bluuebunny/crossref_metadata_2025_split huggingface dataset:
Coexistence of intrathyroid thymic carcinoma and papillary thyroid carcinoma: a case report and literature review
Authors: Vajihinejad Maryam , Ataei Ali , Pashmchi Mohammad , Aledavoud Ali , Zand Vahid , Broomand Mohammad Ali , Mohammadi Mohammad , Reshkuiyeh Niloofar Zare 
Published: May 2024

BackgroundIntrathyroid thymic carcinoma (ITTC) is a rare neoplasm of the thyroid, which accounts for less than 0.15% of all thyroid malignancies. The coexistence of ITTC and papillary thyroid carcinoma (PTC) is an extremely rare condition reported only in a limited number of cases.Case summaryA 26-year-old female presented with a growing neck mass, hoarseness, and dysphagia over four months. Ultrasonography revealed that the entire left lobe and the isthmus of the thyroid were replaced with a hypoechoic mass. Moreover, it revealed two hypoechoic nodules in the right thyroid. The patient underwent a total thyroidectomy and paratracheal lymph node dissection. Histopathological examinations revealed the coexistence of ITTC and PTC in the same thyroid. In immunohistochemical analyses, the ITTC was positive for CD5, P63, CD117, and CK 5/6 and negative for thyroglobulin, calcitonin, and TTF 1. At the same time, PTC was positive for TTF 1 and thyroglobulin and negative for CD5, P63, and CK 5/6. The patient received postoperative radiotherapy and remained well with no evidence of recurrence during one month follow-up.ConclusionDistinguishing ITTC from other thyroid malignancies before the surgery is challenging due to its non-specific presentations. Therefore, the diagnosis relies on postoperative studies, especially immunohistochemistry. The recommended treatment approach to improve survival in ITTC cases is total thyroidectomy combined with cervical lymph node dissection, followed by postoperative radiotherapy. The coexistence of ITTC and PTC may indicate the similarity in the underlying mechanisms of these tumors. However, further investigations are needed to understand this potential correlation.
Differences in knee flexor and extensor force and kinematic variables in rural versus urban area female students in Romania
Authors: Petre Ioana Mădălina , Nobari Hadi , Boscoianu Mircea , Pelin Bogdan , Ionescu Anca , Prieto González Pablo , Oliveira Rafael , Oancea Bogdan 
Published: May 2024

The study aimed to identify and explain the typical differences in low-intensity high-volume resistance training (LIHV-RT) performances for major muscle groups between rural versus urban young female students to establish the relevant set of quantitative and qualitative resistance training parameters. The study sample included 46 recreational active female students at the Transilvania University of Brașov, (mean ± SD age, 20 ± 1 year; body mass, 60 ± 3 kg; height, 160 ± 4 cm) grouped urban vs. rural. The study used modified resistance exercise machines for the hamstring- and quadricep-group muscles, equipped with a dynamometer and sensors for identifying developed forces and accelerations. A number of 368 tests were performed, representing two attempts for each subject, for knee flexion and knee extension exercises, with two different loads. For the performance analysis some variables were considered: the maximum number of repetition until failure, maximum force developed, maximum acceleration, the duration of the set and the mean time per repetition. The maximum number of repetition to failure shows a significant higher value for rural than urban in case of knee flexion (d = 0.98 [0.32, 1.54] for load 1(L1) and d = 0.65 [0.03, 1.21] for load 2(L2)) and in case of knee extension (d = 1.89 [1.11, 2.48] for L1 and d = 1.67 [0.92, 2.25] for L2). The total duration of the sets shows a significant higher value for rural than urban in case of knee flexion (d = 0.84 [0.19, 1.39] for L2) and in case of knee extension (d = 1.46 [0.74, 2.03] for L1 and d = 1.56 [0.98, 2.14] for L2). Additionally we found differences in the quality of the relevant repetitions execution and in the impulse developed during the LIHV- MNRF sets. The study’s main finding was that there are differences in LIHV-RT performances knee flexion and knee extension antagonistic exercises, between rural and urban female students. We concluded that the obtained results allow teachers to understand the optimal design of RT programs for the different groups of participants, in order to adapt their teaching techniques so that their final objectives are achieved, insisting on particular aspects of the theoretical or practical contents.
Health literacy and self-management among middle-aged and young hypertensive patients: a parallel mediation effect of illness perception and self-efficacy
Authors: Liu Yaqing , Jiang Feng , Zhang Meicheng , Niu Haoran , Cao Jianbo , Du Sixian , Chen Hongfeng , Wang Hui , Gong Liwen , Rao Feifei , Wu Huan 
Published: May 2024

BackgroundHypertension is increasingly prevalent among young and middle-aged populations in rural China, accompanied by suboptimal self-management. Given that this population forms the backbone of the labor force, enhancing their self-management capabilities is crucial for improving overall population health. Studies indicate that individuals with good health literacy are more likely to effectively manage their health.MethodsGrounded in the health literacy skills framework, a model was constructed in this study to examine the impact of health literacy on self-management among young and middle-aged hypertensive patients in rural China. Meanwhile, the mediating roles of illness perception and self-efficacy were also verified. Using a multi-stage stratified random sampling method, 338 patients were recruited to participate in the study. Structural equation modeling was utilized to establish the relationship model, and bootstrap tests were carried out to examine the mediating effects.ResultsThe average self-management score was 70.45 ± 11.36. Health literacy exhibited a positive correlation with self-management (standardized β = 0.372, p &lt; 0.001). The mediating effects through illness perception and self-efficacy were 0.040 and 0.236, constituting 6.68 and 39.31% of the total effect, respectively.ConclusionIllness perception and self-efficacy serve as parallel mediators amid the association between health literacy and self-management. Implementing psychological counseling and health education is imperative for augmenting self-management competence and cultivating an adaptive coping mentality.
A new approach to urinalysis: effectiveness of a contingency management program among adolescent offenders in Spain
Authors: Fernández-Moreno Álvaro , Roncero David , Moreno-Fernández Román D. 
Published: May 2024

BackgroundWhen addressing antisocial behaviour among adolescents, programs based on the paradigm of positive psychology through enhancing self-efficacy have demonstrated their effectiveness in furthering the positive development of young people with a history of antisocial behaviour. Nevertheless, there has been little research into the effectiveness of these type of programs in mitigating substance abuse among juvenile offenders. The aim of this paper is to analyse the effectiveness of a contingency management program in reducing the prevalence of relapses into drug consumption among adolescents who have committed serious crimes.MethodsThe study consisted of a sample of 91 male adolescents, between 15 and 19 years, in juvenile detention, who were divided into two treatment groups. For both groups, biological testing was used to detect drug consumption upon their re-turn from leave permits from the Centre.ResultsThe quasi-experimental group had significantly lower rates of relapse than the quasi-control group. Furthermore, being part of the quasi-experimental group was a significant predictor of reduced rates of relapses.ConclusionThe results suggest that the incorporation of treatment strategies which reinforce feelings of self-efficacy and adequate orientation towards the future, as a complement to disciplinary sanctions, are effective in reducing relapses in drug use among adolescent offenders.
Prevalence, demographics and clinical characteristics of Internet addiction among Chinese adolescents with schizophrenia
Authors: Zhong Yunhui , Li Yibo , Hu Anquan , Zhang Xiang-Yang 
Published: May 2024

IntroductionSeveral studies have reported that Internet addiction (IA) is more prevalent in the psychiatric disorder population. However, the prevalence of IA and its relationship with clinical variables among Chinese adolescents with schizophrenia is unclear. This study sought to investigate the prevalence of IA and its clinical correlates in Chinese adolescents with schizophrenia, which has not yet been reported.MethodsSeven hundred and six inpatient adolescents with schizophrenia were recruited. All patients underwent Young’s Internet Addiction Test (IAT) to measure Internet addiction, as well as the Positive and Negative Syndrome Scale (PANSS) for psychopathology.ResultsOur results showed that 186 patients had a total IAT score of 50 or more, bringing the prevalence of IA to 26.3%. Girls (21.7%, 92/424) were less likely to have combined IA than boys (33.3%, 94/282). Compared to those patients without IA, patients with IA had better socioeconomic status, higher probability of living in the city, higher levels of depressive symptoms, excited symptoms, and lower levels of concrete symptoms and PANSS total scores (all p&lt;0.05). Further binary logistic regression analysis indicated that good socioeconomic status, living in the city and PANSS total scores were significantly associated with IA. In addition, correlation analysis showed significant correlations between IA total score and the following parameters: good socioeconomic status, living in the city, negative subscore, concrete subscore, depression subscore, excited subscore and PANSS total score (Bonferroni corrected all p &lt;0.05).ConclusionThe results of this study indicate that the prevalence of IA in Chinese adolescents with schizophrenia is higher than that in the general population. Several demographic and clinical variables are risk factors for IA in adolescents with schizophrenia.
Dispensation of outpatient hospital medicines by hospital only versus hospital-community pharmacies collaboration: a cross-sectional study and survey of patient’s satisfaction
Authors: Ferrández Olivia , Grau Santiago , Colominas-González Elena , Navarrete-Rouco María Eugenia , Carballo-Martínez Nuria , De Antonio-Cuscó Marta , Fernández-Sala Xènia , Rio-No Laura , Fando Romera Oscar , Berzosa Malagon Maria , Pineda Rodriguez Sergio , Torres Rius Noelia , Duran-Jordà Xavier , Rodríguez-Caba Cristina , Casas-Sánchez Jordi , Caro Herranz Félix , Pontes-García Caridad 
Published: May 2024

GoalTo describe the experience of a dispensing model of outpatient hospital medicines (OHM) via collaboration of hospital and community pharmacies, and to explore patient satisfaction with the strategy as compared with the hospital pharmacy only service.BackgroundPatient satisfaction is an important component of the quality of health care.StudyA new model of dispensing OHM was conducted in the Outpatients Unit of the Service of Hospital Pharmacy of Hospital del Mar, in Barcelona, Spain. Participants were patients on stable chronic treatment with clinical or social fragility, immunocompromised patients, and those whose residence was located at a distance from the hospital that justified drug delivery through the community pharmacy. A cross sectional study was done using an ad hoc 14-item questionnaire collecting demographic data, duration of treatment, usual mode of collecting medication, and the degree of satisfaction regarding waiting time for the collection of medication, attention received by professionals, information received on treatment, and confidentiality.ResultsThe study population included a total of 4,057 patients (66.8% men) with a mean age of 53 (15.5) years, of whom 1,286 responded, with a response rate of 31.7%. Variables significantly associated with response to the survey were age over 44 years, particularly the age segment of 55–64 years (odds ratio [OR] 2.51) and receiving OHM via the community pharmacy (OR 12.76). Patients in the community pharmacy group (n = 927) as compared with those in the hospital pharmacy group (n = 359) showed significantly higher percentages of ‘satisfied’ and ‘very satisfied’ (p &lt; 0.001) in the waiting time for the collection of OHM (88.1% vs. 66%), attention received by professionals (92.5% vs. 86.1%), and information received on treatment (79.4% vs. 77.4%). In relation to confidentiality, results obtained were similar in both pharmacy settings.ConclusionDispensing OHM through the community pharmacy was a strategy associated with greater patient satisfaction as compared with OHM collection at the hospital pharmacy service, with greater accessibility, mainly due to close distance to the patient’s home. The participation of community pharmacists could further optimize the care received by patients undergoing OHM treatment.
Sistem Deteksi Laju dan Plat Nomor Kendaraan Berbasis Video Rekaman Menggunakan YOLOv5-DeepSORT dan HyperLPR
Authors: Setya Budi Agus Heri , Baiquni Muhammad Azhar , Mulyanti Budi , Nasution Muhammad Fadli 
Published: May 2024

- Salah satu penyebab terjadinya kecelakaan adalah kurangnya kewaspadaan pengendara dan pelanggaran laju kendaraan melampaui batas maksimal. Untuk mengurangi tindak pelanggaran tersebut diperlukan pengawasan lalu lintas pada area jalan terutama di area yang rawan terjadi kecelakaan. Dalam penelitian ini dikembangkan sistem deteksi laju dan plat nomor kendaraan berbasis video rekaman menggunakan YOLOv5-DeepSORT dan HyperLPR untuk mengatasi permasalahan tersebut. Dalam sistem ini digunakan YOLOv5 dan DeepSORT untuk mendeteksi dan melacak pergerakan kendaraan sehingga diperoleh perpindahan jarak kendaraan yang digunakan sebagai acuan deteksi laju kendaraan. Adapun HyperLPR digunakan untuk mendeteksi plat nomor dari kendaraan tersebut. Metode yang digunakan dalam penelitian ini yaitu metode experimen dengan melakukan perekaman video pada ruas jalan tol Cipali yang digunakan sebagai input dari program deteksi laju dan plat nomor kendaraan. Hasil pengujian deteksi objek kendaraan menggunakan YOLOv5 diperoleh nilai evaluasi metric precision sebesar 100%. Dan pengujian deteksi laju kendaraan diperoleh nilai rata-rata presentase eror sebesar 7,6% terhadap nilai sebenarnya. Adapun dari deteksi plat nomor kendaraan diperoleh hasil akurasi karakter secara keseluruhan sebesar 91,82 %. Dari hasil tersebut dapat disimpulkan bahwa sistem deteksi laju dan plat nomor kendaraan yang dikembangkan memiliki akurasi yang sangat baik dan dapat dipertimbangkan untuk digunakan dengan memperhatikan beberapa kriteria implementasi yang telah ditentukan.
Kata kunci: Laju kendaraan, plat nomor kendaraan, YOLOv5, DeepSORT HyperLPR.
Tratamento cirúrgico da otite média secretora na população infantil: uma revisão sistemática
Authors: Andrade Daniel Camargo de , Novais Eveline Auzier Bentes , Machado Matheus Pereira , Carvalho Mariana Seixas , Almeida Maria Luisa Oliveira , Ritti Larissa de Almeida , Oliveira Millena Ferreira de , Dias Paula Gonik , Lopes Milena Dutra 
Published: May 2024

Este artigo tem como objetivo realizar uma revisão sistemática da produção bibliográfica referente a eficácia do tratamento cirúrgico e suas indicações como terapêutica do quadro clínico de otite média com efusão na população pediátrica. Após formular a frase de pesquisa, foram realizadas buscas na base de dados Medline, sendo utilizados os seguintes descritores: Otitis Media with Effusion, Middle Ear Effusion, Secretory Otitis Media e Serous Otitis Media. Foram incluídos ensaios clínicos e ensaios clínicos randomizados que apresentavam dados que versavam diretamente sobre as intervenções cirúrgicas da otite média com efusão e foram analisados os resultados obtidos nas avaliações. Os resultados indicaram que a inserção de tubos de ventilação combinada com a adenoidectomia resultou em menor recorrência do quadro em comparação com a inserção do tubo de ventilação de forma isolada. Além disso, observou-se que a inserção do tubo de ventilação em crianças com otite média com efusão persistente não apresentou efeito benéfico na qualidade de vida geral, mas evidências indicaram um desfecho positivo na saúde funcional relacionada à dificuldade auditiva nesta população. Por fim, observou-se que nas crianças com fissura palatina que passaram por reparo no palato mole e que permaneceram com o quadro de otite média com efusão, a inserção do tubo de ventilação deve ser considerada. A análise dos estudos destacou a complexidade das decisões clínicas em relação às intervenções cirúrgicas para o quadro descrito, considerando fatores como recorrência, qualidade de vida e características individuais dos pacientes.
The Relationship Between Worm Infections and Selenium Intake In Children In The Working Area Of Tabaringan Health Center Makassar City
Authors: Shafa Nathania Utami  , Nurmadilla Nesyana , Arlini Wello Eny , Hadi Santriani , Darma Sidrah 
Published: May 2024

Background: Worm infection is one of the health problems in Indonesia. Worm infections can disrupt nutrient requirements, hinder growth, intellectual development, and affect the immune system, making the body susceptible to other diseases. Selenium is a micronutrient with great potential to influence the immune system. The mechanism of action of selenium includes antioxidant activity, protecting against oxidative damage, maintaining the integrity of the intestinal mucosa, and anti-apoptotic function in the large intestine. Selenium can enhance the host's immune response by increasing the activity of Alternative Activated Macrophages (AAM), which are the main macrophages in fighting intestinal parasitic worms. Research Objective: To determine the relationship between worm infections and selenium intake. Research Method: Analytical research using a cross-sectional approach. Sampling was done using total sampling technique on elementary school children in the Tabaringan Health Center working area in Makassar City, aged 7-9 years. Research Results: The frequency distribution of positive worm infections was 22.2%, equivalent to 8 samples, and negative worm infections were 77.8%, equivalent to 28 samples. Adequacy of selenium intake in the samples showed 16.7% inadequacy, equivalent to 6 samples, and 83.3% adequacy, equivalent to 30 samples. The analysis of the relationship between worm infections and selenium intake yielded a P-value = 0.151. Conclusion: There is no relationship between worm infections and selenium intake in children in the Tabaringan Health Center working area in Makassar City.
Ultra-wideband Microstrip Patch Antenna with Artificial Magnetic Conductor and Nearly Constant Radiation Pattern for Breast Tumor Detection
Authors: Raza Ali , Liaqat Maryam , Pepino Vinicius Marrara , Borges Ben-Hur Viana 
Published: May 2024

This letter presents the design, fabrication, and characterization of an
ultra-wideband (UWB) microstrip patch antenna engineered for the early
detection of breast tumors. The proposed design offers a nearly constant
radiation pattern, high gain, and compact size through the utilization
of an artificial magnetic conductor (AMC) structure comprising four
different unit cells. This design feature ensures uniform coverage and
reception across breast tissue, critical for early-stage tumor
detection. Operating in the 2.9 GHz to 7.0 GHz frequency band, the
antenna integrates a back-plane reflector that helps increasing the gain
by 3 dB while enhancing bandwidth at low frequencies, thereby improving
directivity and front-to-back ratio. The proposed antenna achieves a
peak gain of ~8.1 dBi with the AMC. Furthermore, our
antenna exhibits a nearly constant radiation pattern across 93% of its
operating bandwidth. These characteristics highlight the antenna
suitability for applications such as diagnosis of breast carcinoma and
microwave imaging.
(This work has been submitted to the IEEE for possible publication.
Copyright may be transferred without notice, after which this version
may no longer be accessible.)
Elaborar e Resolver Problemas Combinatórios: uma investigação com estudantes de quinto ano do ensino fundamental
Authors: Silva Jose da 
Published: May 2024

O presente artigo consiste numa investigação sobre a elaboração e resolução de problemas envolvendo o raciocínio combinatório com estudantes de quinto ano do ensino fundamental. O estudo de natureza qualitativa foi desenvolvido sob a perspectiva da Resolução de Problemas. A análise de dados evidenciaram estratégias de resolução sistemática e não sistemática, bem como a influência de estratégias oriundas de orientações dos pesquisadores no processo de desenvolvimento do raciocínio combinatório. Ficou evidente a influência de gostos, preferências e outras ações do cotidiano das crianças no processo de elaboração de problemas. O processo de elaboração de problemas por parte das crianças precisa ser estimulado na sala de aula, porém é imprescindível que seja respeitado as particularidades e os momentos de vida e de maturação de cada indivíduo ao longo desse processo. Acreditamos que outras pesquisas precisam ser desenvolvidas no que concerne a elaboração e resolução de problemas combinatórios com foco no desenvolvimento do raciocínio combinatório tendo novos olhares no que diz respeito a influências cotidianas escolares e não escolares.
On the (Non-)Existence of Tight Distance-Regular Graphs: a Local Approach
Authors: Koolen Jack , Lee Jae-Ho , Li Shuang-Dong , Li Yun-Han , Liang Xiaoye , Tan Ying-Ying 
Published: May 2024

Let $\Gamma$ denote a distance-regular graph with diameter $D\geq 3.$ Jurišić and Vidali conjectured that if $\Gamma$ is tight with classical parameters $(D,b,\alpha,\beta)$, $b\geq 2$, then $\Gamma$ is not locally the block graph of an orthogonal array nor the block graph of a Steiner system. In the present paper, we prove this conjecture and, furthermore, extend it from the following aspect. Assume that for every triple of vertices $x, y, z$ of $\Gamma$, where $x$ and $y$ are adjacent, and $z$ is at distance $2$ from both $x$ and $y$, the number of common neighbors of $x$, $y$, $z$ is constant. We then show that if $\Gamma$ is locally the block graph of an orthogonal array (resp.~a Steiner system) with smallest eigenvalue $-m$, $m\geq 3$, then the intersection number $c_2$ is not equal to $m^2$ (resp. $m(m+1)$). Using this result, we prove that if a tight distance-regular graph $\Gamma$ is not locally the block graph of an orthogonal array or a Steiner system, then the valency (and hence diameter) of $\Gamma$ is bounded by a function in the parameter $b=b_1/(1+\theta_1)$, where $b_1$ is the intersection number of $\Gamma$ and $\theta_1$ is the second largest eigenvalue of $\Gamma$.