bluuebunny/crossref_metadata_2025_split huggingface dataset:
Late metastasis of a clear-cell renal cell carcinoma in the gallbladder as a possible cause of acute cholecystitis: a case report
Authors: Tuypens Julie , Van Zande Jaro , Van Den Heede Klaas , Van Slycke Sam 
Published: April 2024

Background:
Gallbladder metastasis from renal cell carcinoma (RCC) is extremely rare.

Case Presentation:
We present a case of metastasis of clear cell carcinoma to the gallbladder, mimicking acute cholecystitis on clinical examination, in an 80-year-old man 24 years after radical nephrectomy. Ultrasound showed an image compatible with acute cholecystitis with sludge in the gallbladder. An elective cholecystectomy was performed with an uneventful postoperative course.
Histopathologic examination revealed a metastasis of clear-cell RCC.
The clinical presentation of acute cholecystitis can mask an RCC metastasis to the gallbladder, even several years after initial nephrectomy. This makes qualitative anatomopathological examination essential, especially with a neoplasia in the medical history. Gallbladder metastasis from RCC is not necessarily linked to a poor outcome. A cholecystectomy is recommended whenever possible.

Conclusion:
This case highlights the importance of considering metastatic disease in the differential diagnosis of gallbladder masses and acute cholecystitis, even in patients with a history of treated primary tumors.
Closed (St-Closed) Compressible Modules and Closed (St-Closed) Retractable Modules
Authors: Al Hakeem Mohammed Baqer Hashim , Al-Mothafar Nuhad S. 
Published: April 2024

Let be a commutative ring with 1 and be a left unitary R-module. In this paper, we give a generalization for the notions of compressible (retractable) module. As well as, we study closed (St-closed) compressible and closed (St-closed) retractable. Furthermore, some of their advantages, properties, categorizations and instances have been given. Finally, we study the relation between them.
أثر المناخ على استهلاك الطاقة الكهربائية السكنية في مدينة جدة
Authors: صميلي خديجة محمد , بوقري فايدة كامل 
Published: April 2024

تهتم هذه الورقة العلمية في معرفة أثر المناخ على استهلاك الطاقة الكهربائية السكنية في مدينة جدة، حيث تتفاوت معدلات الاستهلاك الكهربائي السكني من حيث التبريد والتدفئة بحسب شهور السنة. وهدفت الدراسة إلى زيادة وعي أرباب الأسر بالمتغيرات الطبيعية، وتأثيرها على نشاط الإنسان، بالإضافة إلى تعزيز دور المملكة العربية السعودية في مساعيها نحو زيادة كفاءة الطاقة للمسكن، واستدامته من ناحية التأثيرات المناخية؛ ولتحقيق هدف الدراسة تمَّ استخدام المنهج الوصفي التحليلي من حيث وصف متغيرات الدراسة وتوضيحها بشكل مفصل خلال الفترة الزمنية(2006م-2020م) ومن ثمَّ تحليل البيانات، وربطها وإيجاد العلاقات من خلال التحليل الإحصائي واستخلاص نتائجها التي ساعدت في وضح حلول وتوصيات تخدم هدف الدراسة. وأثبتت الدارسة:1) أن هناك تفاوت معدلات الاستهلاك الكهربائي السكني خلال شهور السنة في مدينة جدة بحيث ترتفع في شهر سبتمبر وتنخفض في شهر فبراير ، 2) وجود علاقة طردية قوية ذات دلالة إحصائية بين درجات الحرارة وكمية الاستهلاك الكهربائي السكني خلال شهور السنة،3) تؤثر العناصر المناخية (درجة الحرارة والرطوبة النسبية وسرعة الرياح) على استهلاك الطاقة الكهربائية السكنية في مدينة جدة و خاصة درجات الحرارة . وبهذا توضح لنا النتائج قوة تأثير العوامل المناخية على الطاقة الكهربائية السكنية في مدينة جدة، وتوصي هذه الدراسة بإيجاد وسائل تساعد على الاستدامة السكنية تساهم بشكل كبير على خفض تكاليف الفواتير السكنية التي تعول على رب الأسرة مثل التشجير الطبيعي في الأفنية والارتدادات و الابتعاد عن الأشجار الإصطناعية، واستخدام طاقات بديلة كالطاقة الشمسية لتشغيل الكهرباء في المسكن ، وإلزامية اقتناء أجهزة كهربائية ذات كفاءة عالية في توفير الطاقة الكهربائية.
PENERAPAN MODEL PEMBELAJARAN PROBLEM BASED LEARNING DENGAN MEDIA PAPINKA (PAPAN PINTAR MATEMATIKA) UNTUK MENINGKATKAN HASIL BELAJAR MATEMATIKA KELAS III B SDN KARANGANYAR GUNUNG 02 SEMARANG
Authors: Nadzifah Fitrotun , Mushafanah Qoriati , Khasanah Siti Khuluqul 
Published: April 2024

Penelitian ini bertujuan untuk meningkatkan hasil belajar matematika melalui penerapan model Problem Based Learning dengan media papan pintar matematika. Jenis penelitian ini merupakan penelitian tindakan kelas dengan desain Mc. Taggart berbentuk spiral yang memiliki empat tahapan, yaitu perencanaan, pelaksanaan, observasi dan refleksi. Subjek penelitian ini adalah peserta didik kelas III B SDN Karanganyar Gunung 02 yang berjumlah 23 peserta didik. Teknik yang digunakan dalam penelitian ini yaitu observasi, tes serta dokumentasi. Analisis dalam penelitian ini menggunakan analisis deskriptif komparatif atau teknik analisis data dengan perbandingan antara pra siklus, siklus I dan siklus II. Indikator keberhasilan dalam penelitian ini yaitu 80% ketuntasan dengan nilai KKM > 70. Berdasarkan hasil penelitian ini pembelajaran dengan menerapkan model pembelajaran Problem Based Learning dengan media papinka (papan pintar matematika) dapat meningkatkan hasil belajar peserta didik. Hasil ini terbukti setelah peneliti menerapkan model pembelajaran Problem Based Learning dengan media papinka (papan pintar matematika) persentase ketuntasan belajar peserta didik mengalami peningkatan pra siklus sebesar 17 % sedangkan pada siklus I mengalami peningkatan 57 % dan pada siklus II mengalami peningkatan sebesar 87% dari 23 peserta didik.
The impact of disaster on cognition in geriatric population
Authors: Önder Özlem 
Published: April 2024

Aging has become one of the predominant demographic issues of the 21st century both in Türkiye and globally. All countries face major challenges to ensure that the health and social systems are ready for the present development. Disasters are natural, technological, or human-induced events that cause physical, economic and social losses. Türkiye is one of the countries frequently face to the catastrophic natural disasters. During the disasters, geriatric population should be considered as being a particular vulnerable group of society. Geriatric individuals are usually more severely injured, have prolonged hospital stay, lower quality of life and have higher mortality during disaster and in post-disaster periods. However, studies on the cognitive effects of disasters are limited. It is clear that the data to be obtained from studies to be conducted in this field will be of even greater importance, if the increasing geriatric population is considered. Age, living alone, being less educated, having chronic diseases, and not working are known as being the the most related factors with cognitive decline due to the disasters. Stressful events such as disasters have short and long-term effects on different brain structures. In the literature, it can clearly be seen that the popular area for researches is the affected locations in brain due to disasters The impotance of better preparedness and community empowerenment that can improve the vulnerable populations, particularly the geriatric people with dementia, is known and more researches are needed.
Evaluating the effectiveness of video training for health professionals on the use of personal protective equipment
Authors: Tatlı Özgür , Kılıç Güner Elif , Güner Yasemin , Şimşek Perihan , Babacan Elif , Ulusoy Hülya , Çelenk Göksel 
Published: April 2024

The study aimed to evaluate the effectiveness of video training for health workers on the use of personal protective equipment. A training video was prepared on the use of personal protective equipment against Covid-19. The effectiveness of the training was evaluated by comparing the pre-post-training scores obtained from the online application, questionnaire form, and self-assessment knowledge level form developed by the researchers. Video training and collection of research data were carried out through the online joint training module used in the relevant hospitals. The study was completed with 558 health workers. The findings showed that the participants' questionnaire form, self-assessment of knowledge level form, and the online application scores increased statistically significantly after the video training (p<0.001). The majority of the health workers (71.3% n=398) completed the application in a shorter time after the video training (p<0.001). A significant relationship was found between online application and questionnaire scores (p<0.05). The study showed that video training led to an increase in health workers' scores on the questionnaire form, online application and self-assessment forms. Video training can be used as an effective training method in pandemic periods when face-to-face training is undesirable due to the risk of transmission.
Penerapan Model Pembelajaran Kooperatif Tipe Group to Group Exchange pada Pokok Pembahasan Segitiga di Kelas VII SMP Negeri 6 Kotamobagu
Authors: Timbuleng Anggelina Friskilia , Kumesan Selfie L. , Kaunang Derel Filandy 
Published: April 2024

Tujuan dari penelitian ini adalah untuk meneliti pengaruh penerapan model group to group exchange terhadap hasil belajar siswa pada materi Segitiga. Penelitian ini merupakan penelitian yang menggunakan desain posstest-only control grup design. Subjek dalam penelitian ini adalah kelas VII A sebagai kelas eksperimen yang terdiri dari 20 siswa dan kelas VII B sebagai kelas kontrol yang terdiri dari 20 siswa di SMP Negeri 6 Kotamobagu tahun ajaran 2022/2023 yang dipilih secara acak. Data yang diperoleh adalah hasil posstest pada kelas eksperimen dan kelas kontrol, dengan rata-rata hasil belajar pada kelas eksperimen = 79,15 dan rata-rata hasil belajar pada kelas kontrol = 57,55. Pengujian data setelah menggunakan taraf nyata = 0,05 diperoleh = 5,68 > = 1,68 dan disimpulkan ditolak. Kesimpulan penelitian ini adalah rata-rata hasil belajar siswa yang belajar menggunakan model pembelajaran group to group exchange pada materi segitiga lebih tinggi dibandingkan dengan hasil belajar siswa yang belajar menggunakan model pembelajaran direct instruction.
Development of a web service for creating tests based on text analysis using natural language processing technologies
Authors: Vakaliuk Tetiana A. , Chyzhmotria Oleksii V. , Didkivska Svitlana O. , Linevych Illia 
Published: April 2024

The purpose of the work is to analyze models, natural language processing methods, and select modern technologies for training these models, as well as to develop a web service for creating tests based on text analysis using natural language processing technologies. The study considers methods and algorithms for intelligent data analysis to generate questions and correct and incorrect answers from the text. The authors justify the choice of a neural network for generating tests based on English and Ukrainian text, and characterize data sources for training. The study also describes the activity of the proposed model, which will serve as a basis for creating a web service. After a detailed review of these datasets, the necessary data for the experiment were extracted and transformed into a convenient format for use. The training algorithm for 6 models was designed and implemented, and valuable metrics were obtained after their training. Additionally, a server-side and web interface were developed to interact with each other.
Peningkatan Pembangunan Sarana Dan Prasarana KB Omah Among Kabupaten Malang
Authors: Sunbanu Ardi Pati Prawirayuda , Fidiani Rosida , Ma’sumah Mufidatul 
Published: April 2024

Pembangunan sarana dan prasarana sebagai wujud program untuk peningkatan akreditasi pada KB Omah Among Kabupaten Malang. Studi ini mengevaluasi upaya kelompok Kuliah Pengabdian Masyarakat dibawah naungan Universitas Widyagama Malang dalam meningkatkan status akreditasi KB Omah Among Kabupaten Malang melalui pembangunan sarana dan prsarana berupa penanggulangan kebocoran ruang guru yang dialihfungsikan menjadi gudang. Kelompok kami menghadapi tantangan dalam memenuhi standar akreditasi KB Omah Among karena sarana dan prasarana yang kurang memadai. Untuk mengatasi masalah ini, kelompok kami melakukan rencana pengembangan sarana dan prasarana yang komprehensif, termasuk perbaikan ruang guru, pengecatan ayunan dan dinding ruang guru, pembaharuan struktur kelas, penyediaaan media belajar, serta penambahan media edukasi berupa lukisan dinding.
Examining the well-being of military spouses in the context of the COVID-19 pandemic using the Quality of Life survey
Authors: Lee Jennifer E.C. , Coulthard Julie , Laferrière Dominique , Williams Lisa , Wang Zhigang , Hopkins Ryan 
Published: April 2024

LAY SUMMARY The Quality of Life (QOL) survey of military spouses is a critical mechanism to inform the Canadian Armed Forces in efforts to support military families. Conducted during the COVID-19 pandemic, the 2022 survey examined spouses’ mental health and identified the challenges faced during this time, on top of the usual demands of military life. Consistent with results from past QOL surveys, the top issues that challenge civilian military spouses were relocation, primary health care, and spousal employment. Civilian military spouses who expressed concerns related to health, social connection, and employment also reported lower levels of well-being. Offering programs that can help address these concerns is important to support the well-being of military spouses.
Аналіз якості життя в пацієнтів з ішемічною хворобою серця та супутньою патологією аортального клапана у віддалений період після протезування аортального клапана з реваскуляризацією міокарда
Authors: Бойко К. С. , Тодуров Б. М. 
Published: April 2024

The aim – to conduct an analysis of the quality of life in the long-term period after the use of a hybrid approach, involving a combination of surgical aortic valve replacement (AVR) and endovascular methods of myocardial revascularization, in patients with coronary heart disease and an aortic valve disease.Materials and methods. For this one-center study, medical records of adult patients (over 18 years old) who underwent surgical AVR along with myocardial revascularization in the period from 2018 to 2022 were selected.Results and discussion. We selected 130 patients who underwent AVR together with myocardial revascularization (the first group (n = 51) – a combination of AVR and percutaneous coronary interventions (PCI); the second group (n = 79) – a combination of AVR and coronary artery bypass grafting (CABG). Damage to the left main coronary artery was recorded by 5.60 times less often (p = 0.018) in the patients of the first group compared to the patients of the second group. The duration of cardiopulmonary bypass and aorta cross clamping in the patients of the first group was, respectively, by 1.5 times and by 1.4 times significantly lower compared to the second group (p = 0.0001). The pain index after 6 months according to the SF-36 questionnaire was found to be 13.5 % (p = 0.017) significantly higher in patients of the first group compared to the second group, while other indicators did not differ among the study groups.Conclusions. Patients with the hybrid approach of treatment were characterized by a similar level of postoperative complications with the surgical group. At the same time, this cohort of patients had a better SF-36 pain index 6 months after the hybrid intervention.
ORGANIZATIONAL JUSTICE AND COMPLAINT HANDLING TO JOB SATISFACTION : MEDIATION EFFECT ON OBJECTIF WELL-BEING
Authors: Rofiq Ahmad Ainur , Pujianto Wahyu Eko 
Published: April 2024

Tujuan penelitian ini untuk menganalisis pengaruh keadilan organisasi dan penanganan keluhan terhadap kepuasan kerja yang dimoderatori oleh kesejahteraan objektif pada karyawan RSI Siti Hajar. Dalam mengumpulkan data, penelitian ini menggunakan metode purposive sampling untuk mengumpulkan data dari sekelompok 454 karyawan, yang terdiri dari 75 orang yang menjawab. Untuk mengatur variabel, seorang bot diberi skor 1 hingga 5, dan metode analisis data yang digunakan adalah partial least squares (PLS). Hasil penelitian menunjukkan bahwa: (1) ada dampak negatif yang tidak signifikan terhadap kinerja organisasi; (2) ada dampak negatif yang signifikan terhadap kinerja organisasi; (3) ada dampak negatif yang signifikan terhadap kinerja organisasi; (4) ada dampak negatif terhadap kinerja organisasi; dan (5) ada dampak negatif terhadap kinerja organisasi yang signifikan.
Equivalence of a Pontryagin Conventional Resolved Trace Anomaly to a Generalized Wick Rotation
Authors: Maalouf Hani W. 
Published: April 2024

The lack of Unitarity is sought after, and is first resolved by an extraction from a unite-scale diffeomorphic transformation. The same result can second be found independently and is based on an orbital-wise Pfaffian differential satisfying a Conformal geodesic.

Such a fundamental reason is borne out in the multiple methods for the Pontryagin Chiral Fermions density anomalies resolutions being either zero or imaginary results, were, then fore, contradictory or randomly correct outcomes due to the eigenvalue non-separable sorting.

Confirming then an equivalent (1st as necessary and 2nd as sufficient) condition for Unitarity is via a regularization for the zero component of the Dirac Matrix \(\gamma^{0}\), and a generalization of the Wick rotation. Both above hypotheses contoured around (while directly avoiding) the Einstein Gravity.
Comparison of Open Craniotomy vs Conservative Treatment in Minor Spontaneous Intracerebral Hemorrhage (ICH)
Authors: Pratiwi Riska , Ibrahim Sabri , Kausar Teuku Akmal 
Published: April 2024

Introduction: Intracerebral hemorrhage (ICH) accounts for 10–15% of all strokes in the USA, Europe, and Australia, and 20–30% of Asian cases, with a30-day mortality rate of 35% to 52%; half of the related deaths occur in the first 2 days. Its overall incidence is 24.6 per 100,000 person-years, indicating that it represents the most fatal type of stroke around the world.
Methods: The aim of study of this study is to investigate the comparison of open craniotomy vs conservative treatment in minor spontaneous intracerebral hemorrhage (ICH). This study used the systematic review method by discovering articles using the search engines PubMed, SagePub, and Science Direct, and 5 articles met the inclusion criteria in this study.
Results: Five publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles.
Conclusion: Surgical management of intracerebral hemorrhage has unique advantages as it can remove the hematoma effectively and decrease intracranial pressure and the incidence of complications.
Keywords: Intracerebral hemorrhage (ICH); surgical; treatment; craniotomy; conservative.
Critical updates in neuroendocrine tumors: Version 9 American Joint Committee on Cancer staging system for gastroenteropancreatic neuroendocrine tumors
Authors: Chauhan Aman , Chan Kelley , Halfdanarson Thorvardur R. , Bellizzi Andrew M. , Rindi Guido , O’Toole Dermot , Ge Phillip S. , Jain Dhanpat , Dasari Arvind , Anaya Daniel A. , Bergsland Emily , Mittra Erik , Wei Alice C. , Hope Thomas A. , Kendi Ayse T. , Thomas Samantha M. , Flem Sherlonda , Brierley James , Asare Elliot A. , Washington Kay , Shi Chanjuan 
Published: April 2024

AbstractThe American Joint Committee on Cancer (AJCC) staging system for all cancer sites, including gastroenteropancreatic neuroendocrine tumors (GEP‐NETs), is meant to be dynamic, requiring periodic updates to optimize AJCC staging definitions. This entails the collaboration of experts charged with evaluating new evidence that supports changes to each staging system. GEP‐NETs are the second most prevalent neoplasm of gastrointestinal origin after colorectal cancer. Since publication of the AJCC eighth edition, the World Health Organization has updated the classification and separates grade 3 GEP‐NETs from poorly differentiated neuroendocrine carcinoma. In addition, because of major advancements in diagnostic and therapeutic technologies for GEP‐NETs, AJCC version 9 advocates against the use of serum chromogranin A for the diagnosis and monitoring of GEP‐NETs. Furthermore, AJCC version 9 recognizes the increasing role of endoscopy and endoscopic resection in the diagnosis and management of NETs, particularly in the stomach, duodenum, and colorectum. Finally, T1NXM0 has been added to stage I in these disease sites as well as in the appendix.
Outcome of Surgical Intervention of Spinal Tuberculosis Patients
Authors: Ansar Uddin Ahmed  , SM Noman Khaled Chowdhury  , Mahfujul Quader  , Sarker Tapas , Sirajul Munir Ohi  , Moinuddin Mohammed Zahid  
Published: April 2024

Background: Spinal tuberculosis is approximately 2% of all cases of tuberculosis. Both conservative and surgical management are practiced for its management worldwide. However, surgical management has excellent outcome.
Objectives: The aim of the study was to document the clinical and neurological outcomes of surgical intervention of spinal tuberculosis patients getting admitted in a tertiary care hospital of Bangladesh.
Materials & Method: This hospital based interventional study was conducted in the department of Neurosurgery, Chittagong Medical College and Hospital for a period of 12 months. Thirty-two cases with spinal tuberculosis underwent surgical intervention were enrolled in the study. All patients were treated with standard anti- TB drugs pre and postoperatively and were followed up regularly after surgery for 3 months. Neurological function and pain were evaluated preoperatively and postoperatively by Frankel’s grade scale and visual analogue scale (VAS) respectively. Post operative outcomes were finally assessed 3 months after operation.
Results: Out of 32 cases, 2 were lost to follow up. Among the available 30 cases, 16 were men and 14 were women. The mean age was 36.10 (±13.70) years and age range were 18 to 65 years. At the final follow-up, the VAS score significantly improved from 6.97 (±1.87) preoperatively to 1.43 (±0.89) postoperatively (P < 0.001) and all patients became pain free, with final VAS score 0-3. At the final follow-up, the ESR and CRP significantly improved from preoperative status (P < 0.001). Twenty-nine (96.7%) patients improved by at least one Frankel grade and remaining one (3.3%) patient maintained their preoperative Frankel grade. Post operative deterioration was not observed in any of the included case. Out of 11 cases with bowel bladder dysfunction before surgery 10 (90.9%) recovered within three months.
Conclusion: Surgical intervention was safe and had satisfactory results in terms of symptomatic and neurological improvement.
Bang. J Neurosurgery 2023; 12(2): 94-101