bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effect of body weight-supported Tai Chi Yunshou on upper limb motor function in stroke survivors based on neurobiomechanical analysis: a four-arm, parallel-group, assessors-blind randomized controlled trial protocol
Authors: Zhang Liying , Wang Jiening , Zhou Huanxia , Liao Wangsheng , Wang Naizhen , Yu Xiaoming 
Published: July 2024

IntroductionA series of functional disorders commonly occur after stroke, of which upper limb dysfunction is the most difficult to recover. The upper limb rehabilitation effect of Tai Chi Yunshou(TCY) in the later stage of stroke has been confirmed by research. Body weight support-Tai Chi Yunshou (BWS-TCY) is based on TCY exercise and robotic exoskeletons offers most flexibility in deweighting and control strategy. This study is aimed to explore the effect of BWS-TCY on upper limb motor function in stroke based on neurobiomechanics.Methods and analysisA single-blind randomized controlled trial will be conducted on 36 stroke survivors who will be randomly assigned to three groups: experimental group, control group A and control group B. In addition, 12 healthy elderly people will be recruited into the healthy control group. Those in the experimental group will receive 20 min of CRT and 20 min of BWS-TCY training, while participants in the control group A will receive 20 min of CRT and 20 min of Robot-assisted training. Participants in the control group B will undergo 40 min of Conventional rehabilitation training (CRT) daily. All interventions will take place 5 days a week for 12 weeks, with a 12-week follow-up period. No intervention will be carried out for the healthy control group. Upper limb function will be assessed before and after the intervention using various rating scales (Fugl-Meyer Assessment, Wolf Motor Function Test, etc.), as well as neurobiomechanical analyses (surface electromyography, functional near-infrared brain function analysis system, and Xsens maneuver Capture System). Additionally, 10 healthy elderly individuals will be recruited for neurobiomechanical analysis, and the results will be compared with those of stroke survivors.DiscussionThe results of this study will offer initial evidence on the effectiveness and feasibility of BWS-TCY as an early intervention for stroke rehabilitation. Positive findings from this study could contribute to the development of guidelines for the use of BWS-TCY in the early stages of stroke.Ethics and disseminationThis study has been approved by the Research Ethics Committees of the seventh People’s Hospital Affiliated to Shanghai University of Traditional Chinese Medicine (Study ID: 2022-7th-HIRB-022). The results of the study will be published in a peer-reviewed journal and presented at scientific conferences.Clinical trial registrationhttps://clinicaltrials.gov/, ChiCTR 2200063150.
A case report of recurrent testicular germ cell tumor in a patient with a history of primary pulmonary germ cell tumor and a review of the literature
Authors: Tan Jian , Wu Jinfeng , Yuan Runqiang , Li Wei , Li Linfeng , Huang Hongxing , Lu Yangbai 
Published: July 2024

BackgroundCompared to testicular germ cell tumors, the incidence of extragonadal germ cell tumors (EGCTs) is relatively low. While the lungs are a common site for metastasis of malignant germ cell tumors, primary pulmonary germ cell tumors are extremely rare.ObjectiveTo enhance the understanding of the diagnosis and treatment of germ cell tumors, particularly extragonadal germ cell tumors (EGCTs).MethodsA Case Report of Recurrent Testicular Germ Cell Tumor in a Patient with Primary Pulmonary Germ Cell Tumor and a Review of the Literature.Clinical dataThe patient was initially diagnosed with primary pulmonary germ cell tumor and received standard treatment. Five years later, the patient developed a recurrent testicular germ cell tumor. The pathological results from the two surgeries were different, indicating embryonal carcinoma in the first instance and seminoma in the second.ConclusionFor cases with a high suspicion of extragonadal germ cell tumors (EGCTs), early pathological biopsy is essential to confirm the histological subtype and to guide the selection of the most appropriate and sensitive treatment regimen.
Effectiveness of simultaneous bilateral visual diaphragm biofeedback under low back pain: influence of age and sex
Authors: Molina-Hernández Nerea , Rodríguez-Sanz David , Chicharro José López , Becerro-de-Bengoa-Vallejo Ricardo , Losa-Iglesias Marta Elena , Vicente-Campos Davinia , Marugán-Rubio Daniel , Gutiérrez-Torre Samuel Eloy , Calvo-Lobo César 
Published: July 2024

Introduction: The aim of the present study was to determine the effectiveness of simultaneous bilateral visual diaphragm biofeedback (BFB) from ultrasonography in conjunction with inspiratory muscle training (IMT) on diaphragmatic thickness during normal breathing and respiratory and clinical outcomes in patients with non-specific low back pain (NSLBP) and determine the influence of age and sex.Methods: A single-blind randomized clinical trial was carried out (NCT04582812). A total sample of 96 patients with NSLBP was recruited and randomized by sex-based stratification into IMT (n = 48) and BFB + IMT (n = 48) interventions over 8 weeks. Bilateral diaphragmatic thickness at maximum inspiration (Tins) and expiration (Texp), respiratory pressures, lung function, pain intensity, bilateral pressure pain threshold (PPT), disability, and quality of life were measured at baseline and after 8 weeks.Results: The BFB + IMT group showed significant differences (p &lt; 0.05) with increased left hemidiaphragm thickness at Tins and Tins-exp (d = 0.38–053), and right and left PPT (d = 0.71–0.74) versus the IMT group. The interaction with sex was statistically significant (p = 0.007; F(1,81) = 7.756; ηp2 = 0.087) and higher left hemidiaphragm thickness at Tins was predicted by the BFB + IMT group (R2 = 0.099; β = 0.050; F(1,82) = 8.997; p = 0.004) and male sex (R2 = 0.079; β = 0.045; F(1,81) = 7.756;p = 0.007). Furthermore, greater left hemidiaphragm thickness at Tins-exp was predicted by younger age (R2 = 0.052; β = −0.001; F(1,82) = 4.540; p = 0.036).Discussion: The simultaneous bilateral visual diaphragm biofeedback by ultrasonography in conjunction with IMT was effective in both increasing the left diaphragmatic thickness during inspiration, which was positively influenced and predicted by male sex and younger age, and increasing the bilateral PPT of the paraspinal muscles in patients with NSLBP.
EMDR and standard psychotherapy for paediatric cancer patients and their families: a pilot study
Authors: Zucchetti Giulia , Ciappina Sabrina , Roccia Elvia , Concas Deborah , Giordano Mario , Battaglini Chiara , Geuna Tiziana , Peirolo Claudia , Faretta Elisa , Fernandez Isabel , Quarello Paola , Fagioli Franca 
Published: July 2024

IntroductionThis study examined the efficacy of eye movement desensitisation and reprocessing (EMDR) therapy compared with standard psychotherapy (SP) in treating post-traumatic stress disorder (PTSD) in paediatric oncology patients and their families in the early stage of cancer treatment. The secondary aim of this study was to assess whether EMDR therapy has a different impact on post-traumatic growth compared to SP.MethodsForty patients were randomly assigned to EMDR or SP groups. The Impact of Event Scale – Revised (IES-R) and the Distress Thermometer (DT) were used to assess PTSD symptoms at pre-treatment (at cancer diagnosis) and in the post-treatment stages (after 8 sessions). The Post-traumatic Growth Inventory-PTGI was administered in the post-treatment stage in order to evaluate positive changes.ResultsBoth EMDR and SP are effective in reducing PTSD, but EMDR was significantly more effective than the SP in reducing scores on the IES-R, especially regarding the intrusive symptom subscale. Also, in the EMDR group there were higher scores of PTGI than in the standard group.ConclusionEMDR thus represents a promising treatment in the paediatric psycho-oncology setting.
Causal relationship between Alzheimer’s disease and unstable angina: a bidirectional Mendelian randomization analysis
Authors: Chen Yu-hang , Ren Cong-ying , Yu Cao 
Published: July 2024

BackgroundResearch from observational studies has demonstrated a link between Alzheimer’s disease (AD) and a higher risk of cardiovascular disease (CVD). Uncertainty surrounds the exact genetic cause of AD and coronary heart disease, particularly unstable angina (UA). Mendelian randomization (MR) analysis was used to examine the causal genetic link between AD and UA to evaluate the impact of AD on UA.MethodsThe purpose of the bidirectional MR analysis was to investigate the link between exposure and illness causation. Genetic instrumental variables for AD were obtained from European populations using genome-wide association studies (GWAS). The primary causal conclusions were obtained using the inverse variance weighted approach (IVW), and other sensitivity analysis techniques were employed. Sensitivity analyses were carried out to evaluate heterogeneity and horizontal pleiotropy to guarantee accurate MR results.ResultsAn elevated risk of UA was linked to genetically predicted AD (IVW: OR=3.439, 95% CI: 1.565-7.555, P=0.002). A substantial genetic relationship between UA and the risk of AD was not supported by any evidence in the reverse study (IVW: OR=0.998, 95% CI: 0.995-1.001, P=0.190). Various MR techniques produced consistent results. Sensitivity analysis revealed no discernible heterogeneity or horizontal pleiotropy.ConclusionsOne risk factor for UA that we found in our bidirectional Mendelian randomization trial was AD. This highlights the necessity of researching the underlying molecular mechanisms linked to AD and UA as well as the possibility of creating individualized treatment plans based on genetic data.
Malnutrition among the older adult: an additional challenge for the rehabilitation team-insights of a small population of Switzerland
Authors: Miletic Bojan , Sutter Yves , Starčević-Klasan Gordana , Courteney Udo , Jelovica Lejla , Lekić Andrica , Šegulja Silvije 
Published: July 2024

IntroductionNutritional deficiency among the older adult is a widespread concern, significantly affecting their health. The prevalence of malnutrition increases with age, concurrent health conditions, and the level of care provided. Hospital stays can affect as 90% of the older adult. Malnutrition can hinder efforts to improve health and regain function in individuals undergoing rehabilitation. This study aims to assess the frequency of malnutrition among geriatric rehabilitation patients.Materials and methodsA retrospective quantitative analysis was conducted on 357 patients admitted to the geriatric unit at Lucerne Cantonal Hospital Wolhusen in Switzerland. The patients’ nutritional status was evaluated using the standardized Mini Nutritional Assessment Long Form questionnaire.ResultsThe initial analysis indicated a considerable prevalence of malnutrition among the geriatric population: 31.1% were identified as malnourished (MNA &lt; 17), while an additional 35.8% were at risk of malnutrition (MNA 17–23.5), totaling 66.9% of patients. The Kruskal-Wallis ANOVA test revealed a statistically significant difference in MNA scores among different age groups (p = 0.035). Statistical analysis also suggested a slightly higher prevalence of malnutrition among female patients. The duration of rehabilitation varied from 20.07 ± 6.93 to 22.20 ± 7.50 days, with longer durations associated with lower MNA scores. A correlation analysis between MNA values and body mass index (BMI) showed a positive correlation coefficient (r = 0.56), indicating that lower MNA scores were associated with lower BMI and vice versa.ConclusionMalnutrition is prevalent among individuals over 65 years old, highlighting the importance of regular and timely nutritional assessments for geriatric patients to mitigate the complications and enhance prognoses in both acute care and rehabilitation settings. Such assessments can also improve the efficacy of rehabilitation programs and potentially reduce the duration of rehabilitation, thus carrying significant economic implications.
Hybrid endovascular and surgical staged approach for mycotic carotid pseudoaneurysms: a case report and literature review
Authors: Marianna Sallustro , Ilaria Ficarelli , Teresa Prisco , Armando Pontarelli , Giuseppe Foschini , Marisole Toni , Valerio Rinaldi , Priscilla Nardi , Palumbo Piergaspare , Giulio Illuminati , Vito D’Andrea , Carlo Ruotolo 
Published: July 2024

BackgroundMycotic carotid pseudoaneurysms represent a challenge for surgeons. They are rare and associated with high mortality and morbidity.MethodsWe reported a case of a 61-year-old man with a mycotic pseudoaneurysm of carotid bifurcation. The case was managed by a staged procedure, starting with initial endovascular control using a stent graft, followed by open arterial reconstruction using a saphenous vein graft.ResultsThe patient was discharged home with a patent carotid artery and no sign of infection or bleeding. A computed tomography scan performed at 1 month, 6 months, and 1 year later confirmed good patency of the graft without imaging of cerebral ischemia.ConclusionsMycotic pseudoaneurysms of the extracranial carotid artery are rare and should always be treated surgically. This disease, despite its rarity, requires early detection and treatment to avoid fatal outcomes. A hybrid staged approach is suggested, compared to one-staged surgery, to avoid rupture and improve clinical outcomes. This approach involves using a stent graft combined with antibiotic therapy as bridge treatment until definitive surgery can be performed to enable arterial reconstruction with an autologous graft.
Les renvois opérés par les décisions des conférences des parties (« COP »), éléments d’une structuration ad hoc du droit international de l’environnement
Authors: Dellaux Julien 
Published: July 2024

Les renvois opérés entre les normes juridiques s’observent dans tous les champs du droit. Bien que leur usage réponde avant tout à une volonté de simplification des
textes, ils ont aussi pour effet de lier la norme opérant le renvoi à celle en étant l’objet, la nature du rapport institué étant déterminé par la première. Ils concourent ainsi à une organisation des normes entre elles, sous des formes et des degrés bien plus divers que celles découlant d’une hiérarchisation. Leur intérêt se manifeste avec une acuité particulière dans des systèmes juridiques foisonnants et faiblement hiérarchisé. Le droit international de l’environnement présente avec force ces deux caractéristiques. Il se développe au sein de divers ensembles normatifs, engendrés par les accords-cadres et composés des décisions des COP qu’ils instituent, qui sont faiblement coordonnés entre eux. La présente contribution s’intéresse à l’usage fait des renvois au sein des décisions des COP afin d’identifier leurs formes et leurs effets juridiques. Elle révèle qu’ils concourent, bien que de manière imparfaite, à une structuration ad hoc du droit international de l’environnement. En interne, ils renforcent la cohérence au sein des régimes où les normes sont produites de manière constante et définies step by step. En externe, ils permettent d’articuler les régimes en évitant les doublons et en prévenant les conflits de normes. Les divers renvois opérés de manière unilatérale par les COP aboutissent à une mise en réseau des normes et constituent la trame d’un ordonnancement de leurs compétences normatives respectives.
Sosialisasi Bullying (Perundungan) Sebagai Upaya Terjadinya Kekerasan di SMP Negeri 2 Penajam Paser Utara
Authors: Hidayah Lidya Intan , Rohman Dwi Taufik 
Published: July 2024

Bullying (perundungan) adalah salah satu contoh perilaku menyimpang dan berbahaya. Budaya bullying sering kita jumpai di sekolah dimana senioritas dilakukan oleh seseorang atau sekelompok orang yang berkuasa, tidak bertanggung jawab, dan bersedia untuk kembali dan melakukan perbuatan tersebut berulang kali. Kegiatan ini bertujuan untuk memberikan informasi kepada siswa mengenai besarnya dampak bullying (perudungan) di lingkungan sekolah. Metode kegiatan dilakukan dengan memberikan edukasi atau materi yang disampaikan oleh pengabdi serta diskusi dan tanya jawab pada sesi akhir. Kegiatan dilakukan di SMP Negeri 2 Penajam Paser Utara kelas IX. Hasil dari kegiatan ini menunjukan bahwa bentuk bullying yang terjadi adalah bullying fisik berbentuk pukulan, mengejek antar teman, selain itu bullying verbal berbentuk sorakan dan pemanggilan nama khusus untuk siswa lain. Faktor penyebabnya adalah faktor keluarga, teman sebaya dan lingkungan sosial.
PENGEMBANGAN HOME INDUSTRI MINYAK MANDAR MELALUI INOVASI TEKHNOLOGI PENGOLAHAN VIRGIN COCONUT OIL (VCO) DI DESA MOMBI
Authors: Pagala Arman Yamin , Nurdiyah Nurdiyah 
Published: July 2024

Pemberdayaan inovasi teknologi usaha masyarakat, merupakan bagian pembangunan ekonomi desa dalam memberikan pengetahuan dan keterampilan usaha dibidang pengolahan hasil pertanian. Tentang inovasi pengolahan kelapa dalam menjadi Virgin Coconut Oil (VCO). Dipilihnya pelatihan pengolahan minyak Virgin Coconut Oil (VCO), dengan pertimbangan kelompok usaha rumah tangga (home industry) minyak tradisional mandar bisa meningkatkan nilai tambah produknya, dari proses pengolahan minyak Mandar yang tradisional. Mengolah dengan cara fermentasi atau pemancingan bakteri probiotik untuk menghasilkan minyak Virgin Coconut Oil (VCO), dan Blondo dari proses fermentasi menjadi bahan untuk menghasilkan minyak Mandar (minyak tradisional). Proses pengolahan dengan cara fermentasi ini, menggunakan bahan baku yang sama untuk mendapatkan dua jenis produk yang berbeda. Dengan asumsi, ibu-ibu pengolah usaha rumah tangga minyak (home industry) Mandar dapat menambah pendapatan dari produk olahan minyak Virgin Coconut Oil (VCO), tanpa meninggalkan usaha pengolahan minyak Mandar yang sudah lama dikembangkan.
Relação professor-aluno, ensino presencial e aprendizagem: o que nos diz a escola dos anos iniciais do ensino fundamental sobre a formação de professores
Authors: Souza dos Santos Joane , Pereira dos Santos Cenilza 
Published: July 2024

Este estudo de iniciação científica buscou identificar como os professores lidaram com os desafios instaurados pelo Ensino Remoto Emergencial (ERE), levando em consideração fatores como a preparação dos professores para o retorno, as estratégias utilizadas para promover a aprendizagem dos alunos e a relação professor-aluno como um meio importante para favorecer a aprendizagem. Trata-se de um estudo de abordagem qualitativa, cuja metodologia foi a pesquisa exploratória. Os sujeitos da pesquisa foram professoras e coordenadoras de três escolas municipais de Feira de Santana. Quanto aos instrumentos de coleta, foram utilizados questionários e entrevistas semiestruturadas. Os dados foram analisados a partir da Análise de conteúdo revisitada por Moraes (1999). Para auxiliar na análise, buscou-se apoio em Morales (1999), Santos; Soares (2011), Freire (1996), Oliveira; Santos (2021); e Camargo (2010). Os resultados evidenciaram a dificuldade que os docentes encontraram pa constituir uma relação com os alunos no retorno ao ensino presencial. Além disso, um aspecto novo apareceu nos dados: a avaliação diagnóstica realizada pelos participantes. Esta revelou lacunas na alfabetização e letramento, no entanto não foi possível identificar se houve intervenções na proposta curricular com base no que foi encontrado, uma vez que esse não foi um elemento que se buscou encontrar no levantamento dos dados. A partir da análise dos dados coletados, destacou-se que após a pandemia a precariedade na educação pública foi intensificada, evidenciando-se assim a necessidade urgente de formação dos profissionais da educação para superar as dificuldades encontradas.
Palavras-chave: Aprendizagem. Relação Professor-Aluno. Ensino presencial.
تحليل أهمية العوامل المؤثرة في استقلال مراجع الحسابات
Authors: كـاظـم هـيـفـاء مـالـك 
Published: July 2024

تهدف هذه الدراسة إلى تشخيص العوامل المؤثرة على استقلال مراقب الحسابات والتي صنفت إلى عوامل موضوعية وأخرى شخصية تؤثر بدرجات متفاوتة على استقلاله وتم الاعتماد على التحليل العاملي كأداة إحصائية وعلى مصادر المعلومات المختلفة مثل الوثائق الرسمية وأنظمة وقواعد تتعلق بالموضوع والمصادر العربية والأجنبية بالإضافة إلى استمارة الاستبيان واستنتجت هذه الدراسة بان معايير التدقيق والسلوك المهني هي العامل الأكثر تأثير باستقلالية مراقب الحسابات وأن النزاهة والأمانة والصدق من الصفات التي لابد من توفرها في مراقب الحسابات المستقل.
CHOOSING THE OPTIMAL COMPLEX OF DIAGNOSTIC PARAMETERS WITHIN THE FRAMEWORK OF A NEW METHOD OF DIAGNOSING THE MAIN BRAKE CYLINDER OF THE HYDRAULIC BRAKING SYSTEM OF THE CAR
Authors: Бородин Алексей Леонидович , Шабуров Виктор Николаевич , Васильев Валерий Иванович 
Published: July 2024

В статье рассмотрен новый метод диагностирования главного двухконтурного тормозного цилиндра типа «тандем» с плавающим поршнем предварительно фиксированным сжатой пружиной. Выявлена актуальность проведения данных исследований. Поставлены основные задачи исследования. Описан алгоритм математического моделирования. Приведены результаты исследований. Найдены закономерности изменения диагностических параметров от перемены структурных и режима торможения. Определен оптимальный комплекс диагностических параметров.
The article considers a new method for diagnosing the main two-circuit brake cylinder of the "tandem" type with a floating piston preferably fixed by a compressed spring. The relevance of these studies has been revealed. The main objectives of the study are set. The algorithm of mathematical modeling is described. The results of the research are presented. The regularities of changes in diagnostic parameters from changes in structural and braking modes are found. The optimal complex of diagnostic parameters has been determined.