bluuebunny/crossref_metadata_2025_split huggingface dataset:
GRAVIDEZ ECTÓPICA: UMA ABORDAGEM ABRANGENTE SOBRE SEU DIAGNOSTICO, SINTOMAS E TRATAMENTO
Authors: Campanha Karina , Santos Ruan Carlos Nogueira , Souza Bianca Teixeira , Dutra Jessica Cristina Teixeira , Pin Laisa De’ Nadai , Filgueiras Kamylla Cordeiro Gaspar , Neto Edmar Augusto Campanha , Santos Rafaela Nogueira , Giacomin Amanda 
Published: August 2024

A gravidez ectópica é uma condição médica grave que ocorre quando a implantação do blastocisto acontece fora do útero, sendo a principal causa de mortalidade materna no primeiro trimestre. No Brasil, é uma das principais causas de morte materna por hemorragia. Apesar dos avanços tecnológicos permitirem diagnósticos mais precoces, a incidência de casos tem aumentado. As localizações anômalas mais comuns incluem as trompas de Falópio, ovários e peritônio. É crucial evitar rupturas tubárias para permitir escolhas entre tratamentos expectante, clínico e cirúrgico, minimizando impactos na qualidade de vida e saúde da mulher. Objetivo: Compreender os aspectos fisiopatológicos, causas, sintomas, opções de diagnóstico e tratamento da gravidez ectópica, bem como suas implicações clínicas. Metodologia: O presente estudo trata- se de um artigo de revisão bibliográfica relacionada à Gravidez Ectópica, realizado entre junho e julho de 2024, foram selecionados 11 artigos, no qual a revisão dos artigos foi realizada na base de dados a biblioteca eletrônica Scientific Eletronic Library Online (SCIELO), Revista médica del Uruguay, Revista Brasileira de Ginecologia e Obstetrícia, Revesta Íbero-Americana de humanidades, ciência e educação e Revista da Associação Médica Brasileira. Definiu-se os seguintes critérios de seleção: textos completos, livros, análise e revisões sistemáticas, entre os anos de 2004 e 2023, no idioma português, inglês e espanhol. Resultados: Apesar dos avanços tecnológicos que permitem diagnósticos mais precoces, a incidência de gravidez ectópica tem aumentado globalmente. As causas incluem múltiplos parceiros sexuais, uso de dispositivos intrauterinos, tratamento de infertilidade, endometriose, cirurgias tubárias prévias, doença inflamatória pélvica, tabagismo, e alterações anatômicas uterinas. Inicialmente os sintomas são imperceptíveis, e entre a sexta e oitava semana de gestação sintomas como dor abdominal, atraso menstrual, cólicas e sangramento vaginal podem surgir. O diagnóstico precoce é crucial para evitar rupturas tubárias e permitir diversas opções de tratamento. Exames como dosagem sérica do β-HCG e ultrassonografia transvaginal são fundamentais. Existem 3 principais forma de tratamento: expectante, clínico e cirúrgico. Pacientes que desejam engravidar após uma gravidez ectópica devem ser avaliadas para possíveis tratamentos de fertilização assistida.Conclusões: Conclui-se que a gravidez ectópica possui múltiplos e grandes impactos na vida dos portadores e por isso necessita de um diagnóstico precoce, com tratamento de qualidade adequado a fim de reduzir o risco de complicações e melhorar a qualidade de vida dos pacientes.
Pengaruh Minat Baca dan Sumber Belajar terhadap Hasil Belajar IPS Siswa Kelas VIII SMP Negeri 5 Kota Solok
Authors: Anjany Noviya , Basyirun Fajri 
Published: August 2024

This research was motivated by the low learning outcomes of students in social studies subjects at SMP Negeri 5 Solok City. This is thought to be due to low interest in reading and learning resources in the learning process. This research aims to examine, 1) the influence of interest in reading on the social studies learning outcomes of class VIII students at SMP Negeri 5 Solok City, 2) the influence of learning resources on the social studies learning outcomes of class VIII students at SMP Negeri 5 Solok City, 3) the influence of interest in reading and Learning Resources for Social Studies Learning Outcomes for Class VIII Students at SMP Negeri 5 Solok City. This research method is a quantitative method. The subjects in this research were class VIII students at SMP Negeri 5 Solok City. Data collection is carried out through questionnaires, observation and documentation. From the research results it was found that 1) there was no partial influence between interest in reading on the social studies learning outcomes of class VIII students of SMP N 5 Solok City, 2) there was no influence between learning resources on the social studies learning outcomes of class VIII students of SMP N 5 Solok City and, 3) there is no simultaneous influence between reading interest and learning resources on students' social studies learning outcomes class VIII SMP N 5 Solok City.
Pengaruh Kebiasaan Belajar dan Perhatian Orang Tua terhadap Motivasi Belajar Siswa Kelas VIII di SMP Negeri 2 Kubung
Authors: Khairi Ummul , Ilyas M. 
Published: August 2024

This study aims to examine: 1) The effect of study habits on students' learning motivationof eighth grade students at SMP Negeri 2 Kubung. 2) The effect of parental attention on students' learning motivation of eighth grade students at SMP Negeri 2 Kubung. 3) The influence of study habits through parental attention to the learning motivation of class VIII students at SMP Negeri 2 Kubung.4) The influence of study habits and parental attention simultaneously on the learning motivation of eighth grade students at SMP Negeri 2 Kubung. The analysis technique used is path analysis.
The results of this study indicate that: 1) There is a positive and partially significant effect between study habits on students' learning motivation, where > is 9.263 > 1.668. 2) There is a positive, partially significant effect between parents' attention to students' learning motivation, where > is 3.155 > 1.668. 3) There is a positive and significant influence between study habits through parental attention to students' learning motivation, which is obtained > which is 3.40 > 1.668.4) There is a simultaneous positive and significant effect between study habits and parental attention on students' learning motivation, where > is 61.557 > 3.11 with a significant level = 5%.
A Rare Case of Sweat Gland Carcinoma of the Breast
Authors: Ali Mirza Athar , Babaiah Muntimadugu , Molakala Surya Simhareddy , Mariappan Prabhakar , Perubhotla Lakshmi Manasa , Singa Praveen Kumar , Shunmugavel Muthulingam , YSB Soundarya , Manohar Oviya 
Published: August 2024

Abstract
Sweat gland carcinoma of the skin is a rare malignancy. Malignant sweat gland carcinoma of the breast is among one of the rarer sites of sweat gland malignancies, making it a very rare entity. with few cases reported in the literature. Sweat gland malignant lesions can arise in eccrine or apocrine sweat glands present in the skin. Here we report a case of malignant sweat gland carcinoma of the breast with axillary nodal metastasis treated with surgery (modified radical mastectomy) followed by adjuvant radiation therapy in view of lymph node metastasis.
Computational Simulation and Experimental Analysis of Activated Carbon from Agricultural Waste as Electromagnetic Absorber
Authors: Ashraf Nawrah Afnan , Mohd Idris Fadzidah , Purhanudin Noorain , Suhaimi Syahida , Hassan Intan Helina 
Published: August 2024

Modern technological advances and developments pose a serious threat to our lives that create more electromagnetic (EM) interference pollution. This situation encourages researchers to produce EM absorbers from various materials. This paper investigates the capability of activated carbon (AC) extracted from Terminalia catappa (TC) fruit agricultural waste by the carbonization process as a potential filler for EM absorbers. Besides, AC produced from TC fruit waste also serves plenty of advantages as renewable resources, eco-friendly materials, and exhibits nano-porosity structure. The 3 wt% AC material as a filler is incorporated in the epoxy resin as a polymer matrix using the moulding technique. The sample’s EM wave properties are measured using a Vector Network Analyzer (VNA) at a frequency range of 4.0 GHz to 8.0 GHz. The reflection loss (RL) value of AC/epoxy is -8.568 dB at a frequency of 6.68 GHz. To maximize the EM absorption, the geometrical structure of the material is tuned and simulated with different 3D honeycomb designs (1 mm, 2 mm, and 3 mm thickness). The Computer Simulation Technology (CST) simulation predicted and visualized the EM absorption performance of the 3D designs. The CST results of the composite sample exhibited a significant and enhanced effective EM absorption at the C-band frequency range.
Cardiac Amyloidosis Masquerading as Hypertrophic Obstructive Cardiomyopathy: Co-existence or Coincidence?
Authors: Shukla Madhu , Mohan Jagdish Chander 
Published: August 2024

Abstract
A 59-year-old male presented with syncope and nonsustained ventricular tachycardia and was diagnosed to have hypertrophic obstructive cardiomyopathy. He underwent dual-chamber implantable converter defibrillator (ICD) insertion. Following ICD insertion, in view of some red flags, routine cardiac magnetic resonance imaging was performed, which showed biventricular hypertrophy, diffuse subendocardial gadolinium enhancement of both the ventricles, prolonged T1 and T2, and left ventricular extracellular volume fraction of 50%. A pyrophosphate scan of the heart was strongly positive both at 1 and 3 h intervals. M-band was observed on plasma protein electrophoresis. Serum and urinary immunofixation studies suggested lambda light-chain gammopathy. Multiparametric flow cytometry of the bone marrow aspirate revealed 20% plasma cells immunophenotyped to produce only light-chain immunoglobulins. The patient is on specific chemotherapy for the past 7 months and is asymptomatic.
Clinical Diagnostic Workflow of Nondilated Left Ventricular Cardiomyopathy: A Case-based Review
Authors: Chudgar Priya , Burkule Nitin , Kamat Nikhil 
Published: August 2024

Abstract
Dilated cardiomyopathy is defined as left ventricular (LV) or biventricular dysfunction and dilatation not explained by abnormal loading conditions or coronary artery disease. However, the existing definition does not cover a range of disorders that manifest as a spectrum of electrical, structural, and functional myocardial abnormalities that change over time. With the rising use of echocardiographic speckle tracking strain imaging and cardiac magnetic resonance imaging, subtle myocardial structural or functional pathology can be detected very early in the natural history of the myocardial disease. The 2023 European Society of Cardiology guidelines for cardiomyopathy have coined a new terminology “nondilated LV cardiomyopathy (NDLVC)” to help in early risk stratification and better patient surveillance and therapeutic management. This article is a case series of NDLVC with an emphasis on systematic clinical workup for early diagnosis and better management of this pathology.
Impact of uterine weight on surgical outcomes in robotic hysterectomy: An ambispective analysis
Authors: Bahadur Anupama , Sharma Shloka , Heda Ayush , Chawla Latika , Mundhra Rajlaxmi 
Published: August 2024

Abstract

Background:
Robot-assisted surgeries are increasingly used for the treatment of benign gynaecological conditions. However, their impact in cases of significantly enlarged uteruses remains uncertain. This study aims to investigate whether the weight of the uterus influences the surgical results of robotic hysterectomy.

Patients and Methods:
Ambispective analysis of 306 cases was performed, of which 265 cases were analysed retrospectively. The outcome measures included total operative time, including docking time, console time and vault closure time, complication rates and quality of life (World Health Organization Quality of Life Brief questionnaire) stratified based on uterine sizes into three groups by every 250 g.

Results:
Of the 306 cases, 76.47% of cases (n = 234) had uterine weight <250 g, 18.30% of cases (n = 56) had uterine weight between 250 and 500 g, while 5.23% of cases (n = 16) had a weight of uterine specimen >500 g. The total operative time was significantly lower in the <250 g group compared to >500 g (81.92 ± 22.81 vs. 111.88 ± 40.27 min; P = 0.003), contributed primarily by the console time. Although the need for post-operative blood transfusion was higher in the >500 g group, the overall complication rate between the three groups was similar. The three groups had comparable QOL through all four domains.

Conclusion:
The present study underscores the influence of uterine weight on robotic hysterectomy outcomes, revealing increased operative times and post-operative haemoglobin drop for uteri over 500 g. Despite these challenges, complications were not significantly affected by uterine size.
Laparoscopic intra-peritoneal onlay mesh plus versus robotic transabdominal pre-peritoneal for primary ventral hernias: Our technique and outcomes
Authors: Bindal Vivek , Pandey Dhananjay , Gupta Shailesh 
Published: August 2024

Abstract

Introduction:
Intra-peritoneal onlay mesh repair (IPOM) still remains the most common approach for laparoscopic repair of small to medium sized hernias worldwide. In this study, we compare our early outcomes of an established procedure, i.e. laparoscopic IPOM plus to robotic transabdominal pre-peritoneal (rTAPP) for small to medium sized primary ventral hernia. To compare laparoscopic IPOM plus with rTAPP in terms of pain score, time to ambulate, hospital stay, time to return to work as well as the expenses.

Patients and Methods:
This is a retrospective analysis of prospectively collected data at our centre between July 2021 and June 2022. Operative time including docking time was recorded. Cost analysis was done in both set of patients. Pain scores were assessed using Visual Analogue Scale (VAS) at regular intervals for up to 3 months and then at the end of 1 year. Time to ambulate, return of bowel function and return to work were documented. Any complication or recurrence during the study period was recorded.

Results:
Mean operative time for IPOM plus and rTAPP groups was 59.00 and 73.55 min, respectively. Mean pain score for IPOM at 6, 12 and 24 h was 7.35, 6.81 and 5.77, while for rTAPP, it was 4.73, 3 and 2.55, respectively. VAS scores at 1 week, 1 month and 3 month also showed similar trends. Mean time to ambulate in minutes for IPOM and rTAPP group was 357.69 and 223.64, respectively. Mean hospital stay in days for IPOM and rTAPP was 2.12 and 1.18, respectively. Mean time to return to work in days was 11.77 and 8.45 for IPOM and rTAPP groups, respectively. Expenditure wise, cost of TAPP was more and statistically significant, owing to the use of robotic platform. The mean overall cost of laparoscopic IPOM plus and rTAPP in rupees was 187,177.69 and 245,174.55, respectively.

Conclusion:
Robotic TAPP appears an excellent alternative to laparoscopic IPOM plus. Larger studies with long-term follow-up data are further required to reinforce it.
Morphological variants of Rouviere’s sulcus and its significance in a patient undergoing laparoscopic cholecystectomy: An emerging paradigm
Authors: Kanhaiya Krishan Kumar , Gupta Shardool Vikram , Kumar Jitendra , Iftikhar Samar , Rani Anamika 
Published: August 2024

Abstract

Introduction:
Laparoscopic cholecystectomy (LC) is the gold-standard treatment for symptomatic cholelithiasis. To prevent bile duct injuries, various practices are recommended, one of which is the identification of Rouviere’s sulcus (RS) and starting dissection above its level. So far, no uniform anatomical description of RS is available in the literature. After prospective observation of 302 patients, we have proposed a new classification based solely on gross morphology. The purpose of this study is to make surgeons well acquainted with its different anatomical variations and its significance for the prevention of complications.

Patients and Methods:
We performed a prospective analysis of 302 patients during LC, and various morphological variants of RS and its relationship with hepatobiliary anatomy were recorded. We have used the nomenclature as described by previous authors and added a few.

Results:
A total of 330 patients were included in our study. We could not visualise the sulcus due to dense adhesion in 28 patients. RS was absent in 24.1% of cases and was present in various forms in 75.8% of cases. Amongst these, the open type was found in 28.8% of cases, fused type was found in 4.8% of cases, groove type was found in 24.8% of cases, pit type was found in 8.2% of cases, close type was found in 14.4% of cases, slit type was found in 8.7% of cases and scar type was found in 10% of cases. Using RS as a landmark, we could perform surgery safely in all cases.

Conclusion:
The RS can be described as closed, slit, open, fused, groove, pit or scar type.
Kontribusi Bank Pembiayaan Rakyat Syariah Terhadap Pertumbuhan Ekonomi Provinsi Banten: Analisis Model Pembiayaan UMKM dan Non UMKM
Authors: Muhamad Fakhrudin  , Ahmad Fatoni  
Published: August 2024

This research focuses on the micro scope, namely examining the effect of financing Micro, Small and Medium Enterprises (MSMEs) of Sharia Rural Banks (BPRS) on economic growth in Banten Province. This research has the novelty of comparing MSME and non-MSME financing and the financing model used and its effect on economic growth in Banten Province. This study uses secondary data, namely time series data from 8 BPRS in Banten Province. The data in this study used quarterly data from December 2015 to December 2022. The data was obtained from the financial statements of BPRS Statistics Indonesia (BPS) Banten Province. Meanwhile, the model used in this study is the Error Correction Model (ECM). The results showed that in the long-term model, MSME and Non-MSME financing had a positive and significant effect on the GRDP of Banten Province, but on the contrary, in the short-term model, both variables had a negative influence. Meanwhile, in the short-term model, working capital and investment financing have a positive and significant effect on the GRDP of Banten Province, but in the long-term model, both variables have a negative effect. Simultaneously, financing of MSMEs, Non-MSMEs, working capital, and investment affect the GRDP of Banten Province.
OS 7 “CERTOS” E O CICLO CRÍTICO DAS ACTIVIDADES PRIMÁRIAS LOGÍSTICAS NA SATISFAÇÃO DOS CLIENTES
Authors: Camango Crispim 
Published: August 2024

Os 7 “certos” da logística têm estado em evidência nos últimos anos pela sua importância na movimentação do produto certo, no momento certo, na quantidade certa, no lugar certo, na condição certa, ao mínimo custo e ao cliente certo. O presente estudo pretendeu analisar a relação dos 7 “certos” com o ciclo crítico das actividades primárias da logística na satisfação dos clientes. Foi utilizada uma metodologia bibliográfica, qualitativa e exploratória. Foi feita uma busca na Web of Science, Google Académico e Scielo, em que foram encontradas mais de 80 obras que deram suporte científico a este artigo. Os resultados apontam que a movimentação dos produtos deve ter em conta os 7 “certos” da logística que, por sua vez, para funcionarem de forma eficiente e eficaz, necessitam das habilidades de suporte. Além disso, o ciclo crítico das actividades logísticas primárias deve funcionar à luz dos 7 “certos” para deixar o cliente satisfeito.
Crisis intervention, mediation, counseling, and mentoring in schools: Building resilient educational communities
Authors: Olanike Abiola Ajuwon  , Enitan Shukurat Animashaun  , Njideka Rita Chiekezie  
Published: August 2024

Crisis intervention, mediation, counseling, and mentoring play critical roles in fostering resilient educational communities. Schools today face various challenges, including student mental health issues, conflicts, academic pressures, and external crises such as natural disasters and violence. Addressing these challenges requires a comprehensive approach integrating crisis intervention, mediation, counseling, and mentoring to support students, teachers, and staff effectively. Crisis intervention involves immediate and effective responses to acute issues, ensuring the safety and well-being of students and staff. By implementing structured protocols and training, schools can mitigate the impact of crises, reducing long-term psychological effects and promoting recovery. Mediation techniques help resolve conflicts constructively, fostering a positive school climate and enhancing interpersonal relationships among students, teachers, and parents. Effective mediation practices contribute to a supportive environment, minimizing disruptions and promoting cooperative problem-solving skills. Counseling services are essential for addressing ongoing mental health needs, providing emotional support, and guiding students through personal and academic challenges. School counselors play a pivotal role in identifying and addressing issues such as anxiety, depression, bullying, and family problems. By offering individual and group counseling, schools can create a safe space for students to express their concerns and develop coping strategies. Mentoring programs complement these efforts by offering students additional support through positive role models. Mentors provide guidance, encouragement, and practical advice, helping students build resilience, set goals, and navigate academic and personal challenges. These relationships foster a sense of belonging and connectedness, which is crucial for student development and success. Integrating these components creates a comprehensive support system that enhances the overall resilience of educational communities. Schools that prioritize crisis intervention, mediation, counseling, and mentoring are better equipped to address the diverse needs of their students and staff, promoting a healthy and conducive learning environment. By building resilient educational communities, schools can improve academic outcomes, reduce dropout rates, and ensure the well-being of all members. In conclusion, the synergistic implementation of crisis intervention, mediation, counseling, and mentoring in schools is vital for developing resilient educational communities. This holistic approach not only addresses immediate and long-term challenges but also fosters a supportive and nurturing environment where students can thrive academically, socially, and emotionally.
Keywords: Mentoring, Schools, Building, Educational Communities, Mediation.
Operative Management of Pediatric Physeal Bar Development and Genu Valgum.
Authors: Naseer Shahrukh , Zamzam Mazen , Zakko Philip , Saleh Ehab S. 
Published: August 2024

Background Pediatric orthopedic conditions present unique challenges due to ongoing skeletal growth and development. Managing these cases requires addressing both structural anomalies and functional deficits. Care presentation This case report discusses a 13-year-old male with recurrent left knee pain exacerbated by physical activity. The patient’s history of a left knee infection at 1.5 years of age, possibly septic arthritis or osteomyelitis, underscores the long-term consequences of early pathology on skeletal growth and alignment. Imaging studies revealed a distal lateral femur physis bar and genu valgum, necessitating surgical intervention. Management and Outcomes The surgery involved medial distal femur hemiepiphysiodesis and lateral distal femur bar excision to correct anatomical deformities and restore optimal limb alignment and function. Postoperative rehabilitation, including targeted exercises to improve quadriceps strength, was crucial for functional recovery and reducing the risk of complications such as medial patellofemoral pain. Conclusion This case highlights the importance of a multidisciplinary approach in managing complex pediatric orthopedic cases.