bluuebunny/crossref_metadata_2025_split huggingface dataset:
Urodynamic profile in the Department of Urology, Cipto Mangunkusumo Hospital Between 2010 and 2015
Authors: Yunanto Angling , Rahardjo Harrina Erlianti 
Published: August 2019

BACKGROUND This study was aimed to describe urodynamic profiles, the role and advantages of urodynamics for urinary problems detection, and to analyze whether urodynamic examination has been ordered based on accurate indications following guidelines in the Department of Urology Cipto Mangunkusumo Hospital between 2010 and 2015. METHODS Data was retrieved from the patient’s medical records who underwent urodynamic examinations in the Department of Urology Cipto Mangunkusumo Hospital between July 2010 to August 2015. RESULTS 1,091 patients undergone urodynamic procedures in the Department of Urology Cipto Mangunkusumo Hospital. In 553 lower urinary tract symptoms (LUTS) patients, there were 186 (34%) small bladder capacity, 84 (15%) detrusor overactivity (DO), 180 (33%) bladder outlet obstruction (BOO), and 198 (36%) bladder atony patients. In the 317 urinary retention patients, there were 121 (38%) patients with BOO and 2 (1%) patients with a normal voiding phase. In 80 overactive bladder patients, there were 51 (64%) with DO, 17 (21%) with DO incontinence, and 22 (28%) with urodynamic stress incontinence (SI). Among 81 patients with SI problems, there were 63 (78%) urodynamic SI, 9 (11%) DO, and 9 (11%) DO incontinence patients. In 60 (6%) pediatric patients, most LUTS and urinary retention patients were caused by impaired bladder contraction. CONCLUSIONS This study shows the role and superiority of urodynamics in diagnosing patients with voiding disorders, especially if with mixed components in it. Urodynamics played essential roles in detecting urinary problems at Cipto Mangunkusumo Hospital.
Correlation between pain assessment scale and neurovascular compression distance to the root exit zone in trigeminal neuralgia analysis using 3D CISS MRI sequence
Authors: Topan Harry , Mulyadi Rahmad , Nugroho Setyo Widi , Prihartono Joedo 
Published: August 2019

BACKGROUND Trigeminal neuralgia (TN) is primarily caused by neurovascular compression (NVC) at root exit zone (REZ) in cerebellopontine angle cistern. In some NVC cases, it was suspected that clinical symptoms may be correlated with the distance of trigeminal nerve root to vascular contact. Pain assessment scale (PAS) was the most common scale used to evaluate TN pain, therefore this study was conducted to analyze the correlation between PAS usingnumeric rating scale (NRS) and distance from the NVC to REZ location in patients with TN using 3D CISS MRI sequence.
METHODS This cross-sectional study was conducted at the Department of Radiology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, using secondary data of 32 patients, collected from Picture Archiving and Communication System from January 2013 to January 2016. Statistical analysis was performed using SPSS, version 20.0. Spearman p-value of < 0.05 was considered significant.
RESULTS A total of 32 patients met the inclusion criteria. The mean (SD) distances from the NVC to the REZ were 2.1 (2.1), 2.31 (2.25), and 3.22 (2.63) mm on the shortest, medial, and lateral sides, respectively. The correlation coefficients (r) between the PAS value and the NVC distance in relation to the trigeminal nerve REZ were −0.39 (p = 0.021), −0.57 (p < 0.01), and −0.57 (p = 0.294) on the shortest, lateral, and medial sides, respectively.
CONCLUSIONS PAS using the NRS instrument exhibited an inverse correlation to NVC distance to the REZ of the trigeminal nerve. Shorter distance increased the PAS value.
Pakistan: Economy under Elites – Tax Amnesty Schemes, 2018
Authors: Ahmed Muhammad Ashfaq 
Published: August 2019

Abstract
The purpose of the paper is to take an incisive glimpse into Pakistan’s political economy through the lens of a tax policy abnorm i.e. the tax amnesty scheme, 2018. The paper is theoretically anchored in the elitist framework which arguably best explains structural composition of the economy. The paper refines the elitist framework, accentuates its significance, and innovates on it to induct the competing Freudian concepts of “pleasure principle” and “reality principle” to sharpen our understanding of Pakistan’s political economy. It is argued that impending inflows of offshore bank and financial account information of Pakistan resident persons under the OECD’s Multilateral Convention was the main dynamic of the amnestization initiative in which the Supreme Court of Pakistan played the role of the agent provocateur. The empirical results obtained help conclude that the amnestization initiatives have helped proliferate underground economy, and enhance the elitist economic status quo in Pakistan.
Impact of retroperitoneal lymph node dissection in ovarian cancer – time for paradigm shift?
Authors: Tato-Varela Sara , Kuhn Walther 
Published: August 2019

Abstract
Ovarian cancer is the second most common malignant neoplasm of the genital tract. Staging procedures for ovarian cancer include longitudinal laparotomy, hysterectomy, bilateral salpingo-oophorectomy and infragastric omentectomy as well as systematic pelvic and para-aortic lymphadenectomy. In general, the goal of this primary procedure is to achieve the maximum cytoreduction of all abdominal diseases; a residual disease <1 cm defines optimal cytoreduction, however, a maximal effort should be made to remove all gross disease as this offers superior survival outcomes. The role of lymphadenectomy in ovarian cancer has been the focus of gynecological oncologists during recent years. The core issue of the controversy is whether the removal of lymph nodes should be performed only to stage the disease or if the removal itself improves survival. To further comprehend the issue, one must take into account that several studies have shown that systematic lymphadenectomy is associated with a risk of vascular injury, lymph cyst formation, pulmonary embolism and increased post-operative mortality even when performed by surgeons with extensive experience. We present an extensive review of the available literature on the matter, hoping to provide some insight into the true need for such a procedure.
Ovarian and uterine leiomyosarcoma: which one is the primary?
Authors: Shafiee Mohamad Nasir , Kah Teik Chew , Md Zain Reena Rahayu , Kampan Nirmala 
Published: August 2019

Abstract
Uterine leiomyosarcoma (LMS) is rare but primary ovarian LMS is even rarer constituting less than 0.1% of all gynecologic disorders. Neither histologic features nor immunohistochemistry could be utilized to distinguish between uterine or ovarian origin. We illustrate a clinical case of metastatic LMS to the ovary in a woman with underlying uterine fibroid presenting with anemia with heavy menses.
Investigation on the Flow Field and Mixing Efficiency of a Stirred Tank Equipped with Improved Intermig Impellers
Authors: Zhou Yongjun , Lin Weizhen , Yuan Mingyue , He Hua , Sun Jianping 
Published: August 2019

Abstract
The flow field in a transparent stirred tank with a diameter of D = 0.42 m equipped with dual-layer improved Intermig impellers was numerically investigated using a multi-reference frame method based on the computational fluid dynamics (CFD) simulation code: Fluent. The simulation results were validated by experiments based on a stirred tank testing platform and a Particle Image Velocimetry (PIV) testing instrument. The effects on the flow field arising from the diameter of impellers, the installation height of impellers (C
1), the rotational speed as well as the distance between two impellers (C
2) were investigated. It was revealed that the distance between two impellers and the installation height has obvious influences on the local flow field around impellers. Appropriately increasing the two parameters can enhance the axial flow and achieve a better mass transfer effect. For the tank model rescaled for experiments, the optimized geometrical parameters are C
1 = 0.36D and C
2 = 0.49D that can result in full occupation of large eddies in the entire volume. The mixing process simulation indicates that the mixing efficiency is the best in the region near the impellers while it is the worst in the bottom of the tank. An appropriate increase in the diameter of the lower impellers and a reduction in the distance from the lower impellers to the tank bottom can improve the mixing efficiency in the central region near the tank bottom.
Clinical study of neurology nursing on cerebral apoplexy rehabilitation
Authors: Chen Jie , Li Shuangxi 
Published: August 2019

Abstract
The incidence of cerebral apoplexy has been on the rise in recent years, and research on the treatment and care of this disease has also received much attention. Therefore, a clinical study of neurological care for cerebral apoplexy rehabilitation care was conducted. Firstly, the Diffie-Hellman key exchange algorithm is introduced, and then the Diffie-Hellman prediction model is established. The patient is taken as an example to carry out simulation test, and the prediction model is compared with the real data. The data of the network model training set, the verification set and the test set are obtained. Patients were divided into observation group and control group by random number table method. The evaluation indicators included the treatment efficiency and the quality of life of the two groups. The results showed that the effective rate of the observation group was higher than that of the control group, and the difference between the two groups was statistically significant (P < 0.05). The experiment proves that the clinical effect of neurological nursing on cerebral apoplexy rehabilitation nursing is positive, which can improve the limb movement and self-living ability of patients, improve the quality of life of patients and improve patient satisfaction. Clinical study of neurology nursing on cerebral apoplexy rehabilitation nursing is discussed in this paper, and the rehabilitation nursing method and formal standardized nursing process of this disease are standardized.
AlterG Anti-Gravity Treadmill Accuracy of Unloading Is Affected by Support Frame Height
Authors: de Heer Hendrik D. , Kaufman Alex , Repka Chris P. , Rojas Katia , Charley Brenda , Bounds Roger 
Published: August 2019

Abstract
de Heer, HD, Kaufman, A, Repka, CP, Rojas, K, Charley, B, and Bounds, R. AlterG Anti-Gravity Treadmill accuracy of unloading is affected by support frame height. J Strength Cond Res 35(10): 2910–2914, 2021—The AlterG Anti-Gravity Treadmill uses air pressure to provide partial body-weight support (BWS), lowering impact forces and metabolic demand of walking and running. Users wear specialized shorts that zip onto a bag supported by a metal bar frame covering the treadmill. The frame is placed at hip height in positions numbered 1–9, adjusted up or down based on preference. Machine accuracy in providing BWS is important to achieve desired training effects, but it is unknown whether frame placement impacts accuracy. Twenty subjects (10 men/women) were weighed in 10% increments from 0 to 60% BWS with the frame at hip height (iliac crest), the “neutral” position, and reweighed with the frame placed up to 3 numbers above or below hip height. Although the machine displayed the same proportion BWS, placing the frame higher than the neutral position resulted in significantly more support, whereas placing the frame lower led to less support. At 10% BWS, placing the frame 3 positions higher resulted in 3% more support compared with the neutral position (13.1% BWS, p < 0.001) and 3 positions lower in 4.7% less support (5.3% BWS, p < 0.001). Deviances were greater with more BWS. At 60% BWS, 3 positions higher than neutral resulted in 71.2% BWS (11.2% more than expected, p < 0.001) and 3 below 48.1% BWS (12.9% below expected, p < 0.001), total 24.1% difference. These findings suggest that the position of the support frame significantly impacts the AlterG accuracy in providing BWS, with placement higher than hip height resulting in more support than displayed by the machine and lower placement resulting in less support.
Microstructure and X-Ray Diffraction Analysis of Aluminum-Fly Ash Composites Produced by Compocasting Method
Authors: Ervina Efzan M. N. , Siti Syazwani N. , Mustafa Al Bakri A. M. , Liew Kia Wai 
Published: August 2019

Abstract
Industrial and agro-wastes, such as fly ash, red mud, and rice husk ash, have become tremendous materials to be used as reinforcement in composite materials. In addition, these materials have potential to replace conventional ceramic reinforcement materials, such as aluminum oxide (Al2O3) and silicon carbide (SiC), as they can produce better composite materials with excellent properties and reduce the cost of production. Among the various types of waste materials used, fly ash has gained the widespread attention of researchers in aluminum matrix composite (AMC) production as reinforcement to enhance the properties of AMCs and reduce the production cost. In this research, LM6 (aluminum-silicon) alloy was reinforced with different amounts (4, 5, and 6 wt. %) of fly ash. These various compositions of LM6 reinforced with fly ash composites (AMCs) were fabricated by a compocasting method. The AMCs were then characterized based on microstructural (morphology, shape and size of the structure, and structure of existing elements) and phase analysis by scanning electron microscopy (SEM) and X-ray diffraction pattern (XRD). The existence of fly ash particles and some intermetallic compounds, such as Al2O3, silicon oxide, aluminum silicate, aluminum silicon, and calcium silicide, in the fabricated AMCs were confirmed through an XRD pattern. The SEM micrograph revealed that the microstructure of fabricated AMCs was refined with the incorporation of fly ash particles. The size of silicon phases decreased from 50 (unreinforced LM6) to 2.12 μm (LM6 fly ash composite with 6 wt. % of fly ash). Hence, it is found that the incorporation of fly ash particles is able to enhance the microstructure of fabricated AMCs.
A Computational Model of Oxytocin Modulation of Olfactory Recognition Memory
Authors: Linster Christiane , Kelsch Wolfgang 
Published: August 2019

AbstractSocial recognition in mammals depends on complex interactions between sensory and other brain areas as well as modulatory inputs by specific neuropeptides such as oxytocin (OXT). Social recognition memory specifically has been shown to depend among others on olfactory processing, and can be probed using methods similar to those used when probing non-social odor memory. We here use a computational model of two interconnected olfactory networks in the mouse, the olfactory bulb (OB) and anterior olfactory nucleus, to propose a mechanism for olfactory short-term recognition memory and its modulation in social situations. Based on previous experiments, we propose one early locus for memory to be the OB. During social encounters in mice, pyramidal cells in the anterior olfactory nucleus, themselves driven by olfactory input, are rendered more excitable by OXT release, resulting in stronger feedback to OB local interneurons. This additional input to the OB creates stronger dynamics and improves signal-to-noise ratio of odor responses in the OB proper. As a consequence, mouse social olfactory memories are more strongly encoded and their duration is modulated.
Clinicopathological features and survival for gallbladder NEN: a population-based study
Authors: Cen Dong , Liu Hui , Wan Zhe , Lin Zhongjie , Wang Yanting , Xu Junjie , Liang Yuelong 
Published: August 2019

Purpose
Gallbladder neuroendocrine neoplasm (GB-NEN) is a relatively rare neoplasm, accounting for 0.5% of all neuroendocrine neoplasm cases and 2.1% of gallbladder cancers. Because of the limited understanding of GB-NEN, the aim of this study was to explore the clinicopathology and survival of GB-NEN patients selected from the Surveillance, Epidemiology, and End Results (SEER) database.

Methods
A total of 248 GB-NEN patients from the SEER database diagnosed between 2004 and 2015 were included. Kaplan–Meier curves were used to examine the survival time. Multivariate Cox proportional hazard models were used to estimate hazard ratios with 95% confidence intervals to analyze the impact of factors on overall survival and cancer-specific survival.

Results
The majority of the GB-NEN patients were women (67.3%), white (77%), and married (61.7%). Most tumors were <2 cm in size (31.0%), G3 stage (25.8%), and distant SEER stage (41.1%). 62.9% and 64.5% of cases showed an absence of lymph node metastasis and tumor metastasis, respectively. Patients who received gallbladder surgery had significantly better survival outcomes (P < 0.001). However, patients who received both gallbladder surgery and lymph node resection did not have better survival outcome compared with patients who received only gallbladder surgery. Multivariate Cox proportional hazard models indicated that older age, unmarried status, large tumor size (>5 cm), and distant SEER stage were significant independent predictors for decreased overall survival time and cancer-specific survival time (P < 0.05).

Conclusion
Age, marital status, tumor size, and SEER stage were predictors for the survival of GB-NEN patients. Gallbladder surgery was associated with better survival, but the combination of gallbladder surgery and lymphadenectomy had no effect on survival outcomes.
Natural Variation and Genetic Determinants of Caenorhabditis elegans Sperm Size
Authors: Gimond Clotilde , Vielle Anne , Silva-Soares Nuno , Zdraljevic Stefan , McGrath Patrick T , Andersen Erik C , Braendle Christian 
Published: August 2019

Abstract
The diversity in sperm shape and size represents a powerful paradigm to understand how selection drives the evolutionary diversification of cell morphology. Experimental work on the sperm biology of the male-hermaphrodite nematode Caenorhabditis elegans has elucidated diverse factors important for sperm fertilization success, including the competitive superiority of larger sperm. Yet despite extensive research, the molecular mechanisms regulating C. elegans sperm size and the genetic basis underlying natural variation in sperm size remain unknown. To address these questions, we quantified male sperm size variation of a worldwide panel of 97 genetically distinct C. elegans strains, allowing us to uncover significant genetic variation in male sperm size. Aiming to characterize the molecular genetic basis of C. elegans male sperm size variation using a genome-wide association study, we did not detect any significant quantitative trait loci. We therefore focused on the genetic analysis of pronounced sperm size differences observed between recently diverged laboratory strains (N2 vs. LSJ1/2). Using mutants and quantitative complementation tests, we demonstrate that variation in the gene nurf-1 underlies the evolution of small sperm in the LSJ lineage. Given the previous discovery that this same nurf-1 variation was central for hermaphrodite laboratory adaptation, the evolution of reduced male sperm size in LSJ strains likely reflects a pleiotropic consequence. Together, our results provide a comprehensive quantification of natural variation in C. elegans sperm size and first insights into the genetic determinants of Caenorhabditis sperm size, pointing at an involvement of the NURF chromatin remodeling complex.
From Gandhi to Deendayal: contradictions of conservative Hindu tendencies in Indian environmental thinking
Authors: Krejčík Jiří 
Published: August 2019

This article examines the traditionalist and conservative trends in the environmental thinking in India, especially in the works of M. K. Gandhi and Deendayal Upadhyay. Special attention is paid to the latter’s concept of integral humanism, which has recently become a widely discussed idea in the Indian public discourse. Exploring their ideological bases, Gandhian spiritual radicalism and Deendayal’s integral humanism are placed into the broader trend of the Indian nationalist and environmentalist thinking, showing the possible convergence of ecology and social conservatism. Analyzing the implications of the authoritarian and non-egalitarian tendencies in the society, it shows how the Indian environmentalist movements drawing on Brahminical traditions and Gandhian thinking become prone to be hijacked by the Hindu nationalism. *** De Gandhi a Deendayal: contradições nas tendências conservadoras hindus no pensamento ecológico indiano ***Este artigo examina as tendências tradicionalistas e conservadoras no pensamento ambiental na Índia, especialmente nos trabalhos de M. K. Gandhi e Deendayal Upadhyay. Uma atenção especial é dada ao conceito de humanismo integral, desse último autor, que recentemente se tornou uma ideia amplamente discutida no discurso público indiano. Explorando suas bases ideológicas, o radicalismo espiritual de Gandhi e o humanismo integral de Deendayal são colocados na tendência mais ampla do pensamento nacionalista e ambientalista indiano, mostrando a possível convergência da ecologia e do conservadorismo social. Analisando as implicações das tendências autoritárias e não-igualitárias na sociedade, isso mostra como os movimentos ambientalistas indianos, baseando-se nas tradições bramânicas e no pensamento de Gandhi, tendem a ser sequestrados pelo nacionalismo hindu.Palavras-chave: Índia. Ambientalismo. Tradicionalismo. Hinduísmo. Nacionalismo hindu. Humanismo integral.
Evolutionary ontology and biofile transformation of culture
Authors: Šmajs Josef 
Published: August 2019

The author claims that two large transformations of the human adaptive strategy have occurred in the course of our species’ history: first, the self-preservation modification at the beginning of the anatomically modern humans’ origination; second, the spiritual abandonment of live nature two millennia before the end of the Neolithic culture. Moreover the third transformation, the shift from the predatory spiritual paradigm to the biofile paradigm, has to be undergone today. This transformation is specified with respect to the natural sciences and education system. *** Ontologia evolutiva e transformação biofílica da cultura ***O autor afirma que no curso da história da nossa espécie ocorreram duas grandes transformações na estratégia adaptativa humana: primeiro, a modificação da autopreservação no início da origem anatomicamente moderna dos humanos; segundo, o abandono espiritual da natureza viva dois milênios antes do fim da cultura neolítica. E a terceira transformação, esta a ser efetivada hoje, corresponde à mudança do paradigma espiritual predatório para o paradigma biofílico. Essa transformação é especificamente relativa às ciências naturais e ao sistema educacional.Palavras-chave: Ontologia evolutiva. Natureza. Cultura. Paradigma espiritual predatório. Paradigma espiritual biofílico.