bluuebunny/crossref_metadata_2025_split huggingface dataset:
Concurrent Guillain-Barré syndrome and longitudinally extensive myelopathy secondary to SARS-CoV-2 infection. Case report
Authors: Bonilla Arbelaéz Maria Isabella , Clavijo Salazar D’angelo , Cruz López Juan Felipe , Duque Montoya Daniela 
Published: September 2024

Introduction: The severe acute respiratory syndrome caused by the virus SARS-CoV-2 may have a wide range of neurological manifestations. Guillain-Barré syndrome (GBS) is a post-infectious acute polyneuropathy characterized by symmetrical and ascending flaccid paralysis, described as a complication of SARS-CoV-2 infection and other pathogens. Inflammatory myelopathies associated with the virus have been also described, among which transverse myelitis is frequent. Outstanding the autoinflammatory characteristics of both entities, there is the possibility of concurrent presentation.
Case description: a 23-year-old male consulted due to pain and ascending acute weakness syndrome in the lower limbs with the impossibility for urination and defecation over a 4-day course. The diagnosis of Guillain Barrè was made by electromyography, a thoracolumbar magnetic resonance was performed, with findings of longitudinally extensive inflammatory myelopathy. An antibody test for SARS-CoV-2 was performed on cerebrospinal fluid with a positive IgG result, considering neurological compromise because of the virus. Management was done with plasmapheresis and methylprednisolone pulses, with a favorable response and hospital discharge.
Discussion: the compromise of SARS-CoV-2 in the central and peripheral nervous system is known. Pathologies such as Guillain Barrè syndrome have been widely reported and studied as a consequence of SARS-CoV-2 infection, also exist a variety of reports of longitudinally extensive inflammatory myelopathy associated with the pathogen, however, the concurrence between both pathologies has been scarcely reported.
Conclusions: It is necessary to consider the wide variety of atypical presentations, and even confluent ones, caused by infectious agents such as SARS-CoV-2, to achieve timely diagnosis and management that reduce morbidity and mortality in patients.
Prevalencia y características clínicas de pacientes con diagnóstico de agujero macular idiopático en un hospital de tercer nivel del noroeste de México
Authors: Lugo Machado Juan Antonio , Rodríguez Pérez Ricardo , Suarez Argüello Javier 
Published: September 2024

INTRODUCCIÓN: El agujero macular (AM) es un defecto retiniano circular en el área foveal de la retina neurosensorial, puede ser de espesor completo (AMEC) o lamelar cuando el defecto no involucra todas las capas de la retina neurosensorial.
OBJETIVO. Determinar la prevalencia de agujero macular idiopático en el Hospital de especialidades 2 del IMSS Cd Obregón Sonora.
MATERIAL Y MÉTODOS. Estudio retrospectivo, transversal, observacional, descriptivo, selección no probabilística de casos consecutivos de la consulta evaluados de primera vez con la tomografía de coherencia óptica RTVue XR/CAM y se diagnosticó con agujero macular idiopático, tomaron las variables clínicas y demográficas. Se empleó estadística descriptiva, usamos Ji cuadrado de bondad de ajuste para contrastar la prevalencia, consideramos diferencias significativas un valor de p≤0.05, empleamos SPSS versión 24.
RESULTADOS.
Se encontró una prevalencia de 3.2%, edad promedio 68.72DS±8.736, femenino 22 (61.1%) el tamaño media 485.00 DS ± 270.302, el sexo femenino 22 (61.1%) ojos izquierdos 55.5% , agudeza visual 20/60 o peor fueron 88.9%, la hipertensión arterial 36.1%, estadificación de Gass fue en 61.1% estadios 4, de las enfermedades concomitantes 25% presentó alguna, y glaucoma fue 13,9% , la mayoría 58.3%) fue manejado con vitrectomía.
CONCLUSIÓN. La prevalencia de agujero macular idiopático, es similar lo reportado a nivel nacional, sin embargo, es mayor a lo descrito por otros autores a nivel internacional, edad en la séptima década de la vida y sexo femenino. son las características clínicas que presentan los casos de agujero macular idiopático en nuestro nosocomio.
Relación entre las características de los recién nacidos sometidos a procedimientos dolorosos no-quirúrgicos y el manejo del dolor en una unidad de cuidado neonatal de Manizales, Colombia.
Authors: Malaver Diaz Manuel Teodolfo 
Published: September 2024

Introduction: The development of new technologies for early diagnosis and treatments has allowed, in recent decades, an increase in the survival of newborns, especially the premature. However, the requirement for recurrent invasive examinations and procedures that generate pain is also increasing. Despite the evidence of the implications of pain on the development of the newborn and in the subsequent phases of life, strategies aimed at pain control are not sufficient and the variability in its management remains significant.

Objectives: To evaluate pain management in neonates undergoing minor procedures in a neonatal care unit.

Methods: Retrospective study with an analytical purpose.

Results: An average of 13.6 painful procedures for each newborn, in addition to extensive use of glucometry even outside the highest risk groups, without any type of analgesia, like majority of subjects subjected to punctures. vascular and vaccination. Procedures such as PICC, lumbar punctures, and bladder catheterizations showed uneven application of analgesia, with only 21% of PICC and 15% of lumbar punctures receiving adequate analgesia, while bladder catheterizations received better management at 60%. of analgesic coverage.The most used form of analgesia is non-pharmacological, for most procedures.
Conclusions: This study concludes that there is an urgent need to standardize and improve pain management practices in neonates, to ensure more consistent and evidence-based care.
Biochemical and Molecular Identification of Azospirillum brasilense Bacteria and Evaluation of Their Efficiency in Producing Hormones, Dissolving Phosphorus, and Fixing Nitrogen
Authors: Jawad Naseer , Abdul Kadhim Kamal Jawad 
Published: September 2024

The study aimed to isolate A.brasilense bacteria from the soil of the rhizosphere of different plants and different locations in Al-Diwaniyah Governorate. They were identified in two ways. The first was the routine method, which included studying the microscopic and cultural characteristics and biochemical tests of the isolates. The second method was molecular, using polymerase chain reaction (PCR) technology and using primers. It also included testing the efficiency of these isolates in dissolving tricalcium phosphate (TCP) on Pikovskaya agar medium, fixing nitrogen in the liquid nutrient medium (N.B), and measuring the amount of hormone production using an HPLC device. The results of isolation and regular and molecular identification the presence of ten isolates of bacteria bearing the characteristics of A. brasilense bacteria, out of fifteen local bacterial isolates, took the following symbols and sequences (Az2, Az3, Az5, Az6, Az7, Az9, Az11, Az12, Az13, Az14), as the results showed confirmation of the identification of the bacterial isolates identified by biochemical tests. Using a specialized primer to amplify the 462bp fragment of the 16S ribosomal RNA gene, the results of testing the efficiency of the bacteria in dissolving phosphate (TCP) showed that the isolate (Az13) outperformed the highest value in its effectiveness in dissolving metallic phosphorus through the diameter of the clear zone around the colony, which was effective in dissolving phosphate of up to 3.89 mm. As for the nitrogen fixation efficiency test, the isolate (Az3) excelled in the amount of fixed nitrogen reaching 12.44 mg.L-1. As for the amount of its production of growth regulators for Auxins, Gibberellins, and Cytokinins, the isolate (Az3) recorded the highest value in the amount of Auxins production ( Indol-3-acetic acid) its concentration reached 34.4 µg.ml-1, and as for the production of the hormone Gibberellins (GA3), the isolate (Az3) recorded the highest value amounting to 34.7 µg.ml-1, as for the production of the hormone Cytokinins (CK), The isolate (Az11) recorded the highest value, amounting to 28.8 µg.ml-1.
Keberpihakan Yesus kepada si kaya atau si miskin: Sebuah kajian biblis pada injil-injil kanonik
Authors: Sitanggang Asigor Parongna 
Published: September 2024

Rich and poor are an ancient enigma as old as humanity. The Bible contains many narratives about the problem of the rich and poor. Jesus was very often in touch with the issue of rich and poor. The four canonical gospels provide many accounts of Jesus' response to the question of rich and poor. Therefore, a study of the canonical records is necessary to reveal Jesus’ partisanship, whether to the poor or the rich. This paper demonstrates this partisanship, i.e., embracing both groups where He is the meeting point. As the new body of Christ, the church continues the role of Jesus as a bridge for both groups to meet and make peace. A more extraordinary task is given to the rich to help the poor out of their poverty. Jesus offers a third way.

Abstrak
Persoalan kaya dan miskin adalah persoalan yang sangat tua, setua kemanusiaan itu sendiri. Alkitab berisikan banyak narasi mengenai persoalan kaya dan miskin. Yesus sendiri sangat sering bersentuhan dengan persoalan kaya dan miskin. Keempat injil kanonik memberikan banyak catatan mengenai respons Yesus mengenai persoalan kaya dan miskin. Karenanya mempelajari catatan-catatan kanonik diperlukan untuk menyingkap keberpihakan Yesus, apakah kepada kelompok orang yang miskin atau kelompok orang yang kaya. Makalah ini menunjukkan keberpihakan tersebut, yang mana adalah merangkul kedua kelompok di mana diri-Nya adalah titik temu. Gereja sebagai tubuh Kristus melanjutkan peranan Yesus tersebut yaitu menjadi jembatan bagi kedua kelompok tersebut, bukan hanya untuk bertemu tetapi berdamai. Tugas lebih besar diberikan kepada mereka yang kaya untuk membantu yang miskin keluar dari kemiskinannya. Yesus menawarkan jalan ketiga.
Keadilan sebagai imparsialitas koheren dalam tradisi penghapusan utang bangsa Yahudi: Proses dialektika trilateral bersama John Rawls dan Amartya Sen
Authors: Moru Osian Orjumi 
Published: September 2024

Justice is one of the fundamental issues in human life. This fact has placed the issue of justice as one of the essential goals fought for in various dimensions of human life. One form of effort to fight for justice is establishing the tradition of debt forgiveness in the history of the Jewish people. Dialectically, the concept of justice in the debt forgiveness tradition is the most progressive and proportional compared to John Rawls and Amartya Sen's idea of justice. This concept of justice is referred to as coherent impartiality. The notion of justice as coherent impartiality has four principles that become its primary foundation. The four principles are the principle of local wisdom, the principle of proportional participation, the principle of procedure, and the teleological principle. These four principles become the basic principles of justice in the concept of coherent impartiality that can bridge the gap between the concepts of justice of closed impartiality and open impartiality based on the context of Jewish life. Justice as coherent impartiality emphasizes the balance between universal and contextual values of justice.

Abstrak
Keadilan merupakan salah satu persoalan mendasar dalam kehidupan umat manusia. Fakta tersebut telah menempatkan persoalan keadilan sebagai salah satu tujuan penting yang diperjuangkan dalam berbagai dimensi kehidupan manusia. Salah satu bentuk usaha untuk memperjuangkan keadilan adalah pembentukan tradisi penghapusan utang dalam sejarah bangsa Yahudi. Jika dipercakapkan secara dialektis, konsep keadilan dalam tradisi penghapusan utang merupakan konsep keadilan yang paling progresif dan proporsional daripada konsep keadilan John Rawls dan Amartya Sen. Konsep keadilan ini disebut sebagai imparsialitas koheren. Konsep keadilan sebagai imparsialitas koheren memiliki empat prinsip yang menjadi fondasi utamanya. Empat prinsip tersebut yakni prinsip kearifan lokal, prinsip partisipan proporsional, prinsip prosedur, dan prinsip teleologis. Keempat prinsip itu menjadi prinsip dasar keadilan dalam konsep imparsialitas koheren yang dapat menjembatani kesenjangan antara konsep keadilan imparsialitas tertutup dan imparsialitas terbuka berdasarkan konteks kehidupan bangsa Yahudi. Keadilan sebagai imparsialitas koheren menekankan keseimbangan antara nilai-nilai keadilan yang bersifat universal dan kontekstual.
PERENCANAAN WISATA ALAM AIR TERJUN TEMBALANG DI KECAMATEN SEGAH KABUPATEN BERAU DENGA PENDEKATAN ARSITEKTUR ORNAMEN DAYAK KENYAH (LEPOQ JALAN)
Authors: Marenius Marenius , Doviyanto Rusdi , Arifin Mahdalena Rianawaty 
Published: September 2024

Perencanaan Fasilitas Wisata Alam Air Terjun Tembalang di Kecamatan Segah Kabupaten Berau Dengan Pendekatan Arsitektur Ornaman Dayak Kenyah (Lepoq Jalan) ini terletak di Kampung Tepian Buah, Kecamatan Segah, Kabupaten Berau, Kalimatan Timur. Air Terjun Tembalang memiliki beberapa potensi yang dapat dikembangkan menjadi daya tarik wisatawan yaitu berupa bentang alam, dua air terjun, tiga kolam pemandian alami dan hutan. Adapun potensi buatan yang dikembangkan di wisata alam Air Terjun Tembalang yaitu fasilitas pendukung diantaranya kantor pengelola, gazebo untuk istirahat bagi wisatawan, kios souvenir, dan kios makanan dengan menerapkan Arsitektur Ornamen Dayak Kenyah (Lepoq Jalan) yaitu ukiran motif khas Dayak Kenyah pada bangunan. Kata kunci : Air Terjun Tembalang, Ornamen Dayak Kenyah.
Conocimientos en la implementación de medidas de bioseguridad de tecnólogos en Imágenes Diagnósticas
Authors: Paz Toro Jhon Jairo , López Eraso Jorge Andrés , Bastidas Pantoja Janneth Carina , Gamboa Capacho Gerson , Rosero Montezuma Doony , Ayala Burbano Paola Andrea 
Published: September 2024

El estudio evaluó el conocimiento sobre bioseguridad en tecnólogos de imagenología en tres instituciones de salud de la ciudad de Pasto, Nariño. Se utilizó una lista de chequeo para evaluar protocolos de seguridad en el área de imagenología en las tres instituciones. Catorce trabajadores fueron encuestados sobre aspectos físicos, químicos, biológicos y ambientales, a quienes se les aplicó un cuestionario compuesto por un total de 29 preguntas. Se desarrolló un programa de capacitación enfocado en las necesidades de aprendizaje identificadas. Aunque los tecnólogos mostraron, en general, alto conocimiento, se identificaron riesgos físicos como problemas de visión, iluminación, ruido y temperatura. Además, un notable porcentaje no sigue el protocolo de venopunción, a pesar de conocerlo. Es crucial mantener vigilancia y educación continua para mejorar la seguridad laboral y garantizar estándares óptimos en el entorno de atención médica.
Efficacy of Self-Natural Posture Exercise (SNPE) programs on chronic low back pain: A randomized controlled feasibility trial with waitlist control
Authors: Son Aria , Johnson James , Leachman Jennifer , Bloyder Joseph , Brant Jeannine M. 
Published: September 2024

BACKGROUND: Low back pain (LBP) is a significant source of disability and decreased quality of life. The Self-Natural Posture Exercise (SNPE) intervention can be used effectively in many cases, but feasibility and impact has not been fully explored. OBJECTIVE: The current study explores the feasibility and efficacy of face-to-face (FtF) and virtual (Vir) SNPE programs on chronic low back pain. METHODS: This is a randomized single-blinded waitlist control study with 10 participants in the FtF group (age 45.8 ± 2.89) and 9 in the Vir group (age 52.2 ± 2.3). Participants had low to moderate low back pain for > 3 months. Those who would eventually become the Vir group served initially as a waitlist control (Con) group. The FtF group received 12 weeks of in-person exercise training sessions conducted and the Vir group received weekly recorded training videos created by and featuring the same instructor. Measured outcomes included feasibility assessed by rate of retention and rate of attendance, level of low back pain (Oswestry Disability Index, Visual Analogue Scale), quality of life (36-Item Short Form Health Survey 1.0), muscular pressure pain threshold, and muscle tone. Analysis was done via repeated measures ANOVA and Wilcoxon tests. RESULTS: Rates of retention were 80% in the FtF group and 78% in the Vir group. Attendance rates were 88% in the FtF group and 60% in the Vir group. ODI, VAS, and some SF-36 domains improved in both the FtF and Vir groups. Overall, the FtF group improved in more domains and by a larger degree than the Vir group and both groups improved relative to Con. CONCLUSION: A 12-week SNPE program, done virtually or in person, shows promise in improving ODI, VAS, and some SF-36 domains. FtF appears to be more effective. Future studies would benefit from sampling a larger and more diverse population.
Resource allocation strategies for improved IOTA performance in IoT using DLT methods
Authors: Vyas Vijaykumar , Raiyani Ashwin 
Published: September 2024

This work is to present a new approach – the Resource Allocation Weighted Random Walk (RA-WRW) algorithm, based on IOTA-Distributed Ledger Technology (DLT), for the optimization of transaction processing within the IOTA network. The objectives of improved execution time, better CPU usage, enhanced network efficiency, and better scalability are met in accordance with stringent security measures. The Python-based algorithm considers node resources and transaction weights for the selection of the best tips. The authentication operation of the sender with private keys ensures the integrity of the data, while verification procedures confirm the authenticity of the tips and the validity of transactions. Implementation of this algorithm greatly improves the efficiency of IOTA network transaction processing. The experiment is run on a commonly used dataset available in Kaggle and some system-specific configurations, which depicts a significant improvement in execution time, CPU usage, network efficiency, and scalability. The tips selected are very authentic and consistent, thus proving the efficacy of this algorithm. It proposes a new RA-WRW algorithm based on IOTA-DLT, efficiently fusing resource allocation with weighted random walk strategies for improving the security, efficiency, and scalability in distributed ledger transactions. This has been a colossal development toward the betterment of processing transactions across the IOTA network and feels the pulse of such a newer approach in applications across the real world.
Exploring the efficacy of structured nursing via web-based interaction platforms in sustaining hemodialysis patients
Authors: Fei Biyan , Zhan Lili , Gou Jingqi , Wu Yanping , Sun Haili 
Published: September 2024

BACKGROUND: Discussed based on the network interactive platform of structured care for patients with chronic renal failure (CRF) in the process of hemodialysis. OBJECTIVE: This study seeks to elucidate the application value of structured nursing, deployed through network interaction platforms, in sustaining patients undergoing maintenance hemodialysis. METHODS: A total of 62 patients diagnosed with Chronic Renal Failure (CRF) between April 2022 and August 2023 were randomly allocated into two distinct care groups: conventional and structured nursing care based on a web-interactive platform. Both cohorts were comparatively analyzed with respect to psychological states, quality of life within therapeutic interventions, and relationships with complications. Renal function indicators, including Creatinine Clearance (Ccr), Serum Creatinine (SCr), and Blood Urea Nitrogen (BUN), were subjected to Pearson analysis to appraise their predictive value in prognostication, while Receiver Operating Characteristic (ROC) curve analysis was constructed to further discern their diagnostic precision. RESULTS: Post-intervention, notable improvements were observed in the emotional states of patients in both cohorts, with the structured care group exhibiting significantly lower Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores ([Formula: see text] 0.05). Furthermore, patients under the web-interactive structured nursing regimen demonstrated superior overall adherence, a reduced incidence rate of complications, and markedly higher scores in quality of life assessments compared to those under conventional care ([Formula: see text] 0.05). The derived cut-off values for Ccr, SCr, and BUN were 32.5 ml/min, 251.5 umol/L, and 14.5 mmol/L, respectively, with sensitivities and specificities pegged at 0.645% and 0.645% for Ccr, 0.774% and 0.548% for SCr, and 0.774% and 0.774% for BUN. The corresponding areas under the ROC curve (AUC) for each parameter were 0.816, 0.653, and 0.856, respectively. CONCLUSION: Comprehensive hemodialysis care for patients with chronic renal failure can improve self-care ability to improve quality of life and reduce the incidence of complications, which has great potential for clinical progress and is worthy of further research.
Revolutionizing health monitoring: Integrating transformer models with multi-head attention for precise human activity recognition using wearable devices
Authors: Muniasamy Anandhavalli 
Published: September 2024

BACKGROUND: A daily activity routine is vital for overall health and well-being, supporting physical and mental fitness. Consistent physical activity is linked to a multitude of benefits for the body, mind, and emotions, playing a key role in raising a healthy lifestyle. The use of wearable devices has become essential in the realm of health and fitness, facilitating the monitoring of daily activities. While convolutional neural networks (CNN) have proven effective, challenges remain in quickly adapting to a variety of activities. OBJECTIVE: This study aimed to develop a model for precise recognition of human activities to revolutionize health monitoring by integrating transformer models with multi-head attention for precise human activity recognition using wearable devices. METHODS: The Human Activity Recognition (HAR) algorithm uses deep learning to classify human activities using spectrogram data. It uses a pretrained convolution neural network (CNN) with a MobileNetV2 model to extract features, a dense residual transformer network (DRTN), and a multi-head multi-level attention architecture (MH-MLA) to capture time-related patterns. The model then blends information from both layers through an adaptive attention mechanism and uses a SoftMax function to provide classification probabilities for various human activities. RESULTS: The integrated approach, combining pretrained CNN with transformer models to create a thorough and effective system for recognizing human activities from spectrogram data, outperformed these methods in various datasets – HARTH, KU-HAR, and HuGaDB produced accuracies of 92.81%, 97.98%, and 95.32%, respectively. This suggests that the integration of diverse methodologies yields good results in capturing nuanced human activities across different activities. The comparison analysis showed that the integrated system consistently performs better for dynamic human activity recognition datasets. CONCLUSION: In conclusion, maintaining a routine of daily activities is crucial for overall health and well-being. Regular physical activity contributes substantially to a healthy lifestyle, benefiting both the body and the mind. The integration of wearable devices has simplified the monitoring of daily routines. This research introduces an innovative approach to human activity recognition, combining the CNN model with a dense residual transformer network (DRTN) with multi-head multi-level attention (MH-MLA) within the transformer architecture to enhance its capability.