bluuebunny/crossref_metadata_2025_split huggingface dataset:
KONSELING INDEGENOUS: TRADISI MANGUPA PADA MASYARAKAT BATAK
Authors: Tambunan Syafrianto 
Published: October 2024

Mangupa adalah salah satu kebiasaan adat dan tidak pernah ditinggalkan dalam upacara adat Tapanuli Selatan. Mangupa dilakukan pada adat perkawinan, kelahiran, upah-upah atau memberi semangat bagi orang yang luput dari marabahaya, mendapat rezeki atau sebagai rasa syukur. Upacara mangupa atau upah-upah merupakan salah satu upacara adat yang berasal dari Tapanuli Selatan, Sumatera Utara. Upacara Mangupa bertujuan untuk mengembalikan tondi ke badan dan memohon berkah dari Tuhan Yang Maha Esa agar selalu selamat, sehat, dan murah rezeki dalam kehidupan. Upaya memanggil tondi ke badan dilakukan dengan cara menghidangkan seperangkat bahan (perangkat pangupa) dan nasehat pangupa (hata pangupa; hata upah-upah) yang disusun secara sistematis dan dilakukan oleh berbagai pihak yang terdiri dari orang tua, raja-raja, dan pihak-pihak adat lainnya. Esensi konseling indegenous dengan tradisi mangupa adalah upaya membantu individu untuk dapat mensyukuri atas apa yang diperoleh dalam kehidupannya dan menjadikan individu untuk selalu bersyukur. Konseling indegenous hadir dengan menginternalisasikan nilai-nilai adat istiadat yang sesuai dengan kebiasaan masyarakat setempat
Global Fashion Business
Authors: Jin Byoungho Ellie 
Published: October 2024

In today’s climate, bringing your fashion brand to new international territories is more challenging than ever. InGlobal Fashion Business, Byoungho Ellie Jin helps you to take this next step.
Diverse examples from large and small companies, developing and developed countries, and online and offline retailers set a precedent for overcoming economic, cultural, legal, and regulatory obstacles. Practical approaches also outline methods of marketing and retailing, while chapters on topics including pricing, entry market selection and product development combine to cover everything you need to know to take your business further than ever before.
Comparison of Port-Site Hernia Development With And Without Use of Dilator For Gall Bladder Extraction Site in Elective Laparoscopic Cholecystectomy
Authors: Ahmad Iftikhar , Zia Qamar , Awan Saeed Akhtar , Hussain Aamir , Rana Sumbal , Munir Ali Arslan 
Published: October 2024

ABSTRACT
Objective: To compare the incidence of port-site hernia with and without use of dilator for extraction of gall bladder in elective laparoscopic cholecystectomy.
Study Design: Quasi-experimental study.
Place and Duration of Study: Combined Military Hospital, Bahawalpur Pakistan, from Oct 2019 to Oct 2021.
Methodology: Sixty patients scheduled to undergo laparoscopic cholecystectomy were included in the study based on the inclusion and exclusion criteria. Patients were divided into two equal groups (n=30). Group-A included patients in whom dilator was used and Group-B had those patients in whom dilator was not used. All patients were followed up by clinical examination for development of hernia at the port-site for extraction of gall bladder for 18-24 months postoperatively. Frequency of clinical development of gall bladder extraction port-site hernia was noted for every group.
Result: Mean age of the patients was 42.90±14.12 years with an age range of 22 to 85 years. Of all the patients 9(18%) were male and 51(82%) patients were females. In Group-A, one patient developed port-site hernia clinically whereas in Group-B no patients developed this condition. The p-value was found to be 0.31. These results are statistically insignificant showing that use of dilator in elective laparoscopic cholecystectomy does not increase the incidence of port-site hernia significantly.
Conclusion: Use of dilator does not significantly affect the incidence of development of port-site hernia from where gall bladder is extracted.
The Linkage of Grand Multiparity with Associated Risks During Pregnancy and Childbirth: A Cross-Sectional Study at Tertiary Care Hospital
Authors: Khalid Arfa , Bilqees Akhtar  , Tehreem Yazdani  , Sadaf Zohra  , Shazia Firdos Chohan  
Published: October 2024

Objective: To investigate the risk factors associated with grand multiparityn during pregnancy and childbirth.
Study Design: Cross-sectional study.
Place and Duration of Study: Gynaecology and Obstetrics Department, Pakistan Emirates Military Hospital, Rawalpindi, Pakistan from Dec 2022 to Oct 2023.
Methodology: Three hundred twenty-two (n=322) women from the Pakistan Emirates Military Hospital, labor ward, Rawalpindi, Pakistan, gynecology and obstetrics department participated in this research. Primiparous, Multiparous, and grand multiparous females were included in the study for various demographic, maternal, and neonatal factors.
Results: Primiparous women were higher in number than multiparous and GMP women [202(62.7%), 109(33.8%), and 11(3.4%), respectively). Among the risk factors associated with GMP, there was a greater incidence of miscarriage, i.e., 59.1% in GMP, and Gestational diabetes (27.2% in GMP) and spontaneous preterm delivery (45.4% in GMP) were the two most common problems linked with pregnancy in GMP women. The primary neonatal consequence observed was low birth weight (32.1% in PM), with a prevalence of 32.1%. However, the percentage of infants with an APGAR score below 7 at 5 minutes was higher in the GMP (36.3%).
Conclusion: When compared to other parity groups, grand multiparous Pakistani women face the same risks of maternal and newborn problems. In GMP, advanced age may have a significant impact on pregnancy outcomes. Nonetheless, grand multiparty may not be outlawed, given that women receive adequate prenatal care.
Molecular and Clinical Spectrum of Hemoglobin D: An Experience at a Tertiary Care Diagnostic Center
Authors: Sardar Annum , Robert Helen Mary , Akhter Fahim , Mehmood Asad , Aamna Latif  , Saniya Jalil  
Published: October 2024

Objective: To determine the clinical and molecular pattern of Hemoglobin D in patients presenting at tertiary care hospital.
Study Design: Cross-sectional study.
Place and Duration of study: Department of Hematology, Armed Forces Institute of Pathology, Rawalpindi Pakistan, from Jul 2020 to Mar 2021.
Methodology: An automated cell analyzer was used to determine the whole blood count and red cell indices. D-10 BIORAD HPLC was used for quantitative assessment of Hb A, Hb F, Hb D and Hb A2. Where D-10 BIORAD HPLC showed an abnormal Hb D, capillary electrophoresis was performed using Sebia Capillary 2 Flex Piercing. Chelex DNA Extraction method was used. Molecular analyses for the confirmation of homozygosity and heterozygosity were done using Polymerase Chain Reaction (PCR) amplification. The clinical symptoms of the patients such as anemia, jaundice, pallor, weakness, hepatomegaly and splenomegaly were also noted
Results: Among 90 patients, Hemoglobin D trait was found in 78(80.4%) of the patients out of which HbD-Punjab was seen in 57(73%) and HbD-Iran was found in 21(27%). Compound Heterozygotes (HbD/β) was found in 17(17.5%) and Compound Homozygous HbD/D was found in 02 (2.1%). All HbD-Punjab and HbD-Iran traits patients were asymptomatic, and few clinical symptoms were found in Compound Heterozygotes (HbD/β) and Homozygous HbD/D.
Conclusion: Collective clinical history records, full blood count and electrophoresis and molecular results allow for the conclusive detection of the variant of Hemoglobin D. More multicenter, organized and detailed studies with larger sample size are required to draw concrete conclusions.
Hepatitis C Virus RNA and Genotype in Semen of Primitively Diagnosed Patients Infected with HCV-RNA Infection Amongst the Community of Lahore Cantt
Authors: Khan Tanveer Hussain , Sheikh Muhammad Usman , Shahid Amna , Asghar Salman , Usman Malahat Alina 
Published: October 2024

Objective: To determine whether Hepatitis C virus is present in the seminal fluid of primitively diagnosed patients and subsequent genotyping of semen-positive samples.
Study Design: Cross-sectional study.
Place and Duration of Study: Darul Shifa Clinic and the PCR Lab, Lahore Pakistan, from Apr 2021 to May 2022.
Methodology: We studied 100 patients with diagnosed Hepatitis C infection via Polymerase Chain Reaction. The reverse transcriptase Polymerase Chain Reaction was used to detect the presence of the Hepatitis C virus in the semen of these sample patients.
Results: Mean age of enrolled 100 male patients was 33.86±7.9 years. Only 4% of semen samples tested HCV RNA positive, while 96% were negative. The results of multiplex Polymerase Chain Reaction revealed that 50% of cases showed genotype 2a and 50% cases showed genotype 3a out of 4 positive cases of HCV RNA.
Conclusion: The observed viral prevalence was relatively low; nevertheless, the potential for pathogen dissemination remains significant. These findings contribute to our understanding of disease transmission dynamics and may have implications for epidemiological modeling and public health interventions.
Comparative Study on Different Clinical Decision-Making Tools in Pediatric Head Injury Cases
Authors: Shahzad Mohsin , Yasir Ammar , Islam Saqib , Hussain Khurram , Nand Raja , Ali Hafiz Asghar 
Published: October 2024

Objective: To carry out a comparative study on effective clinical decision-making tools between Canadian Assessment of Tomography for Childhood Head injury, Pediatric Emergency Care Applied Research Network (PECARN) and Children's Head injury Algorithm for the prediction of Important Clinical Events in pediatrics head trauma cases.
Study Design: Validation study.
Place and Duration of Study: Department of Surgery, Saif Shaheed Hospital, Haveli Kahota, Azad Kashmir, Pakistan, from Oct 2021 to Nov 2022.
Methodology: One hundred and fifty paediatric patients suffering from minor head injury were evaluated on clinical intervention decisions as per emergency procedures during the period of study. Sensitivity, Specificity, Positive Predictive Value and Negative Predictive Value of the selected diagnostic tests was checked.
Results: Based on the head CT positivity, PECARN was found to be 81.8% sensitive and 61.9% specific. Canadian Assessment of Tomography for Childhood show sensitivity of 90.9 % and specificity of 65.5%. CHALICE had sensitivity and specificity of 63.6% and 61.5% respectively. CHALICE was unable to identify a pathological CT result with statistical significance (p=0.17) however PECARN and CATCH rule proved significant (p<0.05). CATCH rule show highest positive predictive score of 17.2% and negative predictive score of 98.8%.
Conclusion: PECARN, CATCH, and CHALICE criteria are effective in deciding whether or not to perform Computerized Brain Tomography (CBT) scans on children with MHT, leading us to believe that employing these criteria could prevent unnecessary CBT scans.
Influence of severe pre-eclampsia in combination with premature rupture of members on the course of the early neonatal period
Authors: Karimova U. A. , Dodkhoev D. S. , Uzakova U. D. 
Published: October 2024

Aim. To assess the effect of preeclampsia in combination with premature rupture of membranes (PROM) on the condition of newborns in the early neonatal period.Materials and Methods. The study included 984 mothers and their newborns, divided into four groups. The main group comprised 94 women whose pregnancies were complicated by severe preeclampsia and PROM. The comparison group consisted of 840 patients, further divided into two subgroups: subgroup A included 70 patients with severe preeclampsia, and subgroup B included 770 patients with PROM. The control group comprised 50 healthy pregnant women.Results and Discussion. In the main group, 31 (33%) newborns were premature; in subgroup A, 21 (30%); and in subgroup B, 69 (9%). Newborns with extreme prematurity were born in the main group 3.1 and 5.4 times more often than in subgroups A and B, respectively (p = 0.013). It was found that the main group had a higher incidence of respiratory distress syndrome, apnea, and neonatal encephalopathy. Hypoglycemia was diagnosed in the main group 5.6 times more frequently than in cases of isolated PROM (p < 0.001) and 1.3 times more frequently than with preeclampsia alone (p > 0.05). In the Republic of Tajikistan, neonatal mortality reaches 56.3%.Conclusion. Reducing early neonatal morbidity and mortality in women with preeclampsia and PROM is possible through referral and delivery in tertiary care facilities.
Minilaparotomy choledocholithotomy in patients with metabolic syndrome
Authors: Amonov Sh. Sh. , Musoev S. Sh. , Olimi M. O. 
Published: October 2024

Aim. To evaluate the outcomes of mini-laparotomy choledocholithotomy in patients with choledocholithiasis and metabolic syndrome using “Mini-Assistant” instruments.Materials and Methods. This study is based on the outcomes of surgical interventions performed on 54 patients diagnosed with choledocholithiasis accompanied by metabolic syndrome, conducted between 2009 and 2022. A minimally invasive laparoscopic approach was utilized, employing “Mini-Assistant” instruments. Preoperative assessments included laboratory tests, ultrasound examination, electrocardiography, echocardiography, respiratory function testing, chest radiography, esophagogastroduodenoscopy, and magnetic resonance cholangiopancreatography (MRCP). The miniaccess operation was performed using a transrectal incision, 6-7 cm in length. The technical steps of the operation were similar to traditional cholecystectomy and choledocholithotomy.Results. The average duration of the procedure was 68 ± 9.3 minutes. The patients’ condition before and after surgery was satisfactory, with stable hemodynamics. No hypertensive crises or tachycardia were observed. No mortality was reported. Postoperative complications were observed in three patients, including accumulation of serous fluid in the subcutaneous tissue (2 cases) and postoperative pancreatitis (1 case). The average length of hospital stay after choledocholithotomy via mini-access was 6 ± 1.6 days.Conclusion. Mini-laparotomy choledocholithotomy using the “Mini-Assistant” instrument set allows for avoiding conventional, more invasive techniques, facilitating effective surgical intervention even in cases where laparoscopic procedures are not feasible.
Evaluation of the outcomes of reconstructive surgeries on hepatic vessels in combined trauma
Authors: Nazarov P. Kh. 
Published: October 2024

Aim. To optimize the treatment of liver trauma by analyzing surgical outcomes.Materials and Methods. A retrospective analysis was conducted on data from 98 patients who underwent reconstructive liver vascular surgeries for combined trauma between 2018 and 2023. Patients were categorized into three groups based on the type of liver vascular injury: Type A (30 patients), Type B (40 patients), and Type C (28 patients). Diagnostic methods included computed tomography (CT) scans, angiography, and blood tests. Surgeries were performed using microsurgical techniques and innovative materials.Results and Discussion. The average duration of surgery increased with the severity of liver injury: Type A surgeries averaged 1.81 hours, Type B averaged 2.84 hours, and Type C averaged 3.04 hours. Blood loss was also significantly higher in patients with Type B and Type C injuries. Complication and reoperation rates were highest among Type C patients (20.84% complication rate and 18.36% reoperation rate), while Type A patients had the lowest rates. Survival rates were highest in Type A patients (99.11%) and lowest in Type C patients (82.53%).Conclusion. The results indicate that reconstructive liver vascular surgeries for combined trauma yield outcomes that vary by the type of vascular injury. Arterial injuries (Type A) are associated with more favorable prognoses, whereas venous and mixed injuries (Types B and C) present greater challenges. Enhancements in diagnostic techniques and surgical approaches are essential for reducing complications and improving patient survival.
Central hemodynamic changes during cholecystectomy in patients with cholelithiasis due to IHD
Authors: Yusufzoda O. K. , Safarzoda A. M. , Rasulov A. G. , Annaev M. B. , Ziyoev Sh. H. 
Published: October 2024

Aim. To evaluate central hemodynamic changes during laparoscopic cholecystectomy in patients with cholelithiasis and concurrent coronary heart disease.Materials and Methods. The baseline hemodynamic status of 78 patients with cholelithiasis and chronic calculous cholecystitis was analyzed during their hospitalization for surgical treatment between 2020 and 2023. Dynamic echocardiography was performed on all patients at various stages of laparoscopic cholecystectomy. Among these, 36 patients with cholelithiasis but no concomitant diseases demonstrated a normodynamic (eukinetic) type of blood circulation.Results. Blood circulation types (normodynamic, hypodynamic, and hyperdynamic) were identified in the 78 patients and were considered when planning preoperative preparation, surgical strategies, and anesthesia approaches. Intraoperative monitoring of central hemodynamics revealed significant changes, especially in patients with concomitant cardiovascular disease and a hypodynamic circulation type. Creation of pneumoperitoneum in all patients was associated with decreased stroke volume, cardiac index, and cardiac output, alongside an increase in systemic vascular resistance (SVR). Therefore, for patients with coronary heart disease and a hypodynamic type of circulation, a gentle pneumoperitoneum regimen at 8-9 mmHg is recommended.Conclusions. Laparoscopic procedures involving carbon dioxide insufflation into the abdominal cavity result in increased intra-abdominal pressure. To minimize hemodynamic disturbances, it is recommended that laparoscopic cholecystectomy in patients with cholelithiasis and concurrent cardiovascular disease be conducted under a low-pressure pneumoperitoneum regimen (8-9 mmHg).
Self and Peer Assessment Based on Storytelling: Implementation on Islamic Education Learning
Authors: Rahmah Nihayatur , Ummah Fiena Saadatul , Hadi Ahmad Safi’ie 
Published: October 2024

This study aims to find out the techniques of self-assessment and peer assessment through the storytelling method as well as the benefits of the storytelling-based self-assessment and friend process for students and teachers. This article uses qualitative research methods to explore a deep understanding of self-assessment and peer judgment based on storytelling. Data were collected through self-assessment and in-depth interviews that allowed researchers to explore the rich perspectives of the participants directly. Data analysis is carried out thematically, by highlighting patterns that emerge from the data and providing a holistic interpretation of the phenomenon being studied. The results of the study show that self-assessment and peer assessment using storytelling in Islamic religious education learning can be done in several steps, namely determining the competencies or aspects to be assessed, determining the assessment criteria to be used, formulating an assessment format, and in the form of assessment guidelines, checklists, or assessment scales, asking students to do self-assessments, teachers reviewing evaluation samples at random, encourage students to always conduct careful and objective self-assessments. The second technique can be done by providing some narrative questions. In this case, students will be asked to share the results of their assessment in front of teachers and friends in turn
DETECÇÃO PRECOCE DAS LEUCEMIAS: UMA REVISÃO SOBRE A IMPORTÂNCIA DO HEMOGRAMA E TESTES COMPLEMENTARES
Authors: Dori Bruna Luciana Zanon , Koseki Gabriel Horani Rossini , Barboza Laura Costa , Lourenço Mayara Tosin , Aguera Raul Gomes , Benassi-Zanqueta Erica 
Published: October 2024

A leucemia é uma neoplasia hematológica que resulta na produção anormal de células sanguíneas, sendo classificada como aguda ou crônica e dividida em linhagem mieloide ou linfocítica. Este estudo teve como objetivo analisar a importância do hemograma e da imunofenotipagem no diagnóstico precoce e na diferenciação das leucemias. Foram encontrados 1.926 artigos, porém apenas 20 relatos de caso foram considerados para leitura na íntegra, focando nas características clínicas, sintomas e progressão da doença. Os resultados evidenciam que o hemograma é fundamental para a detecção inicial de anomalias hematológicas, enquanto a imunofenotipagem permite a identificação precisa da linhagem celular envolvida. A combinação desses exames é essencial para otimizar as intervenções terapêuticas e melhorar o prognóstico e a qualidade de vida dos pacientes, enfatizando a importância de um diagnóstico precoce e preciso, que influencia diretamente as opções de tratamento e os desfechos clínicos.
Perspectives on non-emergent neonatal intensive care unit to pediatric intensive care unit care transfers in the United States
Authors: Cohen Phillip D , Boss Renee D , Stockwell David C , Bernier Meghan , Collaco Joseph M , Kudchadkar Sapna R 
Published: October 2024

BACKGROUND
There is a substantial population of long-stay patients who non-emergently transfer directly from the neonatal intensive care unit (NICU) to the pediatric intensive care unit (PICU) without an interim discharge home. These infants are often medically complex and have higher mortality relative to NICU or PICU-only admissions. Given an absence of data surrounding practice patterns for non-emergent NICU to PICU transfers, we hypothesized that we would encounter a broad spectrum of current practices and a high proportion of dissatisfaction with current processes.
AIM
To characterize non-emergent NICU to PICU transfer practices across the United States and query PICU providers’ evaluations of their effectiveness.
METHODS
A cross-sectional survey was drafted, piloted, and sent to one physician representative from each of 115 PICUs across the United States based on membership in the PARK-PICU research consortium and membership in the Children’s Hospital Association. The survey was administered via internet (REDCap). Analysis was performed using STATA, primarily consisting of descriptive statistics, though logistic regressions were run examining the relationship between specific transfer steps, hospital characteristics, and effectiveness of transfer.
RESULTS
One PICU attending from each of 81 institutions in the United States completed the survey (overall 70% response rate). Over half (52%) indicated their hospital transfers patients without using set clinical criteria, and only 33% indicated that their hospital has a standardized protocol to facilitate non-emergent transfer. Fewer than half of respondents reported that their institution’s non-emergent NICU to PICU transfer practices were effective for clinicians (47%) or patient families (38%). Respondents evaluated their centers’ transfers as less effective when they lacked any transfer criteria (P = 0.027) or set transfer protocols (P = 0.007). Respondents overwhelmingly agreed that having set clinical criteria and standardized protocols for non-emergent transfer were important to the patient-family experience and patient safety.
CONCLUSION
Most hospitals lacked any clinical criteria or protocols for non-emergent NICU to PICU transfers. More positive perceptions of transfer effectiveness were found among those with set criteria and/or transfer protocols.