bluuebunny/crossref_metadata_2025_split huggingface dataset:
Identification of Terminal Syrinx in a 5-day-old Infant: The Role of Magnetic Resonance Imaging in Diagnosing Back Swellings – A Clinical Review
Authors: Ramesh V. 
Published: November 2024

Abstract
A 5-day-old male neonate presented with a palpable lumbar region swelling, leading to the suspicion of a neural tube defect (NTD) or other spinal abnormalities. The infant was born through cesarean section and appeared well-nourished, alert, and interactive with no neurological deficits or signs of infection. Brain screening using ultrasound and head magnetic resonance imaging (MRI) ruled out hydrocephalus and Arnold–Chiari malformation. Spinal imaging using MRI revealed a terminal syrinx in the conus medullaris, which was not apparent on clinical examination. Considering the potential complications and future neurological deterioration, a syringostomy was performed. Neonatal back swellings can be challenging diagnoses due to their broad spectrum of pathologies, including NTDs and terminal syringes. Terminal syringes involve the conus medullaris and cauda equina and may present as a palpable back swelling. These infants are typically asymptomatic at birth but can develop neurological deficits over time. MRI is the gold standard for evaluating suspected NTDs or terminal syringes due to its high resolution, multiplanar imaging capabilities, and lack of ionizing radiation. Ultrasound and computed tomography scans have limitations in diagnosing terminal syringes accurately. Early diagnosis and intervention are crucial to prevent potential complications and improve outcomes for these patients. The management strategy depends on how severe the underlying condition is. For infants without symptoms, close monitoring is recommended. If the baby shows symptoms or is at high risk, surgery can be considered. Syringostomy involves placing a shunt to drain cerebrospinal fluid from the syrinx into the abdominal cavity, reducing pressure and potentially improving neurological function. In conclusion, neonatal back swellings, particularly those caused by terminal syringes, require a thorough diagnostic evaluation and close follow-up. MRI is an essential diagnostic tool due to its high resolution and ability to delineate intracranial and spinal structures effectively. Early diagnosis and intervention can improve outcomes for these patients and prevent complications. Clinicians should maintain a high index of suspicion for terminal syringes in neonates with back swellings and pursue appropriate diagnostic tests, such as MRI, to ensure accurate diagnosis and timely management.
Internet Addiction, Digital Detox, and Mental Health: A Review of the Evidence with Clinical Examples
Authors: Neelakandan Subramanian 
Published: November 2024

Abstract
We all observe an increased adoption of digital technology solutions in the society where people spend several hours on devices such as smartphones, tablets, laptops/computers, and other electronic devices. In this era of information technology, though it has become mandatory for academics and work-related activities, it does have its consequences on the mental health of the user; it may cause or worsen anxiety, depression, sleeping problems, and attention deficit hyperactivity disorder (ADHD) symptoms. The term “digital detox” refers to the practice of deliberately reducing or eliminating one’s use of digital devices for a specified period to improve mental, emotional, and physical well-being. Digital detox programs are aimed at a limited use of electronic devices or at least to perform other productive activities as an alternative for constant gadget usage which may negatively impact one’s well-being. Such programs usually entail establishment of particular restrictions on device usage, exercise, and social interaction. The study analyzed few cases/clinical examples of anxiety disorder, depressive disorder, and ADHD to conceptualize the possibilities of using the digital detox programs to treat patients with mental health disorders apart from necessary psychotropic drugs and therapies. Digital detoxification programs present a reasonable perspective for anyone who wants to reduce the injurious consequences of numerous electronic devices and applications on the patient’s psyche. By practicing specific utilization control of the devices and replacing them with the healthier activities, one can decrease anxiety, depression, sleeping issues, and ADHD. Employers and policymakers can also help to prevent the emergence of technostress by introducing the so-called “technostress prevention program,” improving the work-life balance and performing measures that will help judicious use of technologies at the right level.
Factors influencing the use of direct oral anticoagulants among patients with chronic chagas cardiomyopathy
Authors: Gómez-Ochoa Sergio Alejandro , Rojas Lyda Z. , Alarcón Meléndez Lizeth Johana , Quintero Santana María Alejandra , Becerra-Motta Lisbeth Paola , Serrano-García Angie Yarlady , Echeverría Luis E. 
Published: November 2024

Objective. Chronic Chagas cardiomyopathy (CCC) carries a high risk of embolic events due to structural changes in the left ventricle and frequent conduction disorders. However, there is limited data on anticoagulant prescription patterns and factors influencing the use of direct oral anticoagulants (DOACs) in these patients. This study aims to characterize CCC patients based on the anticoagulant therapy received and identify factors associated with DOACs use. Materials and Methods. A cross-sectional study was conducted at a tertiary-level hospital in Colombia between 2019-2022. Multivariate logistic regression models were used to assess factors associated with anticoagulant therapy and DOACs use. Results. Among 224 CCC patients, 65.7% (n=153) were on anticoagulants, with DOACs being the most prescribed (53%). Notably, 35% of patients at high risk of stroke (CHA2DS2-VASc) were not receiving anticoagulants. Atrial fibrillation (OR 256.08; 95% CI 61.94-1058.72), ventricular aneurysms (OR 4.82; 95% CI 1.54-15.09), and reduced interventricular septal thickness (OR 0.75; 95% CI 0.60-0.92) were associated with anticoagulant use. DOACs were mainly prescribed for patients with atrial fibrillation (OR 13.29; 95% CI 2.47-71.56) and high bleeding risk (HAS-BLED ≥3, OR 11.36; 95% CI 1.15-112.11). Conclusions. A significant proportion of CCC patients were not receiving anticoagulants despite their high risk of stroke and embolic events. The use of anticoagulation was significantly associated with atrial fibrillation, the presence of ventricular aneurysms and reduced interventricular septal thickness. It is crucial to raise awareness among healthcare professionals in endemic areas to improve treatment.
Либерализация международной торговли одеждой и текстилем в начале XXI века и перспективы увеличения экспортного потенциала России
Authors: И.Б. Долженко 
Published: November 2024

Актуальность статьи определяется значимостью либерализации международной торговли текстилем и одеждой, которая завершилась в 2005 г. Либерализация оказала большое влияние на динамику и направления мировых торговых потоков текстиля и одежды, на регионализацию и распределение производства среди основных стран-производителей, способствуя формированию современных глобальных цепочек создания стоимости. Выявлено, что либерализация международной торговли текстилем и одеждой привела к резкому увеличению экспорта из Юго-Восточной Азии и усилению доминирования Китая как ведущего экспортера текстиля и одежды. Установлено, что такие страны, как Бангладеш, Вьетнам, Пакистан, Индия, Турция, получили значительные выгоды от либерализации торговли текстилем и одеждой. Выявлено, что либерализация заложила предпосылки для развития экспорта текстиля и одежды из многих стран, включая Россию. Выдвинуты предложения по комплексу мер для наращивания экспортного потенциала в сфере текстиля и одежды из России.
The relevance of the article is determined by the significance of the liberalization of international trade in textiles and clothing, which was completed in 2005. It was revealed that liberalization had a great influence on the dynamics and directions of world trade flows of textiles and clothing, affected the regionalization and distribution of production among the main producing countries, contributing to the formation of modern global value chains. It was revealed that the liberalization of international trade in textiles and clothing led to a sharp increase in exports from Southeast Asia and contributed to the strengthening of China’s dominance as a leading exporter of textiles and clothing. It has been established that countries such as Bangladesh, Vietnam, Pakistan, India, and Turkey have received significant benefits from liberalization of trade in textiles and clothing. It has been revealed that liberalization has laid the foundations for the development of textile and clothing exports from many countries, including Russia. Proposals have been put forward for a set of measures to increase the export potential in the field of textiles and clothing from Russia.
Современный анализ рисков и источники финансирования ресурсосберегающего инвестиционного проекта
Authors: И.Ч. Асхабалиев , Н.М. Куршиева , Т.В. Магомедова 
Published: November 2024

В сложившихся условиях основными источниками финансирования инвестиционного проекта ресурсосбережения выступают собственные средства предприятия, а также привлеченные средства инвесторов. Что касается рисков реализации проекта, то подобные инвестиционные проекты всегда сопряжены с крайне высокой степенью рискованности, особенно в условиях текущей нестабильности на мировом рынке, а также в связи с нестабильной общей геополитической обстановкой, экологическими рисками.
In the current conditions, the main sources of financing the investment project are the enterprise’s own funds, as well as attracted funds from investors. As for the risks of project implementation, such investment projects are always associated with an extremely high degree of risk, especially in the context of the current instability in the world market, as well as in connection with the unstable general geopolitical situation, environmental risks.
Эффективное использование больших данных для оптимизации управления городскими ресурсами и повышения качества жизни
Authors: С.В. Пальмов , М.И. Лобова 
Published: November 2024

Данная статья исследует современные тенденции и возможности применения больших данных в городском управлении, акцентируя внимание на инновациях, способствующих оптимизации управления городскими ресурсами и повышению качества жизни граждан. Анализируются предпосылки для внедрения цифровых технологий в процессы городского планирования и управления. Рассматриваются методы использования больших данных для прогнозирования потребностей населения, улучшения транспортной инфраструктуры и повышения эффективности предоставляемых услуг. Обсуждаются риски, связанные с использованием больших данных, подводятся итоги и рассмотрены перспективы для дальнейшего развития данных технологий в рамках концепции умного города.
This paper explores current trends and opportunities for the use of big data in urban management, focusing on innovations that contribute to optimizing urban resource management and improving the quality of life of citizens. The prerequisites for the introduction of digital technologies into urban planning and management processes are analyzed. The methods of using big data to predict the needs of the population, improve transport infrastructure and improve the efficiency of services provided are considered. In conclusion, the article discusses the risks associated with the use of big data, summarizes the results and considers the prospects for further development of these technologies within the framework of the smart city concept.
µID-TIMS: spatially resolved high-precision U–Pb zircon geochronology
Authors: Markovic Sava , Wotzlaw Jörn-Frederik , Szymanowski Dawid , Reuteler Joakim , Zeng Peng , Chelle-Michou Cyril 
Published: November 2024

Abstract. We present a novel methodology for spatially resolved high-precision U–Pb geochronology of individual growth domains in complex zircon. Our approach utilizes a multi-ion-species (Xe+/Ar+) plasma focused ion beam (PFIB)–femtosecond (fs) laser system equipped with a scanning electron microscope (SEM). This system enables micrometer-resolution sampling of zircon growth domains with real-time monitoring by cathodoluminescence SEM imaging. Microsamples are then extracted, chemically abraded, dissolved, and analyzed by isotope dilution thermal ionization mass spectrometry (ID-TIMS) to obtain high-precision U–Pb dates. For its superior beam precision (∼ 8–20 µm diameter), cleaner cuts, and negligible nanometer-scale damage imparted on the zircon structure, PFIB machining (30 kV) is preferred for microsamples of sizes expected in most future studies focusing on texturally complex natural zircon (20–120 µm length scales). Femtosecond laser machining is significantly faster and therefore more appropriate for larger microsamples (>120 µm length scales), but it is also coarser (≥20 µm probe size), produces rougher cuts, and creates a micrometer-scale-wide structurally damaged zone along the laser cuts (i.e., 2 orders of magnitude wider compared to PFIB). Our experiments show that PFIB machining can be conducted on zircon coated with carbon and protective metal coatings as neither offset the U–Pb systematics, nor do they introduce trace amounts of common Pb. We used a Xe+ PFIB and femtosecond laser to obtain U–Pb dates for Mud Tank and GZ7 zircon microsamples covering a range of sizes (40 × 18 × 40–100 × 80 × 70 µm) and found that microsampling does not bias the accuracy of the resulting µID-TIMS U–Pb dates. The accuracy and precision of µID-TIMS dates for zircon of any given age depend, as for non-microsampled zircon, on the available mass of U and radiogenic Pb – both a function of sample size. Our accompanying open-source code can aid researchers in estimating the necessary microsample size needed to obtain accurate dates at precision sufficient to resolve the processes under study. µID-TIMS bridges the gap between conventional bulk-grain high-precision dating and high-spatial-resolution in situ techniques, enabling the study of the timescales of a variety of processes recorded on the scale of individual growth zones in zircon. This method can be applied to zircon of any age and composition, from terrestrial systems to precious samples from other planetary bodies.
Ohmn: Android Malware Detection Method using Opcode Highway Memory Network
Authors: M.Karthika, M.Anusha  
Published: November 2024

In recent times, there has been a notable trend among Android malware to prioritise fast replication, hence expediting the acquisition of critical data. Adversaries have the potential to introduce hazardous modifications to code via the act of replicating it. In this research, we propose a deep learning-based network"Opcode highway memory network" (OHMN) that may detect variants of malware that are connected to one another without needing the analyst to have a background in mathematics or methodology.Input data may be standardised using sequence patch normalisation, and features can be discovered with truth interference fuzzy clustering by employing software birthmarking of malcode sequences. Once malware samples have been grouped together, the data is passed to the OHMN process, which searches for various types of malware. Malware detection on Android has been proved to work successfully in both experimental and observational settings. The Mal Radar dataset, an android malware dataset retrieved from zenodo in a python environment, was used for these tests. The simulation results demonstrated that the suggested method outperformed the state-of-the-art technique.
La eficacia traslativa de la donación en el Código Civil a la luz de los antecedentes históricos y legislativos
Authors: Cardós Elena José María 
Published: November 2024

Desde hace varias décadas, con base en el contenido del CC, la práctica totalidad de la doctrina sostiene que la perfección de la donación comporta la transmisión de la titularidad de los bienes donados, sin necesidad de entrega o tradición. Dicha conclusión se alcanza a través de una interpretación literal, sistemática y lógica de la regulación de la donación en el CC. Sin embargo, la interpretación histórica de tales normas sido escasamente referida al abordar la eficacia traslativa de la donación, a pesar de su extraordinario interés. Este estudio pretende demostrar que una interpretación de la normativa reguladora de la donación en el CC a la luz de los antecedentes históricos y legislativos refuerza la conclusión de que la donación es un negocio dispositivo, con eficacia traslativa inmediata.
Septic shock due to cytomegalovirus colitis associated with rituximab use: A case report
Authors: Patel Siddharth , Jay Jordan , Pathak Prutha , Antony Mc Anto , Thiriveedi Mrudula 
Published: November 2024

BACKGROUND
Cytomegalovirus (CMV) infections can cause significant morbidity and mortality in immunocompromised individuals. CMV targets dysfunctional lymphocytes. Chronic rituximab (RTX) therapy can cause B-lymphocyte dysfunction, increasing CMV risk. Rarely, CMV infections present with critical illness such as septic shock.
CASE SUMMARY
A 64-year-old African American woman presented with generalized weakness and non-bloody watery diarrhea of 4-6 weeks duration. She did not have nausea, vomiting or, abdominal pain. She had been on monthly RTX infusions for neuromyelitis optica. She was admitted for septic shock due to pancolitis. Blood investigations suggested pancytopenia and serology detected significantly elevated CMV DNA. Valganciclovir treatment led to disease resolution.
CONCLUSION
This case illustrates an extremely rare case of CMV colitis associated with RTX use presenting with septic shock. High suspicion for rare opportunistic infections is imperative in individuals with long-term RTX use.
Del alma al cuerpo desorganizado: un proyecto poshumanista que enrarece el cine uruguayo
Authors: Carbajal Matías 
Published: November 2024

Este texto se propone explorar las características de dos películas del director uruguayo Álvaro Buela, Alma mater (2005) y El proyecto de Beti y el hombre árbol (2014), por su particular (des)localización en el paisaje cinematográfico local. En su rareza explícitamente asumida, que atraviesa la representación y lo representado, ambas películas parecen conformar un cuerpo extraño, ajeno a las formas de representación del realismo dominante. Desde una perspectiva semiótica peirceana, en articulación con la idea de Cuerpo sin Órganos de Deleuze y Guattari (1997), el análisis invita a indagar en la productividad de un proyecto estético y narrativo anómalo, para vislumbrar la emergencia de una sensibilidad más allá de lo humano, que desborda la matriz cartesiana del sujeto moderno occidental.
OUTCOME OF ARTHROSCOPIC NON-ANATOMIC REPAIR OF MASSIVE ROTATOR CUFF TEAR: A RETROSPECTIVE ANALYSIS
Authors: Usama Muhammad , Uddin Bilal , Umer Faheem Muhammad , Amin Asad , Ahmed Bajwa Mubashar , Sohail Ayesha , Ahmad Khan Shaheryar 
Published: November 2024

Background: The aim was to assess the clinical outcome of non-anatomic rotator-cuff repair in large tears not amenable to anatomic repair and to assess the preoperative factors that affect the result of such repairs. Study design: A retrospective case-series at GTTH, Lahore. Place and duration: Twenty-seven cases that underwent non-anatomic rotator-cuff repair at Ghurki Trust Teaching Hospital over the last 5 years and met inclusion criteria were assessed over a three-month study period (from 01/10/2023 to 31/12/2023). Study methodology: Outcome was assessed in terms of improvement in pain as per visual-analog-scale (VAS), UCLA, as well as Constant score. Furthermore, patients’ satisfaction was also assessed to measure subjective efficacy of the procedure. Results: Most commonly cases of rotator cuff tear present with pain, weakness, and restriction of shoulder range of motion. Pain improved significantly (p<0.001) from preoperative score of 3.68 to 1.45. Analysis of the objective assessment showed statistically significant (p=001) improvement in Constant score from a preoperative average score of 63.63 to a postoperative average of 77.27, with significant improvement (p=0.05) in each individual scoring criteria as well. The other scoring studied: UCLA also improved significantly (p=0.001) from 25.36 to 30.18. Despite this, on subjective assessment 40.9% of the sample was very satisfied and 27.3% were satisfied with the outcome. Conclusion: Non-anatomic repair is very effective at treating the presenting complaints of the rotator cuff tear patients. Thus, alongside good clinical outcome, patient satisfaction can be predicted after the procedure.
5-6 years old children's mental representations of water in plants
Authors: Kaliampos George , Ioannou Michalis , Pantidos Panagiotis , Ravanis Konstantinos 
Published: November 2024

The concept of water holds a central position in almost every curriculum that is developed within early childhood education. The current study presents the findings of research on the way 5–6 year old children deal with the issue of the existence of water in plants. The research was qualitative and was conducted through semi-structured interviews with 66 children. The data was analyzed using content analysis based on the transcripts of the interviews. The results showed that only a small number of children were able to conceptualize the existence of water in plants, however these children were able to describe and make predictions that were in line with school knowledge. Consequently, this field constitutes an interesting area for further research and development of properly designed activities. Limitations of the current research were the restricted and convenient sample as well as the choice of descriptive analysis.
What luck
Authors: Day Adam 
Published: November 2024

There’s a brilliant essay by Michael Nielsen from 2009 which predicted that disruption in academic publishing was imminent. Of course, we’re still here, so there was no existential crisis, but I think it’s still worth a read, even now. Reflecting on Nielsen’s essay in 2016, Michael Clarke observed that the web was created at CERN for the purpose of communicating scientific research.