bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Review on Benefits of Homestay Tourism in Nepal
Authors: Gautam Biranji 
Published: December 2024

Homestay tourism in Nepal has become a prominent and sustainable model, offering a range of socio-economic, cultural, and environmental benefits. This review explores how homestays contribute to these areas, highlighting examples from across the country. Since the introduction of homestays in Sirubari in 1997, the model has expanded to over 200 homestays across 60 districts. Google Scholar, Web of Science, Research gate, JSTOR, and Scopus using keywords like “homestay tourism in Nepal” and “benefits of homestay tourism.” Relevant peerreviewed articles, reports, and literature published between 2010 and 2024 were included. Homestays in various regions provide tourists with immersive experiences in ethnic cultures, including traditional festivals and local crafts, which help preserve cultural heritage and build community pride. Economically, these homestays generate essential income for local families, improve access to education and healthcare, and boost local businesses through increased demand for goods and services. Environmentally, homestays adopt sustainable practices such as waste reduction and solar energy use, with tourism revenue supporting conservation projects like reforestation and wildlife protection. By aligning with global trends toward responsible tourism, homestays reduce ecological impact and foster meaningful interactions between tourists and hosts. The review recommends implementing comprehensive training programs for homestay operators to enhance sustainable practices and maximize benefits, ensuring the long-term success and positive impact of homestay tourism in Nepal.
Role of Tamsulosin and Solifenacin to Reduce Double J Stent Related Symptoms After Uncomplicated Ureteroscopic Lithotripsy
Authors: Basnet Robin Bahadur , Regmi Prabodh , Adhikari Baikuntha , Basnet Surendra 
Published: December 2024

Introduction: Endoscopic urological surgeries are safe procedures with further reduction in morbidity due to double J stents. Stents usually give rise to lower urinary tract symptoms and various drugs have been prescribed singly drug or in combination to ameliorate the symptoms. Since double J stenting of the ureter is one of the most common procedures in our department, we attempted to compare the efficacy of the anti-muscarinic drug Solifenacin over alpha-blocker Tamsulosin.
Materials and methods: A prospective study was done where 50 consecutive patients who underwent double J stenting following ureteroscopic lithotripsy were randomized and given 5 mg Solifenacin or 0.4 mg Tamsulosin. Lower urinary tract symptoms were assessed at end of first and second week. The results were analyzed.
Results: Fifty consecutive patients who underwent ureteroscopic lithotripsy were enrolled in the study. 25 of them were randomly prescribed Solifenacin and 25 were prescribed Tamsulosin based on computer generated randomization. The IPSS score was higher in the Solifenacin group, compared to the Tamsulosin group in both the first and second weeks, which was significantly higher in the first week. The reduction of symptoms within the first and second week in both groups was clinically significant, Solifenacin group being p <0.0001 and Tamsulosin group being 0.0004.
Conclusions: Lower urinary tract symptoms are common and quite bothersome following DJ stent insertion. The symptoms can be ameliorated with the use of alpha blockers and anti-muscarinic drugs.
Fine Needle Aspiration Cytology of Palpable Head and Neck Masses: A Descriptive Cross-sectional Study
Authors: Chalise Sanat , Hirachand Suspana , Dhakhwa Ramesh 
Published: December 2024

Introduction: Fine needle aspiration cytology is a quick and safe technique done for the initial diagnosis of head and neck region masses. This study aims to assess the utility of fine needle aspiration cytology in head and neck palpable masses.
Materials & Methods: A descriptive cross-sectional study was done in the Pathology Department of Kathmandu Medical College from 1st February 2023 to 31st December 2023. All the patients with palpable head and neck lumps were included in the study. A convenience sampling method was used. The data was entered and analyzed using the Statistical Package for Social Science (SPSS) version 22.0
Results: Among 650 fine needle aspiration cytology done during the study period, 184 were from head and neck lesions (28.30%). The mean age of the patient was 35.4 years with female predominance. The most common site was lymph node 85 (46.19%) followed by thyroid 39 (21.19%). Reactive lymphadenitis was the most common cause of lymphadenopathy seen in 41(22.2%) patients and colloid goitre was the most common cause of thyroid swelling seen in 26(14.13%) patients.
Conclusions: Fine needle aspiration cytology is a useful and reliable technique for the diagnosis of head and neck mass. It helps to avoid unnecessary surgeries and is recommended and guides the clinician in general clinical management.
“With the Eyes of a Jew”: Unveiling Canvas of Identity in Early 20th Century Art Expeditions to Mandate Palestine
Authors: Balestrieri Anna 
Published: December 2024

In the early 20th century, a wave of missions to exotic lands, including Mandate Palestine, sparked artistic exploration across cinema, painting, and photography. This article examines how painters on these expeditions aimed to express Jewish identity through their artwork. Drawing from exhibition reviews, it explores the transformative impact of these journeys on artists’ worldview and artistic expression, highlighting their role in bolstering Jewish self-awareness. Through examples like Artur Szyk, Adolphe Feder, and Mane-Katz, it demonstrates how travel to Eretz Israel shaped artists’ self-perception, enriching their artistic perspective while maintaining their deeply rooted ethnic identity.
Resilient relationships: Role of partner responsiveness and relationship satisfaction in posttraumatic stress disorder
Authors: Meuleman Eline M. , Karremans Johan C. , van Ee Elisa 
Published: December 2024

LAY SUMMARY This research delves into how posttraumatic stress disorder (PTSD) affects relationships. Most studies focus on how PTSD negatively affects romantic relationships, but this study looked at what makes relationships resilient for patients undergoing PTSD treatment. The study population consisted of 89 patients, including 49 Veterans, and the authors explored how trauma symptoms and perceived partner support influence relationship quality. The results reveal that partners’ supportiveness strongly affected relationship satisfaction, suggesting that couples in which one partner is dealing with PTSD can maintain a positive relationship when the other partner is supportive. This sheds light on the importance of partner support in fostering strong relationships amid struggles with PTSD.
Spinal cord–spinal canal disproportion following treatment for syringomyelia associated with Chiari malformation type I: illustrative case
Authors: Nair Arjun , Gupta Vivek P. , Kolmetzky Devin , Strahle Jennifer M. , Limbrick David D. 
Published: December 2024

BACKGROUND
Chiari malformation type I (CM-I) is a common pediatric neurosurgical condition that is often associated with syringomyelia (SM) and spine deformity. The association of these three conditions is well recognized, but the pathophysiology linking them has yet to be fully elucidated.

OBSERVATIONS
This case report describes the unusual course of a 13-year-old male with CM-I, a large holocord syrinx, and progressive scoliosis who developed an angiography-negative subarachnoid hemorrhage (SAH) 4 months after successful posterior fossa decompression with duraplasty (PFDD). Notably, his cervical spinal canal diameter was increased relative to normative data. After presenting with SAH, he was treated with a course of lumbar cerebrospinal fluid drainage, which relieved his symptoms, and he had no further incidents. His syrinx responded to PFDD with a dramatic decrease in spinal cord diameter, in contradistinction to his dilated bony spinal canal. He is presently 4 years out from his SAH and doing well clinically.

LESSONS
This report describes the first case of nonaneurysmal SAH following PFDD for CM-I and SM and explores a possible link between SM and bony spinal canal diameter.
https://thejns.org/doi/10.3171/CASE24272
PENINGKATAN LITERASI DIGITAL DAN MOTIVASI GURU SEKOLAH DASAR MELALUI PENGEMBANGAN MEDIA BELAJAR MANDIRI BERBASIS TPACK DENGAN CANVA
Authors: Astuti Yenni Masni , Dike Daniel , Fatawi Izzul 
Published: December 2024

ABSTRAKPenelitian ini untuk meningkatkan literasi digital dan motivasi guru sekolah dasar melalui pengembangan media belajar mandiri berbasis TPACK dengan Canva. Penelitian menggunakan metode Research and Development (RnD) dengan model pengembangan ADDIE. Penelitian dilakukan di Gugus 2 Pandan dengan 3 sekolah yaitu SDN 9 Merarai, SDN 10 SP 1 Pandan, dan SDN 11 SP 2 Pandan dengan jumlah 30 guru. Hasil Penelitian ini adalah menurut ahli media, ahli materi dan praktisi media Canva dapat kategori valid. Uji keefektivan media Canva analisis literasi digital dan motivasi guru sebelum dan sesudah melibatkan 30 orang guru. Hasil angket sebelum pelatihan memiliki hasil “cukup baik”. Sikap terhadap teknologi dan persepsi manfaat dengan hasil “baik”. Setelah pelatihan keterampilan teknis dan penggunaan Canva memiliki hasil sangat baik. Sikap terhadap teknologi dan persepsi manfaat memiliki hasil sangat baik. Berdasarkan uji efektifitas disimpulkan bahwa media belajar mandiri berbasis TPACK dengan Canva sangat efektivif terhadap literasi digital dan motivasi guru.Kata Kunci: Literasi Digital, Motivasi, Media Belajar Mandiri, TPACK, CanvaABSTRACTThis research is to increase digital literacy and motivation of elementary school teachers through the development of TPACK-based independent learning media with Canva. The research uses the Research and Development (RnD) method with the ADDIE development model. The research was conducted in Cluster 2 Pandan with 3 schools, namely SDN 9 Merarai, SDN 10 SP 1 Pandan, and SDN 11 SP 2 Pandan with a total of 30 teachers. The results of this research are that according to media experts, material experts and media practitioners, Canva can be categorized as valid. Test the effectiveness of Canva media analysis of digital literacy and teacher motivation before and after involving 30 teachers. The results of the questionnaire before the training were "fairly good". Attitudes towards technology and perceived benefits with “good” results. After technical skills training and use of Canva had excellent results. Attitudes towards technology and perceived benefits have very good results. Based on the effectiveness test, it was concluded that TPACK-based independent learning media with Canva was very effective for digital literacy and teacher motivation.Keywords: Digital Literacy, Motivation, Independent Learning Media, TPACK, Canva
Pengaruh Kompetensi Kerja Karyawan dan Komitmen Kerja Terhadap Kinerja
Authors: Fauzi Haris , Kurnadi Engkun , Nuraeni Neni Sri 
Published: December 2024

Penelitian ini berawal dari ditemukannya permasalahan pada kinerja karyawan. Masalah yang terlihat dalam penelitian ini adalah kinerja karyawan yang diakibatkan oleh kompetensi kerja dan komitmen kerja, dimana karyawan tidak memiliki keterampilan kerja yang baik serta di tambah dengan rasa loyalitas pegawai yang rendah saat bekerja. Penelitian ini bertujuan untuk mengetahui pengaruh kompetensi kerja dan komitmen kerja terhadap kinerja karyawan.
Metode yang digunakan dalam penelitian ini adalah analisis deskriptif dan verifikatif. Populasi dalam penelitian ini adalah karyawan PT. Persada Selaras Indonesia yang berjumlah 93 orang, dengan sampel seluruh karyawan PT. Persada Selaras Indonesia sebanyak 93 orang. Teknik sampling yang digunakan yaitu sampling jenuh. Teknik pengumpulan datanya berupa observasi, wawancara, dan penyebaran kuesioner. Adapun alat analisis yang digunakan dalam penelitian ini yaitu dengan melakukan uji asumsi klasik, regresi linier berganda, koefisien determinasi, uji kelayakan model dan uji hipotesis secara parsial (uji t).
Hasil dari penelitian ini menunjukan bahwa kompetensi kerja dan komitmen kerja berpengaruh positif dan signifikan terhadap kinerja karyawan pada karyawan PT. Persada Selaras Indonesia.
Quality of Life after Multiple Trauma. Aim and Scope of the	Conference
Authors: Neugebauer E. , Lefering R. , Bouillon B. , Bullinger M. , Wood-Dauphinee S. 
Published: December 2024

From September 29 until October 2, 1999, a group of international experts met in Wermelskirchen, Germany, for a consensus conference on "Quality of Life after Multiple Trauma". The meeting was initiated and sponsored by the German Ministry of Education and Research. It was the aim of the group to develop evidence-based guidelines for the systematic evaluation and application of Quality of Life (QoL) measures in patients with severe trauma. The present paper describes the format of the meeting, the selection of the participants, the time schedule, and the proceeding, in order to facilitate the interpretation of the results. The work was structured according to the different types of injury: traumatic brain injury (TBI), multiple injuries without TBI, spinal cord injury, and children with TBI. For each injury group, a specific task force group with 9--13 members was established, consisting of methodologists as well as clinicians from different disciplines. The conference was organised as an altenate sequence of plenary sessions and small working group meetings. The work itself was structured according to the following five questions which have been agreed on and distributed to the participants in advance: 1. What is the major problem (ranking) of the patient at different time points after the accident? 2. Which domains of QoL are affected in the sequelae of trauma? 3. Which instruments are useful to evaluate QoL in trauma patients? 4. Which studies have assessed QoL aspects with which instruments? 5. What instruments should be used in which patient group at what time? The moderators of each task force group summarised the respective results and tried to give recommendations for future application of QoL assessment in trauma patients. As far as possible, the statements should be based on the existing evidence. Furthermore, the groups should recommend QoL measures for use across different patient groups and time points.
Results of the NIH consensus conference on "Rehabilitation of	Persons with Traumatic Brain Injury"
Authors: Ragnarsson Kristjan T. 
Published: December 2024

In 1998, the National Institute for Health (NIH) organized a consensus conference about the rehabilitation of persons with traumatic brain injury (TBI). The conference results are based on an extensive bibliography from the scientific literature and presentations at the conference. The focus of this conference was the evaluation of rehabilitative measures for the cognitive and behavioral consequences of TBI, and the extent to which specific interventions are supported by existing evidence. Specifically, the conference considered the following aspects and their implications for rehabilitation -- the epidemiology of TBI in the United States, -- the consequences in terms of pathophysiology, impairments, functional limitations, disabilities, societal limitations, and economic impact, -- the mechanisms underlying functional recovery following TBI, -- the common therapeutic interventions for the cognitive and behavioral sequelae of TBI, and -- the models for comprehensive coordinated multi-disciplinary rehabilitation. Based on the answers to these questions, the conference tried to give recommendations regarding rehabilitation practices for people with TBI, and identified areas where further research is needed.
Quality of life in patients with multiple injuries -- basic	issues, assessment, and recommendations
Authors: Bouillon B. , Kreder H.J. , the MI Consensus Group  
Published: December 2024

Background: While the primary goal of trauma care continues to be the preservation of life, interest has begun to focus on disability and quality of life of those who survive. Numerous instruments have been developed to measure personal well-being, impairment, or subjective life-satisfaction. But there is no consensus regarding which instruments are most appropriate to use in multiply injured patients, and comparison of results are difficult. Objective: The objective of this multinational conference was to arrive at a consensus regarding the measurement of quality of life in survivors of multiple trauma. Specifically we sought to identify the best time intervals for measurement and a minimum set of instruments. Method: The group reviewed instruments currently in use for quality of life measurement in multiply injured patients. A structured discussion covered the following topics: definition of the population, the concept of quality of life, the importance of different domains of quality of life at different time points, the type of measures and their validity, consistency, and practicability, the mode of administration, subject burden, and availability of population norms. Results: The group suggested three time points, after 3, 12 and 24 months, for the assessment of quality of life after multiple injury. The Glasgow Outcome Scale (GOS) was suggested as an overall global outcome measure including death and vegetative state. The EuroQol was proposed to permit economic analysis, and the SF-36 as a validated global quality of life measure. Conclusion: While most selected measures are psychometrically sound, many have had limited use in the setting of multiple injuries. Researchers and clinicians may use these suggestions as a source of information when developing a measurement strategy.
Altered sensory input improves the accuracy of muscle	reinnervation
Authors: Skouras Emmanouil , Popratiloff Anastas , Guntinas-Lichius Orlando , Streppel Michael , Rehm Klaus E. , Neiss Wolfram F. , Angelov Doychin N. 
Published: December 2024

{\it Purpose:} To improve functional recovery after peripheral nerve suture, we characterized the quality of target reinnervation in rats in which the afferent trigeminal connection to facial motoneurons had been altered. {\it Methods:} Employing an improved lesion model and a refined mode of retrograde tracer application, we studied the accuracy of reinnervation in rats which underwent buccal-buccal nerve anastomosis (BBA) alone (group 1), BBA plus excision of the ipsilateral infraorbital nerve (ION; group 2), and BBA plus excision of the contralateral ION (group 3). This was done by comparison between the number of double-labeled motoneurons after pre-operative injection of Fluoro-Gold (FG) and post-operative injection of Fast Blue (FB) into the whisker pad muscles. {\it Results:} In the first group we counted 398 ± 80 FG+FB double labeled cells (mean ± SD; n=9 rats), i.e., only 27% of all motoneurons that grew axons into the whisker pad had projected to these muscles before surgery. In group 2, this value was increased marginally to 436 ± 68 (32%). In group 3,. we counted 580 ± 63 double-labeled neurons. This is the first morphological report demonstrating significantly improved specificity of reinnervation. Indeed, 41% of the motoneurons innervating the target in group 3 belonged to the original neuron pool. These morphological findings are supported by evidence obtained from electrophysiological recordings and behavioural studies. {\it Conclusions:} The principle finding of the present study is that a peripheral lesion to the contralateral trigeminal nerve improves the quality of reinnervation of the whisker pad musculature by its original nerve. The contralateral trigeminal lesion may trigger behavioural demand and forced overuse of the axotomized facial nerve, which may be a key issue for recovery of vibrissae rhythmical whisking after facial nerve surgery.
Brain activation pattern as assessed with multi-modal EEG analysis	predict motor recovery among stroke patients with mild arm paresis who receive	the Arm Ability Training
Authors: Platz T. , Kim I.-H. , Engel U. , Kieselbach A. , Mauritz K.-H. 
Published: December 2024

{\it Purpose:} Receiving the Arm Ability Training for three weeks improves motor function among stroke patients with mild arm paresis. There is, however, a considerable variability in recovery among patients receiving the Arm Ability Training. The study investigated whether intersubject differences in movement-related electric brain activity explain the variability in motor recovery. {\it Methods:} In a sample of 9 patients receiving the Arm Ability Training both motor performance using a standardised arm function test (TEMPA) and movement-related electric brain activity, i.e. slow cortical potentials (DC) as well as event-related desynchronisation of alpha (alpha-ERD) and beta activity (beta-ERD), were assessed before the Arm Ability Training was started. Stepwise multiple regression was used to establish the best predictive model for motor improvement scores (TEMPA difference from pre to post test three weeks later). {\it Results:} Stepwise multiple regression indicated that electric brain activity during movement preparation explained the variance of motor improvement scores completely. Further, electric brain activity during movement as well as baseline motor performance accounted each for 50% of the variance of motor improvement scores. {\it Conclusions:} Activation of sensorimotor areas during movement preparation and deactivation of other cortical areas during movement execution seem to be factors that predict a favourable outcome after training.
Brain derived proteins as markers of acute stroke: Their relation	to pathophysiology, outcome prediction and neuroprotective drug	monitoring
Authors: Herrmann Manfred , Ehrenreich Hannelore 
Published: December 2024

Purpose: Ischemic stroke is associated with a variety pathophysiological changes affecting both glial and neuronal brain tissue. These changes are mirrored in the release of specific proteins into peripheral blood. Neurone-specific enolase (NSE), protein S100B and glial fibrillary acidic protein (GFAP) are those proteins investigated most often as peripheral surrogate markers of brain damage after stroke in humans. Methods and results: In the present article we present data which show that the release patterns of neuronal and glial tissue derived proteins after acute stroke are associated with the neuroradiological and neurobehavioral consequences of ischemic brain lesions and, additionally, may be useful in short-term outcome prediction. Kinetics of protein serum concentrations, however, are highly dependent on subtype of stroke lesions and do not merely reflect the degree of brain damage. They rather express complex neuronal-glial interactions as a (patho-)physiological consequence of ischemic brain lesions. We further demonstrate that S100B release patterns do reflect successful neuroprotective drug treatment with recombinant human erythropoietin (EPO) in acute stroke patients. Conclusions: The analysis of poststroke serum concentrations of glial tissue derived proteins might be a promising strategy to monitor and evaluate neuroprotective approaches in stroke treatment.