bluuebunny/crossref_metadata_2025_split huggingface dataset:
Transcarotid flow reversal for proximal control during cerebral aneurysm clip reconstruction: illustrative case
Authors: Wenger Nicole M , Hentschel Matthew , Wang Ting I , Kim Kevin T , Caffes Nicholas , Cherian Jacob 
Published: October 2024

BACKGROUND
Paraclinoid aneurysms can pose an operative challenge during clip reconstruction, given the complex surrounding anatomy and the aneurysmal tendency to maintain turgor despite standard approaches to proximal control. This report demonstrates the use of intraoperative retrograde arteriovenous shunting with the transcarotid artery revascularization (TCAR) system to assist in the safe clip reconstruction of an irregular paraclinoid aneurysm.

OBSERVATIONS
A 33-year-old woman presented with perimesencephalic subarachnoid hemorrhage and was found to have an incidental 9-mm ophthalmic aneurysm. Coil embolization was not successful. During microsurgical clip reconstruction, the left common carotid artery was exposed to allow for proximal control as well as transcarotid arterial sheath placement. Flow reversal was instituted throughout the aneurysm dissection and clipping, with a visible softening of the aneurysm. Intraoperative angiography confirming successful clip reconstruction was performed utilizing the TCAR sheath. The case was complicated by the development of cerebrospinal fluid rhinorrhea postoperatively, requiring surgical repair. The patient has since made a complete recovery.

LESSONS
Transcarotid flow reversal utilizing the TCAR system has potential for use in the surgical treatment of paraclinoid aneurysms, as it may aid in softening the aneurysm for safer dissection and clip reconstruction, protect against aneurysm-associated emboli, and provide an avenue for intraoperative angiography.
https://thejns.org/doi/10.3171/CASE24330
Primary jugular foramen fibrous dysplasia: surgically nuanced video of extradural infratemporal transjugular approach. Illustrative case
Authors: Eduardo da Silva Carlos , Clara Thibes Ana , Vidaletti Tamara 
Published: October 2024

BACKGROUND
Fibrous dysplasia of the bone is a disease caused by a somatic GNAS mutation that affects craniofacial bones and can have a mass effect on different neurovascular structures. The authors present the first case of primary jugular foramen fibrous dysplasia with occlusion of the transverse and sigmoid sinuses.

OBJECTIVE
A 33-year-old man presented with a history of dizziness and occasional dysphagia over the past year. Magnetic resonance imaging showed a uniform enhanced mass in the left jugular foramen, with complete blockage of the adjacent transverse and sigmoid sinuses. The computed tomography scan revealed a cystic bone lesion of the jugular foramen. The patient underwent a gross-total removal of the tumor through an infratemporal transjugular approach with complete preservation of the lower cranial nerves.

LESSONS
This first reported case of primary jugular foramen fibrous dysplasia highlights the importance of considering this diagnosis when evaluating jugular fossa lesions. Understanding the anatomy of the infratemporal and jugular fossae, along with proficiency in microsurgical techniques, is essential for removing such tumors while preserving cranial nerve functions and the patient’s quality of life.
https://thejns.org/doi/10.3171/CASE24396
„Bo w Ługańsku jest tak pięknie, jak w Cannes” – historia o marzeniach i cierpieniach ukraińskiej społeczności, przedstawiona w Polskiej przestrzeni teatralnej (spektakl Mój sztandar zasikał kotek. Kroniki z Donbasu wg. Leny Laguszonkowej)
Authors: Staszkiewicz Wiktoria 
Published: October 2024

Streszczenie. W niniejszym artykule autorka przybliża postać Leny Laguszonkowej oraz spektakl, który powstał w oparciu o jej dramaturgię – Mój sztandar zasikał kotek. Kroniki z Donbasu w reżyserii Aleksandry Popławskiej, wystawiany w Teatrze Rozmaitości w Warszawie.
Lena Laguszonkowa urodziła się w 1984 roku w Stanicy Ługańskiej. Ukończyła wydział historii Ługańskiego Państwowego Uniwersytetu im. Tarasa Szewczenki. W Ługańsku podejmowała różnego rodzaju pracę, a po kilku latach przeniosła się do Kijowa. Jako dramatopisarka zadebiutowała w 2018 roku sztuką Baza. Autorka poruszyła w niej tematykę związaną z kobietami i prostytucją. Sztuka można było zobaczyć na festiwalu „Tydzień sztuki aktualnej”. W 2022 roku w wyniku wojny, Lena wraz z bliskimi wyjechała do Polski. Ciepło przyjęło ją tutaj środowisko teatralne, dzięki czemu podjęła współpracę z Teatrem Rozmaitości i Teatrem Polskim w Bydgoszczy.
Mój sztandar zasikał kotek. Kroniki z Donbasu powstał na podstawie trzech tekstów Laguszonkowej – Pipidówy, Matki Gorkiego i Mój sztandar zasikał kotek. To sztuka o marzeniach, pragnieniach, rozczarowaniach, bólu i cierpieniu, o kryzysie i poszukiwaniu tożsamości. Główna bohaterka, pochodząca z prowincjonalnego miasteczka – Stanica Ługańska chce jak najszybciej z niego wyjechać i spełniać swoje artystyczne aspiracje. Sztuka pokazuje różne pokolenia wychowywane w Ukraińskich realiach, próbując nam je przybliżyć i pokazać jak wojna wpływa na społeczność.
قياس جودة العمل الكشفي في مديريات العامة لتربية بغداد من وجهة نظر حاملي الشارة الخشبية
Authors: Alaa Karim Yas  , Asst. Prof. Dr. Nibal Karim Abdullah  
Published: October 2024

هدفت الدراسة : بناء قياس مستوى جودة العمل الكشفي في المديريات العامة لتربية بغداد من وجهة نظر حاملي الشارة الخشبية، واستخدمت الباحثتان المنهج الوصفي بالأسلوب المسحي, ويتحدد مجتمع البحث الحالي من القادة الكشفيين حاملي الشارة الخشبية في مديرية تربية بغداد والبالغ عددهم ب(140) قائد وقائدة، وعينة الاستطلاع (10) وعينة البناء (90) وعينة التطبيق (40) وقد استنتجت الباحثتان بوجود علاقة ارتباطية ايجابية معنوية بين عبارات مقياس جودة العمل الكشفي لحاملي الشارة الخشبية في المديريات لتربية بغداد ، وتمتع القادة الكشفين لحاملي الشارة الخشبية في مديريات تربية بغداد بمستوى جيد من جودة العمل الكشفي . على ضوء نتائج البحث توصلت الباحثتان الى الاستنتاجات الاتية: ان أفضل مديريات تربية بغداد هي الكرخ الثانية لمقياس جودة العمل الكشفي. ان الرؤيا الواضحة التي تصفها مديريات تربية بغداد (رصافة 3،2،1/ كرخ 3،2،1) كمقياس جودة العمل تساعد القيادات الكشفية في تحقيق اهداف النشاط الكشفي. على ضوء الاستنتاجات التي توصلت اليها الباحثتان توصي بالآتي:توصي الباحثتان باعتماد مقياس جودة العمل الكشفي وتعميمه الى كافة القطر لإمكانيته الواضحة في قياس جودة العمل الكشفي.الاهتمام بقياس جودة العمل الكشفي بشكل دوري في المديريات لكونها تحتاج الى تقويم أكثر خلال المدة القادمة لظهور مستويات متوسطة وجيدة أي ان هناك إمكانية لتطويرها بشكل كبير.يجب على رئاسات الأقسام في المديريات تنظيم ورش عمل تثقيفية لزيادة الوعي بجودة العمل الكشفي للوصول جودة عمل اعلى مما ظهرت في نتائج البحث.
PENANAMAN KARAKTER SPIRITUAL SEJAK DINI PADA ANAK USIA DINI DI PAUD, TK, SD PONPES RAUDLATUL ULUM CAMPUREJO BOJONEGORO
Authors: Choiri Moh. Miftahul , Nurdiansyah Denny , Rokhim Auliyaur 
Published: October 2024

Penelitian ini merupakan upaya penulis untuk mengajak menelaah kembali tentang pentingnya penanaman karakter pada anak usia dini. Akhir-akhir ini sorotan terhadap karakter cukup serius dengan kata lain kualitas karakter masih jauh dari harapan. Kualitas karakter harus selalu diupayakan agar menjadi lebih baik lagi. Sekolah sebagai lingkungan pendidikan merupakan fondasi yang kokoh dalam proses pembentukan karakter. Pembentukan karakter membutuhkan pembiasaan sejak dini karena karakter tidak dapat dibentuk dalam waktu yang singkat. Adanya peran pendidikan, khususnya pendidikan sekolah akan sangat membantu dalam pembentukan pribadi yang utama. Sekolah merupakan salah satu lembaga yang ikut bertanggung jawab dalam pelaksanaan pendidikan yang ikut menentukan berhasil atau tidaknya pendidikan anak. Maka dari itu, guru dalam Islam memiliki kewajiban memberikan pendidikan dan bimbingan kepada anak-anaknya sebagai salah satu amanat dari Allah SWT. Anak sangat membutuhkan pendidikan dari orang tuanya, agar ia tumbuh dan berkembang menjadi anak yang berakhlak mulia, dan memiliki kecerdasan spiritual yang baik. Kecerdasan spiritual dapat berkembang ketika anak mempunyai karakter yang baik.
Metode pelaksanaan yang dipilih adalah PARTICIPATORY ACTION RESEARCH. Metode PAR merupakan metode pengabdian yang menuntut keikutsertaan dan aksi masyarakat sebagai pelaku utama dalam penyusunan dan pelaksanaan program. Sedangkan peneliti merupakan seorang fasilitator yang membantu siswa atau subyek pengabdian agar bisa menyusun dan melaksanakan program dengan maksimal sampai berhasil..
Kata Kunci: Penanaman karakter, anak usia dini.
The primary stability of ultrashort residual proximal femur fixed with triangular fixation stem prosthesis: a comparative biomechanical study based on sawbones models
Authors: Hou Ziwei , Zheng Kai , Xu Ming , Yu Xiuchun 
Published: October 2024

BackgroundTumor resection near the proximal end of the femur and revision surgery of the distal femoral prosthesis may result in a very short bone segment remaining at the proximal end of the femur, known as ultrashort residual proximal femur (URPF). In this study, we propose a triangular fixation stem (TFS) prosthesis to improve the fixation of URPF. The aim of this research is to investigate the biomechanical properties of the TFS prosthesis and compare it with the conventional stem (CS) prosthesis through in vitro biomechanical experiments, providing preliminary biomechanical evidence for prosthetic fixation of URPF.MethodsA biomechanical study was conducted using Sawbones to explore initial stability. Twelve Sawbones were used to create a bone defect model, and prostheses were designed and fabricated to emulate TFS fixation and CS fixation structures. Axial compression and horizontal torsion experiments were performed on the fixed models using a mechanical testing machine, recording maximum displacement, maximum torque, and femoral strain conditions.ResultsUnder an axial compressive load of 2800 N, the overall displacement of the TFS group was 3.33 ± 0.58 mm, which was significantly smaller than that of the CS group (4.03 ± 0.32 mm, P = 0.029). The femoral samples of the TFS group demonstrated that the strain value alterations at the medial points 2, 3, 5, 6 and the lateral point 10 were conspicuously smaller than those of the conventional stem group (P &lt; 0.05). Under torsional loads at levels of 1°, 3°, and 5°, the torques of the TFS group were 3.86 ± 0.69 Nm, 3.90 ± 1.26 Nm, and 4.39 ± 1.67 Nm respectively, all of which were significantly greater than those of the CS group (1.82 ± 0.82 Nm, P &lt; 0.001; 2.05 ± 0.89 Nm, P = 0.016; 1.96 ± 0.50 Nm, P = 0.015 respectively).ConclusionThe TFS prosthesis improves fixation strength and reduces strain on the femur’s proximal surface. Compared to CS fixation, it offers better resistance to compression and rotation, as well as improved initial stability.
Mycobacterium tuberculosis combine with EBV infection in severe adult meningoencephalitis: a rare case reports and literature review
Authors: Wang Jian , Li Mengjiao , Zhu Junchi , Cheng Lijuan , Kong Ping 
Published: October 2024

BackgroundTuberculous meningitis (TBM) with adults Epstein-Barr (EB) virus encephalitis is a very rare infectious disease, with a high mortality and disability. Metagenomic next-generation sequencing (mNGS) of cerebrospinal fluid (CSF) is highly diagnostic. We report on a case of severe meningoencephalitis caused by co-infection with mycobacterium tuberculosis and EB virus. Brain MRI indicated a parenchyma lesion in the brain. mNGS of CSF indicated Mycobacterium tuberculosis and EB virus amplification, positive serum EB virus IgG antibodies, and improved symptoms after anti-tuberculosis and antiviral treatment. A re-examination of the brain MRI revealed that the significantly absorption of the lesions.Case reportA 49-year-old male patient presented with a chief complaint of headache and fever with consciousness disturbance. The brain magnetic resonance imaging showed a lesions in the right parenchymal brain with uneven enhancement, accompanied by significantly increased intracranial pressure, elevated CSF cell count and protein levels, as well as notably decreased glucose and chloride levels. mNGS of CSF showed the coexistence of Mycobacterium tuberculosis and EBV. The patient was diagnosed as TBM with EBV encephalitis. The patient’s symptoms gradually improved with the active administration of anti-tuberculosis combined with antiviral agents, the use of hormones to reduce inflammatory reaction, dehydration to lower intracranial pressure, and intrathecal injection. Subsequent follow-up brain magnetic resonance imaging indicated significant absorption of the lesions, along with a marked decrease in CSF count and protein levels, as well as obvious increase in glucose and chloride levels.ConclusionTBM associated with adult EBV encephalitis is extremely rare. The disease’s early stages are severe and have a high fatality rate. A prompt and accurate diagnosis is particularly important. NGS of CSF is of great value for early diagnosis.
Acupoint catgut embedding: a potential intervention strategy for obesity-related precocious puberty
Authors: Liang Yun , Yuan Yuan , Yang Jie 
Published: October 2024

IntroductionObesity-related precocious puberty is induced by obesity, and acupoint catgut embedding (ACE) therapy is known to treat obesity. This study aims to validate the hypothesis that ACE can delay the onset of obesity-related precocious puberty.MethodsFemale Sprague-Dawley rats, 21 days old, were randomly divided into three groups: the high-fat diet combined with ACE treatment group (ACE), the high-fat diet group (HFD), and the normal control diet group (NCD), with 8 rats in each group. The vaginal opening (VO) time was monitored, and serum levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), and total estradiol (E2) were measured, followed by statistical analysis.ResultsKaplan-Meier survival curves, with VO as the endpoint, showed that vaginal opening was delayed in the ACE group compared to the HFD group, with a statistically significant difference (p &lt; 0.05). The changes in levels of FSH, LH, and E2 indicated that sexual development was delayed in the ACE group compared to the HFD group and was more similar to the NCD group.DiscussionCombining the vaginal opening time and changes in hormone levels, this study confirms the potential role of ACE in delaying the onset of obesity-related precocious puberty.
Combination of nitrogen and organic fertilizers reduce N2O emissions while increasing winter wheat grain yields and quality in China
Authors: Jin Yakang , Chen Hong , Tang Xiaoqian , Zhang Lei , Yan Jun , Li Shuangjun , Chen Ya , Li Xinwei , Wu Hongbao , Xiao Xin 
Published: October 2024

Wheat grain yields, quality, and nitrous oxide (N2O) emissions were controlled through the type and application rate of nitrogen (N) fertilizer. Here, we investigated the optimal management of N fertilization by examining the combined effects of organic and N fertilizers on wheat yields, quality, and N2O emissions. Field trials under six treatments were located on campus farms at Anhui Science and Technology University, including farmer’s common practice (270 kg N ha-1, N270), 2/3 reduction in N270 (90 kg N ha-1, N90), organic fertilizer with equal N270 (OF270), 2/3 reduction in OF270 (OF90), 4/5 reduction OF270 + 1/5 reduction N270 (20% OF270 + 80% N270), and 4/5 reduction OF90 + 1/5 reduction N90 (20% OF90 + 80% N90) were applied to winter wheat. The plots were arranged in a randomized complete block experimental design. The N2O emissions were quantified under different fertilization measures in the peak wheat growing season during sowing, jointing, and grain filling stages, respectively. Compared with N270 and N90 treatments, N2O emissions were significantly decreased by 18.6% and 27.2%, respectively, under 20% OF270 + 80% N270% and 20% OF90 + 80% N90 (p &lt; 0.05). Further, N2O emissions in N270 were increased by 50.8% relative to N90. Wheat yields increased significantly under 20% OF90 + 80% N90 by 27.6% (N270) and 16.4% (N90), and were considerably enhanced under 20% OF270 + 80% N270 by 40.6% (N270) and 12.7% (N90) in contrast to OF270 and N270 (p &lt; 0.05). Compared with N90, the content of wet gluten, protein and starch under 20% OF90 + 80% N90 treatment significantly increased by 7.7%, 13.8% and 7.9%, and enhanced by 7.6%, 4.8%, 8.0% relative to OF90, respectively (p &lt; 0.05). The starch content increased significantly by 2.0%, whereas the settlement value decreased considerably by 2.9% under 20% OF270 + 80% N270 (p &lt; 0.05), and there was no notable difference in the wet gluten and protein contents (p &gt; 0.05). Our findings indicated that organic fertilizer mixed with N fertilizer can effectively reduce N2O emissions, increase both the grain yields and quality in wheat field compared with N fertilizer alone.
Accumulated subcutaneous fat in abdomen is associated with long COVID-19 symptoms among non-hospitalized patients: a prospective observational study
Authors: Li Tingxin , He Baoming , Liu Yuping , Wang Chen 
Published: October 2024

IntroductionLong COVID-19 symptoms may have a variety of potential overlapping causes. In this study, we aimed to investigate the potential correlation between abdominal adipose tissue and long COVID-19 symptoms in non-hospitalized patients in China.MethodsThis is a prospective observational study. 424 subjects, recovered from COVID-19 for 2–4 weeks, were enrolled and 408 subjects were finished the follow-up investigation at baseline, 8th week and 12th week. Physical measurements were collected. Kaplan-Meier analysis and cox regression analysis were carried out to assess the correlation.ResultsA total of 72 subjects reported the long COVID-19 symptoms. The adjusted Kaplan-Meier analysis and Cox regression analysis revealed a significant correlation with accumulated subcutaneous fat (SFA ≥ 2.0 dm2) and the long COVID-19 symptoms (HR = 2.63, P &lt; 0.001 for male, HR = 1.52, P = 0.048 for female). However, overweight and central obesity showed positive correlation only in women.DiscussionThis study suggested that accumulated subcutaneous fat in abdomen (SFA ≥ 2.0 dm2) was an important positive factor associated with long COVID-19 symptoms among Chinese non-hospitalized patients. Large investigation and prospective studies are needed to validate the correlation in the future.
Role of immune cells in mediating the effect of gut microbiota on Hashimoto’s thyroiditis: a 2-sample Mendelian randomization study
Authors: Pei Xiao-Qing , Wang Wen-Hao , Gao Yue-Hua , Zhang Tong-Xin , Liu Jing-Yu , Zhao Zhen-Dan , Zhang Hua-Wei 
Published: October 2024

PurposeHashimoto’s thyroiditis (HT) is one of the most commonly encountered types of autoimmune thyroid disorders (AITDs), influenced by environmental factors, genetics, and the immune system. Previous research has shown a correlation between gut microbiota and HT, as well as the involvement of immune cells in its onset and progression. We aimed to investigate whether immune cells act as intermediaries in the causal relationship between gut microbiota and HT.MethodsIn this study, we conducted bidirectional two-sample Mendelian randomization (MR) analyses to explore the relationship between gut microbiota and HT using data from genome-wide association studies (GWAS) and the MiBioGen study. Subsequently, MR analyses were performed to investigate the interactions between 731 immune cells and gut microbiota. Additionally, an MR analysis was performed to examine the association between HT and these 731 immune cells, using a GWAS dataset that included 3,757 European subjects. This approach provided insights into the impact of 22 million genetic variants on 731 immune cell signatures.ResultsThere was a causal relationship between the increase in the number of 15 gut microbiota and HT. We observed that the genus Akkermansia, family Alcaligenaceae, family Desulfovibrionaceae, family Verrucomicrobiaceae, class Verrucomicrobiae, order Verrucomicrobiales, phylum Verrucomicrobia, class Alphaproteobacteria, order Desulfovibrionales, genus Ruminococcus torques group, genus Butyrivibrio, and genus Coprococcus3 were negatively correlated with HT. In addition, the genus Intestinimonas, genus Turicibacter, and genus Anaerostipes were positively correlated with HT. We identified EM CD4 + T cells as a mediator between the gut microbiota and HT.ConclusionIn conclusion, we presented causal associations between the EM CD4 + T cell-mediated gut microbiota and HT, as inferred from the MR findings derived from extensive aggregated GWAS data. Our research offers guidance and direction for treating and preventing HT.
Effect of adapted dance program on gait in adults with cerebral palsy: a pilot study
Authors: Joung Hee Joung , Kim Tae Hoon , Park Moon Seok 
Published: October 2024

BackgroundThe gait function in adults with cerebral palsy (CP) deteriorates rapidly with age. Dance has been used as an effective intervention to improve balance, postural control, and gait. This study aimed to investigate the feasibility and effects of an adapted dance program (ADP) on the gait in adults with CP. The ADP, which consists of floor and barre workouts, was designed to be adapted for individuals with CP.MethodTen female adults with spastic diplegic CP (mean age 52.3 ± 6.34, Gross Motor Function Classification System level II) participated in this study. Outcome measures, examined using 3D gait analysis, included spatiotemporal gait parameters and the Gait Deviation Index (GDI) based on nine kinematic variables in all planes of motion. To assess feasibility, we conducted post-questionnaires and a group interview. The ADP, each lasting 90 min, was held twice per week for 12 weeks.ResultsA statistically significant improvement was observed in GDI (Δ5.74 points, p = 0.014), with a large effect size (d = 0.76). Foot off (Δ-0.72%), first double support (Δ-0.2%), second double support (Δ1.5%), and single support (Δ0.64%) showed no significant differences. Step length (Δ1.48 cm), cadence (Δ3.95 steps/min), and walking speed (Δ6.41 cm/s) tended to increase, though the differences were not statistically significant. Participants expressed high levels of physical and emotional satisfaction, suggesting a need for early intervention.ConclusionThe ADP may improve gait patterns in adults with spastic diplegic CP. The feasibility results indicated that the ADP is suitable for adults with spastic diplegic CP. This study provides evidence for improvement in gait patterns through dance, which has not been reported in previous dance studies on individuals with CP, offering additional information on the benefits of dance.