bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of vinegar supplementation on patients with esophageal lesions lightly stained with Lugol’s iodine solution: Prospective single-centre trial
Authors: Gao Yuan , Ye Lian-Song , Li Xu , Yu Bin , Liao Ke , Xie Jia , Du Jiang , Zhang Qiong-Ying , Hu Bing 
Published: May 2024

BACKGROUND
Esophageal chromoendoscopy with iodine solution is important for detecting early esophageal cancer. The effect of routine treatment for lesions lightly stained with Lugol’s iodine solution is limited, and the addition of natural substances to a regular diet is becoming increasingly common. Vinegar has antitumor effects as reported in previous studies.
AIM
To evaluate whether vinegar supplementation could improve the prognosis of patients with lightly stained esophageal lesions.
METHODS
This prospective single-centre trial included consecutive patients with lightly stained lesions between June 2020 and April 2022. Patients in the experimental group received increased amounts of vinegar for 6 months. The primary outcome of the study was the clinical therapeutic effect. Complications related to vinegar ingestion and adverse events were also recorded in detail.
RESULTS
A total of 166 patients were included in the final analysis. There was no significant difference in the baseline data between the two groups. Intention-to-treat (ITT) analysis demonstrated that the rates at which endoscopic characteristics improved were 33.72% in the experimental group and 20.00% in the conventional group (P = 0.007); and the rates at which biopsy pathology improved were 19.77% and 8.75%, respectively (P = 0.011). Additional vinegar consumption had a statistically protective effect on the rate at which endoscopic characteristics improved [hazard ratio (HR) ITT = 2.183, 95%CI: 1.183-4.028; HRper-protocol (PP) = 2.307, 95%CI: 1.202-4.426] and biopsy pathology improved (HRITT = 2.931, 95%CI: 1.212-7.089; HRPP = 3.320, 95%CI: 1.295-8.507). No statistically significant effect of increased vinegar consumption on preventing high-grade intraepithelial neoplasia or early cancer was observed (HRITT = 0.382, 95%CI: 0.079-1.846; HRPP = 0.382, 95%CI: 0.079-1.846). The subgroup analyses indicated that the overall therapeutic improvement of endoscopic characteristics and biopsy pathology seemed more obvious in older (age > 60) male patients with small lesions (lesion size ≤ 0.5 cm). Three patients in the experimental group reported acid regurgitation and heartburn. No adverse event during gastroscopy were recorded during follow-up.
CONCLUSION
A moderately increased ingestion of vinegar could not directly reduce the risk of esophageal cancer in the mucosa dysplasia population, but it improved the endoscopic characteristics and ameliorated the biopsy pathology to a certain extent. Further research is needed to verify the effect of nutritional intervention on precancerous esophageal lesions.
Student Self-Awareness: How well do Students Recall Recent Performance in a Course
Authors: Webb Jeffrey Adam , Karatjas Andrew G. 
Published: May 2024

Past studies have explored student self-perception within chemistry courses. Various factors have been explored including course level, student academic background, and gender. However, it appears that there are few (if any) studies that have looked at whether students are aware of how they have performed previously in the course. Through a study over a two-year period, students at all levels (freshman through M.S.) of a chemistry program were surveyed and asked to self-report predictions of their score on examinations as well as several other items including their recall of previous course grades. At all levels, poorer performing students were less likely to be able to recall previous examination scores.
Alien invasive pathogens and pests in the changing environment: Focus on North Europe
Authors: Vasaitis (Ed.) Rimvys 
Published: May 2024

On 12–13 September 2023, a panel of forest pathologists and entomologists gathered in Visby, Gotland Island, Baltic Sea, Sweden. The participants, a total of 20, represented all five Nordic Countries, three Baltic States, and Ukraine, and also joined by the local stakeholders representing the Swedish Forestry Agency and Gotland Administration. The purpose was to conduct a scientific workshop focusing on invasive tree pests and diseases emerging in each respective country, as well as to participate in an excursion to damaged woodland sites of Gotland. The Nordic Forest Research (SNS) financially supported the event (https://nordicforestresearch.org/n2023-01/). Keywords: Corinectria / Neonectria cankers; Hymenoscyphus fraxineus; Emerald Ash Borer; Diplodia sapinea; Acute Oak Decline; Polygraphus proximus; emerging birch pests; Bronze Birch Borer; Thekopsora areolata; seedborn conifer fungi
PEMBERDAYAAN DALAM MENINGKATKAN PROSES PENDIDIKAN, KEAGAMAAN, PERTANIAN, DAN PETERNAKAN SEBAGAI PENGABDIAN MASYARAKAT DESA RATU ABUNG
Authors: Rusdianto Ade , Febriani Awanda , Karwanti Rina , Marganingsih Sri Handayani , Sutikno  , Nyang Vania Ayuningtyas Harini  
Published: May 2024

Kuliah Kerja Nyata (KKN) telah dilaksanakan di Desa Ratu Abung, Kecamatan Abung Selatan, Kabupaten Lampung Utara selama 32 Hari dimulai pada tanggal 31 Januari sampai dengan 3 Maret 2023. Desa Ratu Abung merupakan desa yang dipilih menjadi desa tujuan KKN. Potensi desa yang berlimpah menjadi pilihan Mahasiswa untuk dapat melaksanakan program meningkatkan mutu pendidikan, keagamaan, pertanian, peternakan, ekonomi dan kesehatan setempat. Program-progarm dirancang berurutan mulai dengan diskusi antar kelompok KKN, aparat desa, serta masyarakat setempat, khususnya yang bersinggungan langsung dengan program-program yang dirancang. Pelaksanaan program KKN dilakukan secara seimbang diawali dengan perencanaan, pelaksanaa, serta evaluasi di akhir setiap program. Hasil yang dicapai dari keseluruhan program KKN diantaranya Sosialisasi, Kunjungan, Pengajian, Mengajar Les, Mengajar Ekskul, Sosialisasi dan Praktikum Pembuatan Pupuk kompos dan pakan ternak.
Peningkatan Komunikasi Efektif : Memaksimalkan Potensi dan Memperkuat Sinergi di OSIS SMA Bina Mulya Gadingrejo
Authors: Hagi Julio Salas  , Marini  
Published: May 2024

Organisasi adalah wadah yang diciptakan oleh masyarakat untuk mengembangkan potensi diri, peningkatan keterampilan dalam memecahkan masalah dan lain sebagainya. Sebagai upaya dalam mencapai tujuan tersebut diperlukan sebuah proses komunikasi yang efektif. Latar belakang yang berbeda-beda antar anggota organsiasi beresiko menimbulkan kesalah pahaman atau bahkan mengarah kepada hal yang lebih buruk yaitu perpecahan dalam organisasi. Akibatnya tujuan organisasi akan terhambat atau bahkan tidak dapat tercapai. Pengabdian ini bertujuan untuk memberikan pengetahun, pemahaman dan keterampilan komunikasi yang efektif dalam berogransiasi agar potensi dan sinergi yang ada di dalam organisasi dapat dimaksimalkan. Pendekatan komunikasi persuasif dengan teknik asosiasi dan integrasi digunakan dalam kegiatan ini. Hasilnya, para peserta dapat mengerti dan memahami pentingnya komunikasi mulai dari tujuan, fungsi, peran, alur komunikasi dan strategi komunikasi yang efektif dalam berogranisasi.
Psychological Well-Being as Correlate of Academic Achievement among Postgraduate Students in Ghanaian Public Universities
Authors: N-yelbi John , Awuku-Larbi Mary Magdalene 
Published: May 2024

Purpose: The purpose of the study was to examine postgraduate students’ psychological well-being as correlate of their academic achievement in Ghanaian public universities.
Methodology: The study adopted a quantitative approach underpinned by a cross-section design. The population of the study comprised of postgraduate drawn from three public universities in Ghana. A sample of 140 students between the ages of 29 to 45 years were drawn using simple random sampling. Psychological well-being scale and academic achievement questionnaire were employed for data collection. Research hypotheses 1 and 2 were analysed using Pearson correlation and independent sample t-test.
Findings: The study reported a strong positive correlation between the psychological well-being and academic achievement. The study further that reported gender differences exist in psychological well-being and academic achievement. Findings revealed a statistically significant correlation existed between psychological well-being and academic achievement. Also, the study reported a statistically significant gender difference in psychological well-being and academic achievement.
Unique contribution to theory, policy and practice: The study recommends that counsellors and psychologists should integrate psychological well-being theory and academic achievement theory to explain how psychological well-being influence academic achievement. The study recommends that University in collaboration with counsellors and psychologists should institute psychological well-being focused initiatives such as mindfulness training, peer support groups, and counselling services into postgraduate programmes. Also, it was recommended that universities should institute peer mentoring initiatives where students will be paired with train mentors for support and guidance.
JALINAN KOMUNIKASI KERJASAMA GURU DAN ORANG TUA DALAM MENINGKATKAN PRESTASI BELAJAR SISWA DI SEKOLAH
Authors: Amalia Dina , Samsudin Umar 
Published: May 2024

Tulisan ini bertujuan untuk mengetahui bentuk dan hamabatan-hambatan jalinan komunikasi kerjasama guru dan orang tua dalam upaya untuk meningkatkan prestasi belajar siswa di sekolah. Tulisan ini ditulis dengan menggunakan pendekatan kualitatif, yaitu dengan memberikan suatu gambarkan secara umum mengenai jalinan kerjasama orang tua dan guru dalam meningkatkan aktifitas belajar siswa dengan cara mengumpulkan, menganalisis dan mengintrepretasikan data yang berkaitan dengan penelitian. Untuk menjangkau semua aspek penelitian, maka digunakan strategi studi kasus. Sumber primer dalam penelitian ini adalah kepala sekolah, guru dan orang tua siswa. Prosedur pengumpulan data yang digunakan adalah wawancara, observasi dan dokumentasi. Hasil penelitian menunujukkan bahwa jalinan komuniksai kerjasama antara guru dan orang tua dalam meningkatkan prestasi belajar siswsa dilakukan melalui beberapa komunikasi, yakni komunikasi formal dan non formal, pengajian dan keterlibatan orang tua pada pembelajaran anak di rumah. Hambatan-hambatan yang dihadapi adalah berasal dari faktor internal dan eksternal, berupa pandangan orangtua terhadap guru yang kurang baik, tuntutan hidup dan sikap orangtua yang apatis. Sementara faktor pendorongnya adalah dengan memberikan pelayanan terbaik kepada orangtua siswa, menyamakan persepsi antra nilai-nilai yang ditanamkan sekolah dengan nilai-nilai yang diajarkan orangtua dengan melakukan komunikasi awal.
Giving nerve and tendon gliding exercises to reduce pain in carpal tunnel syndrome
Authors: Wulandari Rizky , Ariyanto Andry 
Published: May 2024

Background: Physical activity in blacksmith workers, which involves repetitive use of hand and wrist muscles, grasping tools, and forging iron, can cause symptoms of carpal tunnel syndrome (CTS), including pain that affects functional activities. This study aimed to determine whether giving Nerve Tendon Gliding Exercise can reduce pain in patients with CTS.
Methods: This study used a randomized control trial design. The intervention group received the nerve gliding and tendon gliding exercises, while the control group received the nerve gliding exercise only. Sampling in this study was conducted using non-probability sampling techniques with a purposive sampling model, a sampling technique with specific considerations. The sample of this study involved respondents aged between 25 and 40 years. Furthermore, the data obtained were analyzed using the Wilcoxon and Mann-Whitney tests.
Results: Analysis of the results of the effect test using the Wilcoxon Test the results p <0.05 that shows an influence on the treatment group given nerve and gliding exercise with the control group given nerve gliding exercise to reduce pain. Furthermore, the analysis using the Mann-Whitney test obtained the results of the Z value = -2.757 with a p-value of 0.006 <0.05, which means it shows a significant difference in influence.
Conclusion: Giving Nerve Tendon Gliding Exercise shows a significant difference in the effect on the treatment group given nerve gliding exercise with the addition of tendon gliding exercise and the control group given nerve gliding exercise to reduce pain.
ALIENAÇÃO PARENTAL: ENTRE A REVOGAÇÃO E A MANUTENÇÃO AS DUAS FACES DA LEI EM DIVERGÊNCIAS DE OPINIÕES
Authors: Santos Luiza Regina Coelho Aguiar , Schutz Airton Aloisio 
Published: May 2024

Este artigo tem como propósito analisar a Lei de Alienação Parental e as diversas opiniões contrárias que a cercam. Ao longo do texto, serão exploradas diferentes perspectivas críticas de pensadores, juristas e psicólogos. Ao final, o leitor será convidado a formar sua própria opinião a respeito da Lei de Alienação Parental no Brasil, com base nos fatos apresentados. A metodologia deste artigo é essencialmente bibliográfica, de natureza pura, e adota uma abordagem quanti-qualitativa. Para tanto, serão considerados livros, artigos, sites, a legislação em vigor, projetos de lei, bem como estatísticas e dados relevantes ao tema. A Lei será minuciosamente analisada e contextualizada, enquanto serão examinadas as duas principais correntes de opinião em torno deste assunto, incentivando o leitor a refletir sobre qual alternativa poderia ser mais adequada para abordar o problema em questão.
Compliance with the five moments for hand hygiene of healthcare workers in a pediatric hospital. A prospective observational study
Authors: Grau Lorena , Perruchino Giselle , Mesquita-Ramírez Mirta 
Published: May 2024

Introduction: Healthcare-associated infections (HAIs), also known as nosocomial infections or hospital-acquired infections, begin within 48 hours of hospitalization, within 30 days after hospital discharge, or 90 days after undergoing surgical procedures. Objective: The study aimed to describe the compliance with the five moments for hand hygiene (HH) of the healthcare workers (HCWs) in a hospital. Methods: A prospective observational study was conducted from June 1 to 30,2020 in a pediatric hospital. HCWs compliance with the five moments of HH was registered by direct observation blindly to the participants, using the fact sheet for HH of the WHO. In the rows, the five moments of contact with the patients were recorded: before touching a patient, before clean aseptic procedure, after body fluid exposure risk, after touching a patient and after touching patient surroundings. The actions performed, also was registered: hand washing, alcohol hand friction, omission, or use of gloves. Data were analyzed in SPSS V 21. The protocol was approved by the institutional review board. Results: During the study period, 2.595 observations to 104 HCWs were made. They were pediatric residents 38.5 %, nurses 32.7 % and pediatricians 28.8 %. A global compliance with the five moments of HH of the participants were 64.5% (1673/2595). Before touching a patient, the adherence was 86,9%. The nurses adhered in 69%, pediatrician in 68.6 % and the pediatric residents in 57.2%. Discussion: The global percentage of compliance with the five moments of HH of the medical and nursing staff of the pediatric hospital was 64.5%. Nurses had the highest percentage of adherence. Handwashing compliance was higher before contact with the patients.
Thyroid cancer in patients undergoing thyroidectomy total in the Otorhinolaryngology Department of the Hospital de Clínicas during the period 2018-2022
Authors: Serrano Ricardo , Mena-Canata Carlos , Tornaco-Maidana Raúl , Villalba Marcelo 
Published: May 2024

Introduction: Thyroid cancer, considered one of the most frequent malignant tumors of the endocrine system, accounts for 80%–90% of cases. The most common histological type observed in most studies is papillary cancer. Objective: To determine the frequency of thyroid cancer in patients undergoing total thyroidectomy at the Otorhinolaryngology Department of the Hospital de Clínicas between the period 2018-2022. Methodology: This retrospective study included 260 patients treated during the study period. Data were obtained from the patients' medical records, and sociodemographic and clinical variables related to thyroid cancer were analyzed. Data were analyzed with the SPSS v25 program, using descriptive statistics. Results: The frequency of thyroid cancer was 48.1%. The mean age of the cancer patients was 42.10±13.10 years. A higher frequency was observed in females 34.2%, n=89) and among those aged 25-44 years 20.0%, n=52). The most frequent were papillary (36.9%), follicular (2.7%), medullary (1.5%), and anaplastic (1.2%) types. Discussion: The frequency of thyroid cancer is high; it is more common in women and as age increases.
Safe Prescribing on Dialysis: Latest update on Directly-acting Oral Anticoagulants
Authors: Duncan Neill 
Published: May 2024

The evidence for the use of Directly-acting Oral Anticoagulants (DOACs) to prevent stroke in patients with non-valvular AF is compelling for patients with normal and modestly impaired renal function. Patients with more advanced Chronic Kidney Disease and treated with Dialysis have a high prevalence of AF and risk factors for stroke based on conventional measures. They have unconventional vascular disease. Until very recently the evidence base for patients with CKD4/5 and Dialysis has remained confined to cohort observational studies which are confounded. Prescribing practice for anticoagulants is inferred rather than proven and carries risk. There is new hope! Notably since 2021, there have been the first ever randomised control trials published in Haemodialysis. Similar trials have not been done in Peritoneal Dialysis.We will learn:
1] The existing evidence for anticoagulant treatment
2] The benefit and harm from treatment
3] What DOACs addThis is an opportunity for delegates of the Dialysis Academy to re-examine their anticoagulant practice where the risk of bleeding is substantial and the benefits uncertain
The Great Renal Debate: "The patient perspective needs greater prominence in dialysis care", Summing up and thanks
Authors: Ashby Damien , Levy Jeremy , Duncan Neill 
Published: May 2024

The Great Renal Debate: "The patient perspective needs greater prominence in dialysis care"Our traditional annual Clash of Titans! We will have a lively debate...
For: Prof Jeremy Levy
Against: Dr Damien Ashby
Join the fun!Summing up and thanksA rapid review of what we have learned and opportunity to thank the faculty and delegates
Artificial Intelligence in Dialysis Care
Authors: Kotanko Peter 
Published: May 2024

Today, in our everyday lives, artificial intelligence (AI) applications are omnipresent, from voice recognition to route planning, fraud protection, and on-line shopping recommendations. The pervasiveness of AI in our personal lives begets the question “What is the role of AI in dialysis care?”. In dialysis care, three main application areas for “classical” AI (i.e., non-generative AI) have emerged [1]: prediction, therapy recommendation, and diagnosis. Examples are the prediction of hospital admissions and prediction of intradialytic hypotension in real-time. The former was implemented already in clinical practice and resulted in a lower hospitalization rate [2]. The latter involves the cloud-based integration of dialysis machine data, and electronic health records with AI-powered prediction algorithms [3]. In several countries AI applications are used to give anemia therapy recommendations [4] that are subsequently reviewed by health care providers prior to prescription. The application of such an AI tool has resulted in improved attainment of target hemoglobin targets, less severe anaemia, and lower ESA utilization [5]. Regarding diagnostics, AI systems have been developed to categorize arterio-venous aneurysms as advanced / non-advanced [6]. In addition, natural language processing, an AI method to extract insights from health care provider notes, has been shown to be superior to billing codes to identify symptom burden in hemodialysis patients [7]. The recent advent of generative AI and large language models (LLM) such as ChatGPT has instigated research into applications in dialysis care. For example, LLMs are explored to support renal dietitians and provide better personalized care. So far, results have shown only moderate performance of LLMs [8].It is expected that AI applications, both “classical” and “generative”, will be expanded in the future. Moving forward, it will be critically important to recognize potential flaws of AI systems, such as biases and it “black box” character, and to respect ethical and privacy concerns.
Old Data, New Ideas: Analyzing and Integrating Legacy Data at Khirbat al-Mukhayyat, Jordan
Authors: Foran Debra , Danielson Andrew , Braun Gregory , Klassen Stanley , Doležálková Věra , Ginson Grant , Sylvester Christine 
Published: May 2024

ABSTRACT
In 2000–2001, the Tall Madaba Archaeological Project (TMAP) conducted an archaeological survey of the site of Khirbat al-Mukhayyat (Jordan) in anticipation of future excavation. Unfortunately, excavations were not immediately possible. With the formation of the Khirbat al-Mukhayyat Archaeological Project (KMAP) in 2012, collaborations with TMAP prioritized the analysis of this survey data. The central goal of the analysis was to create hypotheses concerning fluctuations in occupation and the nature of human activity at the site that could be tested against future archaeological excavation. Secondary goals included assessing the extent to which such legacy survey data could be integrated into the evolving research program of KMAP and elsewhere. The results of this analysis show the changing nature of human occupation at Khirbat al-Mukhayyat over time, highlighting activity during the Iron Age, Hellenistic, and Byzantine periods and reflect on the importance of using and making the results of such surveys available.
Cultural Heritage Damage Assessment at Khirbet al-Khalde in a Longue Durée Perspective: Multiscalar Methodologies and Survey Results
Authors: Harvey Craig A. , Intagliata Emanuele Ettore , Mokránová Katarína , Raja Rubina , Zoppi Mara 
Published: May 2024

ABSTRACT
Fieldwork projects in the Middle East and North Africa are increasingly integrating a wide variety of methodologies, and often such rapidly developing approaches are results of the fragile situation in the region. While this trend, moving away from purely traditional approaches, is welcome and promises to open new avenues of investigation, the utilization of legacy data, which holds a vast trove of information, is often overlooked in the process of publishing results. Such legacy data can help us understand the sites in a more holistic way both before, during, and after fieldwork. This contribution advocates for the inclusion of legacy data as preparation for survey and fieldwork and shows in which ways the analysis of such data can aid the understanding of a site in its longue durée perspective, especially when integrated with other research approaches.