bluuebunny/crossref_metadata_2025_split huggingface dataset:
Frequency of Different Etiologies in Patients of Upper GI Bleed
Authors: Ikram Zada  , Savida Ilyas Dar  , Farid Ullah Shah  , Hareema Saeed Khan  , Maheen Asim  , Anum Fatima  
Published: November 2024

Objectives: To find out the frequency of different etiologies of upper GI bleed, based on endoscopic findings.
Methodology: It was a retrospective study done over a period of 6 months in gastroenterology department of Federal Government polyclinic (FGPC), hospital from 1st January 2023 to 30th June 2023.
Results:A total of 229 patients presented with Upper gastrointestinal bleed.Chronic liver disease manifesting as variceal bleed or portal hypertensive gastropathy was found in significant number of patients as compared to peptic ulcer disease.The predominant age group for most of causes of bleed was 5th decade of life with a significant female predominance.
Conclusion:Viral hepatitis along with other causes of portal hypertension seem to be the major predisposing factor as a cause of upper GI bleed. There is an increased need for future awareness campaigns about viral hepatitis in order to reduce the risk of upper GI bleed. It is further suggested to study the impact of such awareness programson incidence of upper GI bleed through future studies.
Emphysematous Spinous Osteomyelitis and Acute Pyelonephritis in Diabetic Patient.
Authors: Shah Mariam , Aslam Maira , Khaliq Bhinder Khurram , Wahla Madiha Saeed , Kanwal Aroosa 
Published: November 2024

Spontaneous emphysematous osteomyelitis with concurrent pyelonephritis is exceedingly rare and fatal entity that needs prompt diagnosis. Imaging play a crucial role in its diagnosis. We present a case of 52 years old woman known case of diabetes and hypertension presenting to ER with high grade fever and right flank pain. CT scan abdomen and pelvis revealed intraosseous gas extending in epidural space and in retro peritoneum, suggesting emphysematous osteomyelitis, which was later confirmed by E coli in blood culture. Right kidney was also swollen and enlarged with surrounding perinephric stranding. Our case also highlights the importance of radiological imaging in Emergency settings particularly in patients with comorbid. Being familiar with this rare entity thus can help in early diagnosis and initiation of treatment.
Pelatihan Nasi Tutug Oncom dengan Konsep Tumpeng sebagai Ide Bisnis UMKM kepada SML UMKM Centre
Authors: Yuliantoro Vincentius Nonot , Evalina Shelvy , Hapsara Vriandi , Michelle Setiadi Hartono  , Yasinta Kusnin  
Published: November 2024

Community Service (CS) focuses on SML UMKM Centre in BSD, South Tangerang, with the theme "Training on Tutug Oncom Rice with the Tumpeng Concept as an UMKM Business Idea." The main objective of this initiative is to provide innovative insights into cooking Tutug Oncom Rice with the Tumpeng concept. This concept supports the development of culinary and business skills, especially in utilizing Oncom as a local Indonesian product. The solution involves conducting training on cooking Tutug Oncom Rice using the Tumpeng concept, along with discussions on business ideas. With the knowledge and skills acquired, it is expected that participants can develop their culinary businesses, enhance the competitiveness of UMKM and create high-quality local products.
Pengaruh Mie Berbahan Dasar Campuran Serbuk Daun Kelor dan Tepung Terigu terhadap Tingkat Kesukaan Konsumen
Authors: Larasati Sri 
Published: November 2024

Daun Kelor banyak kita jumpai di pedesaan yang mempunyai banyak manfaat bila dikumsunsi dan ini banyak yang tidak diketahui oleh masyarakat, karena itu untuk lebih memperkenalkan Daun Kelor maka peneliti mencoba menjadikan Daun Kelor menjadi salah satu bahan campuran dalam membuat Mie dengan cara menjadikan serbuk setelah mengeringkan Daun Kelor terlebih dahulu dan kemudian menghaluskannya dengan cara mem-blender. Pemanfaatan serbuk daun kelor menjadi bahan campuran utama mie dilakukan sebagai upaya menciptakan varian mie yang sehat. Maka, penelitian berjudul judul Pengaruh Mie Berbahan Dasar Campuran Serbuk Daun Kelor dan Tepung Terigu Terhadap Tingkat Kesukaan Konsumen. Tujuan dari diadakannya penelitian ini adalah untuk mengetahui pengaruh serbuk Daun Kelor terkait pemanfaatannya pada campuran utama adonan mie terhadap tingkat kesukaan konsumen dinilai dari Rasa, Aroma, Tekstur, Warna. Penelitian ini adalah merupakan penelitian eksperimen dengan menggunakan uji hedonik sebagai metode untuk panelis memberikan penilaiannya dengan. Teknik pengumpulan data melalui kuesioner. Metode analisis data yang digunakan peneliti pada penelitian ini adalah uji ftriedman. Dari hasil Uji hipotesis yang diajukan untuk aspek Rasa, Aromo dan Warna dengan menggunakan uji ftriedman ditolak yang artinya terdapat pengaruh yang signifikan penggunaan campuran serbuk daun kelor dan terigu sebagai bahan dasar, hanya aspek Tekstur yang hipotesis nya di terima yang artinya segi Tekstur sama dengan mie pada umumnya. Secara keseluruhan hasil uji hipotesis yang diajukan terbukti ada pengaruh penggunaan campuran serbuk daun kelor dalam bahan dasar mie nemun demikian tetap Mie yang menggunakan campuran serbuk daun kelor di sukai oleh konsumen.
Pelatihan Pembuatan Olahan Dasar Saripati Bayam menjadi Masakan Khas Aceh di Desa Curug Wetan
Authors: Yuliantoro Nonot , Juliana  , Hassan Rayyani , Stefany  , Alfenny Verellyn 
Published: November 2024

Training on Making Basic Spinach Extract into Acehnese Specialty Dish in Curug Wetan Village
Aceh Province is one of the provinces that has a variety of very distinctive dishes, such as: Mie Aceh dan Roti Canai. Spinach essence is one of the innovations made in making basic preparations for Aceh Noodles dan Roti Canai,. This innovative product is made as attractive as possible and as complete as possible so that later it can be useful among the wider community. Training on making basic processed spinach essence into aceh cuisine in the village of Curug Wetan was carried out with the hope of providing the latest innovations that will be useful in the future for opening an independent business. The implementation is carried out face-to-face and workshops and events are also equipped with pre-tests and post-tests to measure the understanding of Pkk mothers who attend this training event. Because the significance value is less than 0.05, it proves that the comparison is valid. So, it is hoped that there will be a continuation of this training activity so that Pkk mothers can practice it directly both at home and as a resource to open an independent business.
Pubo Suburethral Suture Placement for Treatment of Stress Urinary Incontinence in a Woman with Mesh Exposure and Recurrent Incontinence
Authors: Kaba Metin 
Published: November 2024

Objective: To present and assess the pubo suburethral suture placement (PSUSP) technique as a surgical treatment option for stress urinary incontinence (SUI) in patients with previous mesh exposure and recurrent incontinence. This technique aims to offer an alternative approach for patients where conventional methods may be contraindicated or have previously failed. The PSUSP procedure involves strategic suture placement to reinforce the pubovaginalis fascia, potentially enhancing structural support and functional outcomes.
Case: A 56-year-old woman who had undergone transobturator tape (TOT) surgery 3 years prior presented with SUI. Clinical examination revealed persistent SUI and suburethral mesh exposure. Under spinal anesthesia, partial dissection and removal of the exposed mesh were performed. The vaginal mucosa was dissected from the pubocervical fascia to the pubic bone bilaterally. A zero polyester suture was passed through the retropubic fibrous tissue and the pubovaginalis fascia parallel to the urethra on the left side, and the procedure was mirrored on the right side. Twenty days postoperatively, the patient reported mixed urinary incontinence, and examination revealed local incisional dehiscence, suture detachment, and persistent SUI. A reoperation was conducted using a vertical incision. The vaginal mucosa was re-dissected from the pubocervical fascia, and PSUSP was re-implemented as previously described. The pubovaginalis fascia was repaired before the PSUSP sutures were secured. Postoperative evaluation indicated the resolution of mixed incontinence, with no further complications reported.
Conclusion: This case illustrates that PSUSP can be a viable surgical technique for treating SUI in patients with a history of mesh exposure and recurrent incontinence. The reoperation success suggests that PSUSP may provide enhanced support to the pubovaginalis fascia, but further clinical studies are necessary to evaluate its long-term efficacy and safety profile.
Multi-clustering study on the association between human leukocyte antigen-DP-DQ and hepatitis B virus-related hepatocellular carcinoma and cirrhosis in Viet Nam
Authors: Nguyen Thuy Thu , Ho Tu Cam , Bui Huong Thi Thu , Tran Van-Khanh , Nguyen Tue Trong 
Published: November 2024

BACKGROUND
Human leukocyte antigen (HLA) class II molecules are cell surface receptor proteins found on antigen-presenting cells. Polymorphisms and mutations in the HLA gene can affect the immune system and the progression of hepatitis B.
AIM
To study the relation between rs2856718 of HLA-DQ , rs3077, and rs9277535 of HLA-DP , hepatitis B virus (HBV)-related cirrhosis, and hepatocellular carcinoma (HCC).
METHODS
In this case-control study, the genotypes of these single nucleotide polymorphisms (SNPs) were screened in 315 healthy controls, 471 chronic hepatitis B patients, 250 patients with HBV-related liver cirrhosis, and 251 patients with HCC using TaqMan real-time PCR. We conducted Hardy-Weinberg equilibrium and linkage disequilibrium tests on the genotype distributions of rs2856718, rs3077, and rs9277535 before hierarchical clustering analysis to build the complex interaction between the markers in each patient group.
RESULTS
The physical distance separating these SNPs was 29816 kB with the disequilibrium (D’) values ranging from 0.07 to 0.34. The close linkage between rs3077 and rs9277535 was attributed to a distance of 21 kB. The D’ value decreased from moderate in the healthy control group (D’ = 0.50, P < 0.05) to weak in the hepatic disease group (D’ < 0.3, P < 0.05). In a combination of the three variants rs2856718, rs3077, and rs9277535, the A allele decreased hepatic disease risk [A-A-A haplotype, risk ratio (RR) = 0.44 (0.14; 1.37), P < 0.05]. The G allele had the opposite effect [G-A/G-G haplotype, RR = 1.12 (1.02; 1.23), P < 0.05]. In liver cancer cases, the A-A-A/G haplotype increased the risk of HCC by 1.58 (P < 0.05).
CONCLUSION
Rs9277535 affects liver fibrosis progression due to HBV infection, while rs3077 is associated with a risk of HBV-related HCC. The link between rs2856718, rs3077, and rs9277535 and disease risk was determined using a multi-clustering analysis.
Elogio de la “construcción densa”
Authors: Wacquant Loïc 
Published: November 2024

Basándome en mi libro The Poverty of the Ethnography of Poverty ([2023]2025), defiendo la "construcción densa" como enfoque racionalista para enmarcar y realizar etnografías. Infundida por la epistemología sociológica de Pierre Bourdieu, la construcción densa es una "construcción al cuadrado", es decir, una construcción científica (analítica) de una construcción ordinaria (popular). Anclada en el concepto de espacio social, la construcción densa pretende esquivar el peligro del "etnografismo", la tendencia a querer describir, interpretar y explicar un fenómeno basándose únicamente en los elementos discernidos mediante el trabajo de campo. Nos permite evitar cometer una u otra de las cinco falacias orgánicas de la observación participante: el interaccionismo, el inductivismo, el populismo, el presentismo y la deriva hermenéutica. Esquematizo cómo la descripción densa, la teoría fundamentada (“grounded theory”), el método del caso extendido, el análisis abductivo y la construcción densa configuran el dúo teoría-observación. Evitando la falsa oposición entre concepto y percepción, la construcción densa pretende construir herramientas heurísticas para fabricar nuevos objetos. En este enfoque, contrariamente a las opiniones convencionales, la teoría no es el amo altivo, sino el humilde servidor de la investigación empírica como aproximación a lo real.
Assessing southern pine beetle (Coleoptera: Curculionidae) success in eastern white pine (Pinaceae) on Long Island, New York, United States of America
Authors: Dodds Kevin J. , Janelle Jonathan , Schwager Kathy 
Published: November 2024

Abstract
Southern pine beetle, Dendroctonus frontalis Zimmermann (Coleoptera: Curculionidae: Scolytinae), has expanded its range further into northeastern United States pitch pine (Pinus rigida Miller) (Pinaceae) forests and established populations on Long Island, New York, since 2014. Although rare, small plantations of eastern white pine, Pinus strobus Linnaeus (Pinaceae), also occur on Long Island and may be attacked by D. frontalis, providing opportunities to assess economic and ecological impacts of the beetle in an uncommon host. We sampled overstorey tree health in three P. strobus stands to assess stand-level damage caused by D. frontalis and documented D. frontalis attack density and brood gallery estimates in P. rigida and P. strobus. Dendroctonus frontalis attacked 37–55% of trees in the stands. Attack density, successful brood galleries, and brood gallery length were higher in P. rigida than in P. strobus. There was variation in these variables among four heights on tree boles. No difference was found for unsuccessful galleries between the two pine species. Information on D. frontalis behaviour and colonisation success in regionally abundant stands of P. strobus will be helpful in assessing risk to the region.
Religion, water and climate change: Are theologies of African Initiated Churches in Zimbabwe adaptable?
Authors: Manyonganise Molly , Matutu Tawanda 
Published: November 2024

An eco-theological analysis of African Initiated Churches (AICs) has revealed that most of these churches use water for a myriad of rituals ranging from baptism to consecratory rites. Their affinity with water even qualifies them to be dubbed water-based churches; yet, the world is faced with an imminent scarcity of this natural resource. The United Nations echoed that access to safe water, sanitation and hygiene are the most basic human needs for health and well-being; but it has observed that unless the water situation improves, by 2030, billions of people will lack access to these services because of climate change. Given this reality, there is a genuine need to examine the possibility of having the eco-theologies of AICs adapted to suit these emerging realities. The paper explores how water is used in the religiosity of the AICs in an effort to elucidate the possible challenges to be encountered because of climate change. It then examines the possibility of realigning the water uses to the current climatic trajectory. The article is largely based on desktop research which utilises secondary sources.Contribution: This article makes a critical contribution to the body of knowledge by making an analysis of the adaptability of AICs’ conceptualisation and use of water in a climate change context. An eco-theological analysis is crucial as it enables the nuancing of AICs’ theologies so that they conform to a world in a climate crisis.
Experiences of men who have sex with men in accessing HIV counselling and testing in Mdantsane Township, South Africa
Authors: Holiday Lusindiso , Khuzwayo Nelisiwe 
Published: November 2024

Background: Despite scientific evidence of a rapid increase in the number of men who have sex with men (MSM) who test positive for HIV, many African states continued to ignore and exclude MSM in healthcare planning and provision, resulting in their reluctance and refusal to access healthcare services.Aim: This study aimed to explore, the lived experiences of MSM in accessing HIV Counselling and Testing services within the primary health care system in a township in South Africa.Setting: Mdantsane Township, outside East London, Eastern Cape province.Methods: This qualitative study was placed within the interpretive paradigm and employed a descriptive phenomenological research design. A non-probability purposive sampling technique was used to recruit participants. The study was inductive and utilised semi-structured in-depth interviews and an interview guide to collect data. A descriptive phenomenological data analysis method was employed to process and analyse the data.Results: Five main themes emerged from the study, namely, (1) individual factors related to MSM’s experiences of nearby healthcare centres providing HCT; (2) interpersonal factors related to their experiences inside the clinic; (3) institutional factors related to lack of sensitisation; (4) community factors related to the role of public-private partnerships in improving healthcare services for MSM; and (5) public policy factors related to the role of government in ensuring accessibility of HCT policy to MSM.Conclusion: Access to HCT services for MSM in Mdantsane was levels and there is an urgent need influenced by a myriad of complex factors at different socio-ecological levels, and there was an urgent need for tailormade interventions at all these socio-ecological levels to address challenges.Contribution: This study contributes to scientific knowledge by bringing forth the voices of sexual minorities regarding the quality of healthcare service provision they expect to receive from their local clinics.
Developing an Index to Measure the Value of Health Care Provided to Stroke Patients
Authors: Şengül Halil , Aydın Sabahattin , Önder Emrah , Bulut Arzu 
Published: November 2024

Abstract

Background and Objectives:
It is possible to evaluate health services for stroke patients based on clinical benefits. However, in recent years, questions about responsiveness and outcomes have also emerged. Currently, there is no index that can assess health-care services for stroke patients along these three dimensions. This study introduces the first index designed to measure the value generated by health-care services for stroke patients.

Methods:
The Case-Mix Variables Data Collection Reference Guide, developed through a review of national and international stroke guidelines, underwent content validation by 10 neurologists and 10 interventional radiologists. Questions with a content validity index exceeding 0.80, along with the World Health Organization responsiveness questionnaire and the Patient-Reported Outcomes Measurement Information System Global-10 short form, were subjected to pairwise comparison by two neurologists, two interventional radiologists, and two public health physicians using the analytic hierarchy process (AHP) method.

Results:
In the comprehensive ranking of questions formulated using the AHP method and assessed by experts for importance and global weights, new stroke follow-up emerged as the most crucial, garnering an index score of 0.09. Conversely, questioning patients about their alcohol use status was deemed the least significant by experts, registering an index score of 0.00021.

Conclusions:
Our AHP analyses have furnished an index for gauging the factors that contribute to the value of health-care services rendered to stroke patients.
Perinatal Depression and Breastfeeding Outcomes: A Systematic Review from South Asian Countries
Authors: Bondade Swapna , Vignesh Rama Krishna , Krithika K. , Kongath Shahafas Ali 
Published: November 2024

Background:
Breastfeeding is very beneficial to both mothers and infants. However, perinatal depression, encompassing both antenatal and postnatal depression, can significantly impact breastfeeding. Prior research suggests a link between postpartum depression and breastfeeding difficulties. This systematic review focuses on the duration of breastfeeding, the duration of exclusive breastfeeding (EBF), initiation, as well as the early cessation of breastfeeding among mothers in South Asian countries with unique sociocultural practices and mental health experiences.

Methodology:
The searched databases were PubMed, Ovid MEDLINE, ProQuest PsycINFO, EBSCOhost CINAHL, and Bielefeld Academic Search Engine (gray literature) for relevant records till February 2024. Studies conducted in South Asian countries with cross-sectional, cohort, or case–control designs were included, and all interventional studies, qualitative studies, case reports, and case series were excluded. The review examined breastfeeding duration among mothers with perinatal depression. Two reviewers independently screened and selected studies, extracted data, and used the Newcastle–Ottawa Scale for quality assessment.

Results:
This systematic review identified 109 records, of which 14 were eligible. Ten studies were cross-sectional and 4 were cohort studies. It involved 11,944 perinatal women, with sample sizes ranging from 100 to 8189 participants.

Conclusion:
Perinatal depression was associated with shorter breastfeeding duration, especially EBF and early cessation of all breastfeeding. However, any association between perinatal depression and the initiation of breastfeeding was unclear. Overall, supporting mothers suffering from perinatal depression is crucial for successful breastfeeding practice. Certain limitations of the review were data heterogeneity, risk of recall bias in breastfeeding practices, and different data collection time points. Future research could study the various sociocultural and economic factors and biological mechanisms in breastfeeding and maternal depression.
Efficacy and Safety of Antiepileptic Drugs in the Management of Behavioral Issues in Autism Spectrum Disorders: A Systematic Review and Meta-analysis
Authors: Kaku Sowmyashree Mayur , Varshney Ananya , Ravi Dhwani , Moncy Ann Maria 
Published: November 2024

Background:
Autism spectrum disorder (ASD) is often accompanied by comorbidities such as epilepsy and behavioral problems. The interplay between epilepsy, behavior, and language suggests a potential role for antiepileptic drugs (AEDs) in managing ASD-related behavioral issues. Despite some preliminary studies indicating possible benefits, the evidence remains inconclusive. This systematic review and meta-analysis aimed to evaluate the efficacy and safety of AEDs in managing behavioral issues in individuals with ASD.

Methodology:
Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we conducted a comprehensive search across multiple databases (PubMed, Ovid MEDLINE, Cochrane Library, Web of Science, and others) for double-blind, placebo-controlled randomized controlled trials (RCTs) published in English. Inclusion criteria focused on individuals with ASD exhibiting behavioral problems, with or without EEG abnormalities, treated with AEDs. Data extraction and quality assessment were performed by two independent reviewers. The primary outcome was focused on investigating the efficacy of AEDs in improving behavioral symptoms, predominantly irritability, and aggression. We also investigated the safety profiles of the AEDs.

Results:
Seven RCTs met the inclusion criteria, involving AEDs such as valproate, levetiracetam, and topiramate. Two RCTs were excluded due to incompatible outcome measures. Meta-analysis of the remaining five RCTs showed no significant difference in the reduction of aggression and irritability between AEDs and placebo, with high heterogeneity (I2 = 93%). Sensitivity analysis confirmed the nonsignificance and high heterogeneity (I2 = 87%). Adverse effects commonly reported included insomnia and weight gain.

Conclusion:
This meta-analysis found no significant benefit of AEDs in managing behavioral symptoms of ASD compared to placebo, consistent with previous findings. The high heterogeneity and methodological limitations highlight the need for more robust and larger-scale studies. Future research should consider the role of electroencephalography abnormalities and standardize outcome measures to better evaluate the potential of AEDs in this population or in a specific subgroup of ASD.