bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ilmu Pendidikan Islam Pendekatan Arkelogis: Prasasti, Situs-Situs Peradaban Islam
Authors: Alauddin Alauddin 
Published: August 2024

Arkeologi sendiri merupakan suatu ilmu yang mempelajari kebudayaan manusia melalui material artifak yang ditemukanberdasarkan peninggalan manusia di masa lampau. Kalau dulu, arkeologi didasarkan pada peninggalan fisik yang tertinggal dengan penggunaan metode secara teoritis dan filosofis. Sebagian besar ilmu ini termasuk dalam hubungan manusia dan masih termasuk di dalam ilmu Antropologi. Bagian lain dari antropologi mendukung penemuan arkeologi seperti antropologi budaya, yang mempelajari tingkah laku, simbolis, dan dimensi material dari suatu budaya. Berdasarkan sudut pandang tersebut, Islam dapat dipahami dalam berbagai benda-benda peninggalan kebudayaannya. Penelitian ini menggunakan penelitian kualitatif dengan menggunkan pendekatan pustaka. Adapun Peninggalan-peninggalan sejarah peradaban Islam terdapat di berbagai wilayah di dunia dan dijaga sebagai peninggalan yang memiliki makna bagi umat Islam itu sendiri. Adapun peninggalan-peninggalan tersebut mencakup peninggalan tempat suci, mushaf Al-Qur’an, pengetahuan, arsitektur, serta mileter dan persenjataan.Syaikh Nawawi al-Bantani adalah seorang ulama Melayu-Nusantara yang telah berhasil melanjutkan tradisi para ulama Melayu sebelumnya untuk mentransformasikan gagasan keilmuan melalui murid dan karyanya dari Haramain ke wilayah Nusantara, khusunya Indonesia. Aktivitas dan perannya dalam menyebarkan Islam di Nusantara khususnya Indonesia sangat berguna bagi generasi sesudahnya.
Glycemic Control Impacts the Quality of Bowel Preparation in Patients Undergoing Elective Colonoscopy: A Multicenter Retrospective Cohort Study
Authors: Shah Yash , Singh Dahiya Dushyant , Kumar Gangwani Manesh , Ali Hassam , Chandan Saurabh , Parker Kelly , deLongpre Jennifer , Sule Anupam , Takriti Mones , Inamdar Sumant , Rabinowitz Loren G , Krishnamoorthy Geetha 
Published: August 2024

Introduction: Diabetes Mellitus has been linked to poor quality of bowel preparation (BP) but the impact of various glycemic control levels remains unclear. The primary objective of this study was to investigate the relationship between the quality of BP and the glycemic control in patients with diabetes. Methods: Data was collected retrospectively to identify adults who underwent elective colonoscopy from March 2020-December 2022. The patient population was subdivided into two groups based on the quality of BP. Univariate and multivariate analyses were used to assess associations between glycemic control, medications, sociodemographic factors, and BP quality. Results: A total of 1458 patients who met the inclusion criteria were included in the final analysis. Of these, 6.3% of patients had suboptimal BP. Non-diabetics, prediabetics, and well-controlled diabetics had lower odds (0.28, 0.20, and 0.32;p<0.001) of having suboptimal BP as compared to poorly controlled diabetics. Insulin users had higher odds (5.39;p<0.01), non-smokers and former smokers had lower odds (0.54, 0.40;p<0.04), and medicare and commercial insurance holders had lower odds (0.49, 0.28;p<0.001) of suboptimal BP. Gender, body mass index, and the use of glucagon-like peptide-1 (GLP-1) agonists were not shown to impact the quality of BP. Conclusions: This study shows that poorly controlled and insulin-dependent diabetics have higher rates of suboptimal QBP, leading to missed lesions and increased colon cancer risk. Limited access to healthcare due to low socioeconomic status indirectly contributes to poorly controlled DM and higher rates of suboptimal QBP. Identifying poor preparation risks allows targeted interventions to enhance QBP in high-risk patients. By prioritizing bowel preparation optimization, we can enhance the overall quality of colonoscopy screening, leading to earlier detection of colorectal malignancies, improved patient outcomes, and a reduction in the burden of colorectal cancer.
Physician Attire - Does it Matter? A Study Evaluating Patient Preferences for Attire for Family Medicine
Authors: Bell Eleisha , Yu Dorothy , Abu-Zahra Ahmad , Keller Evelyn , Brannan Grace , Stan Ioana , Hasnat Heraa , Smith Cheryl , Zawilinski Laci 
Published: August 2024

Introduction: Historically, white coats have been the distinctive and respected dress code worn by physicians. With the onset of the Covid-19 pandemic, many physicians exchanged white coats and professional attire for scrubs and personal protective equipment to feel safer and reduce the spread of infectious pathogens in clinical settings. Our aim was to investigate patient preferences in attire for family physicians in an outpatient setting following the Covid-19 pandemic. Methods: Patients from two family medicine clinics were recruited to participate in the study from June 2023 to December 2023. Surveys were distributed to volunteers who met demographic criteria: age ≥ 18 years, ability to read and speak English and not legally blind. Patients completed an anonymous survey consisting of six questions that would assess physician attire based on level of knowledge, trustworthiness, caring, approachability, comfortability, and professionalism on a 10-point scale (1=somewhat to 10=extremely). Each photo set included a male and female in one of the following attire: white coat with either business casual attire (#1) or scrubs (#2), or fleece with either business casual attire (#3) or scrubs (#4). A one-way analysis of variance was performed to compare photos sets on variable scores; means ± standard deviations were calculated. P<.05 was considered significant. Results: A total of 288 patients participated in the study. Photo sets #1 (8.2±2.1) and #3 (7.7±2.4) were significantly different for approachability compared to #2 (7.6±2.5) and #4 (7.6±2.5) (p=.007). Otherwise, photo set #1 was significantly different from all other photo sets in regards to knowledge (p=.0001), trustworthiness (p=.0005), caringness (p=.0003), comfortableness (p=.002), and professionalism (p=<.0001). Conclusions: Patients prefer physicians to wear a white coat with business casual attire, based on all six of our study’s domains. Continuation of this study could look at variables of gender and race and the roles they play in patient preference for physician attire.
Household Income Disparities in Childhood Acute Lymphoblastic Leukemia Incidence and Mortality: A US Population-Based Analysis between 2000 and 2020
Authors: Ruhban Inas , Szpunar Susan , Anne Premchand 
Published: August 2024

Introduction: Acute Lymphoblastic Leukemia (ALL) is the most common childhood cancer with an annual incidence of 3.7-4.9 cases per 100,000. There are no recent reports of the effect of socioeconomic status on pediatric ALL incidence and mortality class. Objective: Assess the association between ALL incidence and mortality and the socioeconomic status in children ages 21 years and younger. Methods: Retrospective analysis was conducted of the Surveillance, Epidemiology and End Results (SEER) database, which represents up to 48% of the general US population. We included patients with ALL up to 21 years of age during 2000-2020. Patients were categorized based on annual household income into three groups: low-income: < $50,000; middle-income: $50,000-$75,000; high-income: >$75,000. Incidence and mortality rates were expressed per 100,000 person-years. Annual Percentage Changes (APCs) were defined as the average year-over-year rate change. Student’s t test was used to determine if APCs were significantly different from zero with a significance level of 0.05. Results: We reviewed 30,852 cases, of which 9%, 54%, and 37% belonged to low-, middle-, or high-income families, respectively, and with incidence rates of 3.2, 3.4, and 3.1 per 100,000 person-years, respectively. Incidence in low-income children showed a statistically significant average increase of 1.1% (p = 0.003) per year during 2000-2020, while it showed a significant increased followed by stable rates since 2007 and 2010 in middle- and high-income children, respectively. ALL mortality was 0.5, 0.4, and 0.4 per 100,000 person-years, in low-, middle-, and high-income children, respectively. Mortality in low-income children has increased 2000-2007 (APC= 25.2%, p = 0.011); it did not significantly change after that. Conclusions: ALL incidence in low-income children has been increasing and remained the highest while mortality improved in middle-income children. Differences in healthcare access may be associated with the findings; further studies are needed to delineate this further.
Referencing the Center of Rotation of the Talus to Restore Tuber Length in Anatomic Reduction of Calcaneus Fractures
Authors: Suhrawardy Ameen , Brenner Joseph , Van Aken Trey , Joiner Jonathan , Steelman Kevin , Meehan Robert , Vaidya Rahul 
Published: August 2024

Introduction: The deforming forces of calcaneus fractures shorten, push into varus, and disrupt its articular surface. The height of the calcaneus depends on restoration of Bohler’s Angle (BA) and Tuber Length (TL). Contraction of the gastrocsoleus plantarflexes the ankle around the center of rotation of the talus (COR). The moment arm of the Achilles tendon is the calcaneal tuber. The purpose of this study is to define the COR, assess the TL after reconstruction of the calcaneal tuber and assess its influence on calcaneal height and work of the Achilles tendon. Methods: An IRB-approved retrospective study included 345 calcaneal fracture operative cases at a level 1 trauma center over 10 years. Of them, 39 cases had lateral x-rays of both operated and uninjured feet. X-rays were sized to each other on the Detroit Bonesetter App, which was used to find BA and COR. The moment arm of the Achilles tendon was defined as the distance from the tendon insertion to the COR of the talus. It was also the measurement used to describe TL. Results: The average postoperative TL was 5.72 ± 0.47 cm, and the average contralateral TL was 5.99 ± 0.42 cm (p=0.01). This resulted in a calculated average of 4.48% ± 5.28% increased gastrocsoleus work in all patients compared to the contralateral extremity. ORIF had shorter TL compared to CRPF (p=0.02). Eight of the 39 patients had shortened TL despite adequately restored BA. Conclusions: While BA restoration has served as the operative marker of success for intra-articular calcaneus fractures, it does not consider the change in mechanical work of the Achilles tendon, which may be a better indicator of the functional length of the calcaneus. This study demonstrates that there is increased work on the Achilles with shortened TL even when the reduction has adequately restored BA. Finding COR and referencing it to measure TL compared to the contralateral foot should be considered as an additional goal to restoration of BA, anatomic reduction, and varus deformity correction when treating calcaneal fractures.
Torsemide versus Furosemide Therapy in Patients with Chronic Heart Failure: An updated Meta-analysis
Authors: Talaei Fahimeh , Pratiti Rebecca , Ibrahim Mahmoud , Almorsy Khaled , Moudgal Varsha , Kesari Kavitha 
Published: August 2024

Introduction: Torsemide’s oral bioavailability and half-life theoretically render it a more efficient diuretic than Furosemide, but the clinical outcomes of torsemide compared with furosemide remain unclear. A rigorous meta-analysis performed by Bishoy et al 2019 showed Torsemide as compared to Furosemide improved hospitalization though it was not statistically significant. We performed an updated meta-analysis to evaluate the effects of Torsemide vs. Furosemide in heart failure hospitalization and mortality. Methods: In addition to the studies included in previous meta-analyses, we performed a literature search using Medline from 2019 till 07/25/2023. We used the MESH term ‘Torsemide’ AND ‘Furosemide[Mesh]) AND ‘Heart Failure’. Eligible studies were 1) Randomized control studies (RCT), non-RCT, and observational prospective and retrospective cohort studies, 2) with English abstract 3) compared torsemide with furosemide, and 4) assessed outcomes of all-cause hospitalization or all-cause mortality. When studies reported both short-term and long-term outcomes, a preference was given to long-term outcomes. Study quality was assessed by the Ottawa scale. RevMan 5.4 was used for analysis. Study results were analyzed using a random effects model. I2 statistics were applied to assess the between-study heterogeneity. Further subgroup analysis was performed for RCTs only. Results: In addition to the previous studies, our literature search returned 27 studies. Two studies met the inclusion criteria. A total of twenty studies (8 randomized control trials [RCTs] and 12 observational studies) with a total of 22,749 patients were included. New-Castle Ottawa scale was used to assess the quality of each study, score of each study ranged from 7 to 9 which reflected high quality. Intra-study risks of bias were also assessed. During a mean follow-up duration of 12 months, risk of hospitalization due to heart failure in patients treated with Torsemide was not different from those treated with Furosemide (odds ratio [OR] 0.80, 95% confidence interval [CI] [0.59, 1.07], p< 0.23, I2 = 24%) also no difference in risk of all-cause mortality (odds ratio [OR] 0.94, 95% confidence interval [CI] [0.87, 1.02], p< 0.001, I2 = 96%, respectively) noted between the two groups. The results remained consistent when subgroup analysis was conducted using only RCTs. Conclusions: Compared with Furosemide, Torsemide use was not associated with a significant difference in hospitalization for heart failure or all-cause mortality in patients with heart failure. The studies included in hospitalization analyses showed lower heterogeneity while for all-cause mortality a higher heterogeneity was noted.
Mortality and Readmission Outcomes for Intensive and Conventional Cardiac Rehabilitation
Authors: Bellino Alycia , Suneja Anupam , Patel Yash , Kumar Agara , Huebner Marianne , Smith Frank 
Published: August 2024

Background: Cardiac rehabilitation, a cornerstone of cardiovascular disease (CVD) management, offers two approaches: Convention Cardiac Rehabilitation (CCR)—a multidisciplinary intervention centered around exercise, and Intensive Cardiac Rehabilitation (ICR). ICR provides a more comprehensive approach focusing on dietary modifications including a whole-food, plant-based diet, and wellness counseling. There is limited data in the current literature comparing Major Adverse Cardiac Events (MACE) between patients undergoing ICR or CCR, which we aim to investigate. Methods: We conducted a retrospective cohort study to compare a primary composite MACE outcome at 730 days (2 years) for patients who participated in ICR, CCR, and eligible patients who did not engage in cardiac rehab. The composite outcome included 2-year mortality, PCI, MI, stroke, CABG, and unstable angina requiring hospitalization. Secondary outcome measures included composite cost of readmissions, number of readmissions, composite cost of MACE and frequency of MACE components. We included patients who attended at least 5 CCR or 10 ICR sessions from 2016-2019. Results: Out of 5832 patients in the timeframe observed, 3445 did not participate in any cardiac rehab. Of the remaining 2104 included in our statistical analysis, 963 were in the CCR group and 1141 in the ICR group. We found no significant difference in MACE outcomes using a chi-squared test; 89% of ICR and 90% of CCR experienced zero MACE outcomes (P=0.566). Observed deaths were not significantly different, with 3% in both the ICR and CCR groups (P=0.587). However, the data showed that readmissions were 5% more common in the ICR group compared to CCR (34% vs 29%, P=0.006). Conclusions: Our study did not provide definitive evidence demonstrating the benefits of ICR over CCR for the composite MACE outcome, as no difference was observed. Study limitations include its retrospective nature, and reliance on observational data, which precluded randomization of baseline patient characteristics. In conclusion, despite more extensive sessions and content involving dietary strategies and wellness counseling, there is currently no definitive evidence favoring ICR over CCR.
Early Discharge after Enhanced Recovery Colectomy does Not Increase ED Visits and Readmissions: A Single Institution Analysis
Authors: Baur Katherine , Sood Evan M , Huebner Marianne , Kolli Nivya , Cleary Robert 
Published: August 2024

Background: With continued advancements in Enhanced Recovery Pathway (ERP) protocols, we have noticed a significant decrease in colorectal surgery emergency department (ED) visits and readmissions. When considering same-day discharge after colorectal surgery in ERP patients, it would be important to know if early discharge is associated with increased ED visits and readmissions. This study is to determine if discharge on postoperative days (POD) one or two is associated with increased rates of ED visits and hospital readmissions after left and right colectomy. Methods: This is a single institution analysis of a prospectively maintained institutional colorectal surgery database between 07/01/2018 and 07/15/2022. The primary outcomes were ED visit and readmission rates for enhanced recovery open and minimally invasive right and left colectomy using logistic regressions models. Results: 820 patients met inclusion criteria; mean age 62.8 years; 47.4% ASA-3, and 83.2% had a minimally invasive surgical approach. Hospital length-of-stay decreased over the study period. There were significant differences in discharge-day by diagnosis - 58.5% of patients with Crohn’s disease were discharged on POD≥4 and 21.6% of those with benign colon neoplasia were discharged on POD 0-1 (p < 0.001). ED visits occurred in 12.9% of the study population and were not significantly different between discharge-day groups (p=0.096). Overall readmission rate was 8.5% and significantly different between discharge-day groups (0% POD-0 vs 8.3% POD-1 vs 5.8% POD-2 vs 6.9% POD-3 vs 12.9% POD≥4, p=0.041). Logistic regression showed that ED visits and readmissions for longer discharge-days (POD-2, POD-3, POD≥4) were not significantly different than POD-0-1. Readmission diagnoses for the study population were higher for ileus (17.1%) and SSI III (22.9%) than for AKI (1.4%) and SSI I/II (1.4%). Readmissions were not related to discharge day of the week (p=0.494). Conclusions: Early discharge after left and right colectomy is not associated with increased rates of ED visits and readmissions. Same-day discharge may be feasible in selected enhanced recovery patients. Risks and benefits associated with same-day discharge require further investigation.
Decreased Time to Treatment in Non-Small Cell Lung Cancer Improves Survival
Authors: Muca Antonela , Howard Kathryn , Tolkacz Michael , Reilly Jordan , Ye Hong , Grills Ingra , Watson Thomas , Welsh Robert , Long Graham 
Published: August 2024

Introduction: Lung cancer is the leading cause of cancer-related mortality in men and women in the United States. Survival is directly correlated to stage, and stage can progress if cancer is left untreated. We hypothesize that expedited time to treatment after initial radiographic detection results in decreased mortality of local or locoregional non-small cell lung cancer (NSCLC). Methods: We reviewed prospectively collected single institution data from patients with stage I-III NSCLC between 2009-2016. Interval between initial CT on which a suspicious lung nodule was detected (index CT), a subsequent biopsy date, and treatment start date (i.e., day of surgical resection or initiation of radiation therapy) was assessed. Follow-up data were obtained for overall (OS), and disease-free survival (DFS). Univariate analysis was used to investigate variables that correlated with OS and DFS. OS and DFS were compared between time groups using a log-rank test. Results: Of 503 patients analyzed, 239 (47.5%) underwent surgical resection, 255 (50.7%) underwent radiation therapy, and 9 (1.8%) underwent both. Median follow-up was 5.2 years. Receiver operating characteristic (ROC) curves identified the optimum time to improve OS was ≤28 days from index CT to biopsy and ≤87 days from index CT to start of treatment. For stage I patients, a shorter time from index CT to biopsy was associated with improved OS, and DFS (p<0.001 and <0.001, respectively), as was a shorter time from index CT to treatment, (<0.001 and <0.001 respectively). No significant differences were found for stage II and III lung cancers. Conclusions: Diagnosis within 28 days and treatment within 87 days after index CT resulted in improved OS and DFS for Stage I NSCLC. While treatment delays are often multifactorial in etiology, time to treatment must be addressed at the healthcare system level to improve outcomes for NSCLC.
The Radiographic Effects of Lunotriquetral Coalition on Scapholunate Articulation
Authors: Court Tannor , Tsai Andrew , Joines Hannah , Kelly Christopher , Bouffard Antonio 
Published: August 2024

Introduction: Radiographic widening in the scapholunate (SL) joint due to lunotriquetral (LT) coalition has historically been viewed as normal due to reported false positives of SL dissociation/widening in patients with LT coalition. Minimal further investigations have been reported on these findings. Methods: Scapholunate interval, angle, third CMC joint space, and ligamentous measurements on CT, MRI, and X-ray imaging were compared for those with and without LT coalition. A multilevel one-way ANOVA was used to analyze CT SL angle versus X-ray SL angle and was compared to the control group. These comparisons were also performed for SL intervals and repeated for MRI imaging versus X-ray imaging. A t-test was completed to compare volar and dorsal ligament widths measured on MRI for the lunotriquetral and normal groups. Results: On X-ray and CT, no difference was measured in SL interval, angle, and third CMC joint space between those with and without LT coalition, but SL angle was higher in those without LT coalition on CT. On MRI, no difference was measured in SL angle, but SL interval was smaller in those without LT coalition. SL interval compared to third CMC joint space was smaller for all cohorts on MRI and CT. Conclusions: X-ray, CT, and MRI imaging of SL interval widening was not seen above normal radiographic parameters in the setting of LT coalition. Therefore, radiographic parameters of SL dissociation/widening should not change with LT coalition. The third CMC joint space was smaller compared to the SL interval and should not alone be used for radiographic diagnosis of SL dissociation.