bluuebunny/crossref_metadata_2025_split huggingface dataset:
Metopism and Its Clinical Relevance: A Persistent Suture
Authors: Sharma Suyashi , Krishna Hare , Dixit Shilpi G. , Ghatak Surajit 
Published: October 2024

Background:
Metopic suture is a dense fibrous joint extending from nasion to bregma. Normally, closure of this suture takes place between 1-8 years of age. Failure of this closure beyond 8 years leads to persistent metopic suture. Persistent metopic suture may mimic skull fracture.

Aim and Objective:
To differentiate metopism from frontal bone fracture.

Material and Method:
54 dry skull of adult humans in were studied. These skulls were observed for the presence (complete or incomplete suture) or absence of metopic suture.

Result:
Metopic suture was found in 3.7% skulls. Both complete and incomplete metopic suture were found in 1.85% of the dry skulls.

Conclusion:
Neurosurgeons, radiologists, otorhinolaryngologists, physicians, anatomists, forensic specialists, anthropologists and evolutionary biologists should have knowledge of this anatomical variation. This case series focusses on the importance of metopism. Metopism is a topic, which has not been much studied.
Thrombocytopenia as a Prognostic Marker in Patients with Acute Encephalitis at a Tertiary Care Center in Northern India
Authors: Atam Virendra , Bhardwaj Akriti , Sawlani Kamal Kumar , Himanshu D. , Verma Rajesh , Verma Shailendra Prasad 
Published: October 2024

Background:
Acute encephalitis (AE) is associated with a high burden of mortality and permanent disability and has a spectrum of underlying etiologies. The prognosis of encephalitis is difficult and almost all the patients seem to be at a high risk of poor outcomes. A number of physiological changes take place during encephalitis and have been evaluated for their prognostic value. Platelet count, which has been recognized as a surrogate prognostic marker in various viral illnesses, has recently been recognized to have a prognostic value in AE too. In the present study, we attempted to study the role of thrombocytopenia in the prognosis of AE.

Methods:
Total of 98 cases based on clinical, cerebrospinal fluid, and radiological profiles consistent with the diagnosis of AE were enrolled in the study. A clinical profile was noted, and platelet count was assessed. Thrombocytopenia was defined as platelet count <150,000/mm3. Platelet count 100,000–150,000, 50,000–99,999, and <50,000/mm3 were considered mild, moderate, and severe thrombocytopenia. The underlying etiology was explored, and patients were followed till discharge/outcome. The outcome was noted in terms of the Modified Rankin score (MRS). MRS 0–2 was considered good, 3–4 fair, and 5–6 as poor outcome.

Results:
The mean age of patients was 34.06 ± 18.76 years. Majority of patients were women (54.1%). Prevalence of thrombocytopenia was 75.5%. A total of 34 (45.9%) had mild, 30 (40.5%) had moderate, and 10 (13.5%) had severe thrombocytopenia. Acute viral encephalitis (unclassified) was the most common etiology (33.7%), followed by scrub meningoencephalitis (24.5%) and Japanese encephalitis (12.2%), respectively. Good, fair, and poor outcomes were noted in 48 (49%), 21 (21.4%), and 29 (29.6%) cases. On univariate analysis, no significant association of poor outcome was seen with age, sex, duration of fever, and mechanical ventilation need (P > 0.05). Low Glasgow Coma Scale (GCS), splenomegaly, low platelet count, and Japanese encephalitis virus/scrub typhus etiologies were found to be significantly associated with poor outcomes (P < 0.05). Thrombocytopenia compared to normal platelet count and severe thrombocytopenia compared to mild and moderate thrombocytopenia were significantly associated with poor outcomes (P < 0.05). On multivariate analysis, GCS <8 (odds ratio [OR] =4.52; 95% confidence interval [CI] =1.56–13.20) and thrombocytopenia (OR = 11.92; 95% CI = 1.38–103.32) emerged as independent predictors of poor outcome.

Conclusions:
The findings of the study showed that low GCS and thrombocytopenia could be used as predictors of poor outcomes in AE cases.
Psychopathology teaching in residency program – An art losing its shine: Psychiatry trainee residents’ experience
Authors: Mehra Aseem , Chakravarty Rahul 
Published: October 2024

Abstract

Background:
Teaching psychopathology in a residency program is considered the “heart” of the training program. There is a lack of data on evaluating psychiatry resident training in psychopathology.

Aim:
The aim of this study was to evaluate residents’ experience and satisfaction in terms of training and teaching psychopathology during the psychiatry residency program.

Methods:
It was a mixed-method design study and was cross-sectional. A total of 53 psychiatry residents (pursuing postgraduate courses) participated. Participants were assessed using qualitative and quantitative questionnaires. Qualitative interviews consisted of open-ended questionnaires. The student satisfaction questionnaire was quantitative.

Results:
In terms of dissatisfaction with the teaching specific skills during postgraduation, the most common dissatisfaction reported was with the quality of the clinical environment (35.8%), psychopathology taught during the course of the training period (34.0%), and the teaching of skills of interview technique to elaborate and label the psychopathology during the course of the training period (32.1%).

Conclusion:
Most of the residents were not satisfied with the teaching of psychopathology. Supervision was not adequate from the seniors and teachers for teaching psychopathology. The most commonly emerged strategy to teach psychopathology was the supervision of clinical interviews with real patients, and the initial 1st year should be more focused on teaching psychopathology in clinical settings. It can be said that there should be some competency-based training programs for the residents.
Intraparotid Facial Nerve Schwannoma - A Case Report
Authors: Kumar Yekula Kiran , Rajan Yadavalli R. D. 
Published: October 2024

Abstract

Rationale:
Intraparotid facial nerve schwannoma (IPFNS) is a rare entity. Diagnosing these tumours is challenging as multiple differential diagnoses exist for swellings in the infraauricular region. Delay in diagnosis can lead to adverse outcomes.

Patient Concerns:
A 27-year-old female presented with swelling over the left infraauricular region, which concerned her cosmetic appearance.

Diagnosis:
It was initially misdiagnosed with imaging techniques computerised tomography (CT scan) and fine-needle aspiration cytology, leading to a diagnostic dilemma.

Treatment:
Superficial parotidectomy was planned and intraoperatively, a cystic lesion was seen adherent to the temporal branch of the facial nerve, which was resected along with the nerve branch. Histopathology confirmed the diagnosis as facial nerve schwannoma.

Outcomes:
The patient’s cosmetic concern was resolved but there was loss of wrinkles over the ipsilateral forehead region. No recurrence was seen.

Take-Away Lessons:
IPFNS often causes a diagnostic dilemma and an appropriate and timely diagnosis is required to decrease the morbidity and undertreatment.
Pulsed Field Ablation in the Treatment of Cardiac Arrhythmias: A State-of-the-art Review
Authors: Yu Fengyuan , Tang Min 
Published: October 2024

Abstract
Pulsed-field ablation (PFA), specifically irreversible electroporation, induces cell membrane damage through the formation of irreversible pores, leading to apoptosis and necrosis, with applications in tumor treatment and myocardium ablation since 2007. This review is on PFA in the treatment of cardiac arrhythmias, including the basic principles, clinical applications, and hot issues of PFA. Presently, the pulsed electric field has demonstrated its effectiveness and safety in the treatment of atrial fibrillation, which is not inferior to that of traditional thermal energy. Research and application on pulsed electric ablation is rapidly advancing due to its advantages of rapidity and specificity in lesion creation. Moreover, pulsed electric ablation has reduced the difficulty of catheter manipulation in pulmonary vein isolation, making it an available treatment to benefit more patients.
A Comparative Study between Ultrasound-guided Concomitant Infraclavicular Plus Distal Median, Radial, and Ulnar Nerve Blockade Versus Infraclavicular Block Alone
Authors: Priya T Jaya , Sivathangavel TG , Priyadharsini K. Soundarya , Prasad T. Krishna 
Published: October 2024

Background:
Peripheral nerve blocks can be used alone as the sole ‘surgical’ anesthetic technique as the initial step in providing prolonged postoperative analgesia. There are studies, where accurate deposition of local anesthetic perineurally has the potential to improve the success rate and reduce the incidence of complications of the infraclavicular block. We hypothesized whether a combined block of the infraclavicular brachial plexus and distal median, radial, and ulnar nerves would accelerate upper extremity anesthesia compared with an infraclavicular block alone.

Materials and Methods:
This study was a prospective randomized control study conducted among 60 patients undergoing elective and emergency wrist and hand surgeries. A group of 30 patients received an infraclavicular block with 30 mL of a local anesthetic mixture containing 1% lignocaine with adrenaline and 0.25% bupivacaine from Group A. Group B received an infraclavicular block with 15 mL of local anesthetic mixture containing 1% lignocaine with adrenaline and 0.25% bupivacaine along with distal median, radial, and ulnar nerve blockade with 5 mL each of local anesthetic mixture containing 1% lignocaine with adrenaline and 0.25% bupivacaine. Pain score, assessment of sensory and motor functions, block performance time, and surgical anesthesia were observed.

Results:
The mean block performance time of Group A was 10.9 ± 1.1 min and Group B was 14.7 ± 0.5 min. The difference between the two groups’ block performance minutes was statistically significant (P < 0.001). The difference in the onset of the sensory block between the two groups was statistically significant (P < 0.001). The mean onset of motor blockade between the two groups was statistically very highly significant (P < 0.001). The mean of Group A was 5.0 ± 0.2 and Group B was 2.1 ± 0.4.

Conclusion:
From this study, we conclude that using an approximately equivalent dose of local anesthetics, combining ultrasound-guided infraclavicular block with distal median, radial, and ulnar nerve blockade shortens the onset time of sensory and motor block with improved block consistency compared to infraclavicular block alone.
A class of Hausdorff–Berezin operators on the unit ball
Authors: Karapetyants Alexey , Mirotin Adolf 
Published: October 2024

AbstractThe article introduces and studies Hausdorff–Berezin operators on the unit ball in a complex space. These operators are a natural generalization of the Berezin transform. In addition, the class of such operators contains, for example, the invariant Green potential, and some other operators of complex analysis. Sufficient and necessary conditions for boundedness in the space of p – integrable functions with Haar measure (invariant with respect to involutive automorphisms of the unit ball) are given. We also provide results on compactness of Hausdorff–Berezin operators in Lebesgue spaces on the unit ball. Such operators have previously been introduced and studied in the context of the unit disc in the complex plane. Present work is a natural continuation of these studies.
Efficacy of oral roxadustat combined with L-carnitine for dialysis-induced anemia in patients with chronic renal failure
Authors: Zhang Chun , Shang Liutong , An Lianqing , Liu Wei , Zhang Yajun , Liu Zhenjiang 
Published: October 2024

Purpose: To investigate the efficacy of oral roxadustat plus L-carnitine for dialysis-induced anemia in patients with chronic renal failure (CRF).
Methods: This was a retrospective analysis of 46 patients conducted on 100 CRF cases with dialysisinduced anemia treated at Xinjiang Armed Police Crops Hospital from March 2020 to March 2023. The participants were randomly distributed into study (n = 54) and control groups (n = 46). The control group received oral roxadustat (100 mg for patients weighing 45 - 60 kg, and 120 mg for patients ≥ 60 kg, thrice per week), while the study group was administered roxadustat in combination with L-carnitine (2 g injected using the dialysis machine before the end of each session). Anemia indices, and iron metabolism indices in the two groups were assessed before treatment and 3 months after treatment. Adverse effects were compared between groups.
Results: The study group showed significantly higher red blood cell count, haemoglobin level as well as haematocrit after treatment compared to control group (p > 0.05). Also, total iron binding capacity, and serum iron and ferritin levels were significantly higher in the study group than in the control group (p < 0.05).
Conclusion: Roxadustat combined with L-carnitine significantly reduces anemia and improves iron metabolism without increasing adverse reactions. However, there is a need for additional studies to assess the therapeutic potential of this combined regimen.
Effect of Kangfuxin liquid combined with triamcinolone acetonide in oral submucosal fibrous degeneration
Authors: Zhang Xinyun , Zhang Shuntao , Pu Enze , Huang Mingde , Xiao Wei , Wang Quanbing , Liu Chanjuan , Shen Lei 
Published: October 2024

Purpose: To investigate the effect of Kangfuxin liquid combined with triamcinolone acetonide in the treatment of oral submucous fibrous degeneration.
Methods: A total of 140 patients with oral submucosal fibrous degeneration admitted to the outpatient clinic of Haiyan County Stomatological Hospital, China from June 2020 to June 2023 were divided equally into study and control groups. The study group received Kangfuxin liquid in addition to 1 mL triamcinolone acetonide (40 mg/mL) while the control group received 1 mL triamcinolone acetonide; therapeutic effects were compared after 4 weeks of treatment. Visual analogue scale (VAS) score, serum transforming growth factor (TGF-β1), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6) levels were determined. Also, whole blood viscosity (WBV), plasma viscosity (PV), erythrocyte sedimentation rate (ESR), and incidence of adverse reactions were evaluated.
Result: The study group showed significantly reduced pain levels compared to the control group, as well as lower mucosal damage areas and improved mouth opening after 4 weeks of treatment compared to control group (p < 0.05). Also, the study group showed significantly lower TGF-β1, TNF-α and IL-6 compared to control group after treatment (p < 0.05). It showed significantly lower WBV, PV, and ESR compared to control group (p < 0.05). Furthermore, the study group showed significantly lower incidence of adverse reactions than the control group (p < 0.05).
Conclusion: Kangfuxin liquid, when combined with triamcinolone acetonide, lowers pain, reduces the levels of STGF-β1, improves hemorheology, and produces minimal adverse effects compared to triamcinolone alone. Future studies should focus on long-term outcomes to better assess the therapeutic potential of this combined regimen.
Knowledge and awareness of ketoacidosis associated with high exposure to acetone-containing products: A crosssectional assessment
Authors: Issa Reem , Albals Dima , Khatatbeh Moawiah , Alshari Osama , AlSafi Saafan 
Published: October 2024

Purpose: To assess the knowledge and awareness of the Jordanian public about the hazards associated with high levels of exposure to acetone-containing products.
Methods: The study was conducted between September 2019 and December 2020. An electronic anonymous questionnaire was distributed via different channels to be self-completed by the study population. Socio-demographic characteristics, knowledge about acetone-containing nail polish removers and sterilizing products, and awareness about the risk of ketoacidosis associated with high degree of exposure to these products, were assessed.
Results: The findings revealed that a majority of participants were aware of the presence of acetone in nail polish removers (92.61 %) and sterilizing products (84.41 %), regardless of gender, age, educational type and educational level. In addition, females (70.4 or 83.0 %), youngest age group (70.7 or 83.0 %), those with health-related education (56.6 or 76.0 %), and graduates (72.0 or 83.9 %) were significantly (p < 0.05) more aware about the safety of these products if inhaled or exposed to flame sources, respectively, than their peers. Moreover, concerning the risks of developing ketoacidosis and raised liver ketone levels as hazards associated with the high degree of exposure to acetone-containing products, females (44.2, 41.9 and 50.6 %), those with health-related education (64.1, 63.4 and 73.3 %), youngest age group (47.4, 44.6 and 56.5 %), and graduates (45.3, 43.5 and 52.8 %), respectively, were significantly more aware than the others (p < 0.05).
Conclusion: These findings indicate signs of significantly poor awareness about the serious risks associated with acetone-caused ketoacidosis among the study population. Therefore, well-organized educational campaigns are needed to enlighten graduates with health-related education and to improve public perception of the health hazards associated with human exposure to acetone-containing products.
Pengembangan Media Pembelajaran Video Animasi Berbasis Powtoon pada Mata Pelajaran Teknologi Perkantoran Kelas X SMK Satya Bhakti 2 Jakarta
Authors: Ningrum Ni Ketut Sapta , Faslah Roni , Swaramarinda Darma Rika 
Published: October 2024

This study aims to develop video-based interactive learning media using the Powtoon application for Office Technology lessons in class X SMK Satya Bhakti 2 Jakarta. The method used in this research is Research and Development (R&D) with the ADDIE model, which includes the stages of analysis, design, development, implementation, and evaluation. The evaluation results show that the developed learning media is very feasible to use, with an average score of 92.17% from media experts and 96.19% from material experts, both of which fall into the category of ‘Very Feasible.’ This research is expected to increase the effectiveness of learning and attract students' interest in understanding the subject matter.
Cumhuriyet Tarihi ve Atatürk Araştırmalarında Yeni Bir Kaynak: “Türk Sineması”
Authors: GENÇ ACAR Derya 
Published: October 2024

Geniş kitleler üzerindeki etkisi ve kolay ulaşılabilirliği nedeniyle
günümüzün en yaygın sanat dallarından biri olan sinema, geçmişi yeniden
inşa eden ve şekillendiren ama aynı zamanda içinde bulunduğu dönemin
ekonomik, siyasi ve sosyal koşullarının bir parçası olarak ortaya
çıkmaktadır. Geleneksel tarih anlayışının aşıldığı 1970’li yıllarla beraber
bireye ve topluma dair birçok başlığın araştırma konusu haline gelmesi,
sinemayı da yeni bir alan olarak bu alana dâhil etti. Böylece sinema, tarih
yazımı açısından önemli bir araştırma alanı haline geldi.
Türkiye’de I. Dünya Savaşı yıllarında ordu merkezli olarak başlatılan
sinema faaliyeti, Cumhuriyet’in kuruluşundan günümüze özel sektör eliyle
yürütülmüştür. Tarihsel süreçte Türk sineması, Türkiye’nin siyasal,
toplumsal ve ekonomik yapısına paralel bir seyir izlemektedir. Bu yönüyle
de her geçen yıl daha fazla çalışmaya konu olmaktadır. Sinema tarih yazımı
başlangıçta gazete ve dergilerde başlamış ilerleyen dönemde disiplinler arası
geçirgenlikle farklı akademik alanlarda yer almıştır. 1980’li ve 90’lı yıllarda
ise bir taraftan iletişim fakültelerinin artışı, diğer taraftan tarih biliminin bu
alana ilgi duymaya başlaması sinema-tarih arasındaki ilişkiyi her geçen gün
arttırmıştır. Günümüzde akademik dünyada ortaya konan çalışmalar
Cumhuriyet ve Atatürk araştırmalarına yeni bir boyut getirmeyi
amaçlamaktadır.
Bu çalışmada Cumhuriyet’in yüz yıllık döneminde Türk sinemasının
yeni bir kaynak olarak gündeme gelmesiyle ortaya konan literatürün eleştirel
bir değerlendirmesi yapılacaktır. Tarih-sinema üzerine kurulmuş bu yeni
hattın, Cumhuriyet ve Atatürk araştırmaları bağlamında gündeme getirdiği
konu başlıkları, niteliği ve yönü hakkında bilgi verilecektir. Ayrıca
araştırmanın söz konusu alanda çalışma yapacak olanlara ilk elden veri
sunması bir diğer amacıdır. Araştırmanın sayısal olarak çok sayıda eseri
kapsaması bütün kaynakların değerlendirilmesini imkânsız kılmaktadır. Dolayısıyla buradaki sınırlılığın farkında olarak gerek akademik dünyada
yapılmış gerekse araştırma kapsamında ortaya çıkmış önemli, güncel ve yol
gösterici tarihi kaynaklar üzerinden hareket edilecektir. Gelinen noktada bu
çalışmanın sinema tarihi özelinde yapılan çalışmaların izini sürmesi ve toplu
bir bakış açısı sunması ya da yapılmamış olanın tespit edilerek nedenleri
üzerinde düşünmek için ufuk açıcı olması hedeflenmektedir.
Atatürk Dönemi Müzik Dergileri Üzerinden Alaturka-Alafranga Çatışması (1930-1938)
Authors: ÇETİN Esra 
Published: October 2024

Tüm modern ulus devletlerde olduğu gibi Türkiye’de de
Cumhuriyet’in 1923 yılında ilan edilmesiyle toplumsal yaşamın tüm
alanlarında yapılan yenilik ve değişimlerden en fazla kültür ve sanat hayatı
etkilenmiştir. Sanatın en önemli alt bileşeni olarak müzik de bu etkileşimden
payına düşeni almıştır. Resmî ideolojiye paralel olarak siyasetin müzikten
beklentisi ise yeni kültürel değerlerin yaygınlaşmasında bir araç vazifesi
görmesi olmuştur. Bu doğrultuda 1924 yılında uygulamaya konulan “Musiki
İnkılabı” çerçevesinde müzik politikaları da değişmiştir. Muasır medeniyete
ulaşma hedefiyle ve milli musiki yaratma ülküsüyle yapılan bu değişimde
özellikle sosyolog Ziya Gökalp’in müzik konusundaki fikirleri referans
alınmıştır. Gökalp’e göre Şark musikisi hastadır ve bizi yansıtmamaktadır.
Dolayısıyla milli bir musikiye sahip olabilmemiz için Garp musikisi ile
memleketimizdeki Halk musikisinin sentezlenmesi gerekmektedir. Başta
Mustafa Kemal Atatürk olmak üzere Cumhuriyet kadroları Gökalp’in musiki
konusundaki fikirlerinden etkilenmiş ve bu fikirler resmi müzik politikası
olarak uygulanmıştır. Fakat bu politikalar 1930’lu yılların başından itibaren
müzik adamlarının kendi içinde fikir ayrılığına düşmesine neden olmuştur.
Özellikle Rauf Yekta, Hakkı Süha ve Mahmut Kösemihal gibi isimler
dönemin müzik dergilerinde alaturka-alafranga tartışması üzerinden müzik
politikalarını eleştirmiştir.
Bu çalışmada Atatürk Dönemi’nde alaturka-alafranga odağında yapılan
müzik tartışmaları dönemin müzik dergileri üzerinden değerlendirilecektir.
Değerlendirme yapılırken süreli yayınların yanısıra özellikle birinci el
kaynaklar ve konuyla ilgili tetkik eserlerden de yararlanılacaktır.