The revival of the existence of the Indonesian Notary Association is one of the efforts to reduce the existence of violations committed by Notaries in carrying out their positions, related to the causes of the non-maximum occurrence of an Indonesian Notary Association (INI), namely where notaries do not carry out their profession professionally. With problems like this, the role of the Indonesian Notary Association is needed. The urgency of the notary association in fostering and supervising as an effort to reduce the occurrence of violations committed by notaries.
KEYWORDS: Urgency, Notary Association, Guidance and Supervision
THE INFLUENCE OF STORE IMAGE, TRUST, RISK PERCEPTION, AND BENEFIT PERCEPTION ON ONLINE MOBILE PHONE PURCHASE INTENTION
Authors: Hudawidayanti Iis Mei , Kurniawati Masmira 
Published: May 2023

Introduction: The study intends to affect the shop image, trust, risk perception, and benefit perception of online mobile phone purchases.
Methods: The Smart PLS program was used in conjunction with data acquired via a questionnaire. Because Sentra Mobile's online store is in Bibli, the population of this study includes the whole Blibli user base. In this study, non-probability sampling is used, which means that a population element has no chance of being chosen as a sample subject. Sampling is a purposeful sampling approach in which the sample is determined using multiple criteria so that it may be utilized as a sample.
Results: The findings indicated that each of the variables had an impact on the purchase intention. There is a positive effect on the store's image intended for purchasing mobile phones online. Through trust mediation, store image has a higher favorable impact on the desire to buy mobile phones online. The inclination to acquire a mobile phone online is influenced positively by trust. The perception of risk has a negative effect on the inclination to acquire a mobile phone online.
Conclusion and suggestion: This research can be a reference for further research related to the influence of store image, trust, perceived risk, and perceived benefits on the purchase intention of mobile phones online.
Exploring the supportive care needs for people with cancer undergoing chemotherapy: a qualitative descriptive study
Authors: A'la Muhamad Zulfatul , Nuntaboot Khanitta 
Published: May 2023

Introduction: Chemotherapy's side effects cause people with cancer to encounter difficult situations that might impact their supportive care needs. Exploration of supportive care needs may assist the nurse in improving the quality of life of people with cancer undergoing chemotherapy (PwCUC). Therefore, this study aims to explore the supportive care needs of PwCUCs.
Methods: A qualitative descriptive study from November 2021 until May 2022 was utilized through in-depth interviews and Focus Group Discussions (FGD) in three public health centers in Jember, Indonesia. Data saturation was achieved after the researcher conducted an in-depth interview of 27 informants and FGD of 13 informants. A total 40 informants from PwCUCs, family of PwCUCs, doctors, and nurses was recruited based on inclusion criteria using purposive sampling technique. The researcher developed an in-depth interview and FGD guidelines to collect the data. Six-step thematic analysis was used. Triangulation, member-checking, and thick description were performed to maintain trustworthiness.
Results: The study yielded four themes that represent participants’ voices. These were 1) social support needs, 2) accompanying needs, 3) information needs, and 4) healthcare service support.
Conclusion: Supportive care needs for PwCUCs is a complex and contextual phenomenon. This study revealed that PwCUCs required individual, social, and healthcare service support to meet their needs. Therefore, further study is required regarding developing a nursing care plan for PwCUCs based on cultural-sensitive supportive care needs.
INVESTIGATE THE FACTORS THAT INFLUENCE FOREIGN TOURISTS' DECISION TO VISIT GARUDA WISNU KENCANA
Authors: Fuadi Afif  
Published: May 2023

The goal of this study was to examine the variables that affect foreign tourists' decisions to visit the Garuda Wisnu Kencana Cultural Park. The purpose of this study is to answer the following research questions: "Do push and pull factors affect people's decisions to travel abroad? ", and "Of these two factors, which one has the most significant impact on people's decisions to travel abroad to Garuda Wisnu Kencana Cultural Park?" In order to conduct this study, push and pull factors for foreign visitors to the Garuda Wisnu Kencana Cultural Park were examined.
The incidental sampling technique was used in this study, and a sample of 30 foreign visitors to the Garuda Wisnu Kencana Cultural Park served as the respondents. The analytical approach used is quantitative analysis, which includes the Coefficient of Determination Test, the Partial T Test, the F Test, the Multiple Linear Regression Analysis Test, and the Classical Assumption Test.
The study's findings indicate that these two factors can have an impact on foreign tourists' decisions to visit either simultaneously or jointly. The Anova test or F test, which shows that Ha1 is accepted when the calculated F value > F table is 27.543 > 3.34, supports this. The results of the second study's regression tests, which are techniques for establishing the causal relationships between two variables, are as follows: Y = 2.195 + 1.086X1 + 0.708X2. The push factor (X1) and pull factor (X2) T test results are 4.686 and 5.048, respectively, with 0.000 and 0.000 as significant values.
These results show that the X2 variable, also known as the Attractor Factor, has the highest tcount value, with a tcount>ttable (5.048>2.051) and a significant value of 0.0000.05. These findings suggest that the pull factor variable has a significant impact on visitors' decisions to travel to the Garuda Wisnu Kencana Cultural Park from abroad. Ha2 is therefore acknowledged. R2, also known as the coefficient of determination, has a value of 0.671, or 67.1%. The choice of foreign tourists to visit Garuda Wisnu Kencana Cultural Park is influenced by these two factors; the remaining 35.3% is influenced by factors outside the scope of the research model. Examples include a tour guide, transportation, accessibility, lodging, and so forth.