bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cromoanagénesis y Eritrodermia como claves diagnósticas en un paciente en estado crítico
Authors: Austin-Ward Enrique Daniel , Hurtado Nicolás , Santamaría Nelson , Pinto Alexis , Espino German 
Published: December 2024

Reportamos el caso de una paciente con un cuadro grave de falla multisistémica en la cual se detectaron cambios cromosómicos masivos en estado de mosaico, que se consideran estarían asociados a la posible patología de fondo: un síndrome linfoproliferativo de Células T. La paciente también presentaba un cuadro de Eritrodermia de causa desconocida instaurado varios años antes, con un declive progresivo de su condición física. El espectro de las manifestaciones clínicas se presenta entonces como un cuadro cutáneo inespecífico paraneoplásico de varios años de evolución y hallazgos de cromoanagénesis en la última fase de un proceso mórbido linfoproliferativo. Las nuevas técnicas de análisis genético permiten obtener datos para aclarar los procesos diagnósticos e identificar una desorganización grave de la información genética que se considera responsable de cambios neoplásicos.
Assessing fertility preservation strategies: A scoping review
Authors: Hilali Chaimaa , Nadifi Chafika , Mbaye Modou Mamoune , Bouanani Nouama , Mohamed Kettani Halabi , Louanjli Noureddine , Benkhalifa Moncef , Lahlou Fatima Azzahra 
Published: December 2024

Objective:
To describe the various options available for preserving female and/or male fertility, taking into account both social and medical aspects, and to identify the effects of different natural products on male infertility extracted from plants.

Methods:
We reviewed the literature and included full-text publications in English provided by international biomedical databases, including Sciences Direct, Google Scholar, OVID, PubMed, and MEDLINE between 2016 and 2023. Search terms, such as fertility preservation, in vitro maturation, cryopreservation, plants for the treatment of male infertility, were taken from Medical Subject Headings (MeSH) and Boolean operators were used to improve sensitivity.

Results:
112 papers were identified in the initial search, of which 18 were excluded due to duplication. After reviewing titles and abstracts, 70 papers were finally included. The main findings of this study are presented under three key themes: gametogenesis, fertility preservation techniques, and plant-based alternatives. Regarding gametogenesis, significant progress has been made in understanding oocyte and sperm maturation, with optimized conditions improving maturation rates and motility. For fertility preservation, techniques such as rescue in vitro maturation and cryopreservation have shown the enhanced outcomes, particularly in maintaining gamete quality. Lastly, plant-based alternatives, including extracts and essential oils, have demonstrated potential in reducing oxidative stress, improving sperm motility, and supporting oocyte development, thus providing a promising complementary approach to conventional methods.

Conclusions:
Fertility preservation is achieved in a variety of ways, including oocyte and embryo vitrification and sperm cryopreservation, and the use of plant-based treatment of male infertility.
Reliability of Measuring Coracohumeral Ligament Stiffness with Different Shoulder Positions of Frozen Shoulders
Authors: Zhang Jingfeng , Wan Yanping , Wang Wenjuan , Meng Jingjing , Yan Yanni , Zhang Lei 
Published: December 2024

Abstract

Background:
Shear wave elastography (SWE) is utilized to detect the stiffness of the coracohumeral ligament (CHL) for the assessment of a frozen shoulder. However, the consistency of shoulder joint posture during the detection process has not been adequately established. This study aims to evaluate the reliability of various commonly employed shoulder postures in measuring CHL stiffness.

Methods:
SWE was used to assess CHL stiffness in 55 patients with phase I frozen shoulder by two independent observers. Two measurements were taken, with a 1-week interval, at three shoulder positions: neutral, 30° external rotation, and 60° external rotation. The intra- and inter-observer reliability of CHL stiffness measurements were analyzed using a two-way randomized model with an intragroup correlation coefficient.

Results:
Significant differences between intra- and inter-observer measurements of CHL stiffness in the neutral position were observed (P < 0.05). However, no significant differences were found at 30° and 60° of external rotation (P > 0.05). Furthermore, poor intra- and inter-observer reliability of CHL stiffness measurements was established in the neutral position intraclass correlation coefficient (ICC < 0.40), moderate reliability at 30° of external rotation (ICC > 0.40, <0.75), and excellent reliability at 60° of external rotation (ICC > 0.75). In addition, the Bland–Altman analyses indicated that the mean differences between intra- and inter-observer measurements of CHL stiffness at 60° of external rotation were closest to the zero scale.

Conclusion:
The reliability of SWE in assessing the stiffness of the CHL in patients with phase I frozen shoulder at 60° external rotation is highly satisfactory.
Narrowed Downing of Knowledge Constructs through the Use of a Paradoxical Lexicon Co-promoting Diversity, Equity, Inclusion, Accessibility, and Universalism
Authors: Raina Sunil Kumar 
Published: December 2024

Abstract
At no point in time in human history, has the human civilization been served by all of the relevant information required to build a perfect, unchangeable, permanent, and rational world order nor will it (the human civilization) have the privilege of having this information in future. The existence or the building of an unchangeable and thereby ideal world is, therefore, going against the essence of being rational.
Universal Health Care for Childhood Cancer in India: Challenges and Solutions for Implementation
Authors: Srivastava Anukriti , Radhakrishnan Nita , Pandharipande Archit , Brar Zeenat , Pandey Amit 
Published: December 2024

Abstract

Introduction:
The World Health Organization has declared a Global Initiative for Childhood Cancer which aims at achieving a cure rate of atleast 60% globally. To achieve this significant planning and policy making would be needed in most LMICs including India. In this setting, having a Universal Healthcare Scheme, that tracks patients from first symptom to diagnosis to treatment and provides free treatment is a laudable effort by the Government of India.

Aims and Objectives:
In this paper, we describe our experience of managing children with cancer on Pradhan Mantri Jan Arogya Yojana (PMJAY) or Ayushman Bharat scheme at our center over a period of 5 years. We also identify and report few suggestions for universal implementation of this scheme in order for better coverage for children with cancers.

Methods:
The data of children aged between 0-18 years who underwent treatment for cancer with financial support from PMJAY scheme between Jan 2018 to December 2022 (5 years) was analyzed from hospital records.

Results:
59 out of 485 children treated for cancer were eligible for PMJAY (Ayushman Bharat Scheme). Only 12% of patients were found to be eligible, even when parent’s card was taken as primary proof. Overall >85% of the families who enrolled in to this scheme were highly satisfied as there were no out of pocket expenses incurred due to early initiation into the program. All patients were enrolled on treatment and 57 children completed treatment successfully. We also identify and report few suggestions for universal implementation of this scheme in order for better coverage for children with cancers.

Conclusions:
PMJAY is a people-centric scheme which provides a complete package from diagnosis to completion of treatment. The program when implemented in its totality would continue to strengthen India’s response towards the Global Initiative for Childhood Cancer.
Peran Teknologi Informasi Komunikasi dalam Manajemen Rantai Pasok: Systematic Literatur Review
Authors: Syahrani Reiza , Habibullah Habibullah 
Published: December 2024

Manajemen rantai pasok merupakan merupakan suatu hal yang penting dalam sebuah perusahaan dan Teknologi informasi dan komunikasi sangat berperan dalam manajemen rantai pasok saat ini. Tujuan artikel ini mengulas tentang peran TIK dalam manajemen rantai pasok. Metode penelitian yang digunakan systematic literature review terhadap 10 artikel yang terbit pada periode 2019-2024 dan terindeks Scopus. Hasil penelitian menunjukan bahwa metode penelitian yang digunakan kuantitatif, kualitatif dan mix method. Teori yang sering digunakan adalah Contingency theory, Agency theory dan Dynamic capability theory. Pada manajemen rantai pasok, TIK berperan pada bidang pemerintahan, usaha menengah, kecil dan mikro, farmasi dan industri susu. Peran TIK dalam manajemen supply chain pada Industri 4.0 berperan untuk meningkatkan kinerja rantai pasokan dengan menggunakan teknologi canggih yang menghasilkan rantai pasokan cerdas (smart supply chain) dengan blockchain, Teknologi pencetakan 3D, Bigdata, Cyber Physical, AI. Peran TIK Dalam Manajemen Supply Chain Pada Perpsektif Manajerial untuk mengurangi resiko, menghemat biaya dan menciptakan nilai. Penelitian ini merekomendasikan penelitian lebih lanjut mengenai peran TIK dalam SCM pada implementasi di lapangan di berbagai bidang usaha serta di berbagai bidang TIK
DO TRABALHO INFANTIL: O DIREITO E A PROTEÇÃO DE CRIANÇAS E ADOLESCENTES EM VULNERABILIDADE NO AMAZONAS
Authors: Hiraoka  Nicole Ayume Fukuda , Azevedo Flávia Regina Porto de , Fonseca Eliana Maria Pereira da 
Published: December 2024

O presente artigo teve como objetivo analisar o trabalho infantil, evidenciando como afeta o desenvolvimento físico e mental das crianças e adolescentes em vulnerabilidade, além de prolongar o ciclo da pobreza presente na sociedade. A análise aborda as relações estruturais enraizadas na sociedade e as consequências do trabalho infantil, levando em consideração a desigualdade, a herança escravocrata do Brasil e a vulnerabilidade econômica das partes menos favorecidas. Para atingir os objetivos propostos, foi utilizado como método metodológico o dedutivo, com a realização de pesquisas bibliográficas e documentais. Diante disso, os resultados apontam que para ocorrer a erradicação do trabalho infantil é necessário reunir os esforços do Estado, da sociedade e da família, o qual envolve a conscientização, a denúncia e a fiscalização em todos os âmbitos da sociedade para que ocorra o fortalecimento dos sistemas de proteção integral das crianças e adolescentes e desse modo, promover o seu amplo desenvolvimento.
PERBANDINGAN TINGKAT PENGETAHUAN PERMAINAN TRADISIONAL PADA SISWA KECANDUAN GADGET DAN TIDAK KECANDUAN GADGET
Authors: Aluwis Aluwis , Manurizal Manurizal , Supriyadi  
Published: December 2024

Masalah dalam penelitian ini adalah kecanduan gadget membuat anak-anak tidak tertarik memainkan permainan tradisional lagi, sehingga permainan ini kutrang di kenal oleh pesrta didik. Tujuan penelitian ini adalah untuk melihat perbandingan tingakat pengetahuan permainan tradisional pada siswa kecanduan gadget dan tidak kecanduan gadget di kelas tinggi SDIT Robbani Kecamatan Hutaraja Tinggi. Penelitian ini merupakan penelitian yang menggunakan metode deskrptif kualitatif, dengan melihat perbandingan antara kedua variabel. Populasi pada penelitian ini adalah siswa kelas atas SD IT Robbani Kecamatan Hutaraja Tinggi dengan teknik pengambilamn sampel Purposive Sampel yaitu 30 peserta didik kecanduan gadget dan 30 tidak kecanduan gadget. Teknik pengambilan tes pada penelitian ini dengan menyebarkan angket. Dalam penelitian ini analisis data yang digunakan yaitu analisis homogenitas dan uji hipotesis dengan menggunakan uji t-indpendent. Kesimpulan Perbandingan Tingkat Pengetahuan Permainan Tradisional pada Siswa Kecanduan Gadget dan tidak kecanduan Gadget di Kelas Tinggi SDIT Robbani Kecamatan Hutaraja Tinggi yang dilakukan perhitungan statistik sesuai dengan formula yang digunakan (uji-t) diperoleh thitung 2,029 dan ttabel 1,699 yang berarti thitung > ttabel, Berarti Ho ditolak dan Ha diterima. Dengan demikian terdapat Perbandingan Tingkat Pengetahuan Permainan Tradisional pada Siswa Kecanduan Gadget dan tidak kecanduan Gadget di Kelas Tinggi SDIT Robbani Kecamatan Hutaraja Tinggi.
Frequency of Work Related Musculoskeletal Pain in Upper Extremity Among Security Guards
Authors: Muntaha Sidra Tul , Syed Sidra , Kosar Nazia , Shafique Marriam 
Published: December 2024

Musculoskeletal disorders (MSDs) are injuries of human musculoskeletal system that can be caused by any stress or muscular dystrophy/atrophy, musculoskeletal injury, repetitive movements or any underlyingsystemic pathology. Common MSDs include adhesive capsulitis, carpal tunnel syndrome, sprain\strain etc.
Frequency of Shoulder Pain and Level of Disability among Laborers
Authors: Abbas Faheem , Anwar Nadia , Altaf Maryam , Shoukat Filza 
Published: December 2024

Shoulder pain has remarkable effect on disease absence, usage of fundamental and assistant wellness services and untimely evacuate from the work market. A few work-related problems have been related with shoulder discomfort and pain, these consist of work with lifted arms, troubling rhythmic work, and commanding efforts.
Restless Leg Syndrome: A Cross Sectional Study on Nurses
Authors: Bukhari Syeda Zunisha , Arif Muhammad Asim , Arsalan Syed Asad Ullah , Khan Amna Komal 
Published: December 2024

Restless legs disorder (RLS) is a typical neurological sensory‐motor issue portrayed s e n s o r y s y m p t o m s a l o n g w i t h m o t o r disturbances of the limbs. It has a prevalence of4% to 29% in the general population. Objective: To check the occurrence and severity of RLS in nurses working in different setups in Lahore. Methodology: Data of 172 nurses was collected from local health care centers of Lahore through a questionnaire after taking consent. All working women of age more than 20 were included in this study. Nurses who were pregnant or had some traumatic or systemic injuries were excluded. Data was then added to SPSS 22.0 for evaluation to find out the prevalence and severity of restless legs syndrome among the nurses. The data was analyzed by using SPSS software. Results: The mean age recorded was 29.01 ± 5.468 years. Total score of questionnaire shows that 45.3% (79/172) nurses did not experience RLS, so the mean score was 0. 26.7% (46/172) nurses experienced mild RLS. The mean score of those who experienced mild RLS was 8.5 ± 1.9. 15.7% (27/172) nurses fall in moderate category, the mean score was 18.11 ± 2.5. 8.1% (14/172) nurses experienced severe RLS category, the mean score of severe experienced nurses was 28.64 ± 1.69. Conclusions: This study concludes that the prevalence of RLS in nurses is 54.7%. The severity of RLS is mild to moderate in most of RLS affected nurses.
Physical Activity and Quality of life in Shoulder Injuries among Volleyball Players
Authors: Ahmed Muhammad , Arif Asim , Gill Anil , Al Mostafa Morad Yaser 
Published: December 2024

One of the most popular sports in the world is volleyball. And almost 800 million people are practiced volleyball. A huge number of youngsters are included in this game and samelike other games, are prone to the traumas. Objective: To determine the physical activity and quality of life in shoulder injuries among volleyball players. Methodology: Male Athletes for study selected. For the quality of life and physical activity GPAQ questionnaire also used to assess injury prevalence. Result analyzed by using 1BM SPSS version 21.0 software. Results: Greater age, height, and duration of training are correlated with injury occurrence in present study participants of shoulder injury are included so anatomic site is shoulder of all participants. Direct contact and overuse injuries are reported for main injury causes competition phase are the moment for injuries reported. Conclusions: Protection from injuries in sports is significant that's why affect on these Injuries of sports in older players need specific care This study suggest that researches for the future must focus on implementation , development and injury prevention strategies for the evaluation in volleyball athletes
Comparison of Hand Grip Strength in Elite Rock Climbers and Novice Rock Climbers Using Dynamometer
Authors: Fatima Noor , Afzal Waqar , Chughtai Arslan Saleem , Al Mostafa Morad Yaser 
Published: December 2024

Objective: The objective is to compare the hand gripstrength in elite rock climbers and novice rockclimbers by using dynamometer.
Methods: Sample size of 30 rock climbers was taken in thisstudy, 15 of them were elite and other 15 werenovice climbers. Data collected from differentclimbing arenas of Lahore. The hand grips t r e n g t h w a s m e a s u r e d b y h a n d h e l ddynamometer. Three readings were taken fromeach participant with the interval of one minute.Participants were completed 5 secondsmaximum contraction with the arm in neutralposition. Grip strength was measured on lbs.
Results: Mean of hand grip of right side of elite was173.16±44.97lbs and novice climbers were141.13±38.81lbs. Statistically signicantdifference was noted (p-value 0.046). Mean ofhand grip of left side of elite was 160.29 ±56.46lbsand novice climbers were 106.58±41.88lbs. Thedifference was statistically signicant (p-value0.006).
Conclusion: It is concluded that I have found statisticallysignicant difference between right and lefthand grip strength of elite and novice climbers.
Comparison of Medical and Fine Arts Students in Terms of Their Level of Stress and Depression during Academic Years.
Authors: Ali Asad , Amjad Fareeha , Chugtai Arsalan Saleem , Naseer Rizmi 
Published: December 2024

University life during medical training entailsfull-time commitment and responsibility ofundergraduates regarding academic tasks andcare provided to patients and their companions.Long working and study hours, environmentsnot ideally suited to learning, sleep deprivation,as well as factors interfering in everydaypersonal life are common during this period.
Objective: To find the comparison of medical and fine artsstudents in terms of their level of stress anddepression during the academic years.
Methods: 100 students of medical and fine art wereapproached in this study after obtaining signedconsent form. 50 students of medical and 50students of fine art were approached in which 25was female and 25 was male in each group. Allthe students were healthy and were included inthis study on the basis of inclusion exclusioncriteria. Comparison of stress and depressionamong medical and fine art students waschecked by using a DASS questionnaire.Students of medical and fine arts were asked tofill the questionnaire.
Results: This study reveals that the Mean of stress inmedical students was 8.64±3.63 and fine artstudents was 7.72± 4.05. The difference wasstatistically significant difference (p value 0.043).Mean of depression in medical studentswas7.12± 3.19847 and fine art studentswas5.34±2.70759. The difference was notstatistically significant difference (p value 0.185).The results of this study concluded that the stressin medical students was more than the fine artstudents, while the depression was same in bothmedical students and ne art students.
Conclusion: It was concluded that the stress in medicalstudents was more than the fine art students,while the depression was same in both medicalstudents and fine art students..
Association Between Patient's Characteristics and Hamstring Flexibility in Patient with Knee Osteoarthritis
Authors: Tariq Komal , Shukat Filza , Ahmad Umair , Batool Farwa , Fatima Aruj , Naseer Rizma , John Akash 
Published: December 2024

Knee osteoarthritis is most common among patients. Patients with knee Osteoarthritis usually have pain, brittle bone and felt difficulty during movement. Mostly individuals after fortyyears of age have felt the symptom of knee osteoarthritis. Objective: The objective of this study was to find out the association between patients characteristic and hamstring flexibility in knee osteoarthritis Methodology: This was a Cross sectional study. One hundred and one patients were selected from rehabilitation center of Allied Hospital. Six month were taken for completion of this study. Participants with knee osteoarthritis ( stage 1 & 2), age forty to sixty five years were involved in this study if they had nerve related issues, bone or muscle related disorder were not counted in this study. Subject's characteristics such as their profession, age, pain location as well as duration of pain related questions were asked from patients. Active knee extension test was used for recording the hamstring length. Chi square test was used to determine the association. Results: Men were 38(37.6%) and women 63(62.4%). Occupations of patients had influence on hamstring flexibility (P<0.000) while patient's age (P<0.071) durations of pain (P<0.856) and pain region (P<0.956) had not associated with hamstring flexibility. Conclusions: It is concluded that patient's characteristic in which only occupations of patients had compromised the hamstring flexibility in knee osteoarthritis subjects rather than age, duration of pain and pain region.
Frequency of Work-related Low Back Pain and Disability Among Automobile Mechanics in Lahore
Authors: Liaqat Sameed , Jawad Muhammad , Rauf Warda , Zahra Gilani Mehak Hamna , Perveen Ishrat , Taj Serena 
Published: December 2024

Background: Automobile mechanic work is an extensive and physically hard job. Consequently, the automobile workers suffer from ergonomic risk factors including Low Back Pain (LBP) as a major.Objective: To find out the prevalence of Low Back pain (LBP) and disability among automobile mechanics in Lahore.Methadology: he study was cross-sectional and included 180 automechanics of Lahore. Oswestry Low Back Pain Disability Questionnaire (OLBPDQ) was used to measure the disability caused by pain. Pain was measured by Visual Analog Scale (VAS). Data was collected from 180 auto mechanics from auto repair shops of Lahore.Results: Out of 180 individuals, 125 subjects reported LBP with average age of 30±5.3 years. 87 individuals (69.6%) were minimally disabled and 31 individuals (24.8%) experienced moderate disability, whereas only 7 individuals (5.6%) experienced severe.disability in activities of daily living (ADLs).LBPis highly frequent among automobile mechanics. Majority of the individuals suffering from LBP had minimal disability. The rate of moderate disability was also noticeable but number of individuals with severe disability was very low. Overall, LBP disturbed the quality of life.