bluuebunny/crossref_metadata_2025_split huggingface dataset:
An International Consensus Survey among Pediatric Surgeons on the Role of Appendectomy in Malrotation
Authors: Menon Revathy , Rathod Kirtikumar J. , Sinha Arvind , Minocha Ashish , Hernandez Carlos Garcia , Jiang Dapeng , Raboei Enaam , Cai Jiaoyang , Gallo Lily J Saldana , Chitnis Milind , Gera Purushottam , Pandya Samir , Al Balushi Zainab 
Published: May 2024

ABSTRACT

Introduction:
Ladd’s procedure, originally described in 1936 for the treatment of malrotation, does not traditionally include appendectomy as a standard step. We conducted a multinational survey to investigate the current consensus on the role of appendectomy in Ladd’s procedure.

Methodology:
An anonymous online survey was distributed to pediatric surgeons worldwide. The survey collected demographic data and explored surgical preferences related to the management of malrotation. Open-ended questions were used to assess the opinions regarding the necessity of appendectomy, decision-making factors, and complications associated with appendectomy during Ladd’s procedure.

Results:
A total of 343 responses were received from 46 countries. Of the respondents, 319 (93%) were consultants and 24 (7%) were residents/trainees. When asked about the choice between open and laparoscopic Ladd’s procedure, 292 (85%) preferred open surgery. Overall, 184 (53%) respondents favored appendectomy in both open and laparoscopic Ladd’s procedure. Furthermore, 172 (50%) surgeons advocated for appendectomy in all malrotation cases, citing concerns about potential future appendicitis. While differences existed between all comparisons, none of them reached statistical significance. The factors influencing the decision to preserve the appendix included the risk of postoperative complications and the potential future use of the appendix as a surgical conduit. The surgical complications following appendectomy included surgical site infections in 14 (33%) patients, adhesive obstruction in 13 (31%) patients, intrabdominal abscesses in 10 (24%) patients, and fecal fistulas in 5 (12%) patients.

Conclusion:
The majority of surgeons aim to perform appendectomy in all malrotation cases, considering the potential risks and benefits of this approach. These findings offer valuable insights for clinical practice and may inform future guidelines and decision-making algorithms.
Peripheral nerve blocks for analgesia following cesarean delivery A narrative review
Authors: Agarwal Jyotsna , Babuwe-Ngobi Joy , Belani Kumar G. , Malhotra Naveen 
Published: May 2024

Abstract
Spinal and epidural blocks are commonly employed for pain relief during and following cesarean section. Intrathecal morphine (ITM) has been the gold standard for the same for many years. In recent times, many peripheral nerve blocks (PNBs) have been tried for postoperative analgesia following cesarean delivery (PACD). This article has reviewed the common PNBs used for PACD. The role of PNBs along with ITM has been studied and the current best strategy for PACD has also been explored. Currently, Ilio-inguinal nerve and anterior transversus abdominis plane block in conjunction with intrathecal morphine have been found to be the most effective strategy, providing lower rest pain at 6 hours as compared to ITM alone. In patients not receiving intrathecal morphine, recommended PNBs are lateral transversus abdominis plane block, single shot local anesthetic wound infiltration, or continuous wound infiltration with catheter below rectus fascia. PNBs are recommended for PACD. They have an opioid-sparing effect and are devoid of adverse effects associated with central neuraxial blocks such as hypotension, bradycardia, and urine retention. However, caution must be observed with PNBs for possible local anesthetic toxicity due to the large volumes of drug required.
Enhanced recovery after cesarean (ERAC) versus conventional care: An expanded systematic review and meta-analysis of 18,368 subjects
Authors: Lestari Mayang Indah , Sari Djayanti , Chandra Susilo , Purwoko Purwoko , Isngadi Isngadi , Umar Tungki Pratama 
Published: May 2024

Abstract

Background and Aims:
Enhanced recovery after cesarean (ERAC) is an interdisciplinary approach to improve patient outcomes following cesarean section. ERAC’s execution must be constantly evaluated. Thus, we aimed to analyze parameters associated with ERAC adoption for clinical care in this expanded systematic review.

Material and Methods:
A systematic literature search using Epistemonikos, Google Scholar, PubMed, and Scopus was done until February 2023. The appropriate observational and experimental research comparing the effects of ERAC protocols with conventional care on postoperative adverse events, operation-related characteristics, time to first (oral intake, mobilization, bowel movement, and urinary catheter removal), and opioid use. Meta-analyses were conducted using the RevMan 5.4.1. and Comprehensive Meta-Analysis version 3.3 software.

Results:
In total, 23 studies were included in this systematic review. ERAC implementation was found to be associated with improvement in terms of shorter postoperative hospital stays and faster time to first liquid intake, first solid diet, urinary catheter removal, and mobilization. Furthermore, the rate of opioid-free treatment, total in-hospital morphine milligram equivalent (MME), daily in-hospital MME, and total prescribed opioid pills at discharge (all parameters, P < 0.01) were significantly better in the ERAC group than in the conventional care group. However, no significant difference was observed regarding postoperative adverse events, blood loss, operation duration, and total prescribed MME at discharge parameters between the two observed groups.

Conclusion:
ERAC implementation is associated with better healthcare delivery, as determined by shorter time to first, lower opioid consumption, and shorter postoperative length of stay compared with conventional care. However, it is not associated with a lower dosage of opioid prescription at discharge.
Efficacy of clear aligner therapy over conventional fixed appliances in controlling orthodontic movement: A systematic review
Authors: AlMogbel AbdulMajeed , Alshawy Ebrahim S. , Alhusainy Abdulmageed 
Published: May 2024

OBJECTIVE:
The purpose of the current systematic review was to answer the clinical research question “Is Clear Aligner Therapy (CAT) effective in controlling the orthodontic movement?” by bringing together the most up-to-date information about the available evidence for CAT.

METHODOLOGY:
On January 1, 2023, a search was conducted in PubMed, ERIC, Embase, and CINHAL for any research papers published in the previous 10 years that provided an overview of the PICO questions. Both the titles and abstracts of the selected studies were evaluated independently by two different authors, and if there was any disagreement between the two review authors, a third reviewer was brought in to settle it.

RESULTS:
Among included studies, three were retrospective non-randomized and two studies were prospective randomized clinical trials. Various authors reported better outcome for fixed orthodontic appliances than for clear aligner treatment (CAT) in relation to mandibular incisor proclination. The mean objective grading system score was better for braces (17) than for CAT (12) with no clinically significant difference, while staging had a significant impact on treatment efficacy.

CONCLUSION:
The results of this study suggest that clear aligners may be an effective alternative to traditional braces, but more research is needed to confirm these findings and determine the optimal size of future prospective studies evaluating this treatment.
Comparative evaluation of effectiveness of three versus four mini-implants for simultaneous intrusion and retraction of maxillary anterior teeth: A 3D FEM study
Authors: Gupta Sajal , Khera Amit Kr. , Raghav Pradeep , Wadhawan Ashutosh , Wadhwa Pankaj , Sharma Nupur 
Published: May 2024

OBJECTIVE:
To evaluate and compare the displacement pattern of maxillary anterior teeth in the sagittal and vertical planes and evaluate the stress distribution in pdl, bone, teeth of the maxillary anterior region, and around the mini-implants during simultaneous en-masse retraction and intrusion using two, three, and four mini-implants combinations.

METHODS:
A three-dimensional FEM model of maxillary teeth and periodontal ligament housed in the alveolar bone with extracted first premolarswasgenerated. The models were broadly divided into three groups according to the number of mini-implants. Mini-implants were placed bilaterally between the second premolar and molar in group I, and along with bilateral implants, an additional mid-implant was placed between the central incisors as in group II, whereas in group III, anterior mini-implants were placed in between lateral incisors and canine bilaterally.

RESULTS:
The two mini-implant model showed the maximum amount of retraction in the sagittal plane followed by three and four mini-implant models. In the vertical plane, all six anterior teeth showed intrusion only in the four mini-implant model. The stress in cortical bone, cancellous bone, PDL, around the mini-implants, and in lateral incisor was maximum in the three mini-implant model, followed by four mini-implants with the least stress in the two mini-implant model.

CONCLUSION:
The four mini-implant model is better than the three and two mini-implants model as there is a more even distribution of force in the four mini-implants model as compared to the three mini-implants model.
Pengaruh Kualitas Pelayanan Pusat Mata Nasional Rumah Sakit Mata Cicendo Terhadap Loyalitas Pasien
Authors: Zaki Wahyu Mustajab  , Uud Wahyudin  , Teddy Kurnia  
Published: May 2024

This research aims to determine the influence of the service quality of the National Eye Center Cicendo Eye Hospital on outpatient patient loyalty with the Social Exchange Theory proposed by Thibault and Kelley in 1959 as its theoretical foundation. In this study, the researcher employed a correlational method with a quantitative approach. The sample for this study consisted of 96 outpatient patients from the executive installation of the National Eye Center Cicendo Eye Hospital, chosen as respondents through simple random sampling. Subsequently, data analysis involved descriptive analysis and inferential statistica. The research results indicate that simultaneously, the service quality of the National Eye Center at Cicendo Eye Hospital significantly influences the loyalty of outpatient executive installation patients. Furthermore, on a partial level, tangible, reliability, responsiveness, assurance, and empathy in the service quality of the National Eye Center at Cicendo Eye Hospital significantly affect the loyalty of outpatient executive installation patients
Livelihood Challenges of the River Fishermen in Bangladesh: A Systematic Review and Recommendations for the Policy and Practice
Authors: Abdul Mazid Md. , Golam Azam Md. , Zakia Umme Habiba Mst. 
Published: May 2024

Fishing in rivers is one of the major occupations of fisher communities of Bangladesh who live near the river banks across the country. The objectives of this qualitative review are to identify the key livelihood challenges experienced by the river fishermen (fishers) and to recommend some policies in light of the previous studies available for review. The researchers used a systematic review guided by the PRISMA method/guidelines. Boolean search strings were used to identify the literature from databases like PubMed, MDPI, ScienceDirect, and Google Scholar. The findings show that the fishers' communities are excluded from mainstream society and deprived of enjoyment of basic human rights and needs. Also, they are suffering from extreme levels of economic hardships and vulnerabilities, climate change-related natural catastrophes, diseases, and poor communication systems. The fisher communities were also found to experience social stigma, social exclusion, and isolation. Moreover, family pressure linked to demographic change, financial constraints, poor market facilities, reduction of fishing areas for territorial conflicts, political unrest, and pressure from the musclemen and socially miscreants or deviant persons is observed in the study. The fishers were also found to suffer from a shortage of fishing gear, boats, nets, and resources. Based on the systematic review of literature related to the study, several policy recommendations have been made that contribute to promoting the quality of lives of fishermen (fishers) through socio-economic, cultural, physical-infrastructural, and environmental development.
Implementation of Regent Regulation Concerning the Determination of the Amount of Housing and Transport Allowances for Leaders and Members of the Regional People's Representative Council
Authors: Hilwen Hilwen , Suatmiati Sri , Hayatuddin Khalisah 
Published: May 2024

This study examines the practical implementation of Regent Regulation, which focuses on determining houses and transport allowances for leaders or members of the Regional People's Representative Council (DPRD). The regulation, enacted to address issues related to financial compensation for public officials, holds significance in ensuring fair and transparent remuneration practices while maintaining fiscal responsibility. The research employs a mixed-methods approach, combining document analysis of the regulation and supporting documents with interviews and surveys involving key stakeholders, including council members, administrative officials, and community representatives. The investigation aim to assess the effectiveness of the regulation in achieving its intended objectives, uncover potential challenges faced during its implementation, and gauge the perception of various stakeholders regarding its adequacy and fairness of the determined allowances.
TEORI PENDIDIKAN TUNTAS MASTERY LEARNING BENYAMIN S BLOOM
Authors: Lafendry Ferdinal 
Published: May 2024

Tulisan ini menganalisis tentang penggunaan bloom taxonomi dalam proses pemblajaran. Data penelitian dilakukan melalui pendekatan deskriptif analistis serta referensi yang terkait. Tujuannya adalah untuk memberikan pemahaman dan penguasaan peenggunaan hirarki yang dikemukakan oleh Benyamin S Bloom. Dengan menggunakan metode deskriptif analisis.Taksonomi Bloommerupakan struktur hierarki yang mengidentifikasikan skills mulai dari tingkat terendah hingga tertinggi. Taxonomi Bloom menjadi referensi sebagai seperangkat klasifikasi standar,memberikan panduan kepada guru dalam memahami tingkatan hirarki tersebut dan cara menggunakannya dalam pengajaran. Sehingga guru dapat memastikan kompetensi dasar dan indikator hasil belajar yang akan dicapai apakah capaian pembelajaran hanya sampai low order thinking skill mengetahui, memahahami atau sampai mampu mempraktekan dan mampu menaplikasikannya bahkan sampai ke indikator high order thinking skill . Hal ini dimaksudkan untuk mengklasifikasikan tujuan-tujuan dari sistem pendidikan kita.
Quasi-biennial oscillation modulation of stratospheric water vapour in the Asian monsoon
Authors: Peña-Ortiz Cristina , Plaza Nuria Pilar , Gallego David , Ploeger Felix 
Published: May 2024

Abstract. The Asian monsoon (AM) plays a key role in the transport of water vapour to the lower stratosphere and contributes significantly to the wet phase of the annual global stratospheric water vapour cycle. Although it is known that the quasi-biennial oscillation (QBO) is one of the main drivers of the interannual variability in the AM water vapour, the physical mechanisms responsible for this variability remain unclear. Here we have used daily microwave limb sounder data for the period 2005–2020 to characterize the QBO signature on the lower stratosphere AM water vapour during the boreal summer. We show that the QBO has the strongest impact during August, when QBO westerly minus QBO easterly differences may reach 1 ppmv at 100 hPa, although a significant signature is also observed during July. We find that the region whose temperature controls the QBO signal on water vapour over the AM differs between July and August. In July, when the key region is over the tropical Indian Ocean, the QBO modulation of the AM water vapour occurs in phase with the signal over the Equator, whereas in August, when the key region is at the subtropics, over the southern edge of the monsoon, the signal over the AM is opposite to that over the Equator. Our results reveal that the QBO signal on the temperature on the south side of the AM anticyclone, which ultimately has an impact on AM water vapour, is, in turn, modulated by the QBO impact on tropical clouds. Thus, we find that the QBO signature on clouds over the eastern Indian Ocean gives rise to Rossby wave trains that produce variations in the circulation over the southern side of the AM anticyclone such that weaker anticyclone over this region generates an increase in water vapour, and vice versa.
Broadleaf afforestation impacts on terrestrial hydrology insignificant compared to climate change in Great Britain
Authors: Buechel Marcus , Slater Louise , Dadson Simon 
Published: May 2024

Abstract. Widespread afforestation has been proposed internationally to reduce atmospheric carbon dioxide; however, the specific hydrological consequences and benefits of such large-scale afforestation (e.g. natural flood management) are poorly understood. We use a high-resolution land surface model, the Joint UK Land Environment Simulator (JULES), with realistic potential afforestation scenarios to quantify possible hydrological change across Great Britain in both present and projected climate. We assess whether proposed afforestation produces significantly different regional responses across regions; whether hydrological fluxes, stores and events are significantly altered by afforestation relative to climate; and how future hydrological processes may be altered up to 2050. Additionally, this enables determination of the relative sensitivity of land surface process representation in JULES compared to climate changes. For these three aims we run simulations using (i) past climate with proposed land cover changes and known floods and drought events; (ii) past climate with independent changes in precipitation, temperature, and CO2; and (iii) a potential future climate (2020–2050). We find the proposed scale of afforestation is unlikely to significantly alter regional hydrology; however, it can noticeably decrease low flows whilst not reducing high flows. The afforestation levels minimally impact hydrological processes compared to changes in precipitation, temperature, and CO2. Warming average temperatures (+3 °C) decreases streamflow, while rising precipitation (130 %) and CO2 (600 ppm) increase streamflow. Changes in high flow are generated because of evaporative parameterizations, whereas low flows are controlled by runoff model parameterizations. In this study, land surface parameters within a land surface model do not substantially alter hydrological processes when compared to climate.
Opposite spectral properties of Rossby waves during weak and strong stratospheric polar vortex events
Authors: Schutte Michael , Domeisen Daniela I. V. , Riboldi Jacopo 
Published: May 2024

Abstract. In this study we provide a systematic characterization of Rossby wave activity during the 25 sudden stratospheric warming (SSW) and 31 strong polar vortex (SPV) events that occurred in the period 1979–2021, identifying the specific tropospheric and stratospheric waves displaying anomalous behaviour during such events. Space–time spectral analysis is applied to ERA5 data for this purpose, so that both the wavenumber and the zonal phase speed of the waves can be assessed. We find that SSW events are associated with a reduction in the phase speed of Rossby waves, first in the stratosphere and then in the troposphere; SPV events are tied to a simultaneous increase of phase speed across vertical levels. Phase speed anomalies become significant around the event and persist for 2–3 weeks afterwards. Changes of Rossby wave properties in the stratosphere during SSW and SPV events are dominated by changes in the background flow, with a systematic reduction or increase, respectively, in eastward propagation of the waves across most wavenumbers. In the troposphere, on the other hand, the effect of the background flow is also complemented by changes in wave properties, with a shift towards higher wavenumbers during SSW events and towards lower wavenumbers for SPV events. The opposite response between SSW and SPV events is also visible in the meridional heat and momentum flux co-spectra, which highlight from a novel perspective the connection between stratospheric Rossby waves and upward propagation of waves.
Rand-Index Target Projective Gradient Deep Belief Network for Software Fault Prediction
Authors: T Shathish Kumar  
Published: May 2024

Predicting defective software modules before testing is a valuable operation that reduces time and cost of software testing. Source code fault prediction plays a vital role in improving software quality that effectively assists in optimization testing resource allocation. Several machine learning and ensemble learning techniques has been extensively evolved over the recent few years to predict defect at an early stage. These techniques made predictions based on historical defect data, the software metrics. Nevertheless, the time efficient and accurate fault predictions are the major challenging tasks that yet have to be addressed. In order to ensure accurate software fault prediction, a method called Rand-Index Target Projective Gradient Deep Belief Network (RTPGDBN) is designed. The proposed RTPGDBN method comprises of three processes namely acquiring JAVA packages, software metric selection and classification. First, the number of JAVA packages is used as input from the dataset. Second with the JAVA packages obtained as input, Rand similarity indexive target projection function is applied for selecting the most significant software metrics in order to minimize time complexity of fault prediction. Third, with the selected metrics, classification is performed using Tversky Gradient Deep Belief neural network. Also, gradient descent function is applied to minimize classification error, therefore ensuring accurate software fault classification results obtained at the output layer. Experimental setup of proposed RPGDDBN and existing methods are implemented in Java language and the dataset collected from smell prediction replication package. Performance analysis is carried out with different quantitative metrics such as accuracy, precision, recall, F-measure, and time complexity and space complexity. Through extensive experiments on repository data, experimental results indicate that our RPGDDBN method outperforms two state-of-the-art defect detection methods in terms of different performance metrics.
Compact Tri-band Loaded Antenna for wireless Communication and Fifth generation Applications
Authors: M. Raja Kumar  
Published: May 2024

The tri-band antenna proposed for wireless applications. The proposed antenna with a low profile and compact-T shaped. Two circular rings are connected with stub different pole sizes is shown in this article. The proposed work is carried out using CST Microwave Design Studio on FR-4 substrate with a thickness of 1.6 mm. The suggested antenna works cover all commercial and C band applications in the frequency range of 1 to 6 GHz. It gives triple band at 2.5 GHz for (EBS), 3.5 GHz for 5G band or C-band and 5.8 Ism band for wireless and Wifi Max ,5G applications. An impedance bandwidth of the 15%(2.45 to 2.6),17%(3.32 to 3.6GHz) and 25%(5.5 to 5.8 GHz is obtained. A good conjunction between the simulation and measured results is inferred from design analysis.