bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Challenging Diagnosis - Large Leiomyomas on Rudimentary Uterus in Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome
Authors: Hema Divakar  , Rita Singh  , Poorni Narayanan  , Pallavi Suresh Pushpa  , Gubbi Venkatasubbaiah Divakar  
Published: September 2024

A 40-year-old woman diagnosed with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome at 16 years of age presented with a large abdominal mass protruding to the right subcostal margin, equivalent to 30 weeks gestation. She didn’t have comorbidities of hypertension or diabetes. The vitals were normal with BMI 30. She was asymptomatic except for occasional vague abdominal discomfort. Further imaging studies were conducted to assess the extent and nature of the findings. Pelvic and transvaginal ultrasound demonstrated the presence of multiple large fibroids extending beyond the level of the umbilicus. This was corroborated by pelvic MRI, which further confirmed the massively enlarged multi-fibroid uterus. Additionally, intravenous contrast-enhanced imaging revealed large bilateral ovarian collaterals and prominent blood vessels extending to the broad ligament.
Triple-phase CT angiogram of the abdomen/pelvis with pre-contrast revealed an 8mm aneurysm on the anterior aspect of the abdominal aorta and unusual vascular anatomy, raising the possibility of an atypical or neoplastic process in the right iliac fossa. In view of these findings, an opinion by an Oncologist was sought, who suspected the possible presence of an abnormal nidus of vessels and a fluid attenuation area in the right iliac fossa. Additionally, the Risk of Ovarian Malignancy Algorithm (ROMA) test was performed, revealing a slightly elevated value. To reach the final diagnosis, the decision for the exploratory laparotomy was undertaken. Intraoperative findings revealed the presence of a rudimentary uterus with normal ovaries (Figure 1 and Figure 2), as well as the presence of bilateral broad fibroids (Figure 3). The broad ligament areas around the uterus were occupied with large circumscribed masses, identified as fibroids. The right-side fibroid measuring 17 x 15cm (Figure 4) and the left-side fibroid measuring 10 x 10cm (Figure 5) were excised, respectively, while preserving the left ovary and rudimentary uterus. Peritoneal fluid samples were obtained to ascertain the nature of malignancy. No evidence of infiltration or adhesions was detected. Postoperatively, the patient experienced no complications. Histological examination of the masses growing from bilateral uterine remnants confirmed the presence of leiomyomas, with no glandular epithelium identified. Peritoneal fluid analysis revealed the absence of malignant cells.
“TÁ DE CHICO?”
Authors: Willig Caroline Luiza , Schmidt Saraí Patrícia 
Published: September 2024

Esta pesquisa aborda os estigmas que envolvem a menstruação na mídia e na escola. Problematiza narrativas discriminatórias que permeiam discursos destes territórios, que reforçam e/ou rompem com cristalizações moldadas por relações colonialistas, evidenciando as intersecções de opressões no que tange às cristalizações misóginas a respeito da menstruação. O caminho metodológico para dialogar a respeito da temática proposta foi construído a partir de revisão bibliográfica e teórica, seguida de Bricolagem, cujos materiais midiáticos (posts de redes sociais, revistas, sites, documentários, entre outros) foram categorizados com inspiração no método de Análise de Conteúdo de Bardin (2011). Numa segunda etapa, parte do referencial foi tema de quatro encontros formativos com o corpo docente das séries finais de uma escola pública. O material que emergiu dos encontros foi organizado e analisado a fim de elucidar acerca das diferentes compreensões sobre os estigmas que envolvem a menstruação.
Analysis of the Meaning of Da'wah in Nussa and Rara Animated Films
Authors: Irmawati Irmawati 
Published: September 2024

The rise of uneducated cartoon series that can be easily accessed on social media makes parents and the public nervous, which is the basis for this research. The purpose of this research is to find out the most powerful meaning of da'wah in the films Nusa and Rara. This research uses a quantitative method that provides accuracy and looks at the meaning of da'wah including the points of aqidah, sharia, and morals. From the results of the research carried out, the essential results show the meaning of da'wah in the animated film Nusa and Rara. The type of meaning of the largest da'wah is morals with 43% points, sharia da'wah with 30% points, and the value of aqidah da'wah with 27% points
[Maraknya serial kartun yang kurang mendidik yang dapat mudah diakses di media sosial membuat resah para orangtua dan masyarakat menjadi dasar dilakukan riset ini. Tujuan riset ini adalah untuk mengetahui makna dakwah yang paling kuat didalam flim Nusa dan Rara. Riset ini memakai metode kuantitatif yang menyajikan akurasi serta mencermati makna dakwah meliputi point akidah, syariah, serta akhlak. Dari hasil riset yang dilakukan mendapatkan hasil yang esensial memperlihatan makna dakwah pada flim animasi Nussa dan Rara. Jenis makna dakwah terbesar akhlak dengan point 43 %, dakwah syariah dengan point 30%, serta nilai dakwah akidah dengan point 27%.
Community-Based Support System in Suicide Prevention: Experiences from Indonesian Grassroots
Authors: Sriharini Sriharini , Syamsiyatun Siti , Suprianto Agus , Sumarni  
Published: September 2024

The community-based support system for suicide prevention was discovered using the qualitative analysis. In order to safeguard cases of suicide in person, twelve stakeholders were observed and interviewed about their experiences from Gunungkidul, Indonesia. This study finds that community-based assistance can be divided into three types of behaviours: responsiveness, localised healing, and empathy. Families provide security, comfort and acceptance. Public care is also offered to communities, including support and social institutions. Social advocacy and rehabilitation are CBOs program. It gives new perspective on suicide prevention, which is still primarily psychological approach and rarely employs integrative system to decrease suicide rates.
Keywords: Community-Based Support System, Suicide Prevention, Mental Illness, Indonesian Grassroots
Sistem dukungan berbasis komunitas untuk pencegahan bunuh diri ditemukan melalui analisis kualitatif. Untuk melindungi kasus bunuh diri secara langsung, dua belas pemangku kepentingan diobservasi dan diwawancarai mengenai pengalaman mereka di Gunungkidul, Indonesia. Penelitian ini menemukan bahwa bantuan berbasis komunitas dapat dibagi menjadi tiga jenis perilaku: responsivitas, penyembuhan lokal, dan empati. Keluarga memberikan rasa aman, kenyamanan, dan penerimaan. Perawatan publik juga ditawarkan kepada komunitas, termasuk dukungan dan institusi sosial. Advokasi sosial dan rehabilitasi adalah program dari organisasi berbasis komunitas (CBO). Ini memberikan perspektif baru dalam pencegahan bunuh diri, yang masih didominasi oleh pendekatan psikologis dan jarang menggunakan sistem integratif untuk menurunkan angka bunuh diri.
Kata Kunci: Sistem Dukungan Berbasis Komunitas, Pencegahan Bunuh Diri, Gangguan Mental
Profil Penggunaan Antibiotik untuk Pengobatan Pasien COVID-19 di Salah Satu Rumah Sakit Kota Bitung
Authors: Tampa'i Randy , Lumepaa Destine Daity , Mangangantung Devita Kristianty Johana 
Published: September 2024

Background: The overuse and misuse of antibiotics during the COVID-19 pandemic is one of the biggest concern that needs attention, considering antimicrobioal resistance has been a major threat to global health. According to WHO, this condition can make the infection difficult to treat, increasing the risk of disease spread and mortality. The significant increase in the number of COVID-19 cases in North Sulawesi and the excessive use of antibiotics in COVID-19 patients, shows that research that aims to describe the use of antibiotics in COVID-19 is needed as an early detection of irrational use of antibiotics.Methods: This study was carried out in one of the COVID-19 Referral Hospital in the city of Bitung. The data of this study was collected by purposive sampling and conducted retrospectively. Sources of secondary data is from the patient medical records and patient treatment records. In this study 148 samples that meet the inclusion criteria are used. The inclusion criteria is hospitalized patients which is confirmed with COVID-19 during the period of July-December 2021, received antibiotic therapy during the treatment period, and medical record data.Result: The result shows that the mostly used antibiotics for COVID-19 theraphy are Azithromycin tablets 47.97% from the macrolide groups; Ceftriaxone injection 20.32% and Cefixime tablets 16.67% from the cephalosporin groups; and Levofloxacin infusion 8.94% from the fluoroquinolones group.Conclusion : Patients at the productive age is most likely to get exposed with COVID-19. The clinical symptoms frequently occur in the mild category (68.92%). The use of antibiotics in COVID-19 patients at one of the COVID-19 Referral Hospitals in Bitung City is in accordance with the 3rd edition of the COVID-19 Management Guidelines, and the mostly used antibiotics is Azithromycin tablets as many as 118 patients (47.97%).
Hubungan Anak Wasting dengan Penyakit Infeksi Saluran Pernapasan Akut di Kota Salatiga
Authors: Renyoet Brigitte Sarah , Mebang Ryska Stephani , Fretes Fiane De 
Published: September 2024

Background: Wasting is a group of acute nutritional deficiencies that can increase the risk of infectious diseases, one of which is Acute Respiratory Infection (ARI). Salatiga City is one of the cities in Central Java Province that has ARI cases, which is around 7.78% in 2018. this research purposed to find the relationship between wasting children with Infectious Disease in Salatiga.Methods: The Quantitative research method with univariate and bivariate analysis using Spearman Rho correlation test.Result: The results of the study in 4 sub-districts of Salatiga City obtained 36 children aged 36-59 who had wasting and had a history or were experiencing ARI. The main variables are wasting children and ARI did not have a significant relationship p> 0.050 and supporting factors included BCG immunization, exclusive breastfeeding status, complementary feeding status, parental knowledge, air pollution, environmental sanitation, and personal hygiene showed no relationship between wasting children who had a history of or were experiencing ARI p> 0.050.Conclusion : The conclusion is obtained between the main variables and supporting factors, no significant results were found and it is recommended for parents of children to pay attention to food intake, hygiene, and routinely participate in posyandu activities. The next recommendation is that this research can be developed both in terms of method design and a larger number of samples, as well as other supporting factors that can affect children experiencing wasting and ARI.
Determinants of Pneumonia Status in Under-five Children in Indonesia
Authors: Ananda Intan Putri , Budyanra Budyanra 
Published: September 2024

Background: Pneumonia is a communicable disease that causes the largest under-five children death in the world. Meanwhile, Indonesia contributed 19.000 cases of under-five deaths due to pneumonia in 2018. Pneumonia can inhibit the growth and development in under-five children, cause decreased lung function or even lead to death. The pneumonia symptoms is less specific and almost the same as the flu or a common cough, makes this disease difficult to detect and difficult to treat optimally. This study was aimed to determine variables that affect the pneumonia in under-five children in Indonesia in 2018.Methods: This study used descriptive analysis and multilevel binary logistic regression. It used secondary data from the Riskesdas 2018, publication of Profil Kesehatan Indonesia 2018, and official website of Badan Pusat StatistikResult: The results indicated that in 2018, there were about 6.4 percent of under-five children who experienced pneumonia. The age of under-five children, gender, nutritional status, maternal education level, type of residence, house’s ventilation, and poverty rate per province significantly affected the status of pneumonia in under-five children in Indonesia.Conclusion : This study was expected to be able to increase public awareness about pneumonia in under-five children and can prevent under-five deaths due to pneumonia. Further research can use more up-to-date primary data and can also focus on provinces that have high rates of pneumonia in under-five children.
Effectivity of Earthworm (Lumbricus rubellus) Extract as Antidiarrhea Caused by Enteropathogenic Escherichia Coli
Authors: Irawan Angeline Aprilia , Putri Gita Almira , Dhumaranang Hyangayu Dedari , Indrayani Agung Wiwiek 
Published: September 2024

Background: Diarrhea still becomes a health problem in Indonesia with a high mortality rate among children under five years old. Antibiotics are used in the management of diarrhea caused by Enteropathogenic Escherichia coli, but it can change the intestinal microbiota in children and can cause resistance. Therefore, raw material is needed as an antibacterial.Methods: The sources of the narrative review come from Google Scholar, PubMed, and ResearchGate with keywords such as earthworm, Lumbricus rubellus, earthworm extract, antidiarrhea, and Escherichia coliResult: Earthworms (Lumbricus rubellus) have some active compounds that are useful for fibrinolytic, thrombolytic, antithrombotic, anti-inflammatory, antioxidant, and broad-spectrum antimicrobial properties. The antimicrobial activity of earthworms is due to the presence of Lumbricin-1 content where its activity against Escherichia coli has been proven by various studies.Conclusion : Earthworm (Lumbricus rubellus) extract can inhibit the growth of Escherichia coli bacteria so it has the potential to become an antidiarrheaKeywords: antidiarrheal; earthworm; Lumbricus rubellus; Lumbricin-1; Enteropathogenic Escherichia coli
Bringing the queen mother of the west to life: Digital reconstruction and analysis of Taoist Celestial Beings Worshiping mural’s apparel
Authors: Wang Xiaotian , Huo Bingrong , Yuan Xuyang , Lu Zhiwen , Liu Feng , Zhou Shengbin , Wang Qiaoling , Hu Pengpeng 
Published: September 2024

Abstract
Painted during the Yuan Dynasty, Taoist Celestial Beings Worshiping is a Taoist propaganda painting. It is one of the largest surviving ancient murals worldwide, featuring a variety of images of these beings dressed in costumes that vividly illustrate the blend of religious and artistic values in Chinese culture. To record and present the mural more intuitively and improve the study of Taoist Celestial Beings Worshiping, this article takes the example of five goddesses centered Queen Mother of the West in the mural and analyzes the styles, structures, colors, and patterns of the costumes from the perspective of costume engineering. Human models are established and the costumes at multiple levels are reconstruction by means of 3D virtual simulation technology. The display images are accompanied by QR codes, which can be scanned to view the 3D model. Finally, the Fuzzy Analytic Hierarchy Process was used to comprehensively evaluate the reconstruction effect of clothing, and the result was “good.” The resulting digital figure can realize the “revitalization of cultural relics” and provides a new perspective for the digital exhibition of murals, which is conducive to the development of digital tourism and promotes the development of traditional culture.
Drei Strophen in Tönen Frauenlobs mit Neumen
Authors: Haustein Jens , Huck Oliver 
Published: September 2024

Abstract
The Metz manuscript 327, written in the beginning of the 14th century, transmits three stanzas in two of Frauenlob’s Töne that were added ca. fifty years later. This article gives a transcription in slightly normalised form as well as a philological and literary commentary. In addition, the musical notation in neumes is edited in a synopsis with the other early versions of the melody. The material is discussed regarding the tradition of stanzas composed by Frauenlob or in his Töne, and with respect to melodies of Sangspruch which are transmitted in neumes.
Geslozzen sint die wort

[…]

recht als ein gesperre.
Authors: Kjorveziroska Mirna 
Published: September 2024

Abstract
The article focusses on one stanza from Frauenlob’s oeuvre in the ›Weimarer Liederhandschrift‹ which introduces the key word gesperre for describing the semantic-logical phenomenon of relational terms. Based on a new edition of GA X,4 (as well as of the thematically connected GA V,69) and structured as an extended commentary on these fifteen lines in ›Vergessener Ton‹, the study presents some new aspects of Frauenlob’s reflection on language, explores a possible link between Frauenlob and Rudolf von Ems and raises the general question about the difference between saelde and saelikeit.
Contribution of laboratory medicine and emerging technologies to cardiovascular risk reduction via exposome analysis: an opinion of the IFCC Division on Emerging Technologies
Authors: Gruson Damien , Fux Elie , Kemaloğlu Öz Tuğba , Gouget Bernard , Lee Woochang , Shah Swarup , Liu Yan , Ebert Sven , Greaves Ronda , Bernardini Sergio , Yang He Sarina , Figueroa Montes Luis 
Published: September 2024

Abstract
This opinion article highlights the critical role of laboratory medicine and emerging technologies in cardiovascular risk reduction through exposome analysis. The exposome encompasses all external and internal exposures an individual faces throughout their life, influencing the onset and progression of cardiovascular diseases (CVD). Integrating exposome data with genetic information allows for a comprehensive understanding of the multifactorial causes of CVD, facilitating targeted preventive interventions. Laboratory medicine, enhanced by advanced technologies such as metabolomics and artificial intelligence (AI), plays a pivotal role in identifying and mitigating these exposures. Metabolomics provides detailed insights into metabolic changes triggered by environmental factors, while AI efficiently processes complex datasets to uncover patterns and associations. This integration fosters a proactive approach in public health and personalized medicine, enabling earlier detection and intervention. The article calls for global implementation of exposome technologies to improve population health, emphasizing the need for robust technological platforms and policy-driven initiatives to seamlessly integrate environmental data with clinical diagnostics. By harnessing these innovative technologies, laboratory medicine can significantly contribute to reducing the global burden of cardiovascular diseases through precise and personalized risk mitigation strategies.
Variational Approximation for a Non-Isothermal Coupled Phase-Field System: Structure-Preservation & Nonlinear Stability
Authors: Brunk Aaron , Habrich Oliver , Oyedeji Timileyin David , Yang Yangyiwei , Xu Bai-Xiang 
Published: September 2024

Abstract
A Cahn–Hilliard–Allen–Cahn phase-field model coupled with a heat transfer
equation, particularly with full non-diagonal mobility matrices, is studied. After reformulating the problem with respect to the inverse of temperature, we proposed and analysed a structure-preserving approximation for the semi-discretisation in space and then a fully discrete approximation using conforming finite elements and time-stepping methods. We prove structure-preserving property and discrete stability using relative entropy methods for the semi-discrete and fully discrete case. The theoretical results are illustrated by numerical experiments.
Lessons in clinical reasoning – pitfalls, myths, and pearls: a case of persistent dysphagia and patient partnership
Authors: Otaka Yumi , Harada Yukinori , Olson Andrew , Aoki Takuya , Shimizu Taro 
Published: September 2024

Abstract

Objectives
Diagnostic excellence underscores the patient-centered diagnosis and patient engagement in the diagnostic process. In contrast to a patient-centered diagnosis, a doctor-centered diagnosis with a lack of patient engagement may inhibit the diagnostic process due to the lack of responsibility, disrupted information, and increased effect of cognitive biases, particularly in a situation where multiple physicians are involved. In this paper, we suggest a promising idea to enhance patient engagement in the diagnostic process by using written information by a patient about their perspective and experience, which can fill the gaps needed for diagnosis that doctors cannot find alone.

Case presentation
A 38-year-old woman developed chest pain, which gradually worsened during the following two years. For two years, she was evaluated in multiple departments; however, no definitive diagnosis was made, and her condition did not improve. During this evaluation, she searched her symptoms and image findings online. She reached a possible diagnosis of ‘esophageal achalasia.’ Still, she could not tell her concerns to any physicians because she felt that her concerns were not correctly recognized, although she showed her notes that her symptoms were recorded. She finally consulted the department of internal medicine, where her notes and previous test results were thoroughly reviewed. The final diagnosis of esophageal achalasia was confirmed.

Conclusions
Doctors must organize an environment where patients can freely express their thoughts, emotions, and ideas regarding their diagnosis. Cogenerating visit notes using patient input through written communication can be a promising idea to facilitate patient engagement in the diagnostic process.
Root cause analysis of cases involving diagnosis
Authors: Graber Mark L. , Castro Gerard M. , Danforth Missy , Tilly Jean-Luc , Croskerry Pat , El-Kareh Rob , Hemmalgarn Carole , Ryan Ruth , Tozier Michael P. , Trowbridge Bob , Wright Julie , Zwaan Laura 
Published: September 2024

Abstract
Diagnostic errors comprise the leading threat to patient safety in healthcare today. Learning how to extract the lessons from cases where diagnosis succeeds or fails is a promising approach to improve diagnostic safety going forward. We present up-to-date and authoritative guidance on how the existing approaches to conducting root cause analyses (RCA’s) can be modified to study cases involving diagnosis. There are several diffierences: In cases involving diagnosis, the investigation should begin immediately after the incident, and clinicians involved in the case should be members of the RCA team. The review must include consideration of how the clinical reasoning process went astray (or succeeded), and use a human-factors perspective to consider the system-related contextual factors in the diagnostic process. We present detailed instructions for conducting RCA’s of cases involving diagnosis, with advice on how to identify root causes and contributing factors and select appropriate interventions.
Estimation of Bonferroni Curve and Bonferroni Index of the Pareto Distribution
Authors: Sobhanan Parvathy , Sathar E. I. Abdul 
Published: September 2024

Abstract
In this article, we consider classical and Bayesian estimations of some economic measures, specially
Bonferroni Curve and Bonferroni Index of the Pareto distribution. We obtain the Maximum Likelihood Estimator and Uniform Minimum Variance Unbiased Estimator in the classical setup, and their properties are studied. Additionally, we conduct Bayesian estimation procedures based on symmetric loss functions and a truncated gamma prior. The precision of the estimators is evaluated under different sample sizes via Monte Carlo simulation.
Furthermore, a real dataset is provided to compute all the estimators.