bluuebunny/crossref_metadata_2025_split huggingface dataset:
Early visual and clinical outcomes of transepithelial photorefractive keratectomy versus transepithelial keratectomy with smart pulse technology for myopia
Authors: Alkadi Turad , Alanazi Samar , Algwaiz Abdulrahman , Alyahya Salman , Binyousef Faris 
Published: October 2024

Abstract:

PURPOSE:
The purpose of this study was to compare early visual outcomes, epithelial healing, and stromal haze between transepithelial photorefractive keratectomy (Trans-PRK) using smart pulse technology (SPT) with traditional Trans-PRK.

METHODOLOGY:
This study is a retrospective, comparative study conducted at a private eye center in “Riyadh, Saudi Arabia,” investigating myopic patients who underwent either Trans-PRK with SPT (study group) or traditional Trans-PRK (control group). The patients were assessed preoperatively and followed up at 1 week and 2 months postoperatively. The main outcomes included uncorrected distance visual acuity (UDVA), corneal haze, and corneal epithelial defect.

RESULTS:
This study included 501 eyes, of them, 222 eyes (44.3%) underwent Trans-PRK with SPT. The UDVA in the study group was significantly better 1 week postoperatively (P < 0.05). For the 2-month follow-up visits, there was no significant difference between the groups. Epithelium healing and stromal haze were comparable in the two groups without significant differences between them.

CONCLUSION:
Transepithelial photorefractive keratectomy with SPT yielded better short-term visual outcomes than traditional Transepithelial photorefractive keratectomy.
Managing surgical aphakia and posterior capsular rupture with suture-assisted intraocular lens implantation
Authors: Kumar Mukesh , Chandak Neha 
Published: October 2024

Abstract:

OBJECTIVE:
This study aims to describe a novel technique for implanting an intraocular lens (IOL) in the sulcus using a 10-0 nylon suture in cases of intraoperative posterior capsular rupture (PCR) with inadequate capsular support, anterior capsular extension during continuous curvilinear capsulorrhexis extending to the posterior capsule, or posttraumatic cataract.

METHODS:
The study included 52 patients who underwent surgery at our hospital, during which an IOL was implanted with the assistance of a 10-0 nylon suture. All patients completed a 1-year follow-up period.

RESULTS:
In 48 of the 52 patients, the IOL remained stable. However, in two patients, the IOL dropped into the vitreous cavity approximately 1-month postsurgery. These two individuals required IOL explantation, pars plana vitrectomy, and secondary IOL (SFIOL) implantation.

CONCLUSION:
Implanting an IOL in cases involving intraoperative PCR with inadequate capsular support, anterior capsular extension to the posterior capsule during continuous curvilinear capsulorrhexis, or posttraumatic cataract can be challenging. The technique of IOL implantation with the assistance of a 10-0 nylon suture, as described in this study, offers a straightforward and safe approach. In addition, it can help alleviate the financial and psychological trauma associated with a second surgery for both the patient and the surgeon.
Four-port bimanual phaco-chop fragmentation for dropped nucleus using standard phaco chopper and assistant handheld 23G endoilluminator
Authors: Dhoot Sanjeev Kumar 
Published: October 2024

Abstract:

PURPOSE:
To describe a bimanual method for management of posteriorly dislocated large nucleus fragment using standard chopper.

METHODS:
A 23G assistant handheld endoilluminator was used as light source through inferonasal self-sealing port, while the large nuclear fragment was broken into smaller fragments using phacofragmatome and standard phaco chopper.

RESULTS:
A case of posteriorly dislocated large nuclear fragment was operated using this technique. The time taken for phacofragmentation was significantly reduced, as well as the ultrasound energy required for the same. There was no port site complication.

CONCLUSION:
This technique allows greater maneuverability and reduces amount of ultrasound energy used by dividing nucleus into small fragments in vitreous cavity.
The hidden crisis: Volatile inhalant substance use disorders in adolescents from Cuttack’s urban slums: A case series
Authors: Satpathy Tapendra Kumar , Sahoo Ashrumochan , Sahoo Amiya Ranjan , Dash Aniket , Nayak Mihir Ranjan 
Published: October 2024

Abstract:
Substance abuse has been defined as the use of chemical substances for nonmedical purposes to achieve alterations in psychological functioning. The substances commonly abused in India include nicotine, alcohol, cannabis, and opioids. However, the use of solvents and propellants is also on the rise as these are inexpensive, legally available household, industrial, office, and automobile products; which are more commonly available to children and adolescents. Organic solvents are cheap and relatively easy to obtain, so they carry the risk of becoming a “gateway drug” for users. We hereby describe three cases of volatile substance abuse in the slum areas of Cuttack who were reported in our medical college.
Effect of surgical timing on postoperative outcomes in patients with acute cholecystitis after delayed percutaneous transhepatic gallbladder drainage
Authors: Gao Wei , Zheng Jun , Bai Ji-Gang , Han Zhao 
Published: October 2024

BACKGROUND
To date, the optimal timing for percutaneous transhepatic gallbladder drainage (PTGBD), particularly for patients who have missed the optimal window for emergency laparoscopic cholecystectomy (LC) (within 72 hours of symptom onset) has not been determined.
AIM
To study the effects of LC timing on outcomes of grade II/III acute cholecystitis (AC) in patients with delayed PTGBD.
METHODS
Data of patients diagnosed with Tokyo Guidelines 2018 grade II or III AC who underwent delayed PTGBD followed by LC at a single hospital between 2018 and 2022 were retrospectively studied. According to the interval between gallbladder drainage and cholecystectomy, the patients were divided into early and delayed LC groups. Outcomes including surgery time, postoperative complications and hospital stay, and patient satisfaction were analyzed and compared between the two groups using t - and χ 2 tests.
RESULTS
There were no significant differences between the two groups in intraoperative blood loss, postoperative abdominal drainage tube placement time, pain index, or total disease duration (all P > 0.05). Compared with those of the early LC group, the delayed group showed significant decreases in the length of procedure (surgery time), conversion rate to open surgery, degree of adhesions, surgical complications, postoperative hospital stay, and total treatment costs, and increased patient satisfaction despite a longer interval before PTGBD (all P < 0.05).
CONCLUSION
For patients with grade II/III AC with delayed PTGBD, LC should be performed 2 weeks after PTGBD to decrease postoperative complications and hospital stays and improve patient satisfaction.
Analysis of therapeutic effect of cell reduction combined with intraperitoneal thermoperfusion chemotherapy in treatment of peritoneal pseudomyxoma
Authors: Li Wei-Wei , Ru Xiu-Mei , Xuan Hong-Yan , Fan Qi , Zhang Jing-Jing , Lu Jun 
Published: October 2024

BACKGROUND
Pseudomyxoma peritonei is a rare tumor that can produce a biological behavior similar to that of a malignant tumor. Surgical resection combined with chemotherapy is the traditional treatment method, but the effect is not good. Cell reduction (CRS) combined with intraperitoneal thermoperfusion chemotherapy (HIPEC) has become a new method for the treatment of peritoneal pseudomyxoma (PMP).
AIM
To find out if CRS and HIPEC can be used safely and effectively to treat PMP.
METHODS
This is an observational study. Clinical data of PMP patients treated with CRS + HIPEC at our hospital from January 2013 to June 2023 was collated and analyzed. The main outcome measures were overall survival (OS), and the secondary outcome measures were the incidence of surgical complications and serious adverse events. Complications were graded according to common adverse event evaluation criteria. Peritoneal tumor staging was performed using the peritoneal tumor index (PCI) scoring system, and a cell reduction degree (CCR) score was performed after CRS. CCR-0 and CCR-1 were considered satisfactory CRS.
RESULTS
A total of 186 patients with PMP were included, with a median age of 56 (48-64) years, 65 (34.9%) years in males, and 121 (65.1%) years in females. The median PCI score was 28 (20-34) points. The median operative time was 300 (211-430) minutes, and no significant complications occurred. 91.4% (170/186) were from the appendix, 53.2% (99/186) were from the low grade, and 30.6% (57/186) were from the high grade. CCR scores showed that 55 patients (29.6%) achieved satisfactory CRS, and 113 patients (60.8%) did not achieve satisfactory CRS. The fatality rate at 30 days after surgery was 2.7% (5/186), 1.6% (3/186) needed a second operation, and the fatality rate at 90 days was 4.3% (8/186). The total incidence of III-IV complications was 43.0% (80/186), among which the higher incidence was mainly anemia (27.4%, 51/186), electrolyte disturbance (11.6%, 21/181), and albumin decrease (7.5%, 14/186). The main complications associated with abdominal surgery were gastrointestinal anastomotic leakage (2.2%, 4/186), abdominal hemorrhage (2.2%, 4/186), and abdominal infection (4.3%, 8/186). The median follow-up was 38.1 (95%CI: 31.2-45.1) months. The 5-year OS of PMP patients treated with CRS + HIPEC was 50.3% (95%CI: 40.7%-59.9%), and the median survival time was 66.1 (95%CI: 43.1-89.1) months. The results of the survival analysis showed that patients with a low pathological grade, a low PCI, and a satisfactory CCR score had a higher survival rate (all P < 0.05). 5-year OS was 88.9% (95%CI: 68.3%-100.0%) in CCR-0 patients, 77.6% (95%CI: 62.7%-92.5%) in CCR-1 patients, and 42.0% (95%CI: 29.5%-54.5%) in CCR-2/3 patients.
CONCLUSION
The application of CRS + HIPEC in PMP is safe and feasible, and the survival benefit is high, especially in those who achieve satisfactory CRS, which can significantly extend the OS.
Cardiac hypertrophy in polycythemia vera: A case report and review of literature
Authors: Ma Bai-Sheng , Zhai Shu-Hui , Chen Wei-Wei , Zhao Qi-Ni 
Published: October 2024

BACKGROUND
The combination of polycythemia vera (PV) with pathological cardiac hypertrophy is uncommon. In this study, we describe a case of PV accompanied by pathological cardiac hypertrophy. It is hypothesized that the pronounced cardiac hypertrophy in this patient has a strong connection with PV.
CASE SUMMARY
In 2021, a 34-year-old Chinese man experienced chest constriction, shortness of breath, and palpitations during vigorous activity. Each episode lasted several minutes and resolved spontaneously following cessation of vigorous activity. He occasionally experienced syncope and vertigo without a headache. He underwent cardiac magnetic resonance imaging and was diagnosed with “hypertrophic cardiomyopathy (HCM)”. He was discharged after receiving symptomatic treatment, which resulted in an improvement. He presented to our department with chest constriction, shortness of breath, and respiratory distress for one month while climbing to the second floor in 2023. His blood pressure was 180/100 mmHg at the time of admittance, and he was receiving antihypertensive treatment. He had a history of PV for 2 years without treatment. Symptomatic treatment was implemented concurrently with the administration of hydroxyurea upon admission. Good blood pressure control was observed during the long-term follow-up, and echocardiography did not reveal any progression of myocardial hypertrophy.
CONCLUSION
Clinicians managing PV patients should remain highly vigilant regarding the risks of thrombosis and cardiovascular complications, particularly in those with refractory hypertension.
Improving Students’ English Speaking Skill Through Guided Conversation At SMK Industri Nasional 1 Setu Bekasi
Authors: Masriyah Masriyah , Siahaan Leroy Holman , Sari Tiara Dian 
Published: October 2024

This study aims to determine how far students' ability to speak English has improved, as well as to experiment with guided conversation techniques in English learning. This study applies the classroom action research method. The subjects of the study are 26 students from class X (TKJ) at SMK Industri Nasional 1 Setu Bekasi for the 2023 school year. The results of this study show that using guided conversation to help students in learning English, especially speaking ability has proven to be successful. This is supported by data from this study. First, the results of the interviews showed that students were more motivated and interested in learning English. Second, the meeting included three tests: Pre-test, post-test of the first cycle, and post-test of the second cycle. After using the guided conversation approach, the percentage of students who passed the KKM increased by 50%: 38.64 for post-test I and 88.64 for post-test II. 23 out of 26 students passed the KKM, showing that classroom action research proved successful.
Pelestarian Nilai-Nilai Luhur dalam Tradisi Jawa di Masyarakat Desa Bukit Rejo Kab. Simalungun Sumatera Utara
Authors: Gusti Aprila Pasaribu  , Luhfiah Malaya Alfa  , Riswanda Pratama Pane  
Published: October 2024

The mostly Muslim Javanese population of Bukit Rejo has struggled to let go of their Javanese customs and culture. Sometimes there may be tasks to be done in this custom and civilization. The people of Bukit Rejo really respect Javanese customs and culture. The idea of developing strong relationships and friendships among villagers is one of these customs and cultures. If we take a closer look at Javanese culture and traditions, especially with regard to their goals and methods of implementation, we may not be fully aware of a large number of Javanese customs. This research analyzes Javanese traditions in Bukit Rejo village, and understands their role in community life, as well as identifying factors that influence their sustainability.
Keperluan dan Cabaran Dakwah di Sarawak: Suatu Analisis Kualitatif dari Perspektif Aktivis NGO Islam
Authors: Ellin Mohammed Rasheedan , Jambli Mohd Khairol , Abdul Hamid Siti Hazariah , Othman Fazmawati 
Published: October 2024

Dalam masyarakat pelbagai etnik seperti Sarawak, penting bagi sesebuah gerakan dakwah untuk memahami dan persepsi dan pandangan aktivis mereka terhadap persekitaran dakwah. Kajian ini menggunakan kaedah temubual bersemuka untuk mendapatkan data, kemudian dianalisis secara tematik menggunakan aplikasi Atlas.TI. Responden dirahsiakan menggunakan nama samaran. Tema utama yang diperolehi merangkumi penghayatan Islam oleh mualaf di Sarawak, cabaran yang dihadapi oleh aktivis NGO dalam dakwah, dan keperluan untuk menyokong penyampaian dakwah yang berkesan di Sarawak. Analisis menunjukkan bahawa persediaan yang baik dari segi motivasi, kemahiran komunikasi, perancangan, dan penguasaan media adalah penting bagi keberkesanan dakwah. Implikasi ini mempengaruhi strategi persediaan dan pelaksanaan dakwah di Sarawak.

In a multi-ethnic society like Sarawak, understanding the perceptions and views of dakwah activists is crucial for an effective dakwah movement. This study employs face-to-face interviews with nine NGO activists, which were recorded, transcribed verbatim, and analyzed thematically using the Atlas.TI software. Respondents are anonymized through pseudonyms. The main themes identified include the appreciation of Islam among converts in Sarawak, the challenges faced by NGO activists in dakwah, and the need for supportive measures to enhance dakwah delivery in Sarawak. The analysis highlights that effective dakwah requires thorough preparation, including motivation, communication skills, strategic planning, and proficiency in media use. These findings have significant implications for shaping the preparation and implementation strategies of dakwah in Sarawak.
VIOLÊNCIA OBSTÉTRICA: A FACE ESCONDIDA DA ASSISTÊNCIA AO PARTO
Authors: SANTANA KADIGIA GABRIELLA GONÇALVES , DE OUTEIRO GABRIEL MORAES 
Published: October 2024

O presente trabalho tem como objetivo abordar os principais aspectos envolvendo a Violência Obstétrica, seus impactos na vida de mulheres gestantes e puérperas, além das implicações decorrentes da ausência de previsão em lei federal acerca desta temática. Para isto, fez-se uso do método dedutivo e da técnica exploratória bibliográfica, valendo-se do exame teórico documental de estudos pregressos realizados na área, obtendo-se como principal resultado dados que apontam a necessidade de criminalização e adoção de políticas públicas combatentes à perpetração da Violência Obstétrica.
Person-environment fit, turnover intention and satisfaction with life. The role of seniority
Authors: Jasiński Arkadiusz M. , Derbis Romuald , Filipkowski Jakub 
Published: October 2024

BackgroundBased on the person-environment fit model, we examined how occupational stress and job satisfaction are correlated with an intention to leave the current workplace or profession and life satisfaction in two groups of midwives with low and high experience.Participants and procedureData were collected between March and December 2022 using a set of psychological questionnaires. Low-experienced mid-wives (n = 152) and high-experienced midwives (n = 174) participated in the study. Multigroup path analysis was used to analyze the data.ResultsResearch has shown that midwives of varying levels of seniority experience similar levels of general occupational stress, job satisfaction, intentions to leave their current workplace or profession, and life satisfaction. The study found a negative corre-lation between occupational stress and job satisfaction and life satisfaction in both groups. The correlation between job satisfaction and the intention to leave the current workplace or profession was significantly negative only among low-experienced midwives. In high-experienced midwives, the relationship between stress and the intention to leave the current workplace or profession was direct. In the group of low-experienced midwives, links between occupational stress and all outcome variables were completely mediated by job satisfaction.ConclusionsOur study demonstrates that degree of person-environment fit accurately predicts the positive and negative consequences of working conditions for behavior both at work and outside of work. The correlations between stress at work, thoughts of leaving work, and the assessment of well-being differ between low- and high-experienced employees.
HERANÇA DIGITAL: SUCESSÃO DE CRIPTOMOEDAS E NFTS
Authors: Santos Nathan Lopes , Disconzi Verônica Silva do Prado 
Published: October 2024

A herança digital refere-se aos ativos digitais e presença online que uma pessoa deixa para trás após sua morte. Dentre os seus vários tipos, encontram-se, para fins desse estudo, as criptomoedas e os NFTS. Diante disso, esse estudo teve o objetivo de analisar a herança digital direcionada à sucessão de cripto moedas e NFTS. Para realizar essa pesquisa, se tratou de revisão bibliográfica, tendo como base artigos científicos, livros e jurisprudência. O material foi recolhido na base de dados da Scielo, Google Acadêmicos dentre outros, cujo material foi limitado aos anos de 2019 a 2024. Nos resultados, evidenciou-se que no Brasil, há uma ausência de uma norma jurídica específica para a herança digital, especialmente no que concerne as criptomoedas e os NFTs. Embora existam leis gerais que possam ser aplicadas de forma indireta, a falta de regulamentação clara sobre o destino dos ativos digitais após a morte de uma pessoa pode gerar incertezas e problemas legais. Sem uma legislação específica, há incerteza sobre como os bens digitais devem ser tratados, levando a interpretações variadas por parte dos tribunais. No entanto, ambos, criptomoedas e NFTs, podem fazer parte de uma herança digital. Como possuem valor financeiro e emocional, é essencial que o acesso a esses ativos seja planejado. Isso pode incluir o armazenamento seguro das chaves privadas e a inclusão dessas informações em um testamento digital, garantindo que os herdeiros possam acessar e gerenciar esses ativos de acordo com os desejos do proprietário.
Modeling the contribution of leads to sea spray aerosol in the high Arctic
Authors: Lapere Rémy , Marelle Louis , Rampal Pierre , Brodeau Laurent , Melsheimer Christian , Spreen Gunnar , Thomas Jennie L. 
Published: October 2024

Abstract. Elongated open-water areas in sea ice (leads) release sea spray particles to the atmosphere. However, there is limited knowledge on the amount, properties and drivers of sea spray emitted from leads, and no existing parameterization of this process is available for use in models. In this work, we use measurements of aerosol fluxes from Nilsson et al. (2001) to produce an estimate of the location, timing and amount of sea spray emissions from leads at the scale of the Arctic Ocean for 1 year. Lead fractions are derived using sea ice data sets from numerical models and satellite detection. The proposed parameterization estimates that leads account for 0.3 %–9.8 % of the annual sea salt aerosol number emissions in the Arctic Ocean regions where sea ice concentration is greater than 80 %. Assuming similar size distributions to those from emissions from the open ocean, leads account for 30 %–85 % of mass emissions in sea ice regions. The total annual mass of sea salt emitted from leads, 0.1–2.1 Tg yr−1, is comparable to the mass of sea salt aerosol transported above sea ice from the open ocean, according to the MERRA-2 reanalysis. In addition to providing the first estimates of possible upper and lower bounds of sea spray emissions from leads, the conceptual model developed in this work is implemented and tested in the regional atmospheric chemistry model WRF-Chem. Given the estimates obtained in this work, the impact of sea spray from leads on Arctic clouds and radiative budget needs to be further explored.
Technical note: Comparison of radiometric techniques for estimating recent organic carbon sequestration rates in inland wetland soils
Authors: Mistry Purbasha , Creed Irena F. , Trick Charles G. , Enanga Eric , Lobb David A. 
Published: October 2024

Abstract. For wetlands to serve as natural climate solutions, accurate estimates of organic carbon (OC) sequestration rates in wetland sediments are needed. Dating using cesium-137 (137Cs) and lead-210 (210Pb) radioisotopes is commonly used for measuring OC sequestration rates in wetland sediments. 137Cs radioisotope dating is relatively simple, with calculations based on a single point representing the onset (1954) or peak (1963) of the 137Cs fallout. 210Pb radioisotope dating is more complex, as the calculations are based on multiple points. Here, we show that reliable dating of sediment cores collected from wetlands can be achieved using either 137Cs or 210Pb dating or their combination. However, 137Cs and 210Pb profiles along the depth of sediment cores need to be screened, analyzed, and interpreted carefully to estimate OC sequestration rates with high precision. To this end, we propose a decision framework for screening 137Cs and 210Pb profiles into high- and low-quality sediment profiles, and we compare dating using the 1954 and 1963 time markers, i.e., the rates of sedimentation and, consequently, OC sequestration over the past ∼ 60 years. Our findings suggest that 137Cs- and 210Pb-based OC sequestration rates are comparable, especially when using the 1963 (vs. 1954) time marker.