bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving truck service performance in transporting rock aggregate using Genetic Ant Colony Algorithm
Authors: Ishak Syarifuddin , Djakfar Ludfi , Wicaksono Achmad 
Published: November 2024

Inter-island shipment requests for rock aggregate products are served through the terminal for their own needs (TFON). The high demand for rock aggregate products causes many ships to queue up to be loaded. However, this condition is not comparable to the availability of dump trucks used to serve loading and unloading activities. This study aims to improve the performance of dump truck service in transporting rock aggregate so that the number of dump truck vehicles and optimal loading and unloading service times from the stockpile to ship at TFON are obtained. The research location was carried out at active rock mining companies in the Central Sulawesi region. The data collection method is carried out using field surveys (observations) using a time recording device by recording the process of transporting rock aggregates from the stockpile location to the ship in TFON and collecting secondary data on the demand for rock aggregates to be transported. The analysis method uses the hybrid Genetic Ant Colony Algorithm (ACO-GA) method namely a combination method between the Ant Colony Optimization algorithm and the Genetic Algorithm which aims to maximize the optimal number of trucks used in the transportation process and minimize the time in the loading and unloading process. The results showed that there had been an increase in service performance of the dump truck used in transporting rock aggregate with the longest distance of 2.3 km with a total of 5 dump trucks. The number of dump trucks of 5 units was selected because it falls within the fitness value criteria which is closest to the optimum value or equal to the value of the resources owned. Meanwhile, the optimal loading and unloading process time is in the range of 1.81–3.34 working days
Grzech jako niewierność powołaniu Bożemu w nauczaniu Josepha Ratzingera/Benedykta XVI
Authors: Kluz Marek 
Published: November 2024

Człowiek stworzony na obraz i podobieństwo Boże, może odejść od swego Pierwowzoru. Na wezwanie Boże zawarte w sumieniu ma możliwość odpowiedzenia „nie”. Przekreślając finalizm swego życia człowiek wchodzi na drogę destrukcji i zła moralnego. Był tego w pełni świadomy Joseph Ratzinger/Benedykt XVI, dlatego refleksja nad grzechem była nieustannie obecna w jego nauczaniu. Papież ukazuje grzech jako zerwanie więzi z Bogiem, pomniejszenie grzesznika oraz jako naruszenie prawidłowych relacji międzyludzkich. Wszystkie konsekwencje grzechu czynią człowieka nieszczęśliwym, a tym samym automatycznie przekreślają jego szczerą realizację powołania do relacyjnej miłości i świętości Wskazując na zgubne dla człowieka skutki grzechu, Benedykt XVI domaga się nie tylko przyznania do zła, ale i odejścia od niego.
Racjonalny wymiar emocji. Analiza współczesnych koncepcji
Authors: Kłóś Adam 
Published: November 2024

Emocje i racjonalność zdają się stać na dwóch przeciwległych biegunach. Jednak rzeczywistość rzadko rysuje się w czarno-białych odcieniach. Dlatego w praktyce trudno osiągnąć stan czystego rozumu (nieskażonego emocjami i podświadomymi motywacjami). Jednocześnie element racjonalny zdaje się być nieodłączną częścią reakcji emocjonalnej. Celem tego artykułu jest pokazanie ogólnego zarysu kształtowania się współczesnych poglądów na temat racjonalnego i irracjonalnego komponentu emocji. Zagadnienie zostało omówione w kontekście historycznym, a w ostatniej części artykułu zaproponowano schemat, który jest próbą scalenia i uporządkowania prezentowanych poglądów. Racjonalna ocena bodźca, zdaniem autora, dokonuje się na kilku poziomach, automatycznej oceny pierwotnej i bardziej świadomej, aktywnej oceny wtórej. W ramach bronionej koncepcji emocje na każdym z tych etapów są postrzegane jako racjonalne strategie życiowe, pozwalające właściwie zareagować na napotkane sytuacje życiowe.
Działalność Komisji Kultu Bożego IV Synodu Diecezji Tarnowskiej – recepcja Vaticanum II i Kodeksu prawa kanonicznego z 1983 roku w prawie partykularnym
Authors: Zając Piotr 
Published: November 2024

Synod diecezjalny jest wielkim wydarzeniem dla kościoła partykularnego. Jest miejscem przede wszystkim stanowienia prawa, które musi być dostosowane do rzeczywistości danego regionu. Stąd też nie dziwi fakt, że w swoim założeniu musi angażować wiele osób zarówno duchownych, jak i świeckich. IV Synod Diecezji Tarnowskiej wpisywał się w nurt synodalny, który miał miejsce po Soborze Watykańskim II. Zmiany zachodzące, zwłaszcza na płaszczyźnie sakramentalnej, zmuszały do reorganizacji podejścia duchowego, liturgicznego, ale przede wszystkim mentalnego. Powołana do tego celu Komisja Kultu Bożego miała sprostać temu zadaniu. Celem tego artykułu jest analiza dokumentów archiwalnych dotyczących problemów, z jakimi musiała się zmierzyć Komisja Kultu Bożego IV Synodu Diecezji Tarnowskiej odnośnie do życia sakramentalnego wiernych przy jednoczesnym wprowadzaniu wytycznych soborowych i nowych przepisów kodeksowych.
Wybrane problemy współczesnych rodzin
Authors: Gaura Wojciech 
Published: November 2024

Artykuł ma charakter przeglądowy i koncentruje się na opisaniu wybranych problemów, które powodują dysfunkcyjność rodzin. W szczególności skoncentrowano się na alkoholizmie, przemocy oraz bezrobociu. Celem artykułu jest ukazanie trudności, z jakimi muszą sobie radzić rodziny, które bardzo często nie potrafią w sposób samodzielny przezwyciężyć nawarstwiających się problemów. Cyrkularność, która jest charakterystyczną cechą rodzin w ich systemowym ujęciu, powoduje, że bez profesjonalnego wsparcia i pomocy nie ma możliwości pokonania trudności i problemów.
Zvara Edina, Gratia mecenaturae Esterhasianae, A kismartoni ferences könyvtár története és állománya, Bp., MTAK−Kossuth, 2023 (Esterhazyana)
Authors: Németh S. Katalin 
Published: November 2024

A kötet törzsanyaga az 1722-ben készült könyvtári inventárium közlése, a bevezető tanulmányban azonban Zvara Edina részletes áttekintés nyújt a kismartoni ferences rend alapításáról, tevékenységéről, az Esterházy családdal való kapcsolatáról. A ferencesek könyvtára összetételében jól tükrözte a rend alapvető tevékenységét. A rend célja nem a tudós prédikátorok nevelése volt, hanem a lelki gondozás, a példamutatás, a protestáns hívek visszatérítése. A könyvek ennek megfelelően túlnyomó részt katolikus művek, jóllehet a térítéshez a barátoknak ismerni kellett a protestáns tanokat is. Ezeket általában másodlagos forrásból, a katolikus szerzők vitairataiból ismerték meg, protestáns szellemiségű könyv kevés található a gyűjteményben.
Quality of life in alopecia areata: A disease specific questionnaire
Authors: Sree Teja , Penumatsa Pravallika , Chilakapati Laxmi Shalini , Samanthula Haritha 
Published: November 2024

: Alopecia areata (AA) is an autoimmune disease, impacts 2% of the population worldwide and has a significant impact on the quality of life (QOL) of individuals.: To assess quality of life in patients with alopecia areata using Dermatology Life Quality Index (DLQI). To study the quality of life in relation to age group and gender.: In this study 40 patients with alopecia areata were enrolled and asked to complete the DLQI questionnaire.: Out of the 40 patients with AA, there were 26 (65%) males and 14 (35%) females with a male to female ratio of 1.85: 1. A majority (58.03%) of patients were between 31 and 40 years of age. Employees and students were more affected. Patients with longer duration had moderate to very large effect on QOL. 65% patients were concerned about their disease.: This study indicates that alopecia areata has a small to very large effect on the quality of life of the patients. Hence, Psychological evaluation and support should be considered.
Role of intralesional platelet-rich plasma (PRP) therapy in the treatment of recalcitrant oral ulcers of pemphigus vulgaris
Authors: Tiwary Pankaj Kumar , Hussain Md. Mobarak , Singh Anupama 
Published: November 2024

Pemphigus Vulgaris is a chronic, autoimmune vesiculobullous disorder in which 80-90% of patients develop oral lesions and in 60% of cases, oral lesions are the first sign. The platelet-rich concentrate present in autologous platelet-rich plasma (PRP) therapy has a high concentration of growth factors that promote the synthesis of collagen and extracellular matrix. The wound healing property of PRP can be used to treat recalcitrant oral ulcers of pemphigus as it accelerates the healing process, prevents the patients from side effects of steroids, and reduces the pain and discomfort of the patients. To assess the role of intralesional Platelet Rich Plasma (PRP) therapy in the treatment of recalcitrant oral ulcers of pemphigus vulgaris. A total of 15 histo-pathologically proven cases of Pemphigus Vulgaris under treatment, in whom the skin lesions had healed up to 90% but the oral ulcers were still persistent were included in the study. The severity of the ulcers were monitored by calculating the POLIS (Pemphigus Oral Lesion Intensity Score). Autologous intralesional PRP was administered in 3 sittings 7 days apart and the result was evaluated by change in POLIS score after each sitting. The data was analyzed using SPSS IBM version 26.0. Out of the total cases, 12 patients were female and 3 were male. Intralesional PRP was found to accelerate the healing of recalcitrant oral erosions. It was found that POLIS was reduced after every PRP session. The paired t-test was conducted to compare the mean scores of POLIS-0 and POLIS-3. The result indicates a significant difference between the pre-intervention mean score POLIS-0 (M=19, SD=3.25) and post-intervention mean score POLIS-3 (M=6.6, SD=2.97), t(14)=13.33,p&#60;0.001. Intralesional PRP has been found to improve the recalcitrant oral ulcers of pemphigus vulgaris. Hence, it can be a treatment option where oral and topical corticosteroids fail to respond or are contraindicated.
Comparative study of efficacy of intense pulsed light versus Intralesional triamcinolone in the treatment of hypertrophic scars and keloids
Authors: Naik Bhargav , Pathrikar Shilpa Haibatti , Bhatt Anuj , Miranda Trish Larissa , Kamboj Hiteshi 
Published: November 2024

Keloids and hypertrophic scars are hyperproliferative response of dermal connective tissue to trauma. Their management remains a challenge for practitioners as there is still no universally accepted treatment, leading to recurrences which are frustrating for patients and clinicians alike. Hence, it becomes essential to determine a modality with highest efficacy, least recurrence and better patient compliance.To compare the therapeutic effectiveness of Intralesional triamcinolone acetonide versus Intense pulsed light for treatment of keloids and hypertrophic scars.A single centre, cross-sectional study was conducted on 60 patients. Patients were randomly allocated in two groups, group one received Intralesional steroids ( ILS)-triamcinolone acetonide and group two was treated by Intense pulsed light(IPL).Both groups were accessed for improvement every 15 days until 5 sessions were complete.Both study groups showed significant changes after treatment. Patients treated with ILS showed greater reduction in height. IPL group showed significant reduction in vascularity . Pigmentary outcomes were more favourable with IPL, whereas with ILS hypopigmentation was noted as a common side effect. Both groups showed significant reduction in pliability.Both regimens showed excellent responses with minimum recurrence rates, indicating their high efficacy in management of keloids and hypertrophic scars.
Dermatological manifestations and associated factors in patients with Graves\' disease in Dakar
Authors: Diop Assane , Diadie Saer , Ndiaye Mame Tene , Faye Mame Fatou , Tounsi Ismail , Seck Aby , Diédhiou Demba , Diatta Boubacar Ahi , Ndiaye Maodo , Lèye Abdoulaye , Ly Fatimata , Niang Suzanne Oumou 
Published: November 2024

: The dermatological manifestations of Graves' disease exhibit a polymorphic nature. Our objective was to delineate the diverse cutaneous, mucosal, and pharyngeal manifestations associated with Graves' disease and to assess the influence of the received treatments.: This cross-sectional study involved the prospective collection of data conducted between March 1st and August 31st, 2021. We enrolled patients aged 18 years or older diagnosed with Graves' disease and under follow-up care at two referral endocrinology units.: Out of the 288 enrolled patients, 210 (72.9%) presented dermatological manifestations. The average age was 38.27 years, and the sex ratio was 0.117. Notably, 44.7% (n=84) of patients reported a history of voluntary skin bleaching. The predominant dermatological manifestations included palmar and/or plantar hyperpigmentation (55.7%), dry and brittle hair (47.6%), non-scarring alopecia (45%), axillary depilation (36.2%), hand wetness (22.8%), skin xerosis (18.6%), pruritus (17%), eyebrow tail sign (16.2%), palmar and/or plantar keratoderma (14.3%), brittle nails (9%), pretibial myxedema (1.4%), and one case of lichenoid toxidermia related to thiamazole. Notably, pruritus showed a statistically significant correlation with the use of oral phytotherapy (p=0.04784). Among former patients, cutaneous hyperpigmentation was statistically associated with carbimazole (p=0.03721) and propranolol (p=0.009850).: The primary dermatological feature in Graves' disease is characterized by the prevalence of cutaneous hyperpigmentation. The persistence of these manifestations for some patients may be attributed to the treatments administered.
Effects of relaxation techniques in reducing stress and anxiety among infertile women: A systematic review
Authors: Chaudhary Priyanka , Garg Ram Kumar 
Published: November 2024

Infertility affects millions of women worldwide and can lead to increased levels of stress and anxiety, impacting overall well-being and quality of life. Relaxation techniques, such as Mindfulness-Based Stress Reduction (MBSR), Yoga, Progressive Muscle Relaxation Technique (PMR), and Guided Imagery, have emerged as potential interventions to alleviate emotional distress in infertile women. A comprehensive review of the existing literature is needed to assess the effectiveness of these techniques in addressing stress and anxiety in the context of infertility.Following PRISMA guidelines, a systematic review was conducted by searching electronic databases for relevant studies published up to September 2021. The search used keywords related to relaxation techniques, infertility, stress, and anxiety. Two reviewers screened the identified articles based on predefined criteria. Included studies examined the effectiveness of relaxation techniques in reducing stress and anxiety among infertile women and used validated measures as outcomes. Data extraction and quality assessment were independently performed.The review included 18 studies that explored various relaxation techniques' effectiveness in reducing stress and anxiety among infertile women. MBSR, Yoga, PMR, and Guided Imagery interventions consistently showed significant reductions in perceived stress and anxiety levels. MBSR interventions proved particularly promising in promoting emotional well-being and coping with infertility challenges. Yoga offered a holistic approach, incorporating physical postures, breath control, and meditation to address multifaceted stress. PMR provided practical coping tools, and Guided Imagery offered guided visualization for anxiety management.This systematic review highlights the potential of relaxation techniques like MBSR, Yoga, PMR, and Guided Imagery in reducing stress and anxiety among infertile women. These interventions offer accessible and cost-effective strategies to enhance emotional well-being and coping skills in infertility contexts. Healthcare providers and counselors can consider incorporating these techniques into treatment plans to address the emotional needs of infertile women and improve their overall well-being and quality of life.
Tubal pathologies in benign hysterectomies
Authors: Maddurappa Manvitha , Karanam Ramya , Katti Kala 
Published: November 2024

Fallopian tube is a pair of hollow, muscular tubes that are located at the upper margin of the uterus's broad ligament on each side of the uterus. The most frequent illness among women in the reproductive age range is salpingitis, where about 11% of females are affected. Para tubal cysts, hydrosalpinx, endometriosis and walthard cell nests are one of the common lesions of the fallopian tubes. To evaluate the tubal pathologies in benign hysterectomies done in a tertiary care hospital. We conducted a retrospective observational study for 15 months from October 2022 to December 2023 on 110 women who underwent hysterectomies along with salpingectomies or undertook the procedure as a part of tuboovarian masses in our hospital. These surgically resected specimens of fallopian tube which were received during the study period were included. Haemotoxylin and eosin stained histopathology slides of these cases were examined for a detailed analysis of histological patterns of various fallopian tube lesions. The data was represented in percentages and frequencies.: Among the 110 study participants, the minimum age of the women were 35 years and the maximum age was 64 years. The most common diagnosis in our study was Abnormal uterine bleeding (AUB) which was among 87 (78.8%) of the patients, followed by ovarian cyst (8.1%) and fibroid (6.3%). The tubal pathology was abnormal in 54.5% of the study participants. Majority of the abnormal tubal pathology was found to be paratubal cyst corresponding to 30.6% and 18% in the right and left fallopian tubes respectively followed by hydrosalphinx in the right fallopian tubes corresponding to 10.8%. This study concluded that more than 50% of fallopian tubes had aberrant diseases. Thus, a salpingectomy along with hysterectomy is beneficial to the patient in order to prevent further morbidity.
A diagnostic value of Pipelle endometrial sampling in comparison with dilatation and curettage among patients with abnormal uterine bleeding
Authors: Desai Rashmi S , Vaijinath Maheshwari , Vishwaradhya Nachiketha S , Vasudevamurthy Venkatesh Kariganur 
Published: November 2024

Pipelle aspirator and Dilatation and Curettage (D&C) commonly used to obtain the endometrial sample in patients of abnormal uterine bleed (AUB). This study was conducted to determine the reliability of pipelle device in acquiring an adequate representative endometrial sample when compared to D&C. This prospective comparative study was conducted in a tertiary care hospital in India. One hundred cases of AUB attending the outpatient clinic due to endometrial causes (thick endometrium≥ 12mm in the reproductive and ≥ 4mm in postmenopausal age) were included for the study. Exclusion criteria: AUB due to proven endometrial polyp, coagulopathy. The endometrial sample was taken by the Pipelle device and D&C on the same day. A pathologist, who was blinded to the methods of sample collection, reported the same. The histopathology reports of the Pipelle were compared with that of the D&C sample and the D&C report was considered the gold standard.A 2×2 table of true positive (TP) true negative (TN), False positive (FP) and False negative (FN) was prepared and used for calculating sensitivity, specificity of the pipelle method when compared to D&C. The pathologists classified 96% of the pipelle and 100% of D&C samples as adequate. Higher age, postmenopausal status and thinner endometrium were associated with inadequate sample in pipelle. Pipelle sample had 100% sensitivity and specificity for detecting endometrial carcinoma, hyperplasia, with or without atypia. Pipelle method could not identify any of the polyp, diagnosed with D&C. Pipelle had good correlation for detecting proliferative, secretory endometrium and endometritis. Pipelle device provides adequate sample for histopatholgical examination 96% of the patients. Pipelle sample is 100% sensitive and specific for diagnosing endometrial carcinoma, endometrial hyperplasia with or without atypia. Pipelle method is ineffective for diagnosing polyp.
Evaluation of efficacy of mentzer index for screening of beta - Thalassemia trait in antenatal women
Authors: Kaur Sukhmanjit , Pahwa Sangeeta , Kakkar Simran , Kaur Japji 
Published: November 2024

People with thalassemia trait should be distinguished from those who have anemia due to iron deficiency since they typically have mild microcytic hypochromic anemia and are mostly asymptomatic. : To evaluate efficacy of Mentzer index for screening Beta- Thalassemia trait in pregnant women.From January 2023 to October 2023, the observational study was carried out in the Department of Gynecology & Obstetrics at Sri Guru Ram Das Charitable Hospital Amritsar. The study comprised 130 pregnant women with anemia. To assess microcytic hypochromic anemia, tests like complete blood count (CBC), peripheral blood smears, iron studies, and hemoglobin electrophoresis were performed. Mentzer Index (MI) was computed, and its specificity and sensitivity assessed. Of the 130 patients, 112 had Mentzer Index greater than 13 and 18 had Mentzer Index less than 13 but only 12 out of these18 had beta thal-trait according to HPLC. There were total 15 females having beta thal-trait as per HPLC, however 3 of the 15 had Mentzer &#62;13. Conserding Beta thal-trait, the Mentzer Index's sensitivity and specificity were 80% and 95.65% in this study, and 95.33% and 86.96% for IDA. Mentzer Index (MI) is a helpful tool to distinguish iron deficiency from thalassemia trait as its specificity and sensitivity is high as electrophoresis in diagnosis. In situations with limited resources, this proves to be advantageous in terms of cost-effectiveness.
Enhanced recovery after surgery (ERAS) a multimodal perioperative care pathway in cesarean deliveries
Authors: Moharana Rajalaxmi , Manoghna Gorantala , Dash Sudarshan , Jena Pramila , Rath S. K 
Published: November 2024

Enhanced Recovery After Surgery (ERAS) is an evidence based perioperative program applied for early recovery of patients after surgery to reduce the postoperative surgical stress and hasten early physiological and functional recovery. The present study is focused on application of ERAS protocol in the branch of obstetrics following cesarean sections.The primary objective is to compare the efficacy between post-operative recommendations of ERAS protocols and traditional post-operative care in cesarean sections. A total of 300 patients were included in this study from November 2020 to October 2022 from the inpatient department of Obstetrics and Gynaecology of Pradyumna Bal Memorial hospital, KIMS, Bhubaneswar. Out of 300 patients, 150 were in ERAS group and 150 were in control (conventional) group. The median Length of stay (LOS) of ERAS and control group were 3 and 5 days respectively (p&#60;0.01). The median patient satisfaction score on Likert scale was 4 and 3 for ERAS and control group respectively (p&#60;0.01).The application of ERAS in post-operative period after cesarean has showed significant results in decreasing length of stay and better patient satisfaction score.