bluuebunny/crossref_metadata_2025_split huggingface dataset:
Endoscopic Pilonidal Sinus Treatment (EPSIT) Vs Total Excision with Primary Closure (EPC) for Pilonidal Sinus Disease in Combined Military Hospital Rawalpindi
Authors: Muazzam Muhammad Ali , Hussain Syed Mukarram , Quraishi Muhammad Tanvir Ahmed 
Published: December 2022

Objective: To compare endoscopic pilonidal sinus treatment (EPSIT) vs total excision with primary closure (EPC) for pilonidal sinus disease in Combined Military Hospital Rawalpindi regarding intra and post-operative outcomes.
Study Design: Comparative cross-sectional.
Place and Duration of Study: Department of Surgery, Combined Military Hospital Rawalpindi, from Sep 2017 to Aug 2018.
Methodology: A total of 94 patients, all male patients were included. All 94 have primary pilonidal sinus; Patient were randomized in a double-blind study to undergo EPSiT or EPC by non-probability, consecutive sampling into two equal groups.
Results: The mean ± age SD of patients was 28 years ± 2.6 years. All patients completed the follow-up. All 94 patients divided equally for EPSiT and EPC. The patients completed the follow-up. All 94 patients divided equally for EPSiT and EPC. Surgery duration of EPSiT with a median duration of 34.5 minutes (IQR 30-39) and EPC 40.5 minutes (IQR 35-46); The median hospital stay was 8.5 hours (IQR 4-14) in EPSIT and 21.5 hours (IQR 15-28) in EPC. Complete wound healing in EPSiT was 93.6% and EPC was 81%. Wound complication rate was lower for EPSiT 3 (6.3%) and 8 (17%) or EPC (p-value 0.108). One case of wound dehiscence reported in EPC. Recurrence occurred in EPSiT was 3(6.3%) and EPC 9(19.1%).
Conclusions: In our experience, EPSiT was viable as EPC in the treatment of pilonidal sinus.
Diagnostic Accuracy of Different Methods in Detecting Factor V Leiden Mutation in Tertiary Care Centre
Authors: Barlas Sidra , Robert Helen Mary , Mahmood Asad , Mahmood Rafia , Khurshid Ayesha , Khan Saleem Ahmed 
Published: December 2022

Objective: To determine the diagnostic accuracy of clotting based APCR assay in determining Factor V Leiden mutation with PCR as gold standard and to establish the frequency of factor V Leiden mutation in patients presenting with thrombophilia as well as to study their clinical presentations and association with arterial or venous thrombosis.
Study Design: Cross sectional study.
Place and Duration of Study: Army Forces Institute of Pathology (AFIP), Rawalpindi Pakistan, from Dec 2018 to Sep 2019.
Methodology: A total of 230 patients were recruited which presented with DVT and other thrombotic conditions. Acquired causes of Factor V Leiden mutation were excluded from our study. For Screening tests APCR, blood was collected in 3.2% sodium citrate tubes while for PCR blood was collected in K2 EDTA tubes.
Results: On Screening, APCR test 44 (19.29%) showed positive results with cut-off value of <0.8 while 184 (80.70%) were negative. Out of total 230 patients, Factor-v mutation was detected in 42 (18.4%) of patients. On statistical analysis, Screening APCR was found to be 95.45% (95% sensitive CI: 83.84%-99.42%) and 97.85% (95%CI: 94.59%-99.41%) specific as compared to our gold standard method PCR. The positive likelihood ratio was 44.39 (95%CI: 16.76-117.03) while the negative likelihood ratio was 0.05 (95%CI: 0.01-0.19) with a positive predictive value and a negative predictive value of 91.30% (95% CI: 79.10%- 96.35%) and 98.91% (95%CI: 95.92%-99.72%), respectively. The accuracy was 97.39% (95% CI: 94.36%-99.03%).
Conclusion: APCR for Factor-v Leiden Screening is a rapid and cost-effective method for diagnosis of Factor-v Leiden mutation.
Quality of Life in Patients of Type 2 Diabetes Mellitus
Authors: Sarir Nauman , Kohistani Tehseen Ashraf , Arshad Abdul Rehman , Ali Gulzar , Khitab Sumbal 
Published: December 2022

Objective: To document quality of life in type 2 diabetics and identify factors predictive of better quality of life.
Study Design: Cross- sectional analytical study.
Place and Duration of Study: Combined Military Hospital (CMH), Peshawar Pakistan, from Jul to Aug 2019.
Methodology: Adult patients of either gender being treated in outdoor department for type 2 diabetes mellitus were enrolled using non- probability convenience sampling technique. We excluded unwilling patients, those with diabetes for less than 3 months and those unable to comprehend the data collection instrument. Quality of life was assessed using Urdu version of WHOQOL-BREF questionnaire. This was self-administered. Variables potentially affecting quality of life were also recorded: age, gender, duration of diabetes, presence of co-existent hypertension, type of treatment and body mass index.
Results: There were 99 patients, including 44 males, having mean age of 55.01 ± 12.68 years. Median duration of diabetes was 9 years (range: 0.5 to 35 years). Co-existent hypertension was present in 63 patients. Mean BMI was 24.92 ± 5.79 kg/m2. Most (60; 59.60%) of them were on insulin. Total score on WHOQOL-BREF questionnaire was 87.19 ± 12.38, whereas the scores for physical, psychological, social and environmental quality of life were 12.06 ± 2.32, 12.90 ± 2.88, 15.82 ± 3.91 and 14.47 ± 1.84 respectively. Male patients were more likely to have better quality of life (Odds Ratio 3.638, 95% CI 1.508, 8.775; p=0.004). Other factors did not influence quality of life.
Conclusion: Patients with type 2 diabetes have a poor quality of..........
Effect of Ketamine on Tourniquet Induced Hypertension
Authors: Hayat Muhammad Umer , Saeed Mobasher Ahmed , Saeed Ahmed , Khan Basit Mehmood , Abbas Sana 
Published: December 2022

Objective: To compare the frequency of tourniquet induced hypertension in patients undergoing limb surgeries under general anesthesia with intravenous infusion of ketamine and placebo (saline infusion).
Study Design: Comparative prospective study.
Place and Duration of Study: Anaesthesia Department, Combined Military Hospital, Rawalpindi Pakistan, from May to Nov 2018.
Methodology: Total 80 patients undergoing upper and lower limb surgeries with tourniquet application under general anesthesia were randomly assigned into two equivalent groups. Group A (n=40) received intravenous ketamine 0.1 mg/kg bolus followed by infusion at a rate of 2ug/kg/min while Group B (n=40) received intravenous bolus of normal saline followed by its infusion via infusion pump. Systolic blood pressures were recorded by non-invasive method 30 seconds prior to tourniquet inflation and at 60 mins interval after its inflation. Results were characterized using the descriptive statistics. Mean and standard deviation (SD) were used for quantitative variables while frequency and percentages for qualitative variables. The p-value <0.05 was considered as significant.
Results: Tourniquet induced hypertension was found in 2 (5.0%) group A patients and 11 (27.50%) group B patients with statistically significant p-value of <0.05. Visual analogue scale score was slightly higher in the Saline group, but the result was statistically not significant (p=0.32).
Conclusion: Ketamine infusion reduces the occurrence of tourniquet induced hypertension in patients undergoing surgeries with tourniquet application.
Evaluation of Sagittal Change in the Maxilla and Incisor Inclination Following Rapid Palatal Expansion Using Cone Beam Computerized Tomography
Authors: Pasha Hajra , Anwar Ayesha , Bangash Azhar Ali 
Published: December 2022

Objective: To measure the sagittal changes in the maxilla via angular change in point A with Sella Nasion plane and incisor to palatal plane before (T1) and after (T2) rapid palatal expansion with bonded expander.
Study Design: Quasi-experimental study.
Place and Duration of Study: Armed Forces Institute of Dentistry Rawalpindi Pakistan, from Feb 2017 from Jan 2018.
Methodology: 30 patients both male and female presenting to orthodontics department AFID between the ages of 9 and 12 years, with transverse maxillary deficiency were given a bonded hyrax appliance with an activation schedule of 2 turns per day, the retention period was 2 months followed by further retention with a removable plate. Two cone beam computerized tomography evaluations were done. One pre-expansion (T1) and the other after 2 months of retention (T2).
Results: 30 children 16 males (53%) and 14 females (47%) with a mean age of 11.03 ± 0.76 years were studied showing that from pre-treatment to post-treatment Sella Nasion point A value changed insignificantly from 77.03 ± 2.81 to 77.2 ± 3.02and 1 to palatal plane changed insignificantly from 111.82 ± 5.74 to 110.8 ± 5.80. Paired sample t-test results confirmed the statistically insignificant change in Sella Nasion point A and 1to Palatal Plane.
Conclusion: Following rapid palatal expansion with a bonded expander in growing patients the change in maxillary location in the sagittal dimension and the change in inclination of incisor to palatal plane following expansion was insignificantly affected statistically and hence clinically.
Comparison of Biometric Parameters and the Level of Agreement Between OB820 and Iol Master
Authors: Rabbani Shafaq , Akram Amjad , Yaqub Amer , Ashraf Ammara , Khan Fatima 
Published: December 2022

Objective: The primary aim of this study was measure and compare the axial length (AXL), keratometric indices (K1, K2) and anterior chamber depth (ACD) by biometric devices; IOL Master and OB 820, to seek evidence on level of agreement for these parameters between these two devices.
Study Design: Quasi-experimental study.
Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan, from Jul 2016 to Apr 2018.
Methodology: This study was carried out at Armed Forced Institute of Ophthalmology on seventy eyes of 53 patients with senile grade II and grade III cataract. All patients underwent comprehensive ophthalmic and biometric examination using two different optical biometry devices the IOL-Master (Carl Zeiss Meditec, Jena, Germany) and OB-820 (Wave Light, Germany). Parameters of study were axial length (AXL), kera to metric indices (K1, K2) and anterior chamber depth (ACD). The results were evaluated using Bland–Altman analyses for level of agreement (LoA). The differences between both methodologies were assessed using the paired samples t test, and their correlation was evaluated by intra class correlation coefficient (ICC).
Results: The mean age was 62.97 ± 7.97 years with the male/female ratio of 28/25. Mean axial length assessed by OB820 and IOL Master differed significantly in two groups, with a p-value of 0.018. Bland-Altman analysis further confirm significant difference range and 95% limits of agreement and ICC=0.659) of agreement for AXL. While, other parameters, K1, K2 and ACD showed an outstanding agreement (range within 95% confidence interval by Bland -Altman analysis) and internal consistency and.................
Retrieval of Gallbladder Through Epigastric Vs Umbilical Port After Laparoscopic Cholecystectomy
Authors: Awan Muhammad Younus , -Al-Hassan Rabea , Akram Maqsood 
Published: December 2022

Objective: To compare the effectiveness of epigastrics vs. umbilical port after laparoscopic cholecystectomy by measuring the time taken to retrieve the gall bladder, post-operative pain, and infection.
Study Design: Comparative prospective study.
Place and Duration of Study: Department of Surgery Combined Military Hospital Abbottabad, from Jan to Jun 2019.
Methodology: A total of 106 patients underwent laparoscopic cholecystectomy. Patients were randomly divided into two groups. Inclusion criteria were patients with symptomatic gallstones. Exclusion criteria were patients with comorbid medical conditions, acute cholecystitis, Empyema gall bladder, bile or stone spillage, and BMI >40. Time taken to retrieve the gall bladder, pain, and wound infection were used to compare the effectiveness of port sites. The results were collected on proforma and analyzed by using SPSS version 23.
Results: Total 106 patients, having mean age of 45.90 ± 14.49 years. Gender distribution was similar (p=0.314). Retrieval time of gall bladder in epigastric group was 9.2 ± 2.98 and in umbilical group 9.73 ± 3.57 this difference was insignificant (p=0.516). In epigastric group pain was perceived in 3.69 ± 1.77 and in umbilical group 3.28 ± 1.39 with p-value of 0.062 which was nonsignificant. Wound infection in epigastric group was 1.07 ± 0.266 and in umbilical group 1.05 ± 0.233 with p-value of 0.439 which was in significant.
Conclusion: Both port sites are equally effective and depend on Surgeon’s preference.
Diagnostic Accuracy of Multidetector Computed Tomography in Detecting Mesorectal Fascia Involvement in Colorectal Carcinoma
Authors: Panezai Mahrukh , Anwar Javed , Khattak Abdul Latif , Amir Omar , Tareen Ayesha , Saleem Humera 
Published: December 2022

Objectives: To determine the diagnostic accuracy of multi detector computed tomography (MDCT) in detecting mesorectal fascia involvement in colorectal carcinoma, taking histopathology as a gold standard.
Study Design: Cross-sectional study.
Place and Duration of Study: Department of Radiology, Combined Military Hospital Quetta from Jun to Dec 2019.
Methodology: A total of 117 suspected patients of colorectal carcinoma, aged 40-80 years of either gender were included. All the patients underwent MDCT and then were looked for mesorectal fascia involvement. After surgical intervention, the his to pathological result of respected specimens was correlated with MDCT findings.
Results: MDCT showed mesorectal fascia involvement in 66 (56.41%) patients. Histopathology confirmed mesorectal fascia involvement in 62 (52.99%) cases, whereas 55 (47.01%) patients revealed no mesorectal fascia involvement. In MDCT positive patients, 56 patients were true positive, while ten patients were false positive. Among 51 MDCT negative patients, 6 were false-negative while 45 were true negative. Overall results of sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of MDCT in detecting mesorectal fascia involvement, taking histopathology as the gold standard was, 90.32%, 81.82%, 84.85%, 88.24% and 86.32% respectively.
Conclusion: This study concluded that MDCT is a recommended modality due to its high sensitivity. It is an accurate modality for pre-operative detecting mesorectal fascia involvement in colorectal carcinoma patients.
THE AREA METHOD AT THE PRIMARY LEVEL WITH MEDIAN LINE PROBLEMS
Authors: Khổng Nguyện , Tran Tuong 
Published: December 2022

When solving any problem or geometry problem, we often have thoughts and find the other solutions or how to discover new problems from the original problem. For geometry problems, in order to have a new problem we often change or add sumptions/conclusions and etc. In this work, it comes from solvingthe median line problem in primary level. We will develop andexpand it to include new problems on the basis of changing theratio of each dividing point on the two sides of the triangle and/oradding appropriate assumptions.
THIẾT KẾ HOẠT ĐỘNG TRẢI NGHIỆM TẠI LÀNG NGHỀ ĐỊA PHƯƠNG NHẰM NÂNG CAO CHẤT LƯỢNG ĐÀO TẠO GIÁO VIÊN MẦM NON TẠI TRƯỜNG CAO ĐẲNG SƯ PHẠM NAM ĐỊNH
Authors: Vu Huong 
Published: December 2022

Hiện nay, việc tổ chức hoạt động trải nghiệm theo hướng khai thác các yếu tố mang tính địa phương, vùng miền đang được đẩy mạnh nhờ những ưu điểm như: khai thác và bảo tồn các giá trị về thiên nhiên và văn hóa; tính khả thi cao; gần gũi với người học... Để nâng cao chất lượng đào tạo giáo viên mầm non, trường Cao đẳng Sư phạm Nam Định đã và đang tăng cường tổ chức các hoạt động trải nghiệm tại làng nghề địa phương.Trong bài viết, tác giả đã đề xuất quy trình thiết kế hoạt động trải nghiệm gồm 7 bước: Bước 1: Lựa chọn chủ đề hoạt động trải nghiệm văn hóa địa phương gắn liền với chương trình đào tạo GV mầm non; Bước 2: Xác định mục tiêu của hoạt động; Bước 3: Xác định nội dung và phương pháp, phương tiện, hình thức của hoạt động; Bước 4: Lập kế hoạch; Bước 5: Thiết kế chi tiết hoạt động trên bản giấy; Bước 6: Kiểm tra, điều chỉnh và hoàn thiện chương trình hoạt động; Bước 7: Đánh giá việc thực hiện quy trình. Tác giả đã lấy ví dụ về thiết kế hoạt động trải nghiệm tại làng nghề làm nón Nghĩa Châu của tỉnh Nam Định cho sinh viên ngành giáo dục mầm non.
FACTORS AFFECTING THE BEHAVIOR OF USING E-WALLETS OF STUDENTS AT DA NANG UNIVERSITY
Authors: Vo Si 
Published: December 2022

The objective of the paper is to analyze the factors affecting the behavior of using electronic macros of the students. Student Danang University of Economics. The data used in the study was collected by the author from the survey results of 300 valid samples. Due to the Covid-19 epidemic situation, the survey was conducted online using a Google Form link, researched by a convenient method and processed via SPSS software. The article uses qualitative and quantitative methods, through descriptive statistics steps; testing the reliability of the scale by Cronbach Alpha coefficient; exploratory factor analysis (EFA); Pearson; Regression Analysis. The result of the regression analysis shows that there are 3 factors affecting the behavior of using micro electronics, including perceived behavioral control; Social influence and Compatibility. The proposed word do implies policies and solutions to improve the potential to help students access and used the e-mail more. Quantitative research is used to measure the impact or each factor on the behavior of using e-mail Student e-wallet of Da nang University of Economics.
.
USING READING SUB-SKILLS TO IMPROVE THE NON-MAJOR FRESHMEN’S ABILITY OF INDEPENDENT READING CỎMPREHENSION AT TAN TRAO UNIVERSITY
Authors: Nguyen Dung , Ta Huyen 
Published: December 2022

Based on the current educational perspective, the main goal of learning English is to form and develop the essential knowledge and skills of English and the necessary intellectual qualities to help students improve or apply to life (Dang Thi Lan (2009), [1]. Therefore, all new English books are compiled according to the current educational program, based on the criteria of promoting active learning methods, focusing on developing all four skills: listening, speaking, reading and writing in each lesson.
However, through practical teaching, it has been shown that the English reading comprehension ability of the first-year students is still limited, not actively grasping the primary information of the text, not understanding all the implications of the reading, leading to the birth of students. Students learn reading comprehension skills that are not effective. Besides, in reading comprehension iiilessons, iiiteachers iiistill iiiface iiimany iiidifficulties iiibecause iiithey iiihave iiinot iiifully iiimastered iiithe iiitricks iiiof iiiteaching iiireading iiicomprehension. iiiIn iiithis iiistudy, iiithe iiiauthor iiihopes iiito iiipartly iiihelp iiistudents iiiovercome iiicommon iiichallenges iiito iiipractice iiiEnglish iiireading iiicomprehension iiiskills iiimore iiieffectively, iiisuch iiias iiireading iiicomprehension iiitexts iiiand iiireading iiicomprehension iiiexercises iiiwith iiisuccessful iiiresults. iiiHigh... iiiFrom iiithere, iiitake iiithe iiiinitiative iiiin iiiabsorbing iiiand iiiperceiving iiithe iiilesson's iiiknowledge.
Optimización del proceso de producción de etanol de segunda generación utilizando sacarificación y fermentación simultánea a partir de mezclas de residuos lignocelulósicos
Authors: Sánchez Acosta Deyanira Nohely , Villavicencio Vera Lezzie Valeria , Andrade Díaz Christhel , Rosero Delgado Ernesto Alonso 
Published: December 2022

Ecuador se encuentra posicionado como primer exportador de cacao fino de aroma, representando más del 62% de la producción mundial de este fruto, lo que propicia una abundante disponibilidad de residuos valorizables de esta planta. La composición lignocelulósica de estos residuos les confiere la capacidad de ser procesados y transformados a bioetanol. En esta investigación, los residuos de cáscaras, tallos y hojas de cacao fueron acondicionadas (secadas y pulverizadas) y sometidas a un proceso de sacarificación y fermentación simultánea para la producción de bioetanol de segunda generación. La biomasa acondicionada fue sometida a un pretratamiento de hidrólisis alcalina (NaOH al 3%) con explosión de vapor a 121ºC por 90 min a 1 atm. La biomasa hidrolizada se sometió a un proceso de hidrólisis enzimática empleando la enzima celulasa de Aspergillus niger de Sigma Aldrich y se utilizó simultáneamente la levadura Safale S-04 para la fermentación de los azúcares a bioetanol. Las muestras tratadas fueron filtradas y centrifugadas y el contenido de alcohol se cuantificó mediante cromatografía gaseosa. Las condiciones de sacarificación y fermentación simultánea fueron optimizadas mediante un diseño factorial multinivel, empleando la metodología de superficie de respuesta. El diseño incluyó nueve corridas base (todas por triplicado), donde se evaluaron tres concentraciones enzimáticas (5, 15 y 25 FPU/g) para los cinco gramos de carga inicial de material sólido seco (MSS) y tres temperaturas (27, 37 y 47°C). La maximiza producción de bioetanol (0,00240 μL/g) se alcanzó con las condiciones óptimas de 23,5 FPU y 31,7 °C. Se realizó una última corrida empleando las condiciones óptimas para una mayor carga de biomasa (20 g), alcanzando una concentración máxima de bioetanol de segunda generación de 0,11 mL/L.
Análisis del delito de abigeato: afectación al sector ganadero en la Parroquia Borbón, periodo 2020
Authors: Casquete Simisterra Rider , Cevallos Gorozabel Elizabeth Mercedes 
Published: December 2022

En este trabajo de investigación tuvo como objetivo general analizar la normativa penal, en relación con el delito de abigeato y su afectación al sector ganadero de la parroquia Borbón en el periodo 2020.Para realizar lo antes planteado la metodología fue descriptivo y de campo. La población estuvo conformada por diez dueños de fincas de la parroquia antes mencionada. La técnica de recolección de datos fue la observación directa, la encuesta y la revisión documental, el instrumento el cuestionario con preguntas mixtas. Se validó a través del juicio de expertos y el coeficiente de Alfa de Cronbach. Para el análisis de la data se empleó la estadística descriptiva Resultados: la mayoría de los dueños dedican su finca a labores de agricultura y ganadería (70%); un 50% de los dueños de fincas les extrajeron entre una y dos reses por último, el 80% de los entrevistados consideran que las penas en el Código Penal ecuatoriano no corresponden o no están acordes entre el delito y la tipificación, para quienes roben, hurten y trafiquen. Conclusiones: Esta conducta típica, antijurídica y culpable que atenta contra un bien jurídico protegido, siendo este; el derecho a la propiedad y se determinará si la normativa penal vigente en relación con este delito, garantiza efectivamente la protección de los derechos de propiedad de las familias ganaderas.
Las series de dibujos animados que presentan violencia y su incidencia en el comportamiento agresivo en preescolar
Authors: Hidalgo Maldonado Martiana Zahori , Martínez Lalangui Juan Alfredo , Maldonado Vélez Betty Tatiana , Hidalgo Maldonado Cristina Evelina 
Published: December 2022

La investigación tuvo como objetivo determinar cómo inciden las series de dibujos animados que presentan la violencia en la televisión, y su incidencia en la conducta de los niños de 3 y 4 años de edad. El diseño del producto investigativo fue no experimental, de corte transversal correlacional causal, documental, exploratoria. Se aplicaron métodos históricos lógico, deductivo e inductivo, para orientar el proceso investigativo. La técnica empleada fue la encuesta, se validaron dos cuestionarios con respuestas de escala ordinal. La población del estudio corresponde a 36 docentes. Los resultados correlacionales demostraron que los valores de sig 0,012 y la correlación de Spearman es de 0,414 comprobándose la hipótesis del investigador. La investigación concluye afirmando que existe insuficiencias en las variables tecnologías de la información y comunicación con respecto al rendimiento académico en los alumnos investigados.