bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pheochromocytoma-induced congestive heart failure and hypertension in a 21-year-old man-a Case Report
Authors: Chen Shuoxian , Chen Yufeng , Chen Pingan 
Published: September 2024

Pheochromocytoma is a rare catecholamine-secreting mass which can lead to life-threatening cardiovascular complications and should be resected if confirmed. A 21-year-old male without any history of hypertension presented with congestive heart failure (HF) caused by pheochromocytoma-related cardiomyopathy; he was discovered to have hypertension at follow-up. A well-defined and uniform density mass was observed in his right adrenal region and confirmed to be pheochromocytoma. When the dilated left ventricle had become absolutely normal in size and hypertension was well controlled by medications, the patient needed no antihypertensive therapy at all after laparoscopic adrenalectomy at follow-up. Pheochromocytoma should be considered if HF occurred in patients, including young patients, with left ventricular enlargement and unknown medical history who initially presented with normal blood pressure. Even if the dilated left ventricle was restored and hypertension confirmed at follow-up, it could be well controlled by medications.
Keywords: Pheochromocytoma, Heart failure, Hypertension.
Paediatric Langerhans cell histiocytosis with diabetes insipidus: remarkable recovery journey
Authors: Rai Versha Rani , Zulqarnain Buriro  , Roshia Parveen  , Mohsina Noor  , Heeranand Rathore  
Published: September 2024

A rare condition known as Langerhans cell histiocytosis (LCH) is characterised by the clonal growth of dendritic cells called Langerhans cells, which play a significant role in the immune system. A diverse range of clinical presentations are probable as a result of this condition's ability to develop in different systems of the body. LCH presents with variable clinical manifestations, demonstrated by a range from specific multisystem involvement to more extensive bone abnormalities. This case report details the clinical course of a four-year-old male who presented with rash on the scalp and multiple lumps on the head for the past three months and a history of polyuria for two months. The findings were indicative of Langerhans cell histiocytosis after clinical and histological investigative studies. Moreover, endocrinological investigations demonstrated the development of central diabetes insipidus, as a complication.
Keywords: Langerhans cell histiocytosis, Central diabetes insipidus, Polyuria, Multidisciplinary care, Chemotherapy.
Fezolinetant - a potential alternative to hormone replacement therapy for menopausal women
Authors: Mehmood Hassan , Komal Zulfiqar  , Ahsanat Fatima  
Published: September 2024

Dear Editor,
Menopause is a significant milestone in a woman's life, marking the end of the reproductive cycle due to the depletion of all the ovarian follicles. During the transition period leading up to the Final Menstrual Period, women may experience some symptoms, including vasomotor symptoms (VMS), mood changes, sleep disturbances, and bone-related symptoms.(1) Hot flushes, the most common VMS, that can persist for several minutes to up to 10 years.(1) Currently, Hormonal Replacement Therapy (HRT) is the standard treatment for VMS; however, recent studies have shown an increased risk of hormone-dependent cancers, such as breast cancer, in the UK associated with the duration and type of HRT used.(2)
A new alternative treatment that has emerged is Fezolinetant, an NK3R antagonist, which has shown the potential to be more effective than HRT for menopausal women. VMS is caused by the loss of thermoregulatory control triggered by menopause events.(3) Fezolinetant has been tested for VMS in a randomized controlled trial (RCT) and has shown a significantly reduced symptoms.(3) A previous four-week study on menopausal women experiencing hot flushes seven times per 24 hours showed a 73% reduction in VMS in those receiving the NK3R antagonist, compared to a 45% reduction in those receiving a placebo.(4) The treatment was well-tolerated, and the compliance was high. Furthermore, the study showed only minor side effects, unrelated to the drug. (4)
Although HRT remains the mainstay of treatment for VMS, some women cannot use this therapy due to contraindications. NK3R antagonists, such as Fezolinetant, have shown great potential in alleviating these symptoms and require further studies for proper implementation. Physicians and institutes need to explore the opportunity of this potential treatment in Pakistan through extensive randomized controlled trials so that this treatment can lead to a significant difference in the lives of women experiencing VMS symptoms during menopause.
SME collaboration models for accelerating clean energy innovations: Insights from emerging market economies
Authors: Oluwatobi Timothy Soyombo  , Olusegun Gbenga Odunaiya  , Kehinde Mobolaji Abioye  , Adams Gbolahan Adeleke  
Published: September 2024

This paper explores the critical role of collaboration between small and medium-sized enterprises (SMEs) and startups in accelerating clean energy innovation in emerging markets. It reviews various collaboration models, including strategic partnerships, incubation and acceleration programs, supply chain integration, and joint research and development (R&D), highlighting their impact on technology development and commercialization. The paper also examines the specific challenges SMEs and startups face, such as funding limitations, intellectual property (IP) concerns, and market access barriers, and analyzes the opportunities presented by new trends like digital platforms, impact investment, and public-private partnerships. The findings emphasize that collaborative efforts are essential for fostering sustainable growth and enabling the successful deployment of clean energy technologies in emerging markets. The paper concludes by discussing future directions and the importance of continued cooperation, supported by favorable policies and regulatory frameworks, in driving the clean energy transition.
Keywords: Clean Energy Innovation, SME-Startup Collaboration, Emerging Markets, Sustainable Growth, Commercialization.
SAÚDE DA MULHER A IMPORTÂNCIA DO EXAME CITOPATOLÓGICO
Authors: Santos Mayara Santana dos , Lopes Júnior Hélio Marco Pereira , Silva Luana Guimarães da 
Published: September 2024

Introdução: Aponta-se que o exame Citopatológico é um teste realizado para detectar alterações nas células do colo do útero, é a principal estratégia para detectar lesões precocemente. O câncer do colo do útero, ou câncer cervical, é um dos tumores que mais acomete a população feminina. A estimativa é de uma incidência de mais de 16,5 mil casos para o ano de 2022. A infecção se dá por meio do contato com pele e mucosas infectadas sendo transmitida, na maioria das vezes, através da relação sexual desprotegida. Dados do Instituto Nacional de Câncer (INCA) indicam que esta é a quarta causa de morte por câncer entre as mulheres no Brasil. O exame é indicado para a população alvo de 25 a 64 anos e para mulheres que iniciou a vida sexual, a cada três anos, após dois exames anuais consecutivos normais (INCA, 2016; 2021). Essas recomendações visam garantir o balanço favorável entre riscos e benefícios do rastreamento. Objetivo: Conscientizar as mulheres sobre a importância de realizar o exame Citopatológico corretamente. Metodologia: Trata-se de uma revisão de literatura fundamentada em pesquisa bibliográfica com classificação de natureza básica em forma de abordagem qualitativa, visando observar a importância do exame Citopatológico na saúde da mulher, realizado a partir da seleção de artigos científicos e pesquisas com abordagem de produção nacional buscando conhecer a importância do exame preventivo. Após a definição do tema, foi realizada uma busca em ambientes virtuais em saúde: Ministério da Saúde (OMS), Scientific Electronic Library Online (SCIELO) e Biblioteca Virtual em Saúde (BVS). Foram utilizados os seguintes descritores controlados: Enfermagem, Papanicolau e Prevenção. O passo seguinte foi uma leitura exploratória das publicações, caracterizando assim o estudo de revisão de literatura. Foram adotados como critérios de inclusão a utilização de publicações entre 2019 e 2024, no idioma português e a disponibilidade na íntegra do artigo nas bases de dados pesquisadas. Resultados: Aponta-se que muitas mulheres desconhecem a importância do exame Citopatológico e deixa de fazer corretamente por conta desse fator, ou até mesmo por medo e vergonha, isso pode levar a diagnósticos tardios e complicações desnecessárias. Conclusão: Compreende-se que o câncer de colo de útero é uma doença que pode ser prevenida com a realização do exame de prevenção ou ter um diagnóstico precoce. Além disso, quando diagnosticado precocemente, o câncer de colo de útero tem maiores chances de ser tratado com sucesso. Ao realizar o exame Citopatológico regularmente, é possível identificar alterações nas células do colo do útero antes mesmo de se tornarem câncer. Isso permite que intervenções sejam feitas precocemente, como tratamento de lesões pré-cancerosas, reduzindo assim o risco de desenvolvimento do câncer cervical. Portanto, a conscientização sobre a importância da prevenção e do diagnóstico precoce do câncer de colo de útero é fundamental para reduzir sua incidência e mortalidade.
Distinct seasonal changes and precession forcing of surface and subsurface temperatures in the mid-latitudinal North Atlantic during the onset of the Late Pliocene
Authors: Pang Xiaolei , Voelker Antje H. L. , Lu Sihua , Ding Xuan 
Published: September 2024

Abstract. The Late Pliocene marks the intensification of Northern Hemisphere glaciation (iNHG), offering a unique opportunity to study climate evolution and ice-sheet-related feedback mechanisms. In this study, we present high-resolution Mg / Ca-based sea surface temperatures (SSTs) and subsurface temperatures (SubTs) derived from the foraminiferal species Globigerinoides ruber and Globorotalia hirsuta, respectively, at the Integrated Ocean Drilling Program (IODP) Expedition 306 Site U1313 in the mid-latitudinal North Atlantic during the early Late Pliocene, 3.65–3.37 million years ago (Ma). We find distinct differences between our new G. ruber Mg / Ca-based SST record and previously published alkenone-based SST records from the same location. These discrepancies in both absolute values and variations highlight distinctly different seasonal influences on the proxies. The G. ruber Mg / Ca-based SST data were primarily influenced by local summer insolation, showing a dominant precession cycle. Conversely, the variations in alkenone-based SST, dominated by the obliquity and lacking the precession cycle, are found to be more indicative of cold-season changes, despite previous interpretations of these records as reflecting annual mean temperatures. A simultaneous decline in Mg / Ca-based SST and SubT records from 3.65 to 3.5 Ma suggests a diminished poleward oceanic heat transport, implying a weakening of the North Atlantic Current (NAC). A comparison with Early Pleistocene G. ruber Mg / Ca-based SST records shows a shift in the dominant climatic cycle from precession to obliquity, alongside a marked increase in amplitude, indicating an enhanced influence of obliquity cycles correlated with the expansion of Northern Hemisphere ice sheets.
Pembangkit Listrik Tenaga Pikohidro Untuk Penerangan Jalan
Authors: Prasetijo Hari , Purnomo Widhiatmoko Herry , Suroso Suroso , Winasis Winasis , Santoso Purwanto Bekti , Haryanto Yanuar 
Published: September 2024

Sampai dengan akhir tahun 2023, target bauran energi primer energi baru terbarukan (EBT) baru mencapai 15,7%, masih memerlukan upaya yang konkrit dan terencana untuk mencapai target Bauran 23% di tahun 2025 dan 34% di tahun 2030. Sebagai salah satu usaha ikut berkontribusi dalam pengembangan energi air maka penulis dan tim mengadakan kegiatan pengabdian masyarakat dengan tujuan memanfaatkan potensi energi listrik dari energi potensial air sepanjang aliran sungai dalam kapasitas relatif kecil yaitu 1.000 watt, disebut pikohidro, untuk penerangan jalan di grumbul Plawetan, kecamatan Tambak, Jawa Tengah. Kegiatan tersebut merupakan tahapan kedua karena pada tahun sebelumnya telah dibangun rumah pembangkit berisi turbin-generator yang ditentukan berdasar hasil pengukuran dan perhitungan kapasitas daya pada sungai yang mengaliran di daerah tersebut. Kegiatan ini dilakukan dengan tahapan: (1) membangun bendung pada aliran sungai. (2) membuat saluran air dari bendung ke rumah pembangkit, tepatnya agar energi potensial air dapat memutar turbin-generator, (3) distribusi daya listrik dari generator ke penerangan jalan umum (PJU), dan (4) pengujian nyala PJU. Hasilnya PJU sebanyak 15 lampu LED masing-masing berkapasitas daya 15 watt dan dummy load berupa lampu 2x200 watt dan 2x75 watt dapat menyala dengan tegangan 205 volt pada sisi beban lampu yang sesuai dengan standar PLN, yaitu SPLN 1: 1995, yakni tegangan diperbolehkan maksimum 5% dan maksimum 10% terhadap tegangan normal. Pada tegangan nominal 220 volt maka rentang tegangan yang sesuai adalah 198 s.d. 232 volt. Mengingat di daerah perbukitan dan distribusi sepanjang sekitar 700 meter maka digunakan kabel SR 2x10 mm2 yang menggunakan isolator XPLE dan resistansi 1,83 ohm/km panjang, sehingga dari perhitungan drop voltage yang terjadi sekitar 9,5 volt. Dengan tercapainya tujuan kegiatan maka keamanan dan kenyamanan aktivitas warga terutama pada malam hari dapat meningkat.
Pengenalan Komponen Jalan Rel Kereta Api
Authors: Puruhita Hana Wardani , Prihatanto Rusman , Akhwan Akhwan , Malaiholo David , Kurniawan Muhamad Adib , Ependi Ahmad 
Published: September 2024

Tujuan kegiatan pengabdian masyarakat ini adalah untuk memberikan materi tambahan bagi mahasiswa teknik sipil secara umum karena banyak perguruan tinggi yang tidak terdapat silabus perkeretaapian didalamnya, sehingga materi tambahan ini dapat memberikan kontribusi bagi seluruh mahasiswa untuk memahami komponen apa saja yang ada di transportasi perkeretaapian. Diharapkan setelah lulus perkuliahan, ilmu pengetahuan mengenai perkeretaapian ini mampu mendukung mereka untuk bersaing dalam bidang perkeretaapian. Target khusus yang ingin dicapai dalam pelaksanaan pengabdian kepada masyarakat ini adalah memberikan kontribusi khusus dalam membagikan ilmu pengetahuan mengenai prasarana perkeretaapian secara berkala dari pengenalan hingga pemeriksaan prasarana perkeretaapian. Strategi yang akan dipakai dalam pencapaian tujuan pengabdian kepada masyarakat ini adalah teknik mengajar dengan metode pengajaran yang jelas, menarik, tidak berbelit-belit, dan komunikatif, dengan tatap muka. Hasil pencapaian pengajaran yaitu mahasiswa memahami materi yang diberikan, terlihat dari jawaban atas mini project yang dikerjakan, jawaban sesuai dengan materi dan dapat diselesaikan dalam waktu tertentu, sehingga sesuai dengan tujuan pembelajaran.
EDL Technology Development at NASA, and Overview of Titan Aerothermal Environments and EDL sensors for Dragonfly.
Authors: Brandis Aaron 
Published: September 2024

This presentation will provide an overview of 3 separate topics:1) EDL Technology Development at NASA as part of the Entry Systems Modeling (ESM) project, including dynamic stability, TPS materials model development, aeroshell heating and guidance, navigation and control.2) The aerothermal environments experienced during Dragonfly's entry at Titan3) The EDL sensors to measure the Dragonfly aeroshell performance at Titan, known as DrEAM (Dragonfly Entry Aerosciences Measurements)
التحيزات المعرفية وعلاقتها بالخوف من التقييم السلبي لدى طلبة السنة الأولى في ضوء بعض المتغيرات في جامعة القصيم
Authors: يدك* د. صفاء ماجد عبد الكريم 
Published: September 2024

هدفت الدراسة إلى الكشف عن العلاقة بين التحيزات المعرفية والخوف من التقييم السلبي لدى طلبة السنة الأولى في جامعة القصيم، ولتحقيق أهداف الدراسة قامت الباحثة باستخدام مقياس التحيزات المعرفية للعادلي (2017)، والمقياس الموجز للخوف من التقييم السلبي (Lear,1983). تكونت عينة الدراسة من (299) طالباً وطالبةً من طلبة السنة الأولى (بكالوريس/ دراسات عليا)، وتم اختيارهم بالطريقة العشوائية، وأظهرت نتائج الدراسة وجود مستوى متوسط من التحيزات المعرفية على المقياس ككل، وعلى مجالاته الفرعية. ووجود فروق ذات دلالة إحصائية تعزى لأثر التخصص ولصالح التخصصات الانسانية، ولأثر الجنس ولصالح الإناث، ولأثر المعدل وجاءت الفروق لصالح المقبول. كما أظهرت نتائج الدراسة وجود مستوى متوسط من الخوف من التقييم السلبي على المقياس ككل، ووجود فروق ذات دلالة إحصائية تعزى لأثر التخصص ولصالح التخصصات الانسانية، ولأثر الجنس ولصالح الإناث، ولأثر المعدل وجاءت الفروق لصالح المقبول. كما وأظهرت النتائج وجود علاقة إرتباطية موجبة بين التحيزات المعرفية والخوف من التقييم السلبي، واستنادا إلى الإطار النظري ونتائج الدراسات السابقة ونتائج الدراسة الحالية تم تقديم بعض التوصيات والبحوث المقترحة.
الرشاقة التنظيمية لدى مديري المدارس الثانوية الحكومية في محافظة جرش من وجهة نظر المعلمين
Authors: المقابلة ** د.محمد قاسم , بنات* سميا راتب عبد الرحمن 
Published: September 2024

هدف البحث التعرّف إلى درجة ممارسة الرشاقة التنظيمية لدى مديري المدارس الثانوية الحكومية في محافظة جرش من وجهة نظر المعلمين، تكون مجتمع البحث من جميع معلمي ومعلمات المدارس الثانوية الحكومية في محافظة جرش للعام الدراسي (2022 / 2023) والبالغ عددهم (1842) معلماً ومعلمة، وتكونت عينة البحث من (461) معلما ومعلمة، تم اختيارهم بطريقة العينة العشوائية المتيسرة، وتم استخدام المنهج الوصفي التحليلي، ولجمع البيانات تم تطوير استبانة كأداة للبحث، وقد أظهرت النتائج أن درجة ممارسة مديري المدارس الثانوية الحكومية للرشاقة التنظيمية في محافظة جرش من وجهة نظر المعلمين جاءت متوسطة، كما أظهرت نتائج البحث وجود فروق ذات دلالة إحصائية تعزى لمتغير الجنس في جميع المجالات وفي الدرجة الكلية وجاءت الفروق لصالح الإناث، وعدم وجود فروق ذات دلالة إحصائية تعزى لمتغيري عدد سنوات الخبرة والمؤهل العلمي في جميع المجالات وفي الدرجة الكلية، وفي ضوء النتائج التي تم التوصل إليها في هذا البحث، يوصي الباحثان بتطوير السياسات والإجراءات التنظيمية من خلال إجراء اجتماعات دورية مع المعلمين والاستماع إلى آرائهم ومقترحاتهم.
Developing and Implementing an Artificial Intelligence (AI)-Driven System For Electricity Theft Detection
Authors: Ezeji Nwamaka Georgenia , Chibueze Kingsley Ifeanyi , Nwobodo-Nzeribe Nnenna Harmony 
Published: September 2024

Electricity theft is a significant challenge for utility companies worldwide, leading to substantial economic losses and inefficiencies in power distribution. Traditional methods of detecting electricity theft, such as manual inspections and routine audits, are often inefficient and ineffective. To address this issue, this study aims to develop and implement an artificial intelligence (AI)-driven system for electricity theft detection. Methodology used are data collection, data analysis, feature selection with Chi-Square, feature transformation with Principal Component Analysis (PCA), Support Vector Machine (SVM) and model for electricity theft detection. To achieve this, a Particle Swarm Optimization Algorithm (PSO) was applied to improve training performance of the SVM, using data of meter recharge information collected from Enugu Electricity Distribution Company (EEDC). The system effectiveness is validated through extensive testing using real-world data from various regions and scenarios, demonstrating its robustness and adaptability. The system result considering FDR reported that 0.11 was achieved for the particle swarm based SVM model. When TPR was considered for analysis, it was observed that particle swarm based SVM attained a score of 0.89. In addition, Particle swarm based SVM attained PPV of 0.895. In terms of accuracy, the particle swarm based SVM reported an accuracy of 0.857. The result showed that the particle swarm based SVM performed better from the system validation achieved through comparative analysis, hence it is recommended for use to develop the new software for energy theft investigation. The implementation of this AI-driven solution offers numerous benefits, including enhanced detection accuracy, reduced operational costs, and improved overall efficiency of power distribution networks. Moreover, it enables utility companies to take proactive measures to prevent theft, ensuring a more reliable and secure electricity supply for consumers.
“Ti trasformasti in Dafne”: mythos ovidiano e metamorfosi nella poesia di Eugenio Montale
Authors: Colella Massimo 
Published: September 2024

Abstract
Il saggio rintraccia, analizza e sistematizza le molteplici filigrane ovidiane presenti nell'opera poetica di Eugenio Montale, articolabili nel duplice registro della dimensione metamorfica e dello sviluppo narrativo delle fabulae mitologiche. La messa in crisi dei processi trasformativi (“prodigio fallito”) e l'evocazione, per analogia o rovesciamento, del mito antico (Dafne, Euridice, Clizia, etc.) costituiscono i principali strumenti della costruzione di una nuova personalissima mitologia poetica, nel cuore di un'inquieta modernità.
Narrative Friendships in Elisabetta Rasy's Posillipo and Elena Ferrante's Neapolitan Novels
Authors: Guarro Romero Adriana 
Published: September 2024

Abstract
Female friendship has long been a popular theme in modern Italian literature, one that became especially prominent during the 1970s when women's bonds became a catalyst for female liberation and emancipation. However, representations of women's friendships have changed since then, with portrayals that are more complex and nuanced than had been previously seen. This article showcases how Elisabetta Rasy and Elena Ferrante expand on Adriana Cavarero's theory of amicizia narrativa or narrative friendship to accommodate their own ideas about friendship among women. While Cavarero argues that amicizia narrativa is predicated upon the act of listening to a friend's story and then narrating it back to her to allow for the friend's self-validation, Rasy and Ferrante demonstrate how the friend's story is instead used for the narrator's own benefit. Using Cavarero's theory as a critical framework, this article offers a comparative reading of Rasy's and Ferrante's portrayals of female friendship in their respective works, Posillipo and the Neapolitan novels, to argue how these two contemporary authors illustrate the complications that may arise in women's friendships such as ambivalence and competition.
The Intelligible Book: Timothy Ely's and Luigi Serafini's Book Arts
Authors: Vacchelli Carlotta 
Published: September 2024

Abstract
Italian artist Luigi Serafini and American bookbinder Timothy Ely share the same aesthetics of communication in book art. Both authors conceive their works as a book format, producing a clash between the unreadable content of the books – otherworldly images combined with invented indecipherable codes – and their intelligible material and visual characteristics, that imitate existing artefacts. This study draws a comparison between these two artists’ book production. It is my conviction that the books by Ely and Serafini convey the idea of a universal readability and can be interpreted as tools for accepting otherness.
Una nota sull'uso didattico dell'indovinello linguistico
Authors: Danesi Marcel 
Published: September 2024

Abstract
Oggi non stupisce più che un manuale o un sillabo per la didattica di una seconda lingua includa materiale ludico. Le ricerche didattiche sull'uso del gioco hanno mostrato negli ultimi decenni che i giochi linguistici portano ad uno sviluppo maggiore della capacità autonoma di usare la seconda lingua in modo creativo, e cioè, allo sviluppo dell'abilità di usare la nuova lingua come veicolo del pensiero. Tra i vari giochi didattici, l'indovinello linguistico classico costituisce una tecnica particolarmente efficace in questo senso. Questo lavoro vuole inquadrare l'indovinello come “testo autentico” per lo stimolo dell'attività linguistica autonoma. Questo significa lasciare molta libertà agli allievi di coinvolgersi nelle varie modalità semantiche dell'indovinello, permettendo loro di decifrare il contenuto metaforico e connotativo con cui l'indovinello viene costruito. Le proposte didattiche qui elaborate permetteranno all'insegnante di confezionare questa tecnica ludica secondo gli scopi del proprio corso.