bluuebunny/crossref_metadata_2025_split huggingface dataset:
Blood Flow Restriction Training as an Adjunct to Conventional Care in a Patient With Adhesive Capsulitis and Rotator Cuff Tendinopathy: A Case Report
Authors: Safford Daniel W. , Shah Kshamata M. , McClure Philip W. 
Published: June 2024

Background The use of blood flow restriction training (BFRT) to treat patients with lower extremity conditions has been found to be relatively safe, but there is minimal evidence and no reports on BFRT in patients with shoulder dysfunction. Case Presentation This case report describes the safe application of BFRT as part of a conventional multimodal course of care for a 40-year-old man with shoulder pain. The patient's pathoanatomic diagnosis was left shoulder adhesive capsulitis, rotator cuff tendinopathy, and a superior labral anterior-to-posterior tear. He presented with substantial impairments in range of motion, strength, and function. Clinical guidelines for dosing BFRT are unclear, and we describe the successful use of rating-of-perceived-exertion criteria for guiding exercise intensity. Outcome and Follow-Up The patient had a positive outcome in 7 visits over 13 weeks, with normalization of shoulder range of motion and function, and 60% to 85% strength gains, without adverse effects from BFRT. Discussion This case highlights the feasibility and application of BFRT in combination with traditional rehabilitation strategies in a patient with multiple shoulder pathologies. JOSPT Cases 2021;1(4):289–293. doi:10.2519/josptcases.2021.10625
Elbow Apophysitis in an Adolescent Tennis Player
Authors: Buchanan Vicki , Rawat Mohini 
Published: June 2024

A 15-year-old male competitive tennis player was referred to physical therapy by his family physician for activity-related medial elbow pain for 2 months. The patient rested from tennis while undergoing 4 weeks of physical therapy intervention; however, upon return to tennis, the patient’s medial elbow pain returned with serving. A musculoskeletal ultrasound of the medial elbow was performed by the physical therapist, which showed apophysitis. The patient was referred to an orthopaedic surgeon, who ordered radiographs and confirmed the diagnosis of apophysitis. JOSPT Cases 2021;1(3):159–160. doi:10.2519/josptcases.2021.9842
Perfil de óbitos por transtornos mentais e comportamentais em Mato Grosso entre 2010 e 2020
Authors: Sodré Gabriel Roberto , Rocha Letícia Gabrielly Angelo , Araújo Yana Balduíno de 
Published: June 2024

Objetivo: Descrever os dados sobre os óbitos por transtornos mentais e comportamentais em Mato Grosso entre 2010 e 2020. Métodos: Trata-se de um estudo ecológico que utilizou dados do DATASUS sobre óbitos por transtornos mentais e comportamentais, entre 2010 e 2020, em Mato Grosso, a partir das variáveis sexo, faixa etária e etnia. As informações foram organizadas e analisadas a partir de tabelas construídas por ferramentas do pacote office. Resultados: No período analisado, ocorreram um total de 2,127 óbitos, sendo o maior número de casos registrados no ano de 2020, com um total de 227 mortes. Observou-se que fatores como sexo, etnia e faixa etária têm maior frequência sobre a mortalidade por desordens psíquicas, uma vez que indivíduos do sexo masculino, negros e idosos são os mais afetados. Além disso, notou-se que há poucas informações referentes à etnia, visto que alguns grupos não foram incluídos. Conclusão: As mortes por transtornos mentais e comportamentais no estado de Mato Grosso têm grande prevalência e sofrem influência de variáveis significativas, o que demonstra a importância do levantamento de dados quantitativos referente a esse público, uma vez que foram poucas as análises encontradas sobre o tema, principalmente na associação entre transtornos psíquicos e grupos étnicos.
Association between chronic renal disease and psoriasis risk in diabetes patients: A Korean population-based study
Authors: Yoo Seung Ah , Sayo Marianne Isabel Abola , Lee Ji Hyun 
Published: June 2024

Background
Several studies have reported that psoriasis has a positive correlation with type 2 diabetes mellitus (DM). Understanding the risk of psoriasis in diabetic patients is significant because it allows for early intervention and potential insights into the common pathways between the two conditions.

Objectives
We analysed the risk of psoriasis according to the estimated glomerular filtration rate (eGFR) and proteinuria level in DM patients using Korean population–based data.

Methods
This study was a retrospective cohort study using data collected from the country in the form of exploratory data analysis. A total of 927,234 participants diagnosed with DM were enrolled. Patients under the age of 20 with existing psoriasis or psoriasis developed within 1 year and missing data were excluded. The development of psoriasis was the primary outcome within a follow-up period of 7.83 ± 1.68 years.

Results
Of the 840,395 final participants, 28,010 (3.33%) patients developed psoriasis. In multivariate-adjusted Cox proportional hazards regression models, the DM patients with eGFR < 30 had a higher risk of psoriasis after adjustment (eGFR 60–90, hazard ratio [HR] 1 (Ref.); eGFR < 30, HR 1.173, 95% CI 1.089–1.264). In addition, there was an increased psoriatic risk of patients with DM and proteinuria after adjustment (negative, HR 1 (Ref.); 2+, HR 1.164, 95% CI 1.080–1.254; 3+, HR 1.433, 95% CI 1.273–1.613; 4+, HR 1.508, 95% CI 1.177–1.931).

Limitations
The severity of psoriasis was not measured since the occurrence of psoriasis was the outcome. Details of oral hypoglycaemic agents such as type and dose were not investigated.

Conclusion
This study showed that a decrease in eGFR and aggravation of proteinuria increase the risk of psoriasis in diabetic patients. Therefore, by using eGFR and proteinuria as predictive risk factors of psoriasis in DM patients, early and proactive treatment may play a vital role in managing diabetic patients.
Vasa vasorum: The role in intracranial physiology and pathophysiology
Authors: Yamamoto Kosei , Mizutani Katsuhiro , Akiyama Takenori , Nogawa Hirotsugu , Toda Masahiro 
Published: June 2024

Background:
Vasa vasorum (VVs) is a Latin word representing vessels of vessels. VVs are usually found on the adventitia of the parent vessel and infrequently reach the media and intima, depending on the size and type of the parent vessels and physiological and pathological conditions. The VVs include arteries, capillaries, veins, and lymphatic vessels, involving the oxygenation and nourishment of the vessel’s wall to sustain its healthy state. Accumulated studies have revealed that VVs are involved in various intracranial lesions, including atherosclerotic diseases, aneurysms, and shunt diseases. The current review aims to review and integrate past and recent findings and knowledge on VVs and to facilitate our understanding of VVs and intracranial pathology involving VVs.

Methods:
A literature review was carried out with a focus on the role of VVs by searching the Pubmed database.

Results:
We identified 71 articles that discuss the role of VVs. We discussed the anatomical structure, physiological significance, and pathological significance of the VV.

Conclusion:
VV is not only involved in the nutrition and metabolism of the vascular wall but is also deeply involved in the pathogenesis of inflammation, ischemia, and thrombosis of the vascular wall. In addition, in the central nervous system, intracranial vascular wall nutrient particularities and VVs are closely related to the pathogenesis of cerebral aneurysms, subarachnoid hemorrhage, arteriovenous shunt disease, atherosclerotic lesions, and other conditions.
A rare primary sacral glomus tumor presenting as intradural-extramedullary tumor: A Case report and review of literature
Authors: Varshney Rahul , Singh Preeti , Deshpande Sumeet , Yadav Sandeep 
Published: June 2024

Background:
Glomus tumors are very infrequent in the spine where they can grow intraosseously at any level. We were able to identify only eight such cases in the literature, with only one occurring in the sacrum. Here, a 48-year-old male with sacral S1/S2 radiculopathy was found to have a rare glomangioma/glomus tumor of the sacral region.

Case Description:
A 48-year-old male presented with left-sided S2 radiculopathy characterized by left lower extremity weakness/paresis. The magnetic resonance showed an intradural extramedullary mass measuring 1.8 × 1.9 × 4.3 cm at S1-S2 extending through the left foramen, inhomogeneously enhanced with contrast. He underwent an S1-S2 durotomy with gross total excision of the mass. Pathologically, it proved to be a glomus tumor. Two months postoperatively, he ambulated without the support and demonstrated no tumor recurrence at 1 postoperative year.

Conclusion:
Glomus tumors involving the sacral region are rare and can be successfully excised resulting in good clinical outcomes.
Pandemia e Luta Antimanicomial
Authors: Costa Pedro Henrique Antunes da , Teixeira Mendes Kíssila 
Published: June 2024

No presente artigo discorremos sobre as implicações da pandemia Ã Luta Antimanicomial (LA). Para isso, analisamos como o presente cenário vem a produzir mais sofrimento, ressaltando a importância do campo da saúde mental e, nele, das contribuições da LA, demonstramos como a pandemia argumenta a favor da LA, reforçando seus fundamentos, princípios e nortes, e abordamos alguns dos retrocessos da atual Contrarreforma Psiquiátrica durante a própria pandemia. Constatamos a intensificação de um cenário que, a despeito de argumentar a favor da LA, é gerido de modo a arrefecê-la, suplantando suas conquistas históricas como a Reforma Psiquiátrica. Justamente por isso, dialeticamente, se recrudesce não apenas a necessidade e importância da LA, mas o resgate de sua radicalidade e combatividade.
Dissemination of extensively drug-resistant NDM-producing Providencia stuartii in Europe linked to patients transferred from Ukraine, March 2022 to March 2023
Authors: Witteveen Sandra , Hans Jörg B , Izdebski Radosław , Hasman Henrik , Samuelsen Ørjan , Dortet Laurent , Pfeifer Yvonne , Delappe Niall , Oteo-Iglesias Jesús , Żabicka Dorota , Cormican Martin , Sandfort Mirco , Reichert Felix , Pöntinen Anna K , Fischer Martin A , Verkaik Nelianne , Pérez-Vazquez María , Pfennigwerth Niels , Hammerum Anette M , Hallstrøm Søren , Biedrzycka Marta , Räisänen Kati , Wielders Cornelia CH , Urbanowicz Paweł , de Haan Angela , Westmo Karin , Landman Fabian , van der Heide Han GJ , Lansu Simon , Zwittink Romy D , Notermans Daan W , Guzek Aneta , Kondratiuk Viacheslav , Salmanov Aidyn , Haller Sebastian , Linkevicius Marius , Gatermann Sören , Kohlenberg Anke , Gniadkowski Marek , Werner Guido , Hendrickx Antoni PA 
Published: June 2024

Background
The war in Ukraine led to migration of Ukrainian people. Early 2022, several European national surveillance systems detected multidrug-resistant (MDR) bacteria related to Ukrainian patients.

Aim
To investigate the genomic epidemiology of New Delhi metallo-β-lactamase (NDM)-producing Providencia stuartii from Ukrainian patients among European countries.

Methods
Whole-genome sequencing of 66 isolates sampled in 2022–2023 in 10 European countries enabled whole-genome multilocus sequence typing (wgMLST), identification of resistance genes, replicons, and plasmid reconstructions. Five bla
NDM-1-carrying-P. stuartii isolates underwent antimicrobial susceptibility testing (AST). Transferability to Escherichia coli of a bla
NDM-1-carrying plasmid from a patient strain was assessed. Epidemiological characteristics of patients with NDM-producing P. stuartii were gathered by questionnaire.

Results
wgMLST of the 66 isolates revealed two genetic clusters unrelated to Ukraine and three linked to Ukrainian patients. Of these three, two comprised bla
NDM-1-carrying-P. stuartii and the third bla
NDM-5-carrying-P. stuartii. The bla
NDM-1 clusters (PstCluster-001, n = 22 isolates; PstCluster-002, n = 8 isolates) comprised strains from seven and four countries, respectively. The bla
NDM-5 cluster (PstCluster-003) included 13 isolates from six countries. PstCluster-001 and PstCluster-002 isolates carried an MDR plasmid harbouring bla
NDM-1,
bla
OXA-10, bla
CMY-16, rmtC and armA, which was transferrable in vitro and, for some Ukrainian patients, shared by other Enterobacterales. AST revealed PstCluster-001 isolates to be extensively drug-resistant (XDR), but susceptible to cefiderocol and aztreonam–avibactam. Patients with data on age (n = 41) were 19–74 years old; of 49 with information on sex, 38 were male.

Conclusion
XDR P. stuartii were introduced into European countries, requiring increased awareness and precautions when treating patients from conflict-affected areas.
Análisis espacio-temporal de la letalidad en México durante la pandemia por COVID-19
Authors: Cruz Olivera Diana Laura , González Gómez Diana Xóchitl 
Published: June 2024

El presente artículo analiza el efecto que tienen los recursos monetarios de protección a la salud, la pobreza, la sobrepoblación y la seguridad social, sobre la letalidad del coronavirus en México durante el periodo 2020-2022, con observaciones por entidad federativa. Se emplea la perspectiva de la prevalencia de enfermedades contagiosas, desarrollada por Charles Winslow. Una limitante de la investigación es el poco acceso a los datos. Investigación cuantitativa, se emplea un modelo econométrico con datos panel. Se concluye que, el mayor recurso federal en salud hacia las entidades reduciría el número de defunciones en México, siendo la variable más representativa de la investigación. Se espera que este análisis sirva de guía para el diseño de lineamientos de política pública.
Las insulinas en pacientes con Diabetes Mellitus tipo 1 y 2. Revisión
Authors: Segura Soto María F. , Rico Jose , Castillo Flor I. , Santos Villegas Nohemi , Jiménez Sánchez Reyna C. , Baltazar Téllez Rosa M. , Cano Araceli 
Published: June 2024

Introducción: La diabetes es una enfermedad no transmisible, generada cuando el páncreas no produce suficiente insulina o el organismo no la puede aprovechar de una forma eficaz. Es una enfermedad de causas múltiples por alteraciones endocrino-metabólicas, no transmisible, que se caracteriza por hiperglucemia crónica y trastornos en el metabolismo por los hidratos de carbono, grasas y proteínas. Objetivo: El objetivo de este artículo es realizar una búsqueda para conocer los distintos tipos de insulina, mecanismo de acción en el organismo, efectos adversos, e importancia como tratamiento en pacientes con diabetes mellitus tipo 1 y 2 con el fin de ofrecer al paciente la mejor opción de insulinas que complemente su tratamiento. Metodología: Se realizó una revisión de la literatura y descriptiva en 20 artículos respectivamente publicados entre los años 2019 al 2023 siendo los más actuales. Resultados y Discusión: De los 20 artículos revisados, incluyendo palabras como diabetes, insulinas, tratamiento, resistencia, organismo, hiperglucemia se encontró un total de 45 artículos, de los cuales se excluyeron 25, basándonos solo en 20 de ellos. La diabetes es una de las mayores causas de morbilidad y mortalidad, en México la segunda causa de muerte es la diabetes, principalmente a la población adulta, en el año 2020. Conclusión: Su tratamiento actual incluye el uso de insulinas, ya que es importante porque promueve el mantenimiento metabólico óptimo con concentraciones de glucosa cercanas a las normales, diseño de actividades físicas y la preparación para el cambio de comportamientos.
Analisis Quality of Service pada Rancang Bangun Pendeteksi Penyakit Tanaman Tomat Berbasis CNN dan Aplikasi Telegram
Authors: Dwi Yanti Silvia , Saputra Yuris Mulya 
Published: June 2024

Peningkatan tanaman tomat terjadi secara konsisten dari tahun ke tahun dan berkontribusi signifikan terhadap perekonomian nasional. Peningkatan kepadatan tanaman dan perluasan area panen dapat menciptakan kondisi yang ideal untuk penyebaran penyakit pada tanaman tomat, yang berpotensi mengancam hasil panen. Penelitian ini merancang model machine learning menggunakan algoritme Convolutional Neural Networks (CNN) untuk mendeteksi penyakit tanaman tomat dengan tingkat akurasi yang diperoleh mencapai 96%. Tingkat loss dari model tergolong rendah yaitu sekitar 13%, membuktikan bahwa prediksi model cukup dekat dengan kondisi sebenarnya. Hasil ini menunjukkan bahwa kinerja model efektif untuk mencegah penyebaran penyakit tanaman tomat dengan membantu mengidentifikasi penyakit lebih awal. Model machine learning diimplementasikan melalui Bot Telegram sebagai antarmuka pengguna, yang tidak hanya efektif dalam memberikan informasi deteksi penyakit tanaman tomat, tetapi juga memastikan informasi tersampaikan dengan efisien dan tepat. Analisis Quality of Service (QoS) dilakukan terhadap komunikasi antara pengguna dan server Telegram dengan mempertimbangkan parameter throughput, delay, dan packet delivery. Nilai QoS secara keseluruhan adalah berindeks 3 kategori “Memuaskan” sesuai standarisasi versi TIPHON. Nilai QoS tersebut didapatkan dari nilai parameter throughput dengan indeks 4 kategori “Sangat Bagus”, nilai parameter packet delivery dengan indeks 4 kategori “Sangat Bagus”, serta nilai parameter delay dengan indeks 4 kategori “Sangat Bagus”.
Perancangan Antarmuka Pengguna Aplikasi Mobile Sistem Informasi Akademik (SIMAK) menggunakan Metode Design Thinking
Authors: Ishlah Muhamad Saad Nurul , Wahyuni Nathasya Sri , Karlitasari Lita 
Published: June 2024

SIMAK (Sistem Informasi Akademik) merupakan sebuah sistem yang dibangun untuk mendukung pelaksanaan penyelenggaraan pendidikan, seperti proses registrasi, perkuliahan, evaluasi, serta pelaporan. Saat ini SIMAK banyak digunakan di perguruan tinggi, termasuk di Universitas Pakuan. Meski demikian, SIMAK yang digunakan saat ini oleh mahasiswa Universitas Pakuan adalah berbasiskan website dengan tampilan yang tidak responsif ketika dibuka di peramban web pada perangkat mobile. Akibatnya tampilan dan pengalaman pengguna SIMAK akan tetap seperti yang diperuntukan untuk pengguna website dan belum menyesuaikan dengan tampilan dan pengalaman pengguna pada perangkat mobile. Selain itu, Universitas Pakuan juga belum memiliki aplikasi mobile SIMAK sendiri yang dirancang khusus sesuai dengan kebutuhan pengguna. Berdasarkan masalah tersebut, pada penelitian ini dilakukan perancangan antarmuka pengguna aplikasi mobile SIMAK Universitas Pakuan menggunakan pendekatan Design Thinking. Evaluasi dalam penelitian dilakukan dengan kuesioner berdasarkan persepsi pengguna terhadap lima aspek usability heuristic, yaitu Visibility of Status System, Match Between System and The Real World, Consistency and Standards, Recognition Rather Than Recall, dan Aesthetic and Minimalist. Selanjutnya dilakukan survey untuk mendapatkan umpan balik dari pengguna terkait perancangan antarmuka pengguna yang telah dibangun. Hasil penelitian menunjukkan bahwa perancangan antarmuka pengguna aplikasi mobile SIMAK untuk Universitas Pakuan telah berhasil dirancang dengan prototipe sebagai luaran yang memiliki kinerja yang lebih baik dari sistem yang dibangun sebelumnya. Selain itu, hasil usability testing menunjukkan bahwa prototipe SIMAK berbasis mobile dapat diterima dengan baik oleh pengguna dan dapat dijadikan acuan untuk pengembangan aplikasi mobile SIMAK lebih lanjut.
Edukasi Pengolahan Air Bersih di Desa Simpang Kasturi Kecamatan Mandor
Authors: Widiastuti Tri , Roslinda Emi , Astiani Dwi , Latifah Siti , Lestariningsih Siti Puji 
Published: June 2024

Desa Simpang Kasturi, Kecamatan Mandor, Kabupaten Landak belum memiliki layanan jaringan pipa ledeng dari PDAM, tetapi memiliki air tanah yang cukup baik. Kebutuhan air harian menggunakan air sungai, sumur gali atau sumur bor. Air yang berasal dari sumur gali/bor secara fisik terlihat jernih, tidak berbau dan tidak berasa. Pada kondisi tertentu air sumur dapat berubah menjadi keruh, berwarna dan berbau, sehingga diperlukan pengolahan untuk mendapatkan air bersih. Tujuan PKM adalah edukasi masyarakat untuk meningkatkan pengetahuan pengolahan air bersih dan melakukan pengolahannya secara mandiri. Kegiatan diikuti 20 peserta perwakilan masyarakat dari 4 dusun di desa Simpang Kasturi, yaitu dusun; Delan, Singkong Luar, Kasturi dan Bobor. Sistematika pelaksanaan PKM; pemberian materi dengan ceramah, praktek penggunaan perangkat pengolah air bersih, serta evaluasi. Metode yang diterapkan adalah metode penjernihan air sederhana dengan koagulan dan filtrasi. Kapur sirih, tawas dan PAC adalah koagulan yang digunakan untuk mengendapkan partikel terlarut. Air kemudian dialirkan ke tabung penyaring yang berisi batu zeolit, arang, ijuk dan pasir sebagai media filtrasi. Air yang keluar dari tabung filtrasi terlihat bersih dan jernih. Edukasi pengolahan air bersih berhasil meningkatkan pengetahuan masyarakat tentang teknik pengolahan air bersih, meningkatkan pemahaman penggunaan bahan koagulan, bahan filtrasi serta meningkatkan ketrampilan pengolahan air secara mandiri.

Simpang Kasturi Village, Mandor District, Landak Regency has no plumbing services from PDAM but has quite good groundwater. Daily water must use river water and dug or drilled wells. Water from dug/drilled wells physically looks clear, odorless, and tasteless. Under certain conditions, well water can turn cloudy, colored, and smelly. The aim of Community Service (PKM) is to educate the public to increase knowledge about clean water processing and carry out processing independently. The activity was attended by 20 participants representing the community from 4 hamlets in Simpang Kasturi village, namely hamlets; Delan, Singkong Luar, Kasturi, and Bobor. Systematic implementation of PKM; providing material with lectures and discussions, demonstrations and practice in using clean water processing equipment, and evaluation. The method applied is a clean water purification method using coagulants and filtration Betel lime, alum and PAC are coagulants used to precipitate dissolved particles. The water then flows into a filter tube containing zeolite stone, charcoal, palm fiber, and sand as a filtration medium. The water that comes out of the filtration tube looks clean and clear. Clean water processing education has succeeded in increasing knowledge about clean water processing techniques, understanding the use of coagulants and filtration materials, and improving skills in carrying out water treatment independently.