Post-PCI transradial patients often experience pain and hemostasis disorders such as bleeding or hematoma at the puncture site.Cryotherapy as a nonpharmacological therapy has been reported to reduce pain and bleeding, but the scientific evidence addressing both outcomes simultaneously is limitedand not yet integrated.This study aims to evaluate the effectiveness of cryotherapy against pain and hemostasis in patients with post-transradial PCI based on the findings of available studies.This study uses Systematic Literature Review method by searching articles on various scientific databases such as Pubmed, Cinahl, Cochrane, Web of Science, and Google Scholar in the last ten years.Articles were selected based on inclusion and exclusion criteria until 16 journals relevant to the topic of the effectiveness of cryotherapy in reducing pain and supporting post-transradial PCI hemostasis were obtained.All selected articles were systematically analyzed to synthesize the main findings as the basis for drawing conclusions.The results of the study show that cryotherapy is effective in reducing pain intensity and supporting post-PCI hemostasis through vasoconstriction mechanisms and reducing pain impulses, thus potentially becoming a safe and low-cost nonpharmacological nursing intervention.However, the available evidence is still limited by the heterogeneity of the study design, the variation of cryotherapy protocols, and the lack of studies specifically focusing on transradial PCI.Therefore, further research with controlled randomized trial designs and standardized protocols is needed to strengthen the scientific basis and support the development of evidence-based clinical practice guidelines.

Ovarian surgery, including oophorectomy and cystectomy, harms female fertility by reducing ovarian reserve.Anti-Mllerian Hormone (AMH) and Antral Follicle Count (AFC) are proper ovarian function biomarkers.The aim of the study was to investigate the impact of ovarian surgery on female fertility and determine if reduced ovarian reserve is a mediator of this impact.An analytical case-control study was conducted among 230 women (115 cases, 115 controls) aged 18-40 years at the Gynecology and Obstetrics Teaching Hospital, Babylon, Iraq.Cases were those with a history of ovarian surgery; controls were age-and parity-matched.Sociodemographic, reproductive, and surgical data were determined by questionnaire and clinical record.AMH and AFC were measured by ELISA and transvaginal ultrasonography, respectively.Multivariable logistic regression and Structural Equation Modeling (SEM) assessed association and mediation.: Women with ovarian surgery had decreased AMH (1.72 0.84 vs. 2.89 0.91 ng/mL, p < 0.001) and AFC (7.6 3.1 vs. 11.8 3.8, p < 0.001).Surgery was associated with lower rates of spontaneous conception (24.3% vs. 47.0%,p < 0.001) and increased use of ART (54.8% vs. 29.6%,p < 0.001).SEM identified that diminished ovarian reserve mediated 53.6% of the effect of surgery on infertility.Ovarian surgery profoundly harms fertility, primarily via compromised ovarian reserve.Preoperative counseling, fertility-conserving surgical approaches, and post-operative assessment of ovarian reserve are strongly advocated, particularly in endometriosis or a history of ovarian surgery.Referral for assisted reproduction should be considered early.

This research aimed to analyze sedentarization practices and their influence on employee skills development in small and medium-sized enterprises in Benin.The key concepts were identified through literature review and directive and semi-directive interviews were used.The quantitative data used in this study were collected from 1,321 employees and analyzed through descriptive statistics and correlation analyses in the SPSS software.The results revealed on the one hand that the sedentarization of employees of small and medium-sized enterprises in Benin can be explained by the games played by the actors involved.On the other hand, the results illustrated that the skill development of SME employees depended not only on the expectation of promotion gain but also on routine activities that negatively and significantly influenced the skill development of SME employees.

This study aims to analyze the direct and indirect influence of budget participation, transformational leadership, and good university governance on lecturer performance through the concept of tri kaya parisudha at the Bali Tourism Polytechnic.This study used a quantitative analysis method that examined 111 samples from 130 population.The data collection method used a Likert scale model questionnaire and the data from the research results were analyzed with descriptive statistics and multivariate statistics SEM-PLS (Structural Equation Modeling-Partial Least Square).The results of the study show that: (1) budget participation has a direct effect on lecturer performance (2) transformational leadership has no direct influence on lecturer performance, (3) good university governance has a direct positive and significant effect on lecturer performance, (4) the concept of tri kaya parisudha has a direct and significant effect on the performance of lecturers.( 5) Budget participation has a direct positive and significant effect on the concept of Tri Kaya Parisudha, (6) Transformational leadership has a direct effect on the concept of Tri Kaya Parisudha, (7) Good University Governance has a direct positive effect on lecturer performance, (8) Budget participation has a positive and significant effect indirectly on lecturer performance through the concept of Tri Kaya Parisudha, ( 9) transformational leadership has a positive and significant effect indirectly on lecturer performance through the concept of Tri Kaya Parisduha, (10) Good University Government has a positive and significant effect indirectly on lecturer performance through the concept of Tri Kaya Parisudha, and (11) that the structural equation model between exogenous variables and endogenous variables of lecturer performance has a strong relationship that has been tested by Empirical

In the present study, color blindness in Erbil Polytechnic University, Erbil Medical Technical Health Institute students were investigated.Of the total number of students at this institution, 1,236, all of whom were examined, 466 were male and 770 were female.Out of all 26 (2.10%) were color blindness.Among them, 23 cases (1.85%) were males and 3 cases (0.24%) were females.Their age ranged from 17 to 56 years; the older age group was related to students who study at the university in the evenings.In this study, Ichihara test was used.Color vision was tested using Ichihara color.Out of 466 males' students, 23 (4.93%) were color blindness, of which 12 were deuteranomaly and 1 was protanomaly.3 of them were deuteranopia and 7 were complete color blindness.Out of 770 females' students, 3 (0.39%) were color blindness.There is 1 case of protanomaly, 1 case of deutanomaly l malformation, and 1 case of protanopia.

Commitment, a central element of Sternberg's theory of love, plays a key role in shaping marital quality and emotional well-being.This study investigates gender differences in marital commitment, considering demographic factors that may account for such variation.The sample included 104 Thai heterosexual married couples, with equal representation of husbands and wives.Participants were recruited using purposive and snowball sampling techniques.Each participant independently completed an online survey assessing romantic passion and demographic characteristics.Gender differences in romantic passion were analyzed using the Wilcoxon Signed Rank Test.The results indicated a statistically significant difference in commitment levels between husbands and wives (Z = -3.379,p < .001),suggesting that the expression of marital commitment is gendered.Furthermore, religious affiliation and length of marriage were identified, through the analysis of Mann-Whitney U Test, as significant factors influencing commitment.The findings confirm that commitment is a multifaceted construct central to marital quality, yet its manifestation varies significantly by gender.The results underscore the role of cultural and contextual factors, specifically religion and marital duration, in shaping attitudes toward commitment, which encompasses responsibilities, sacrifice, and relationship maintenance within Thai marriages.

Autism is a neurodevelopmental disease that expresses itself in a variety of ways, most often within the first 3 years of a person's life.Difficulties in social communication and repetitive and stereotypical behaviors characterize it.The global prevalence of autism is estimated to be about 1 in 100 children, reaching up to 1 in 36 children in some high-income countries.This research focuses on studying the genetic alteration (MECP2, COMT, CACNA1H, and GABRB3) in children with Autism Spectrum Disorder (ASD) to improve scientific understanding of the biological changes associated with the disease.This study was conducted in Al-Zahra Teaching Hospital in Al-Kut / Iraq assay 75 children aged (3-12).Fifty with autism (40 males and 10 females) and a control group of 25 healthy children (14 males and 11 females).Blood samples were collected from all participants.PCR and gene expression analysis were used to determine the levels of the target genes.Regarding gene expression, the study showed differences at a significance level of P0.05 in the expression of the four target genes (MECP2, COMT, CACNA1H, GABRB3) between autistic children and healthy controls (these genes are associated with various brain functions such as neuronal regulation, neurotransmitters, and neurochemical balance).The difference in the COMT gene was not significant despite its decrease in the patient group, 0.47-fold in patients compared to 1.0 in controls.At the same time, there was a significant increase in the GABRB3 gene in patients, 2.73-fold compared to 1.0 in healthy controls.Conversely, there was a significant decrease in the MECP2 and CACNA1H genes, -2.73 and 0.04-fold, respectively, in the group of patients compared to the healthy controls, 1.0.Based on changes in gene expression of the studied genes, which are related to the regulation of neural gene expression and neurotransmission regulation, it can be concluded that autism is genetically related.

Objective: This study aims to examine systemic inflammatory markers and the influence of feto-maternal factors in post-term pregnancies, assessing their ability to predict the course of these pregnancies. The findings seek to contribute to the existing literature on post-term pregnancy outcomes. Methods: The study retrospectively analyzed data from 250 pregnant women, aged 16 to 45, with a known last menstrual period (LMP) and no active trauma, who were admitted to the Obstetrics and Gynecology, Tepecik Training and Research Hospital between 2018 and 2023. The parameters examined included age, parity, systolic arterial tension (SAT), white blood cell (WBC) count, neutrophil count, lymphocyte count, platelet count, mean platelet volume (MPV), red blood cell distribution width (RDW), and neonatal outcomes. The case group consisted of 125 pregnant women who were at or beyond 42 weeks (≥42+0) according to LMP, while the control group included 125 women between 37 and 40+6 weeks of gestation. Comparisons were made between the groups based on the neutrop- hil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and other demographic characteristics. Results: When comparing post-term and term pregnancies, the post-term pregnancy group showed significantly higher values for age, gestation period, height, RDW, and PDW. In contrast, WBC, PLT, MPV, and PLR were significantly higher in the term pregnancy group. No significant differences were found between the two groups in terms of live birth rate, birth weight, birth height, neutrophil count, lymphocyte count, or NLR. Conclusion: In the post-term group, WBC, neutrophil, lymphocyte, MPV, and NLR levels were lower, while PDW and RDW levels were higher compared to the term group. No differences were observed in PLR and PLT levels. Studies with larger sample sizes are recommended to enhance the predictive value of these markers for post-term pregnancies.

Cyber threats have largely received international responses through tactics, emergency facilities and strategic policies.Joint efforts of local, international, public and private sectors toward protecting cyberspace and avoiding digital phobia have been made paramount as evidenced in previous research.Most preventive and security measures have partly reduced the threats, but none stabilize online securities.The networking-link of these threats which exceed national borders intensifies the fight against cyber threats.Hence, the current study's goal is to identify, measure and heighten the efforts being made internationally toward curbing cyber fears and threats.The study was specifically limited to Arab and Africa continents using descriptive and analytical methods.The study found that one of the efficient strategies for controlling online threats include operating secretly against victims; collaborating with neighboring countries; gathering relevant information from appropriate security agencies; creating intelligence gatherings; enacting preventive laws; providing proactive strategies and preparing deterrence theory.It was equally discovered that modern technologies immensely affect these emerging threats, thus complicate the preventive measures.Therefore, toward closing these missing gaps, the existing study argued that more efforts are still needed in different strategic areas.