bluuebunny/crossref_metadata_2025_split huggingface dataset:
Variations and management for patients with craniocervical junction arteriovenous fistulas: Comparison of dural, radicular, and epidural arteriovenous fistulas
Authors: Matsubara Shunji , Toi Hiroyuki , Takai Hiroki , Miyazaki Yuko , Kinoshita Keita , Sunada Yoshihiro , Yamada Shodai , Tao Yoshifumi , Enomoto Noriya , Minami Yukari Ogawa , Hirai Satoshi , Yagi Kenji , Nakashima Hiroyuki , Uno Masaaki 
Published: August 2021

Background:
Craniocervical junction arteriovenous fistulas (CCJAVFs) are known to be rare, but variations and clinical behaviors remain controversial.

Methods:
A total of 11 CCJAVF patients (M: F=9:2, age 54–77 years) were investigated. Based on the radiological and intraoperative findings, they were categorized into three types: dural AVF (DAVF), radicular AVF (RAVF), and epidural AVF (EDAVF).

Results:
There were four symptomatic patients (subarachnoid hemorrhage in two, myelopathy in one, and tinnitus in one) and seven asymptomatic patients in whom coincidental CCJAVFs were discovered on imaging studies for other vascular diseases (arteriovenous malformation in one, intracranial DAVF in two, ruptured cerebral aneurysm in two, and carotid artery stenosis in two). Of these 11 patients, 2 (18.2%) had multiple CCJAVFs. Of 14 lesions, the diagnoses were DAVF in 5, RAVF in 3, and EDAVF in 6 (C1–C2 level ratio =5:0, 2:1, 3:3). Patients with DAVF/RAVF in four lesions with intradural venous reflux underwent surgery, although an RAVF remained in one lesion after embolization/radiation. Since all six EDAVFs, two DAVFs, and one RAVF had neither feeder aneurysms nor significant symptoms, no treatment was provided; of these nine lesions, one DAVF and one RAVF remained unchanged, whereas six EDAVFs showed spontaneous obliteration within a year. Unfortunately, however, one DAVF bled before elective surgery.

Conclusion:
CCJAVFs have many variations of shunting site, angioarchitecture, and multiplicity, and they were frequently associated with coincidental vascular lesions. For symptomatic DAVF/RAVF lesions with intradural drainage, surgery is preferred, whereas asymptomatic EDAVFs without dangerous drainage may obliterate during their natural course.
Cauda equina arteriovenous fistula supplied by proximal radicular artery and concomitant sacral dural arteriovenous fistula: A case report and literature review
Authors: Iampreechakul Prasert , Lertbutsayanukul Punjama , Siriwimonmas Somkiet 
Published: August 2021

Background:
Cauda equina arteriovenous fistulas (AVFs) fed by the proximal radicular artery are exceedingly rare. Spinal dural arteriovenous fistulas (DAVFs) in the sacral region are rare and usually misdiagnosed. We report a case of a cauda equina AVF with concomitant sacral DAVF. We also review the coexistence of multiple types of spinal vascular malformations in a single patient.

Case Description:
A 54-year-old man presented with progressive weakness of the lower extremities for 1 month. Magnetic resonance imaging (MRI) of the lumbosacral and thoracic spine showed spinal cord congestion, extending from the conus medullaris to the level of T7, and abnormal tortuous and dilated flow void, running from the level of L5 to T12 along anterior surface of the spinal cord. Spinal angiography demonstrated the fistula at the level of L2 below the conus medullaris. Based on intraoperative findings, the cauda equina AVF supplied by the proximal radicular artery with cranial drainage through the enlarged radicular vein was confirmed and successfully obliterated. Another enlarged arterialized radicular vein running parallel to another cauda equina nerve root is observed with unknown origin. After the operation, the patient showed mild improvement of his symptoms. Follow-up MRI and contrast-enhanced MR angiography revealed an another sacral DAVF vascularized by the lateral sacral artery.

Conclusion:
The coexistence of different spinal vascular malformations in a same patient is extremely rare. Most authors of several studies hypothesized that venous hypertension and thrombosis due to the presence or treatment of the first spinal vascular lesion may produce a second DAVF.
Cuidado com o diagnóstico clínico da tendinite da para de ganso em corredores recraacionais: pode se fratura por estresse no planalto tibial medial. Relato de dois casos
Authors: Santos Netto Alfredo dos , Rodrigues Luana Queila , Garotti José Eduardo Rossetto 
Published: August 2021

Introdução: O diagnóstico de fratura por estresse no planalto tibial medial pode ser confundida com outros diagnósticosdiferencias, justamente porque o local de dor e sensibilidade a palpação é muito semelhante a lesões meniscais e tendiniteda pata de ganso, que são lesões comuns em pacientes corredores. Objetivo: Relatar dois casos que foram interpretadosinicialmente como tendinite na pata de ganso na avaliação inicial, e após reavaliação ambulatorial, foi realizado diagnósticode fratura por estresse bilateral no planalto tibial medial. Relato dos Casos: Duas pacientes do sexo feminino, 31 e 32 anos respectivamente, começaram a prática de corrida de rua, sem supervisão, e seis e oito semanas após o início da prática, evoluíram com dor nos joelhos, bilateralmente, na face medial. Na avaliação inicial o quadro foi interpretado como tendinite da pata de ganso. Como não tiveram melhora, procuraram novo atendimento médico, em que foi feito suspeita diagnóstica de fratura por estresse no planalto tibial medial, e foram solicitados exames de ressonância magnética bilateral, que confirmaram o diagnóstico. Ambas as pacientes foram tratadas de forma conservadora, com restrição para atividades de impacto por 6 semanas, carga conforme dor, analgesia simples com dipirona, gelo, e ibandronato sódico por 2 meses. As pacientes retornaram após 6 semanas com melhora clínica. Após sessões de fisioterapia foram liberadas para atividades de impacto com sucesso. Conclusão: Esses casos enfatizam a importância da suspeita diagnóstica de fratura por estresse no planalto tibial medial em pacientes corredores recreacionais com quadro de dor na região medial do joelho, principalmente se houve uma mudança no seu padrão ou intensidade de corrida.
Palavras chave: Joelho, Fratura por estresse, Fraturas da tíbia
An Exigency for Ice Core Studies to Determine Spatio-temporal Variability in Moisture Sources and Impact of Black Carbon – Mineral Aerosols on the Himalayan Glaciers
Authors: Ali Sheikh Nawaz , D. Shukla Anil 
Published: August 2021

Himalayan glaciers‒ the store house of fresh water outside the polar region contributes ~45% of the total river flow by glacial melt in the Indus, Ganga and Brahmaputra watersheds which supports the livelihood of ~500 million people . The sustainability of these rivers is being questioned because of the growing evidences of accelerated glacier retreat in the recent decades, which is expected to have cascading effects on the mountainous areas and their surrounding lowlands. The rapid melting of Himalayan glaciers reveals their sensitivity to ongoing changes in climate dynamics, and if the current trend continues, rivers that rely heavily on snow/ice melt are expected to suffer hydrological disruptions to the point where some of the most populous areas may ‘run out of water’ during the dry season. Therefore, efforts are being made to study the glacier mass balance trends in order to understand the patterns and causes of recent recessional trend. Despite their importance, the absence of long-term mass-balance and remote sensing data restricts our knowledge of the Himalayan glaciers’ sensitivity/ response to climate change. Furthermore, such studies may be insufficient unless are compared to long-term glacier fluctuations (millennial and multi-millennial time scales), which aid in better understanding the natural trends of and human impacts on climate change, as well as assessing the causes and possible future of contemporary shrinking glaciers. This will also improve our understanding of past glacier behaviour in the context of primary causes of glacier change, which is critical for water resource management and understanding climate variability in high alpine areas where alternative proxy climate archives are typically scarce. Therefore, it is pertinent to pool our scientific resources and energy (i) towards understanding the Himalayan glaciers’ feeders (precipitation sources) and how they changed over time (geological and historical), as well as the causes of glaciers recession, one of which has been identified as (ii) black soot (carbon) in aerosol pollution.
Strategi Komunikasi Humas Satuan Polisi Pamong Praja Jambi Menjaga Ketertiban Pedagang Kaki Lima
Authors: Sartika  , Pirhat Abbas  , Nurhasanah  , Mardalina  , Muhsin Ruslan  
Published: August 2021

Penelitian ini dilatarbelakangi oleh kurangnya kesadaran pedagang kaki lima untuk menjaga ketertiban, masih ada pedagang kaki lima Jalan Letjen Haryono Telanipura yang berjualan tidak sesuai dengan Peraturan mereka berjualan pada jam kerja antara pukul 06.00 s/d 16.00 WIB. Sebagai aparat Penegak Peraturan Daerah Satuan Polisi Pamong Praja dalam penyampaian informasi di bantu Humas dalam menyampaikannya. Dari persoalan tersebut mendorong penulis untuk melakukan penelitian untuk mengetahui Strategi KomunikasiHumas Satuan Polisi Pamong Praja dalam Menjaga Ketertiban Pedagang Kaki Lima Pendekatan Penelitian yang penulis gunakan adalah penelitian kualitatif. untuk menjelaskan apa yang terjadi secara lengkap, dengan menggunakan data primer dan skunder sebagai jenis data dan sumber data yang diperoleh melalui Humas (Kepala Satuan, Kasubag Umum dan Kepegawaian, Seksi Ketertiban Umum) dan Pedagang Kaki Lima di Kec. Telanaipura. Teknik pengumpulan data dilakukan melalui observasi, wawancara dan juga dokumentasi. Dari pengumpulan data tersebut dilakukan tiga analisis data yang berupa analisis data, yang berupa reduksi data dan dan vertifikasi data. Hasil penulis temukan bahwa Strategi Komunikasi Humas menjaga Ketertiban Pedagang Kaki Lima yaitu: komunikasi persuasif, komunikasi melalui surat dan komunikasi sosialisasi.
PEMANFAATAN LIMBAH BETON SEBAGAI PENGGANTI AGREGAT KASAR PADA PERKERASAN LASTON ASPHALT CONCRETE – WEARING COARSE (AC-WC)
Authors: Imannurrohman Naufal 
Published: August 2021

<p>Meningkatnya pembangunan infrastruktur seperti gedung, jembatan, jalan, dan berbagai fasilitas publik lainnya yang banyak menggunakan bahan beton dapat mengakibatkan kerusakan lingkungan akibat limbah beton yang tidak dilakukan penanganan dengan serius. Untuk membatasi penggunaan agegat baru (<em>fresh aggregate</em>) dari alam ini sudah banyak dikembangkan teknologi daur ulang untuk perkerasan jalan. Tujuan penelitian ini untuk Mengetahui pengaruh limbah beton<em> </em>sebagai pengganti agregat kasar pada campuran laston (AC-WC) untuk perkerasan jalan raya terhadap nilai karakteristik <em>marshall.</em></p><p>Penelitian ini menggunakan metode eksperimen dan pengujian <em>marshall </em>dengan percobaan serta perbandingan<em> </em>sesuai dengan kadar variasi limbah beton sebagai pengganti agregat kasar 0%, 10%, 15%, dan 20% dan variasi kadar aspal 5%, 5,5%, 6%, 6,5% sesuai Spesifikasi Bina Marga Revisi 3 (2010). Metode analisis data pada penelitian ini menggunakan analisis <em>ANOVA (Analysis of Variance) </em>satu arah.</p><p>Hasil yang didapat dari pengujian ini dihasilkan pengaruh nilai karakteristik <em>marshall</em> dengan kadar aspal optimum 6% menggunakan limbah beton optimum 15% yang berpengaruh baik terhadap nilai karakteristik marshall seperti nilai stabilitas sebesar 1869,30 kg, <em>Flow </em>sebesar 3,33 mm, VFB sebesar 76,97%, VMA sebesar 16,64 %, VIM sebesar 3,83% dan MQ sebesar 590,97 kg/mm. Dengan demikian campuran tersebut sesuai dengan persyaratan Spesifikasi Teknis Bina Marga 2010, Revisi 3.</p>
Care Perception of Postnatal Mother on Care during Labour in Tertiary Level Hospital, Nepal
Authors: Gautam Bhattarai Saraswoti Kumari , Dhakal Kamala , Pandey Apsara , Gautam Kanchan 
Published: August 2021

Background: Labour and delivery experience is one of the most significant events in a woman’s life. Support in labour has an impact on the childbirth experience and childbirth outcomes. A positive childbirth experience can help in mastering the major change in life. Therefore, the objective of this study was to find out postnatal mothers' perception on care during labour.
Methods: A descriptive cross-sectional design was used to explore the perception on care during labour of postnatal mothers in postnatal ward Tribhuvan University Teaching Hospital. Total 294 postnatal mothers with normal delivery were selected by purposive sampling method after receiving ethical approval from research department of Institute of Medicine and concerned authority. Data was analyzed by using descriptive as well as inferential statistics.
Results: Among 294 women; 208(70.75%) were received care on infection prevention, 160(54.42%) received bladder care, 175(59.66%) received care on hydration maintenance, 149(50.57%) received care on injury prevention, 103(34.88%) care on comfort measures, 180(61.14%) care on information, 207(70.54%) care on emotional support, and 201(68.31%) care immediately after childbirth. There is significant relationship among different types of care during labour (such as emotional support (44.44%), infection prevention care (19.7%), care for bladder empty (14.5%), maintenance of hydration (17.1%), care for prevention of injury (31.9%), care on pain relieve and comfort measures (50.1%), informational care (64.5%), and care immediately after delivery (18.5%)) and overall perception on care during labour. The perception level was based on mean score and was categorized as; below 3 is negative perception, 3 and above is positive perception. The finding of this study shows that 93(31.6%) postnatal mothers were perceived care negatively and 201(68.4%) perceived care positively during labour. It indicates that care during labour needs to be improved for best care perception.
Conclusions: Women expect professional, supportive and respectful care during labour. Continuous care and support during labour has meaningful benefits for women and infants. It indicates that the care during labour need to be improved for best care perception.
A study on orthodontic retention practices in Nepal
Authors: Karmacharya Anjana , Kafle Dashrath , Adhikari Ram Bhakta , Malla Nirjalla 
Published: August 2021

Introduction: Retainers are used after all orthodontic treatment, to prevent or minimize relapse and recurrence. Among various retainers used, Hawley retainer and ‘invisible’ retainers are the most common. Most of the orthodontists favored permanent retention. It is obvious that the retention procedures are variable and depended largely on personal preferences, and there does not seem to be any consistent pattern in the application of retention methodologies. The purpose of this study was to survey the retention protocols among orthodontists in Nepal.
Materials and Method: The complete lists of the names and addresses of orthodontists in Nepal was obtained from the ODOAN. The questionnaire was sent to them which consisted of multiple-choice questions and short answer, related to background information of the individual orthodontist, retention use in general, the frequency of different types of bonded or removable retainers that are used, the retention protocol, the type of retainer used in specific situation. All statistical analyses were performed using the Statistical Package for Social Sciences (SPSS), version 12.0.1 (SPSS Inc, Chicago, Illinois, USA)
Result: The survey questionnaires were completed by 90.42% of the 94 orthodontists of Nepal, 58.8% males and 41.2% females with a mean age of 36.7 years. Most of the orthodontists used a clear (vacuum) retainer (80%) in the maxilla and fixed bonded retainer in the mandible. Most of them prefer the use of retainer for a continuous 24 hours except during eating and brushing for 6 months to 1 year (56.5%) and if possible, for 1 to 2 years (28.2%).
Conclusion: Majority of Nepalese orthodontists provide vacuum formed retainer on maxillary arch and bonded retainer in mandibular arch. There is no specific consensus on other type of retainers, duration of wear and follow up visits which is affected by various other factors.
STUDY OF VARIOUS BASELINE FACTORS AND PRE-OPERATIVE FACTORS AFFECTING SURGICAL SITE INFECTION IN CAESAREAN SECTION
Authors: Shroff Khushali , Desai Dhwani , Verma Ragini , Patel Ekta 
Published: August 2021

Introduction: Caesarean section is one of the most commonly performed surgical procedure in hospitals. But it carries 5-20 fold increase risk of infection compared to vaginal delivery. Analysis of various baseline, intrinsic and extrinsic risk factors predisposing to surgical site infection is necessary to detect common links. obtained information is important to plan a strategy to reduce post caesarean wound infections and its complications.
Material and Method: This is a prospective observational study enrolling 1500 sequentiall consenting subjects who had undergone caesarean section, on surgical site infection following caesarean section.
Results: The cesarean section rate was found to be 41.2%.Subjects over 35 years of age had highest SSI rates of 16.7% and difference in SSI in subjects more than 35years was statistically significant (p value = 0.04)
(88.6%) of the total enrolled subjects undergoing LSCS were antenatally registered amongst which 3.3% developed SSI compared to 11.4% of the total subjects were antenatally unregistered amongst which 5.8% developed SSI (p value=0.04)
1% of the total enrolled subjects undergoing LSCS had a history of gestational diabetes mellitus amongst which 33.3% had SSI , while 99% of the subjects did not have history of gestational diabetes amongst whom SSI incidence was 3.3% (p value <0.01) which is significant.
7.6% of the total enrolled subjects undergoing LSCS had a history of hypertension amongst which 8.8% developed SSI compared to 92.4% of the subjects without hypertension had 3.2% SSI. (p value <0.01) there is a significant association of body mass index with SSI. (p value <0.01).
There is significant association found between preterm rupture of membrane and SSI (p value <0.01).
Conclusion: Strategies for the prevention of post operative BMI must aim to control mother’s pre-conceptual weight, their antenatal registration, follow standard intranatal mangement guidelines, timely administration of prophylactic antibiotic if decision to perform LSCS is to be taken.
Keywords: Surgical site infection, caesarean section.
ІНТЕГРАТИВНИЙ ПІДХІД У ПІДГОТОВЦІ МАЙБУТНІХ ПЕДАГОГІВ ПРОФЕСІЙНОГО НАВЧАННЯ
Authors: Бахтіярова Халідахон 
Published: August 2021

Актуальність застосування інтегративного підходу у підготовці педагогів професійного навчання зумовлена інтеграційними процесами сучасної української освіти, спрямованими на відкритість, формування цілісної картини світу, інтеграцію з національною історією, традиціями, українською культурою.
Мета: визначити сутність інтегрованого навчання у підготовці майбутніх педагогів професійного навчання та окреслити специфіку поєднання в освітній програмі предметів інженерного та психолого-педагогічних циклів.
Методи: теоретичні (індукція, дедукція, узагальнення) – для систематизації наукових фактів, встановленні взаємозв’язку між різними поняттями; емпіричні (дослідження, обґрунтування педагогічного досвіду) – для вивчення освітніх програм підготовки здобувачів професійної (професійно-технічної) освіти та врахування їх результатів в освітньому процесі.
Результати: визначено суперечності при складанні освітніх професійних програм, можливості забезпечення паритетного співвідношення інженерних та психолого-педагогічних дисциплін з метою формування у майбутніх викладачів професійної освіти інженерної та психолого-педагогічної бази; обґрунтовано інтегрований підхід при розробленні та реалізації освітньо-професійної програми підготовки бакалаврів зі спеціальності 015 «Професійна освіта (Транспорт)» в Національному транспортному університеті.
Висновки: визначено, що інтегроване навчання є одним із дієвих механізмів підвищення рівня професійної підготовки майбутніх інженерів-педагогів за рахунок послідовних та взаємопов’язаних дій викладача й здобувача освіти, спрямованих на формування цілісної картини світу на основі об’єднання змісту інженерних і психолого-педагогічних дисциплін; з’ясовано, що специфіка поєднання в освітній програмі предметів інженерного та психолого-педагогічних циклів у підготовці майбутніх педагогів професійного навчання полягає у встановленні міжпредметних зв’язків, наскрізності навчальної, технологічної і педагогічної практик, створенні інтегрованих освітніх курсів, розробленні нових форм організації навчання, впровадженні навчальних проєктів.
Asociación entre morbilidad materna extrema y sepsis en neonatos atendidos en el Instituto Nacional Materno Perinatal, Lima 2016 – 2019
Authors: De La Cruz Davila Jean Pierre Eduardo , Munares García Oscar Fausto 
Published: August 2021

Introducción: Entre 2012 al 2018 la prevalencia de Morbilidad Materna Extrema (MME) en el Instituto Nacional Materno Perinatal (INMP) fue 14.1 por 1000 nacidos vivos aumentando con los años, pudiendo ocasionar repercusiones en el recién nacido (RN) como natimuertos, prematuridad, bajo peso al nacer, entre otros. Objetivo: Determinar la asociación entre la MME y sepsis neonatal e identificar características del RN de madres con y sin MME y sus morbilidades. Materiales y métodos: Estudio longitudinal retrospectivo, en madres expuestas a MME (n=378) y no expuestas (n=378), se realizó el seguimiento del desenlace en su RN en sepsis neonatal, de casos atendidos en el INMP entre el 2016 a 2019. Utilizamos el programa Stata considerando significativos con valores p<0,05. Resultados: El 33% de recién nacidos de hijos de madre con MME presentaron sepsis neonatal (p<0.001), mostrando RR= 7.44 (IC95% 4.63-11.93) y RA= 1.59 (IC95% 0.88-2.84). La prematuridad (p<0.001), cesárea (p<0.001), hipertensión previa al embarazo (p <0.001) y líquido amniótico meconial o fétido (p<0.001) se asociaron a sepsis neonatal. En hijos de madre con MME, el 50.8% (p<0.001) presentaron peso al nacer <2500 g, 23% (p<0.001) requirieron reanimación al nacer, 12.4% (p<0.001) presentaron hipoglicemia, 49.7% (p<0.001) tuvieron una estancia hospitalaria >7 días y 7.1% (p<0.001) fallecieron. Respecto a las causas de MME, se identificó que el 57.67% de madres de este grupo presentaron trastornos hipertensivos durante la gestación, de las cuales 33.94% de sus hijos presentaron sepsis neonatal. Conclusiones: En el análisis de frecuencias y riesgo relativo crudo se logra establecer una asociación entre el hijo de madre con MME y la presentación de sepsis en el recién nacido.
Kurang Energi Kronis Berhubungan dengan Kejadian Anemia pada Ibu Hamil
Authors: Subriah Subriah , Safitri Inka Dewi , Umar Syaniah , Saadong Djuhadiah 
Published: August 2021

KEK (Chronic Energy Deficiency) is a condition caused by an imbalance in nutritional intake, which lasts (chronic) while the anemia in pregnant women is closely related to the nutritional status of pregnant women because anemia is one sign that the mother suffers from malnutrition. This study aims to determine the relationship between chronic energy deficiency and anemia in pregnant women at the Public healthcanter Mangasa, Makassar City. The type of research used is an analytic survey with a cross-sectional design. The sampling technique was purposive sampling with 78 respondents. The results of the statistical test with the chi-square test are known as the significance value of p (0.005) <α (0.05), meaning that the p value is smaller than the value of α at 95% confidence level with 1 degree of freedom, it can be concluded that the null hypothesis is rejected and this accepted hypothesis means that there is a chronic lack of energy relationship with the incidence of anemia in pregnant women at the Public healthcenter Mangasa, Makassar City. Therefore, health workers are expected to be able to carry out continuous strengthening of KIE (communication, information, and education) in pregnant women with KEK risk and anemia to pay more attention to their health status from all factors in readiness to face pregnancy with a cross-sectoral approach.