bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gone without a Trace: A Rare Case of Pericardial Effusion Resolving after Cardiopulmonary Resuscitation
Authors: Shaikh Wasim Shabbir , Syed Fahimuddin , Awad Ahmed , Alrais Zeyad Faoor , Alrais Ghaya Zeyad 
Published: August 2024

Abstract
Pericardial effusion is collection of fluid in pericardial space. It is commonly seen as a part of multisystem infections, malignancy, and renal failure. It can progress to life-threatening pericardial tamponade, leading to cardiac arrest. Cardiopulmonary resuscitation (CPR) is well-established protocol for all types of cardiac arrests. CPR serves as a therapeutic intervention, reversing cardiac arrest and providing time to address the underlying cause. However, CPR can involve multiple complications, including thoracic skeleton and organ injuries. In this case report, we present a case of massive pericardial effusion in a male patient who was admitted to our hospital with abdominal pain and a medical history of diabetes, hypertension, ischemic heart disease, acute kidney injury, and coagulopathy. Massive pericardial effusion was identified using point-of-care ultrasonography (POCUS) of the heart. While his coagulation abnormalities were being corrected, he had a cardiac arrest in intensive care unit before any invasive intervention could be performed for pericardial effusion. Return of spontaneous circulation was achieved, and surprisingly, post-CPR POCUS of the heart did not reveal much evidence of pericardial effusion. The resolution of pericardial effusion was also confirmed with computed tomography of the chest once the patient was stabilized. We observe that the pleural effusion, initially minimal, increased following CPR. Thus, we report this interesting case to highlight the unintended therapeutic effect of CPR on pericardial effusion. In addition, we emphasize the importance of POCUS during critical care situations as it assisted us in avoiding blind pericardiocentesis and the potential traumatic complications associated with such a procedure.
The Knowledge and Training Needs of Disaster Medicine among Health-care Professionals and Medical Students in Makkah City: A Cross-sectional Study
Authors: Dairi Mohammad Saleh , Altirkistani Bsaim Abdulsalam , Bahha Reeman Shaker , Babkier Ahad Saeed , Khizanah Ruba Hussain Abu , Alabdulwahab Saleh Ahmed , Alsulimani Loui Kamel , Masri Taha Mohammed 
Published: August 2024

Abstract

Background:
Disasters are a serious public health concern with increasing frequency and intensity worldwide. Health-care professionals are expected to be well-prepared for disasters, but those in low-to-middle-income countries may not have adequate training. Medical students also have critical gaps in disaster management knowledge. Despite major investments by the Saudi government to prevent and manage disasters, Makkah city, a pilgrimage site for millions of Muslims, continues to experience disasters during the season.

Aims:
The aim of this study was to assess the knowledge level, preparedness, and the training gaps regarding disaster medicine among health professionals and medical students/interns in Makkah city.

Subjects and Methods:
This is a cross-sectional study conducted in Makkah. Physicians, nurses, and medical students/interns were included. A previously utilized survey tool was adopted for this study. Data were analyzed by Chi-square and ANOVA tests as appropriate. P < 0.05 was considered statistically significant. Statistical analyses were performed using the JMP statistical software.

Results:
There were 651 participants in the study. The mean age was 27.69 (95% confidence interval [CI]: 28.13–27.24) with 360 (55.30%) males. With 16 as the full score, the mean score of disaster medicine knowledge was 7.90 (95% CI: 8.29–7.51) for medical students/interns, 8.12 (95% CI: 8.77–7.47) for nurses, and 4.85 (95% CI: 5.21–4.49) for physicians (P < 0.0001). Most participants selected “first aid skills” and “triage and evacuation” as crucial aspects to be covered in learning disaster medicine: 406 (62.4%) and 373 (57.3%), respectively.

Conclusion:
This study demonstrates a concerning gap in the level of knowledge of healthcare providers regarding disaster medicine. These gaps should be addressed considering the possible huge impact and consequences of disasters. All disaster responders, especially frontliners, must be competent and well prepared to respond to the wide array of disasters.
Clinical profile, prognostic factors, and outcomes of rhino-orbital-cerebral mucormycosis in the setting of COVID-19: A retrospective study
Authors: Hanumappa Swetha M. , Karuppannasamy Divya 
Published: August 2024

PURPOSE:
The purpose was to study the demographics, clinical and radiological presenting patterns, prognostic variables, and outcome of management of rhino-orbital-cerebral-mucormycosis (ROCM) in coronavirus disease (COVID-19) patients.

METHODS:
We retrospectively analyzed COVID-19 patients with proven ROCM from April 2021 to November 2021. All included patients were given systemic antifungal therapy depending on clinical response and underwent functional endoscopic sinus surgery (FESS) with orbital wall decompression. Administration of transcutaneous retrobulbar amphotericin B (TRAMB) injection, exenteration, and maxillectomy was done when indicated as per a novel algorithm.

RESULTS:
A total of 64 patients with ROCM were included in the study. The mean age of 54.5 (standard deviation [SD] - 10.6) years with a male predominance (male: female = 55:9) was observed. Pre-existing diabetes mellitus (DM) was the most common comorbid state, 47 (73.4%). The most common ophthalmic presentation was proptosis (n = 40) (62.5%). Bulky extraocular muscles (n = 64) (100%) and intraorbital fat stranding (n = 41) (64%) were the most common radiological findings. Twenty-eight patients received TRAMB, while 11 patients underwent exenteration with FESS. Our study had a mortality rate of 18.7% (n = 12). The mean glycated hemoglobin of 13.5% (SD - 1.1) and a higher serum ferritin value of 976.25 (SD - 592) were observed in the deceased group. Vision was preserved in 38 (73.7%) patients in the survived group.

CONCLUSION:
ROCM has a wide array of presentations, with proptosis as the most common clinical finding. Bulky EOM and intraorbital fat stranding were the most common radiological findings. Thorough surgical debridement with systemic and local antifungal therapy results in reasonable outcomes for ROCM in COVID-19 patients. Older age, intensive care unit admissions, uncontrolled DM, central nervous system involvement, and shorter duration of antifungal treatment are poor prognostic factors associated with mortality.
Bowman’s membrane lenticule tuck-in: A new approach for the management of neurotrophic ulcers
Authors: Choudhary Dharamveer S. , Verma Gargi , Kumar Kishor , Choudhary Pratibha , Kalal Bhuvanesh S. , Chaudhary Anamika 
Published: August 2024

PURPOSE:
To evaluate a new surgical method for managing nonhealing neurotrophic ulcers using a novel technique of tucking-in Bowman’s membrane lenticule in the ulcer defect.

METHODS:
A total of 22 eyes of 22 patients with neurotrophic ulcers of various etiologies and stages were included and underwent a surgical process where a donor Bowman’s membrane lenticule was harvested and fashioned according to the lesion and tucked inside the ulcer after making a recess in anterior one-third of stroma all around 360 degrees. The primary outcomes measured were healing (stable epithelialization at 12 months) and best-corrected visual acuity (BCVA) improvement.

RESULTS:
Twenty-two eyes of 22 patients with neurotrophic ulcers underwent Bowman’s membrane lenticule tuck-in procedure. Complete re-epithelialization was achieved in 21 eyes (95.45%). The average healing time was 2.77 ± 0.79 weeks. The mean corneal thickness improved from 267.36 ± 94.56 mm preoperatively to 435.9 ± 47.71 mm at six months postoperatively. The mean BCVA also improved from 0.05 ± 0.07 preoperatively to 0.24 ± 0.24 postoperatively one year. One patient (4.54%) showed recurrence after one month, and the epithelial defect persisted till the end of the study.

CONCLUSION:
Donor Bowman’s membrane lenticule tuck-in for neurotrophic ulcers is a safe and highly effective treatment and requires minimal instruments and expertise.
Herb Pair of Glycyrrhiza Radix–Platycodonis Radix Alleviates Respiratory Syncytial Virus Pneumonia in Mice by Modulating Lipid Metabolism and Inhibiting Inflammation
Authors: Tang Yu , Shi Chen , Sun Ling , Yang Bin , Ji Jian-Jian , Xie Tong , Wang Shou-Chuan , Lin Li-Li , Shan Jin-Jun 
Published: August 2024

Objective:
The objective of this study is to explore the optimal ratio of Glycyrrhiza Radix (GR, Glycyrrhizae radix et Rhizoma) and Platycodonis Radix (PR, Platycodon grandiflorum A. DC) and its potential mechanism for treating respiratory syncytial virus (RSV) pneumonia in mice.

Materials and Methods:
Aqueous extracts of GR-PR with different ratios (1:1, 2:1, and 1:2 w/w) were prepared and analyzed using ultra-performance liquid chromatography coupled with a linear ion trap quadrupole Orbitrap mass spectrometry (UPLC/LTQ-Orbitrap-MS). The effects of various ratios of GR-PR were investigated in BALB/c mice. Changes in body weight were recorded, histopathology was evaluated, and relative mRNA levels of inflammatory mediators were measured. In addition, lipidomic analysis was performed to investigate the effects of GR-PR on lipids and related signaling pathways.

Results:
The aqueous extracts of GR-PR improved body weight and reduced lung inflammation compared to the RSV group, with the optimal therapeutic effect achieved with a 1:2 ratio of GR to PR. RSV infection disrupted several serum lipids, particularly sphingomyelin (SM) and ceramide (CER), which were partially restored by GR-PR administration. Overall, GR-PR significantly improved the metabolic disorder of SM-CER-induced inflammation and apoptosis, along with decreased mRNA levels of caspase-1, nucleotide-binding domain, leucine-rich repeat, and pyrin domain-containing protein 3 (NLRP3), and toll-like receptor 3 (TLR3), and protein expression of NLRP3, pro-caspase-1, apoptosis-associated speck-like protein containing a caspase-recruitment domain (ASC), interleukin-1β (IL-1β), IL-18, gasdermin D (GSDMD), nuclear factor kappa-B (NF-κB), Bcl2-associated X protein (BAX), caspase-3, and caspase-8. The involvement of the TLR3-NF-κB-NLRP3 signaling pathway in this process was confirmed.

Conclusions:
The aqueous extracts of GR-PR, particularly at a ratio of 1:2, demonstrate potential therapeutic benefits for RSV-induced pneumonia by improving lipid metabolism and inhibiting the activation of TLR3-NF-κB-NLRP3 signaling pathway.
Presuposisi: Representasi Sosial dalam Pidato Presiden Jokowi di Sidang Umum PBB ke-76
Authors: Idul Rahmatan , Danial Haris 
Published: August 2024

Penelitian ini bertujuan untuk menginvestigasi pemanfaatan presuposisi dalam pidato virtual Presiden Jokowi di Sidang Umum PBB ke-76 dalam merepresentasikan berbagai peristiwa sosial. Data dalam penelitian ini terdiri atas kalimat-kalimat hasil transkripsi pidato Presiden Jokowi yang bersumber dari situs resmi Sekretariat Kabinet Republik Indonesia (www.setkab.go.id).Â Dengan menggunakan konsep presuposisi Yule, data tersebut kemudian diklasifikasi ke dalam enam jenis dan dianalisis dengan pendekatan kritis untuk mengetahui representasi setiap peristiwa sosial di dalamnya. Hasil penelitian menunjukkan bahwa terdapat lima jenis presuposisi yang digunakan oleh Presiden Jokowi dalam pidatonya, yakni presuposisi struktural, eksistensial, leksikal, faktif, dan kounterfaktual. Presuposisi-presuposisi ini dimanfaatkan oleh Presiden Jokowi untuk menyoroti empat isu utama global, yaitu pandemi covid-19, pemulihan dan inklusivitas ekonomi, ancaman perubahan iklim, dan terorisme serta perang. Presuposisi-presuposisi ini juga dimanfaatkan oleh Presiden Jokowi untuk menegaskan komitmen Indonesia untuk terus berpartisipasi dalam setiap usaha menyelesaikan permasalahan-permasalahan tersebut.
Factors Influencing Occupational Stress: A Study on its Effect on the Performance of MSU-IIT Faculty during COVID-19 Pandemic
Authors: BANSE JESSA MAE 
Published: August 2024

As a response against the Coronavirus disease (COVID-19), several countries adopted online and modular programs in the educational sector. As these require certain competencies and skills, these changes might have contributed to the stress experienced by the faculty members that could affect their performance. The purpose of this study is to determine the level of occupational stress, measured by the Teacher’s Stress Inventory (TSI), that the faculty members of Mindanao State University-Iligan Institute of Technology (MSU-IIT) experienced caused by work-family conflict, lack of training, role ambiguity and role conflict, powerlessness, and intrinsic impoverishment. In addition, the impact of occupational stress on the performance of the faculty members during the school year 2020-2021 is assessed. Anchored on Michigan Model and Performance and Demand Theory of Welford, 114 faculty members were selected as respondents using quota sampling, results showed that faculty members experienced slight stress. These are manifested through minimal or low stress as measured by the manifestations of stress namely emotional, biobehavioral, and physiological-fatigue. On the factors influencing occupational stress, only work-family conflict and lack of training influence occupational stress. Since faculty members cannot enter the campus and work on a work-from-home arrangement, the distinction between office hours and free/family time is almost nonexistent. The shift in the learning modality required a new set of competencies (i.e. technology-based skills) but the sudden shift only allowed a short period of time of training. The results on the factors influencing occupational stress are consistent with the Michigan Model but inconsistent with Welford's Performance and Demand Theory; even if the demand during the pandemic has changed, the faculty experienced slight stress and performed excellently in their work.
Penerapan Pembinaan Intensif dalam Upaya Peningkatan Kinerja Tim Akreditasi di MTSn 2 Bener Meriah
Authors: Farida Lasma 
Published: August 2024

Intensive implementation of coaching to improve the performance of accreditation teams is the full responsibility of the leader of an institution or institution. Similarly, MTsN 2 Bener Meriah is one of the Islamic educational institutions. This study aims to find out how the intensive application of coaching in an effort to improve the performance of the accreditation team MTsN 2 Bener Meriah. This research is qualitative with descriptive survey techniques. Through interviews, observations, and documentation, the following research results are found: (a) the components of accreditation that become the assessment points in the form of curriculum of each educational program, number of educators, the condition of learners, coordination of the implementation of education, educational facilities and infrastructure, readiness of academic administration, staffing, and household finances, (2) the application of coaching one of them on the components of content standards and process standards, (3) based on the evaluation of activities in the know that not fully the management of MTsN 2 Bener Meriah committed in carrying out the task and not yet maksimanya conflict management so that there is doubt and lack of readiness in maintaining the 'A grade' that has been achieved.
Monastery heritage as a tool for reconciliation pre-post earthquake: The case of Saint Simeon Monastery
Authors: Kalkan Bilge , Günçe Kağan 
Published: August 2024

Preserving heritage ensures it is passed to future generations, cultural heritage is crucial in shaping community’s identity through this journey. Religious heritage has huge importance in continuation and give sense of belonging within religious communities. Monastery heritage has a crucial role in safeguarding the rich past and traditions of monastic communities, with a focus on their religious and societal significance. Antioch is a city, a home of coexistence. Beside the city’s rich culture, the city is known as central point promoting reconciliation through three main monotheistic religions. The city has faced several earthquakes in history, it was completely destroyed and later rebuilt again. Unfortunately, recently an earthquake occurred and destroyed not only the historical religious buildings but the greatness of coexistence. Reconciliation is the key of healing after the disaster by fostering unity, comprehension and collaboration. Saint Simeon Monastery in Antioch is a significant example of resilience, rebirth, and reconciliation, as evidenced by the references to its response to challenges in its history. Preservation of the monastery should include physical and psychological strategies so that the place can welcome everyone, heal, and coexist with its values and characteristics post-challenge. The research aims to create a framework to increase cultural awareness within the community about the importance of Saint Simeon Monastery as religious heritage site. This will promote to build the bridge of reconciliation post-earthquake. Method of the study includes both quantitative and qualitative research to examine the significance of Saint Simeon Monastery’s religious history brings communities together in Antioch after the earthquake.
Implementation of Grasp (Guide Reading And Summary Procedure) Strategy in Descriptive Text on Students Reading Comprehension
Authors: Maizera Anisa , Roza Veni , Reflinda Reflinda , Melani Melyann 
Published: August 2024

This research was conducted due to several problems that found by the researcher. This research was aimed to find out the implementation of GRASP (Gude Reading and Summary Procedure) in descriptive text on students reading comprehension at eleventh grade in SMAN 1 Baso. Based on preliminary research, there some problem in teaching reading comprehension that was students were difficult finding main idea, students were bored and lazy to read the text in English, students were difficult understanding the meanings. One of strategy in teaching reading comprehension that can be used is GRASP strategy. Indeed, the researcher wanted to find out how the teacher implemented this strategy in teaching reading. The design of the research was descriptive qualitative research. The data was collected by doing observation using observation checklist, and interview with English teacher at SMAN 1 Baso. The data analyze by using qualitative data analysis by Miles and Huberman. The researcher collected the data, reduced the data, presented the data, and made a conclusion. The researcher found out the teacher implemented the GRASP strategy perfectly and clearly. It is based on the first three classes all of the procedures of GRASP strategy are done perfectly and clearly. Otherwise, in the last class there are three procedures that cannot be done. GRASP strategy can’t be used in all kind of the texts but descriptive text suitable for this strategy. This strategy worth it to use in teaching reading comprehension and based on observation in four classes, the teacher success to implemented the GRASP strategy in the classroom.
PERBEDAAN ADVERSITY QUOTIENT ANTARA MAHASISWA PERANTAU DAN NON-PERANTAU PADA PROGRAM STUDI KEPERAWATAN FAKULTAS FARMASI DAN ILMU KESEHATAN UNIVERSITAS SARI MUTIARA INDONESIA
Authors: Ganumba Arisman , Sari Inggrit Puspita 
Published: August 2024

Adversity Quotient merupakan suatu kecerdasan untuk dapat bertahan dalam menghadapi kesulitan dengan seberapa jauh bersikukuh melawan kesulitan serta kemampuan untuk memecahkannya. Adversity Quotient didefenisikan sebagai kecerdasan seseorang dalam menghadapi kesulitan-kesulitan, hambatan-hambatan ataupun tantangan dalam hidup. Adversity quotient juga meliputi kemampuan untuk memecahkan masalah secara efektif dan memotivasi diri sendiri dan orang lain untuk mengatasi kesulitan. Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan Adversity Quotient antara mahasiswa perantau dan mahasiswa non perantau. Metode penelitian yang digunakan adalah metode kuantitatif dengan jenis komparatif. Responden dalam penelitian ini adalah mahasiswa program studi Keperawatan Fakultas Farmasi dan Ilmu Kesehatan Universitas Sari Mutiara berjumlah 60 mahasiswa di antaranya terdapat 30 mahasiswa perantau dan 30 mahasiswa non perantau. Hasil analisis data mengunakan uji T-Test pada perhitungan lewat program SPSS 25 for windows pada taraf sig 5%, diperoleh hasil p(sig) = 0,000. Dengan hasil tersebut maka dapat ditarik kesimpulan bahwa perbedaan tingkat kecerdasan adversity antara mahasiswa perantau dan non perantau program studi keperawatan Fakultas Farmasi dan Ilmu Kesehatan Universitas Sari Mutiara.
Advancements in predictive modeling for insurance pricing: Enhancing risk assessment and customer segmentation
Authors: Ibrahim Adedeji Adeniran  , Christianah Pelumi Efunniyi  , Olajide Soji Osundare  , Angela Omozele Abhulimen  
Published: August 2024

This review paper explores the significant advancements in predictive modeling for insurance pricing, emphasizing its role in enhancing risk assessment and customer segmentation. The paper begins with an overview of the evolution of predictive modeling in the insurance industry, tracing the shift from traditional methods to modern, data-driven approaches powered by machine learning, artificial intelligence (AI), and big data. It highlights how these advancements have improved the accuracy of risk assessment, enabling insurers to develop more precise pricing strategies. The paper also discusses the importance of customer segmentation and personalization in insurance pricing, showcasing how advanced analytics can lead to more tailored and fair premiums, thereby improving customer satisfaction and retention. Additionally, the review addresses the challenges of implementing these advanced predictive models, including technological integration, ethical concerns, and regulatory compliance. The paper concludes by identifying future trends and potential areas for further research, such as real-time data, explainable AI, and ethical AI practices, which are expected to shape the future of predictive modeling in the insurance industry.
Keywords: Predictive Modeling, Insurance Pricing, Risk Assessment, Customer Segmentation, Machine Learning.