bluuebunny/crossref_metadata_2025_split huggingface dataset:
OS BENEFÍCIOS DA DANÇA COMO QUALIDADE DE VIDA PARA OS IDOSOS
Authors: Lima Ítalo Daniel Ribeiro De , Grippa John Alex Marinho , Olimpio Matheus Geandro Machado , Jesus Paulo Victor Pereira De 
Published: December 2024

O objetivo geral consiste em analisar os benefícios da dança como instrumento de promoção da qualidade de vida para idosos, considerando suas dimensões física, mental e social. Método: O presente estudo adotará uma abordagem bibliográfica quantitativa e qualitativa para investigar os benefícios da dança para idosos. Serão utilizados questionários estruturados para coletar dados quantitativos sobre a saúde física e mental dos participantes, bem como entrevistas semiestruturadas para explorar suas percepções e experiências com a prática da dança. A população-alvo deste estudo são idosos com idade igual ou superior a 60 anos, residentes em instituições de longa permanência ou participantes de programas de atividades para a terceira idade. No estudo mencionado, foram selecionados descritores controlados dos Descritores em Ciências da Saúde (DeCS) e utilizadas estratégias de busca em três bases de dados: LILACS, Periódicos Capes e SciELO. As estratégias definitivas de busca para as publicações foram aplicadas em ambas as bases de dados em um processo de revisão sistemática da literatura sobre os benefícios da dança para os idosos. Essa abordagem metodológica permitiu a identificação e seleção de estudos relevantes que abordam a relação entre a prática da dança e o bem-estar físico, mental e social dos idosos, contribuindo para a compreensão dos impactos positivos dessa atividade na terceira idade. Resultados: Diversos estudos mostram que mesmo idosos acima de 80 anos podem se beneficiar da dança, relatando se sentirem "anos mais jovens" após a prática regular. Ritmos como forró, bolero, valsa e dança de salão são especialmente indicados para essa população. Conclusão: Portanto, a dança se apresenta como uma excelente alternativa para o envelhecimento ativo, capaz de impactar positivamente a saúde física, mental e social dos idosos de forma prazerosa e cativante. Sua adoção deve ser incentivada como parte de uma abordagem integral de cuidado e promoção da qualidade de vida nessa faixa etária.
Cesarean section rate assessment through Robson criteria in a tertiary care hospital
Authors: Shams Ghazala , Kamran Qudsia , Habib Sadia , Akhtar Rubina , Iqbal Madiha , Akhtar Naheed 
Published: December 2024

Objectives: To find out the cesarean section rate after categorizing the patient according to Robson criteria in tertiary care hospital in view of increased cesarean section rate in past decade.
Methods: it was a retrospective observational study conducted in l Hayatabad medical complex Peshawar from 2016 till 2018.in this study all cases admitted to the labour room during the period of three years were recorded and classified according to Robson’s system. The main objective was to find out that which group has contributed most to the cesarean deliveries.
Results: The total number of deliveries over this period in the hospital was 3051 out of which cesarean sections were 766, which makes the rate of cesarean section 25%.Group 1and group 2 contributed almost 10 %, while group 7and 8 contributed 5%, and group 3 and group10 contributed 9% and 8% respectively. Highest contribution is made by group5 which is 22% followed by group 4 which is almost 18%. Least contributors were group 6 and 9, which is 4%.
Conclusion: according to this study group 5 contributed the highest number, which is the group of multiparous women with previous 1 uterine scar. It means that indication for the first ever caesarian section should be critically reviewed and must be discussed with senior experienced obstetrician to decrease the number of women in-group 5.Patient should be encouraged for vaginal delivery after caesarian section and indications for caesarian section should be audited regularly to decrease the number of overall caesarian sections.
Reconstruction of posterolateral heel defect with lateral calcaneal flap: An experience at Burns at plastic surgery center Peshawar
Authors: Hamayun Shinwari , Ullah Irfan , Bilal Muhammad , Shah Syed Asif 
Published: December 2024

Coverage of soft tissue defect around ankle has always been a daunting job for a reconstructive surgeon. Numerous flaps have been described for the Coverage of soft tissue defect around posterior heel and lateral calcaneum ranging from local arrangement of tissue to regional and distant flaps with variable results in terms of flap success and its durability to with stand pressure and shoe wear. In this context, we share our experience of lateral calcaneal artery flap for the coverage of such defects. This study was conducted at Burns and Plastic Surgery center, Hayatabad, Peshawar from July 2019 to June 2020. Ten patients with soft tissue defects, with or without visible calcaneus or Achilles tendon in posterior heel of various etiologies were treated with lateral calcaneal artery flap. This axial flap was designed as a transposition flap based on lateral calcaneal artery and donor site is covered with partial thickness skin graft. In nine patients flap survived completely however one flap has epidermal loss which heels completely with moist dressing subsequently. Two patients had partial loss of STSG at donor site which was managed conservatively with local application of topical steroidal ointment. Sensory loss was observed at lateral aspect of foot in all patients with minimal patient concerns. All patients used regular normal shoes after 6 weeks after surgery with no notable adversity.
LATE TERM AND POSTTERM PREGNANCIES: STILL AN OBTETRICIAN’S DILEMMA
Authors: Qadir Maimoona , Tabassum Shazia , Khan Nabila , Jadoon Shah Muhammad Khan 
Published: December 2024

Background: Late term and postterm pregnancies include those pregnancies which fails to deliver beyond 40 weeks of gestation,and are associated with significant maternal and fetal morbidity and mortality.
Objective: The present study aims at finding out the incidence,maternal and fetal outcome associated with late term and posterm pregnancies.
Methodology: This prospective cross sectional study was conducted at Gynaecology and Obstetric Department of Mardan Medical complex,Mardan from February 2017 to July 2017.All pregnant women of any age,parity or booking status who sure of dates of their last menstrual period and had their first trimester ultrasound done,and had crossed their expected date of delivery were included in the study.Patients were recruited from antenatal OPD and Labor room.Data was entered in a predesigned proforma and analyzed through SPSS 20.0.
Results: Incidence of pregnancies beyond 40 weeks was found as 2.5%.The most prevalent age group was 20- 25 years,comprising 48(57%)patients.Forty eight(69%) women were primigravidas and 42(50%) had their period of gestation between 41 and 42 weeks.Induction of labor done in 51(60.75%),cesarean was done in 25(29.7%) whereas 8(9.5%) were in spontaneous labor.Most common indication for induction was oligohydramnios and gestational age more than 41 weeks in 23(45%) each whereas commonest indication was cesarean was fetal distress in 7(31%) and failed induction in 6(24%).birth asphyxia and meconium aspiration syndrome were commonest neonatal complications seen in 13(15%) for both.
Conclusion: Incidence of prolonged pregnancies can be reduced by creating awareness regarding regular antenatal visits,and importance of first trimester ultrasound and knowledge of last menstrual period dates.
FETAL COMPLICATIONS IN PREGNANT WOMEN WITH MULTIPLE PREGNANCY
Authors: Khattak Saima , Bilal Muhammad , Khan Yaseen 
Published: December 2024

OBJECTIVE: To determine the fetal complications associated with multiple pregnancy in second and third trimester of pregnancy.
METHODOLOGY: This descriptive study was carried out in the obstetrics and Gynaecology department at Postgraduate Medical Institute Lady Reading Hospital Peshawar. Duration of the study was 1 year from January 2012 to December 2012. All patients with twin gestations, triplets and high order multiplets visiting obstetrics and Gynaecology unit of the institute and who were admitted in ward and their fetal with complications were included in the study.
Results: Sixty patients with multiple gestations were included in the study. In 28 patients (46.7%) cephalic/ cephalic was the most common presentation. Among the 126 total fetuses in this study, 64 fetuses (50.8%) had low birth weight. 51 fetuses (40.4%) were premature, overall fetal loss was 16 (12.6%), 37 fetuses (29.3%) were admitted in nursery. 77 fetuses (61.1%) had apgar score of more than 7 at 5 minutes, while rest of the babies had Apgar score of less than that. Among fetal complications prematurity was recorded in 51 (40.4%) cases, admission in nursery in 37 (29.3%), IUGR in 20 (16.7%), still birth in 16 (12.6%), fetal distress in 2 (1.6%), congenital anomalies in 2 (1.6%) and demise of one fetal in 01 (0.7%) cases.
CONCLUSION: Multiple gestations are considered as pregnancies at high risk, which may be convoluted by prematurity, admission in nursery, low birth weight infants, intrauterine growth retardation, neonatal morbidity and mortality as showed in the results of our study
Aggressivity in Schizophrenia: The Risk and Confounders in a Romanian Setting
Authors: Bonea Maria , Kadar Iulia Larisa , Delcea Cristian , Horgoș Bianca Malina , Crisan Catalina Angela 
Published: December 2024

<p dir="ltr"><span>There is an increased stigma in Romania regarding schizophrenia patients, who are thought to be violent and dangerous. However, there is little research on this topic that analyzes the exact risk of aggressive behavior, especially considering the high prevalence of alcohol and substance abuse, conditions also associated with a potential risk of violent behavior. The objectives of this study were to compare aggressivity levels between patients with schizophrenia admitted to an emergency hospital and healthy individuals and to find possible risk factors. This case-control study, matched for age and gender included 50 patients hospitalized for schizophrenia and 50 healthy participants from an emergency psychiatric facility in Romania. We collected demographic data and screened for major mental disorders using the Mini International Neuropsychiatric Interview (MINI). Aggressivity levels were measured with the Buss-Perry Aggression Questionnaire (BPAQ). The CAGE questionnaire and the Drug Abuse Screening Test (DAST-10) were used to screen for alcohol and substance use disorder. The results highlighted a 3.93 times increase in aggressivity in the schizophrenia group, with the involvement of specific violent domains. Younger men with alcohol abuse had a higher risk of violent acts. Schizophrenia patients appear to present an increased risk of violence, but this must be carefully assessed and confounders considered. Public health programs are needed to increase treatment compliance and decrease alcohol and other psychoactive substances consumption. </span></p>
Mental Health and Psychosocial Adjustment in Ukrainian Refugee Children in Romania
Authors: Rusu Dan Octavian , Delcea Cristian 
Published: December 2024

<p dir="ltr"><span>In the context of Russia's invasion of Ukraine in February 2022, over 6.6 million people have sought refuge in Europe, with more than 1.6 million Ukrainians having arrived in Romania since the beginning of the conflict. Among them, approximately 83,748 individuals are still in the country, of which 30% are children (UNICEF, 2023). The exposure of children to war and military aggression can be viewed as a violation of their fundamental human rights. The impact of war and displacement can have negative consequences on young people, given that this stage is crucial for their physical, mental, and neural growth. Because of the distinct developmental phase they are in, children who are refugees of war are more vulnerable to experiencing psychological disorders. Within the context of forced migration, child refugees frequently encounter challenges related to isolation, community fragmentation, and cultural displacement. These circumstances often create substantial obstacles for children and young people seeking access to healthcare and mental health services. These hurdles encompass language barriers, mental health stigma, cultural beliefs surrounding mental well-being, and healthcare professionals lacking the necessary skills to effectively engage across diverse cultural contexts. Children and adolescents who have suffered significant war-related trauma may be handling these experiences in ways that complicate or impact their current self-image or their views of others and the surrounding world. </span></p><p dir="ltr"><span>This research aims to investigate the occurrence of mental health problems that interfere with social adaptation among young refugees who have recently resettled from Ukraine to Romania, in the municipality of Cluj-Napoca. The research data will be collected using the APS-SF tool for assessing psychopathology and problems interfering with psychosocial adjustment in adolescents aged 12-18 years and the Decision-Making Capacity Test that measures decision-making ability i.e. the ability to choose rationally between several available alternatives. The research targets 19 Ukrainian children and adolescents who are currently refugees in Cluj-Napoca, aged between 12 and 18 years old. </span></p><div><span><br /></span></div>
The Brain's Essential Role in Mediating Immune Responses: HPA Axis to Leverage Signals with a Systemic Approach
Authors: Climescu-Haulica Adriana 
Published: December 2024

<p dir="ltr"><span>While the role of the brain parts on mediating immune response is largely recognized, the neuroimmune pathways are difficult to be explored so they are still poorly understood. The animal    knockout models are not always adapted to study the human biology. Because human neuroscience is very sensitive to the psychology, an appropriate way to federate various data and experiments    is computational neuroscience.    From this perspective our paper introduces    an investigation    methodology    combining a complex landscape of biological signals: neuro-endocrine, lymphatic    and neuro-electrical propagation. Having    a    hierachical HPA axis model    as    pivotal element of study, we show that previous results about the modulation of the immune response by the HPA axis obtained for murine models can be scrutinized using 'in silico' human models. This provide a new systemic computational schema to investigate neuroscience paradigms.</span></p><div><span><br /></span></div>
More About Why Cold Fusion Will Lower the Cost of Energy ICCF24
Authors: Rothwell Jed 
Published: December 2024

Cold fusion will lower the cost of energy because: The fuel costs far less than any other.1 Generators will be optimized for low cost. It can be decentralized with no distribution grid. With a decentralized system, consumers will purchase their own home generator instead of using electric power company equipment. Subtracting the cost of power company equipment and fuel, and adding in the cost of the home generator, cold fusion should reduce the cost of energy by a factor of 21. Ultimately, the cost of generators is likely to fall by a factor of ~200, from $2,000/kW to $10/kW, which is the cost difference between a power company generator and a mass produced automobile engine. I wrote a paper about this in 2016 [1]. This is an expanded look at the subject.
Synchronization of Vacancy-Loaded Deuterons Enables Successful LANR Mass-Energy Transfer
Authors: Swartz Mitchell 
Published: December 2024

Unlike hot fusion, LANR is relational and productive rather than confrontational and destructive. Rather than one D hitting the other as a target, there is no conventional “coulomb barrier”, but instead synchronous interaction(s) follow application of an electric field intensity. Analysis of the pulsing coupled atomic deuteron oscillators is difficult, and here we have used equivariant bifurcation theory. A mathematical solution of this, such as a toroidal breather mode, reveals much. Most importantly, such synchronization of deuterons may obviate, i.e. circumvent, the function of the ‘coulomb barrier’. We have observed that successfully driven LANR components emit unique RF emissions, with sidebands and pulsations which may herald energy-mass interactions. The final product of these processes is fusion of two deuterons with production of de novo helium-4, and generation of the observed “excess heat”.
Predicting epidermal growth factor receptor (EGFR) mutation status in non-small cell lung cancer (NSCLC) patients through logistic regression: a model incorporating clinical characteristics, computed tomography (CT) imaging features, and tumor marker levels
Authors: Hao Jimin , Liu Man , Zhou Zhigang , Zhao Chunling , Dai Liping , Ouyang Songyun 
Published: December 2024

Background
Approximately 60% of Asian populations with non-small cell lung cancer (NSCLC) harbor epidermal growth factor receptor (EGFR) gene mutations, marking it as a pivotal target for genotype-directed therapies. Currently, determining EGFR mutation status relies on DNA sequencing of histological or cytological specimens. This study presents a predictive model integrating clinical parameters, computed tomography (CT) characteristics, and serum tumor markers to forecast EGFR mutation status in NSCLC patients.

Methods
Retrospective data collection was conducted on NSCLC patients diagnosed between January 2018 and June 2019 at the First Affiliated Hospital of Zhengzhou University, with available molecular pathology results. Clinical information, CT imaging features, and serum tumor marker levels were compiled. Four distinct models were employed in constructing the diagnostic model. Model diagnostic efficacy was assessed through receiver operating characteristic (ROC) area under the curve (AUC) values and calibration curves. DeLong’s test was administered to validate model robustness.

Results
Our study encompassed 748 participants. Logistic regression modeling, trained with the aforementioned variables, demonstrated remarkable predictive capability, achieving an AUC of 0.805 (95% confidence interval (CI) [0.766–0.844]) in the primary cohort and 0.753 (95% CI [0.687–0.818]) in the validation cohort. Calibration plots suggested a favorable fit of the model to the data.

Conclusions
The developed logistic regression model emerges as a promising tool for forecasting EGFR mutation status. It holds potential to aid clinicians in more precisely identifying patients likely to benefit from EGFR molecular testing and facilitating targeted therapy decision-making, particularly in scenarios where molecular testing is impractical or inaccessible.
Correlation of Coral Reef Cover with Catch Results of Target Fish Species in Supiori Waters Papua, Indonesia
Authors: Heriyanto  , Kantun Wayan , Awaluddin  
Published: December 2024

Coral reefs are a habitat for aquatic resources to grow and reproduce to continue their survival. This research aims to analyze coral reef cover and the composition of fish caught in areas around coral reefs on Wandos Beach, Supiori Regency. This research uses a descriptive quantitative approach. Sampling was carried out at six stations with the criteria of station one, two. three and four are fishing areas, station five is a community residential area and station six is ​​a tourist area. The research results found that coral reef cover for all stations was in the poor cover category, ranging from 0.14-0.27%, with the most coral species found being Acropora followed by Coelastrea aspera. The catch for all stations was 66 fish consisting of 10 species. The highest catch composition of aquatic resources was obtained at station five with the condition of coastal coral reefs near residential areas totaling 43 individuals (65.15%) and the lowest at stations one and six each with two individuals (3.03%) with the condition the station is a fishing area. The composition of catch species in coral reef areas is dominated by Siganus Sp fish. as many as 37 individuals (56.06%), Charanx ignobilis nine individuals (13.63%), Etelis carbunculus six individuals (9.09%), Leptoscarus vaigiensis five individuals (7.57%), Lutjanus monostigma, Balistapus undulatus and Sphyraena sphyraena respectively two individuals each (3.03%). Scomberomorus commerson, Lutjanus campechanus and Tylosurus crocodilus one individuals each (1.51%). Station five with coral reef conditions near residential areas provided the largest catch of rabbitfish (Siganus Sp.). The lack of coral cover has an impact on the decreasing availability of fish resources, so that conservation efforts and control of fisheries management that damages coral reef ecosystems are needed.
Isolation and Identification of Dermatophytes from Animals in the Malwa Region of Punjab: A Preliminary Study
Authors: S. M. Sreekala , Singh Gagandeep , Sharma N.S. 
Published: December 2024

Aim and Scope: In recent decades, there has been an increase in the incidence of dermatophytosis among humans, especially those who are in close contact with animals. It is caused by one of the dermatophyte groups causing superficial mycoses in both humans and animals. Trichophyton and Microsporum spp are the most common genera responsible for skin infection in animals. Despite reports of dermatophytes from various regions, there is increasing evidence of geographical variation in fungal species, their spread to new areas, and growing resistance to antifungal treatments. The ability of these infections to transmit from animals to humans underscores the need for vigilance and proactive management. Addressing this issue can help protect animal and human health, making early detection and treatment vital in preventing outbreaks and ensuring overall well-being. Hence, we conducted a preliminary study on the incidence of dermatophytosis in animals of the Malwa region with a hot-humid climatic condition and a large animal population.
Study Design: Purposive sampling was done and samples were subjected to isolation and identification of dermatophytes.
Place and Duration of Study: The study was conducted in the Malwa region of Punjab state, India from July 2021 to June 2023.
Methodology: Samples (n=51) from various animal species were examined for fungal infection by direct microscopy (10% KOH). Fungal isolates were cultured on Sabouraud’s dextrose agar (SDA) and Dermatophyte test medium. Microscopic and macroscopic identification of dermatophytes was performed.
Results: Of the 51 clinically suspected dermatophytosis cases, 27 (52%) were found positive by KOH preparations. Trichophyton spp were isolated from 11(40%) samples demonstrating their significant presence among animals. The results of the present study highlight the incidence of dermatophyte infections in animals within the Malwa region, offering valuable insights into the prevention and control of dermatophytosis in both animals and humans. This information is a critical reference for public health strategies and underscores the importance of effective monitoring and managing dermatophytosis in animals and humans.
Elastic local buckling strength and maximum strength of cold‐formed steel members with different plate widths on adjacent plate elements
Authors: Kobashi Tomoki , Ikarashi Kikuo , Shimizu Nobutaka 
Published: July 2019

AbstractA key issue in the design of cold‐formed steel members is their local buckling strength under axial compression. In this study, we focused on the local buckling strength of rectangular section and lipped C‐section members, the adjacent plate elements of which have a different width‐thickness ratio, and we investigated their elastic and inelastic local buckling strengths through a numerical analysis. On comparing the numerical analysis results with those obtained using a conventional design method, we found that the plate restraining effect between the adjacent plate elements affected both the elastic buckling strength and maximum strength of the cold‐formed steel members.