bluuebunny/crossref_metadata_2025_split huggingface dataset:
IMPLIKASI TERBITNYA UNDANG –UNDANG NOMOR 23 TAHUN 2014 TERHADAP SUMBER DAYA MANUSIA PADA UPTD KESATUAN PENGELOLAAN HUTAN PRODUKSI GEDONG WANI PROVINSI LAMPUNG
Authors: Kurniawan Andri , Wulandari Christine , Febryano Indra Gumay , Kaskoyo Hari , Harianto Sugeng Prayitno , Setiawan Agus 
Published: August 2021

The success of managing the forest management unit cannot be separated from the availability of human resources. The purpose of this study is to study the implications of the issuance of Law Number 23 of 2014 concerning Regional Government on Human Resources in the Gedong Wani Production Forest Management Unit. Data obtained through interviews and library studio analyzed descriptively qualitative. The results showed that there have been changes in human resources in the Regional Technical Implementation Unit (UPTD) KPHP Gedong Wani. In addition, there are also several inhibiting and supporting factors in its application. The most important implication is an increase in human resources both in quantity and quality due to the transfer of authory from the center to the regions. Education and training are still needed to guarantee and improve the quality of human resources in the UPTD KPHP Gedong Wani.
Complications of Hardware Removal
Authors: Kellam Patrick J. , Harrast John , Weinberg Maxwell , Martin David F. , Davidson Nathan P. , Saltzman Charles L. 
Published: August 2021

Background:
While hardware removal may improve patient function, the procedure carries risks of unexpected outcomes. Despite being among the most commonly performed orthopaedic procedures, scant attention has been given to its complication profile.

Methods:
We queried the American Board of Orthopaedic Surgery (ABOS) de-identified database of Part II surgical case lists from 2013 through 2019 for American Medical Association Current Procedural Terminology (CPT) implant-removal codes (20680, 20670, 22850, 22852, 22855, 26320). Hardware removal procedures that were performed without any other concurrent procedure (“HR-only procedures”) were examined for associated complications.

Results:
In the 7 years analyzed, 13,089 HR-only procedures were performed, representing 2.1% (95% confidence interval [CI], 2.1% to 2.2%) of the total of 609,150 surgical procedures during that period. A complication was reported to have occurred in association with 1,256 procedures (9.6% [95% CI, 9.1% to 10.1%]), with surgical complications reported in association with 1,151 procedures (8.8% [95% CI, 8.3% to 9.3%]) and medical/anesthetic complications reported in association with 196 procedures (1.5% [95% CI, 1.3% to 1.7%]). Wound-healing delay/failure (2.1% [95% CI, 1.8% to 2.3%]) and infection (1.6% [95% CI, 1.4% to 1.8%]) were among the most commonly reported complications after HR-only procedures, but other serious events were reported as well, including unexpected reoperations (2.5% [95% CI, 2.2% to 2.7%]), unexpected readmissions (1.6% [95% CI, 1.4% to 1.8%]), continuing pain (95% CI, 1.2% [1.0% to 1.4%]), nerve injury (0.6% [95% CI, 0.4% to 0.7%]), bone fracture (0.5% [95% CI, 0.4% to 0.6%]), and life-threatening complications (0.4% [95% CI, 0.3% to 0.5%]).

Conclusions:
Hardware removal is one of the most commonly performed orthopaedic procedures and was associated with an overall complication rate of 9.6% (95% CI, 9.1% to 10.1%) in a cohort of recently trained orthopaedic surgeons in the United States. Although specific complications such as infection, refractures, and nerve damage were reported to have relatively low rates of occurrence, and associated life-threatening complications occurred rarely, surgeons and patients should be aware that hardware removal carries a definite risk.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Are Patient Linguistic Tones Associated with Mental Health and Perceived Clinician Empathy?
Authors: Al Salman Aresh , Kim Ashley , Mercado Amelia , Ring David , Doornberg Job , Fatehi Amirreza , Crijns Tom J. 
Published: August 2021

Background:
Musculoskeletal specialists have the expertise to distinguish between (1) symptoms that correspond well with observed pathophysiology and (2) disproportionate or incongruent symptoms that may suggest mental and social health opportunities. There is evidence that patient verbal and nonverbal communication can help with this discernment. This study carried this line of research one step further by addressing whether patient linguistic tones, as assessed with use of Linguistic Inquiry and Word Count (LIWC), are associated with symptoms of depression and health anxiety. We also sought associations between both patient and clinician linguistic tones and patient-perceived clinician empathy.

Methods:
A secondary analysis of transcripts of video and audio recordings of 109 adult patients seeking musculoskeletal specialty care was performed. Patients also completed questionnaires quantifying symptoms of depression (PROMIS [Patient-Reported Outcomes Measurement Information System] Depression computerized adaptive test), self-efficacy when in pain (Pain Self-Efficacy Questionnaire, 2-question version), symptoms of health anxiety (5-item Short Health Anxiety Inventory [SHAI-5]), and perceived clinician empathy (Jefferson Scale of Patient Perceptions of Physician Empathy [JSPPPE]). LIWC was used to detect the relative strength of various emotional tones, cognitive processes, and core drives and needs. Bivariate and multivariable regression analyses sought factors associated with symptoms of depression, symptoms of health anxiety, and patient perception of clinician empathy.

Results:
After accounting for demographic variables, there were no specific patient linguistic tones (e.g., sadness, positive emotions, negative emotions, anger, and the use of adjectives) associated with health anxiety and symptoms of depression, pain, self-efficacy, and patient-perceived clinician empathy. There were no clinician linguistic tones associated with perceived clinician empathy. There was no relationship between the sum of emotional words and symptoms of depression.

Conclusions:
Musculoskeletal specialists cannot depend on people experiencing symptoms of psychological distress to verbally express their feelings.

Clinical Relevance:
Specialists may be more likely to identify important symptoms of psychological distress if they anticipate lower emotional expressiveness and are attentive to specific words, concepts, and mannerisms known to be associated with distress.
Traumatic Enthesophyte From a Chronic Pectoralis Major Tendon Rupture
Authors: Nadig Nischal , Jaber Jamil , Cameron Craig , Antosh Ivan 
Published: August 2021

Case:
A 24-year-old active duty soldier with a chronic pectoralis major tendon rupture presented a year later with a bony lesion consistent with an enthesophyte at the humeral insertion. The patient continued to have pain that was affecting his activities of daily living and underwent surgical intervention.

Conclusion:
Operative management with enthesophyte excision and pectoralis major tendon repair provided relief to the patient's symptoms and return to preinjury levels of function as evaluated with Tegner, single assessment numeric evaluation, and visual analog scale scores at the 2-year follow-up.
Intraoperative Fracture of a Dual Modular Delta Ceramic Femoral Head During Total Hip Arthroplasty
Authors: Salmons Harold I. , Ryan Sean P. , Trousdale Robert T. 
Published: August 2021

Case:
A 39-year-old man with cerebral palsy and hip dysplasia status post right Chiari osteotomy presented with right hip osteoarthritis in consultation for total hip arthroplasty (THA). During THA, a Delta ceramic head was misaligned on the taper, but this was obscured by an overlying dual modular polyethylene shell. When we attempted to tap the head onto the taper, fracture occurred requiring revision to a cobalt-chromium head due to slight taper damage.

Conclusion:
To our knowledge, this is the first reported case of intraoperative fracture of a BIOLOX Delta dual modular head.
Microcrystalline Cellulose Generation from Laboratory Cotton Waste and Conventional Characterizations
Authors: Yuen Tan Wan , Gopinath Subash C.B. , Anbu Periasamy , Lakshmipriya Thangavel , Gunny Ahmad Anas Nagoor , Yaakub Ahmad Radi Wan , Chen Yeng , Subramaniam Sreeramanan 
Published: August 2021

Abstract
Microcrystalline cellulose (MCC) is a green material that has widespread applications in pharmaceuticals, food, cosmetics, and other industries owing to its biocompatibility, biodegradability, hydrophilicity, and acid-insolubility. Therefore, this study presented a simple, fast, and cost-effective approach for preparing MCC from laboratory cotton via alkaline treatment and sulfuric acid hydrolysis. Further, the synthesized cotton-based MCC was characterized using FTIR, XPS, and EDX. Based on these results, the major components were identified as carbon and oxygen. This finding was evidenced by the FTIR analysis, which displayed peak wavelength at 3446.94 cm− 1, 2891.11 cm− 1, 1649.50 cm− 1, 1380.1 cm− 1, 1061.19 cm− 1, and 1050–1150 cm− 1. The surface morphology was also examined by FESEM and FETEM, which showed that the prepared MCC has a smooth surface and a consistent, rod-like shape. In addition, the MCC exhibited the typical diffraction peaks of a crystalline structure of cellulose II at 12.2°, 20°, and 22.03°, which correspond to the diffraction planes of 1–10, 110, and 020, respectively, and had a crystallinity index of 78.7%. Moreover, the prepared MCC had a diameter of 37.80 µm and exhibited good stability with a peak at -76.51 mV. Further, the cotton-based MCC exhibited high thermal stability, as revealed by the TGA.
Sanctions and international interaction improve cooperation to avert climate change
Authors: Grimalda Gianluca , Belianin Alexis , Hennig-Schmidt Heike , Requate Till , Ryzhkova Marina 
Published: August 2021

Abstract
Imposing sanctions on noncompliant parties to international agreements is often advocated as a remedy for international cooperation failure, notably in climate agreements. We provide an experimental test of this conjecture in a collective-risk social dilemma simulating the effort to avoid catastrophic climate change. We involve groups of participants from two cultural areas that were shown to achieve different levels of cooperation nationally when peer-level sanctions were available. Here we show that, while this result still holds nationally, international interaction backed by sanctions is overall beneficial. Cooperation by low cooperator groups increases in comparison with national cooperation and converges to the cooperation levels of high cooperation groups. While such an increase is small without sanctions, it becomes sizable when sanctions are imposed. Revealing or hiding counterparts’ nationality does not affect results. Our study supports the proposal to use sanctions to support international cooperation to avert collective risk such as climate change.
Spatiotemporal control of the bacteria to express interferon-γ by focused ultrasound for tumor immunotherapy
Authors: Chen Yuhao , Du Meng , Yuan Zhen , Yan Fei , Chen Zhiyi 
Published: August 2021

Abstract
Bacteria-based tumor therapy has recently attracted wide attentions due to its unique capability in targeting tumors and preferentially colonizing the core area of the tumor. Various therapeutic genes were also harbored into these engineering bacteria to enhance their anti-tumor efficacy. However, it is difficult to spatiotemporally control the expression of these inserted genes in the tumor site. Here, we engineered an ultrasound-responsive bacterium (URB) which can induce the expression of exogenous genes in an ultrasound-controllable manner. Owing to the advantage of ultrasound in the tissue penetration, energy focusing into heating, an acoustic remote control of bacterial gene expression can be realized by designing a temperature-actuated genetic switch. Cytokine interferon-γ (IFN-γ), an important immune regulatory molecule that plays a significant role in tumor immunotherapy, was used to test the system. Our results showed a brief hyperthermia by focused ultrasound successfully induced the expression of IFN-γ gene, significantly improving anti-tumor efficacy of URB in vitro and in vivo. Our study provided a novel strategy for bacteria-mediated tumor immunotherapy.
Analysis of the prognostic significance and potential mechanisms of lncRNAs associated with m6A methylation in papillary thyroid carcinoma
Authors: Huang Yinde , Li Xin , Chen Wenbin , He Yuzhen , Wu Song , Li Xinyang , Hou Bingchen , Wang Shiyue , He Yuchen , Jiang Han , Lun Yu , Zhang Jian 
Published: August 2021

Abstract
Background : m6A methylation-related long non-coding RNAs (lncRNAs) play a significant role in the progression of various tumors and can be used as prognostic markers. However, whether m6A-related lncRNAs also play the same function as prognostic markers in papillary thyroid carcinoma (PTC) remains unclear. Methods : Consensus cluster analysis was performed to divide PTC samples obtained from The Cancer Genome Atlas database into two clusters according to the expression of m6A-related lncRNAs. Then, the least absolute shrinkage and selection operator (LASSO) regression analysis was performed to create and verify a prognostic model. Furthermore, the relationship among risk scores, clusters, programmed death-ligand 1 (PD-L1), tumor microenvironment (TME), clinicopathological characteristics, immune infiltration, immune checkpoint, and tumor mutation burden (TMB) was analyzed. In addition, a nomogram was created, and subsequently, the drug sensitivity of lncRNAs in the prognostic model was analyzed. Finally, the relationship between these lncRNAs and prognosis in pan-cancer was investigated. Results: The prognosis, RAS, BRAF, M, and TME were found to be different in two clusters. The prognostic model included three lncRNAs: PSMG3-AS1 , BHLHE40-AS1 , and AC016747.3 . The risk score was associated with clusters, PD-L1, tumor microenvironment, clinicopathological characteristics, immune cell infiltration, immune checkpoint, and TMB, and thus, risk score was confirmed as useful prognostic indicators. Differentially expressed lncRNAs are involved in many malignancies and can be identified as cancer prognostic makers. Conclusion : According to our research, we can regard m6A-related lncRNAs involved in the procession of PTC as a biomarker of PFS for PTC patients, and pan-cancer.
Memory predicted self-care maintenance in patients with heart failure among cognitive functions: Results from a structural equation model
Authors: Kim JinShil , Kim Sun Hwa , Shim Jae Lan , Hwang Seon Young 
Published: August 2021

Abstract
Background: To explain the direction of specific cognitive function training that could prevent potential self-care deficits, the cognitive domain that affects self-care behaviours in patients with heart failure (HF) should be identified. This study aimed to confirm the relationship between major potential variables affecting self-care maintenance behaviours of patients with HF. The study also aimed to determine which cognitive domain predicts self-care maintenance among patients with HF. Methods: This descriptive study involved a secondary analysis using data of 201 patients with HF from two observational studies in three Korean hospitals. The structural equation model using AMOS version 24.0 was constructed to assess the relationships among the variables. The Seoul Neuropsychological Screening Battery was used to assess global cognition, immediate/delayed memory, and executive function, and the Self-Care of Heart Failure Index v.6.2. was used for self-care confidence and maintenance. Results: Self-care maintenance was affected by memory function with a significant direct effect (β=.43, p=.006), as well as self-care confidence (β=.70, p<.001). Memory function and global function indirectly affected self-care maintenance through self-care confidence (β=-.37, p=.002; β=.14, p=.030). Depressive symptoms also had an indirect effect through self-care confidence on self-care maintenance (β=-.21, p=.005). Conclusion: This study confirmed the need for periodic simple screening of the memory function and training to raise it in patients with HF, enhancing their self-care behaviours. It also suggests that supportive intervention is needed to enhance self-confidence as a mediator.
Studying C-reactive protein and D-dimer levels in blood may prevent severe complications in Bangladeshi COVID-19 patients
Authors: Sultana Gazi Nurun Nahar , Shrivastava Anshika , Akhtaar Khalida , Singh Prajjval Pratap , Islam Anarul , Rahman Fazlur , Chaubey Gyaneshwer 
Published: August 2021

Abstract
The ongoing COVID-19 pandemic has been a scientific, medical and social challenge. Since clinical course of this disease is largely unpredictable and can develop rapidly causing severe complications, it is important to identify laboratory biomarkers which may help to classify patient’s severity during initial stage. Previous studies have suggested C - reactive protein (inflammatory) and D-dimer (biochemical) as an effective biomarker. The differential severity in patients across the world and our limited understanding in the progression of the disease calls for a multi-country analysis for biomarkers. Therefore, we have analyzed these biomarkers among 228 Bangladeshi COVID-19 patients. We show significant association of COVID-19 severity with these two biomarkers. Thus, we suggest using these biomarkers for Bangladeshi COVID-19 patients for disease monitoring. Such validated preventive measures may decrease the case fatality ratio substantially.
Water treatment with CoZnAl-LDH and its mixed metal oxide
Authors: Sharifi-Bonab Mina , Aber Soheil , Salari Dariush , Khodam Fatemeh 
Published: August 2021

Abstract
CoZnAl-layered double hydroxide (LDH) was synthesized by homogeneous co-precipitation. CoZnAl-Mixed Metal Oxide (MMO) was prepared by calcining the LDH. The samples' structure and morphology were studied by analytical techniques including X-ray diffraction, N2 adsorption-desorption isotherm, scanning electron microscopy and UV–visible spectroscopy. Acid orange 7 (AO7) adsorption by as-prepared samples was studied. CoZnAl-MMO showed 526.32 mg/g adsorption capacity, higher than that of CoZnAl-LDH, 243.9 mg/g. Kinetic studies confirmed the pseudo-second-order and pseudo-first-order AO7 adsorption kinetics of the LDH and MMO, respectively. AO7 adsorption onto both LDH and MMO fitted the Langmuir isotherm model well. Band gap calculation confirmed the ability of this nano-MMO to operate in the visible light region. It displayed synergetic adsorption-photocatalytic performance under visible light and the removal efficiency was about 97%.
Preparation of activated charcoal adsorbent from pitombeira seeds (Talisia esculenta) and its application for Ca2+ ions removal
Authors: Mendonça J. C. , Cantanhede L. B. , Rojas M. O. A. I. , Rangel J. H. G. , Bezerra C. W. B. 
Published: August 2021

Abstract
Water quality that the population has access to can undergo a series of changes, contaminations and interferences. Poor water quality may be related to several contamination sources and can pose a health risk for the ecosystem and for people. The calcium ion is a determinant of water hardness, and its excess in the human body can result in a series of complications and diseases such as renal and bladder lithiasis. The seeds of the pitombeira (Talisia esculenta) were used to produce phosphoric acid activated carbon (PAC). Adsorption studies were conducted by batch technique, and isothermal and kinetic models were systematically used to evaluate the potential of PAC to remove Ca2+ ions from aqueous media. The adsorbent was characterized using BET surface area (141.6 m2/g), SEM, pHPZC (2.75), Boehm titration, and by content analysis of the moisture and ashes. The time required for the system to equilibrate was only 5 min. According to the kinetics study, the data were best fitted by the pseudo-second-order model, while the equilibrium sorption data fitted well with the Freundlich model, with a maximum adsorption capacity of 19.05 mg/g, with 90% of Ca2+ ions removal. Therefore, due to its efficiency and low cost, PAC could be employed as an alternative adsorbent for Ca2+ removal.
Evaluation of Stabilized Chlorine Dioxide in Terms of Antimicrobial Activity and Dentin Bond Strength
Authors: Kalay Tugba Serin , Kara Yakup , Karaoglu Sengul Alpay , Kolayli Sevgi 
Published: August 2021

Background:Antimicrobial agents are recommended for disinfection of the cavity following mechanical dental caries removal prior to application of restorative material. There is limited information about stabilized Chlorine Dioxide (ClO2) as a cavity disinfectant.Objective:The objective of this study is to determine the antimicrobial activity and effect on dentin bond strength of ClO2 compared to chlorhexidine digluconate (CHX), sodium hypochlorite (NaOCl) and Ethanolic Propolis Extract (EPE).Methods:Antimicrobial activities of agents against oral pathogens (Staphylococcus aureus, Enterococcus faecalis, Streptococcus mutans, Lactobacillus acidophilus, Lactobacillus casei, Candida albicans, and Saccharomyces cerevisiae) and analyses of EPE were examined. Seventyfive mandibular third molars were sectioned, prepared and divided into five subgroups (n=15/group). Cavity disinfectants (2% CHX, 2.5% NaOCl, 30% EPE, 0.3% ClO2) were applied to etched dentin prior to adhesive and composite build-up. Shear bond strength (SBS) was evaluated with a universal testing machine at a crosshead speed of 0.5 mm/min. The SBS data were analyzed with One-way Analysis of Variance (ANOVA) and Tukey’s post-hoc test (p <0.05). The failure modes were evaluated with a stereomicroscope.Results:It was determined that the compared disinfectants were showed different inhibition zone values against oral pathogens. ClO2 exhibited the highest antimicrobial activity, followed by CHX, NaOCI and EPE, respectively. No statistically significant difference was observed in the SBS values between the disinfectant treated groups and control group. The failure modes were predominantly mixed.Conclusion:The use of 0.3% stabilized ClO2 as a cavity disinfectant agent exhibited high antimicrobial activity against oral pathogens and no adverse effects on SBS to etched dentin.