bluuebunny/crossref_metadata_2025_split huggingface dataset:
MEGALOBLASTIC ANEMIA IN ADULTS WITH NEW-ONSET PANCYTOPENIA ON PERIPHERAL SMEAR
Authors: Razaq Sajid , Badshah Aliena , Ur Rehman Obaid , Munib Nayab , Shafi Mohsin 
Published: March 2024

Objectives: To determine the frequency of megaloblastic anemia in patients with a new onset of pancytopenia on peripheral smear.
Materials and Methods: This cross-sectional study was conducted in the Department of Medicine, Khyber Teaching Hospital, Peshawar from 1st February 2021 to 31st July 2021. A total of 109 patients participated in the study after fulfilling the inclusion criteria. Patients with pancytopenia on peripheral smear underwent bone marrow biopsy. Megaloblastic anemia as the cause of pancytopenia was confirmed after bone marrow biopsy reports were available. The results were stratified into tables based on study participants’ demographics. Data was analyzed by SPSS 23 and presented in tables.
Results: Megaloblastic anemia was observed in 42.2% of patients presenting with pancytopenia on peripheral smear. 66.1% of these were male and 33.9% were female.
Conclusion: A large number of patients with pancytopenia on initial investigations were diagnosed to be suffering from megaloblastic anemia in our study.
Keywords: Pancytopenia; Megaloblastic anemia; Peripheral smear; Bone marrow biopsy
Correction method for moderate and severe degrees of hallux valgus associated with transfer metatarsalgia
Authors: Zhanaspayev Amangasy , Bokembayev Nurlan , Zhanaspayev Marat , Tlemissov Aidos , Aubakirova Sabina , Prokazyuk Alexander 
Published: March 2024

BACKGROUND
Hallux valgus (HV) is a common foot deformity that manifests with increasing age, especially in women. The associated foot pain causes impaired gait and decreases quality of life. Moderate and severe HV is a deformity that is characterized by the involvement of lesser rays and requires complex surgical treatment. In this study, we attempted to develop a procedure for this condition.
AIM
To analyse the treatment results of patients who underwent simultaneous surgical correction of all parts of a static forefoot deformity.
METHODS
We conducted a prospective clinical trial between 2016 and 2021 in which 30 feet with moderate or severe HV associated with Tailor’s bunion and metatarsalgia were surgically treated via a new method involving surgical correction of all associated problems. This method included a modified Lapidus procedure, M2M3 tarsometatarsal arthrodesis, intermetatarsal fusion of the M4 and M5 bases, and the use of an original external fixation apparatus to enhance correction power. Preoperative, postoperative, and final follow-up radiographic data and American Orthopaedic Foot and Ankle Society (AOFAS) scores were compared, and P values < 0.05 were considered to indicate statistical significance.
RESULTS
The study included 28 females (93.3%) and 2 males feet (6.7%), 20 (66.7%) of whom had a moderate degree of HV and 10 (33.3%) of whom had severe deformity. M2 and M3 metatarsalgia was observed in 21 feet, and 9 feet experienced pain only at M2. The mean follow-up duration was 11 months. All patients had good correction of the HV angle [preoperative median, 36.5 degrees, interquartile range (IQR): 30-45; postoperative median, 10 degrees, IQR: 8.8-10; follow-up median, 11.5 degrees, IQR: 10-14; P < 0.01]. At follow-up, metatarsalgia was resolved in most patients (30 vs 5). There was a clinically negligible decrease in the corrected angles at the final follow-up, and the overall AOFAS score was significantly better (median, 65 points, IQR: 53.8-70; vs 80 points, IQR: 75-85; P < 0.01).
CONCLUSION
The developed method showed good sustainability of correction power in a small sample of patients at the one-year follow-up. Randomized clinical trials with larger samples, as well as long-term outcome assessments, are needed in the future.
“I have not a word about my own sensations”: Intoxication, Trauma and Imperialism in The Moonstone
Authors: Fox-Williams Jack 
Published: March 2024

ABSTRACT
This article examines the relationship between intoxication, trauma, and imperialism in Wilkie Collins’s The Moonstone, exploring how altered states of consciousness recuperate and repress the shameful secrets of colonial history. Throughout the novel, the characters attempt to explicate the violence of empire by retracing the past through textual fragments, such as journals, letters, and diary-entries. However, in doing so, they succumb to quasi-narcotic states of unconscious cerebration, psychic repression, and automatic action. As such, the process of detection becomes a painful, and even traumatic, experience in which psychical information is forgotten, yet never erased. Thus, while the novel attempts to formulate a critique of the British Empire, its critical voice remains regulated by the psychosomatic logic at work, simultaneously concealing and revealing the traumas of colonial dispossession. Drawing upon the work of Judith Herman, Cathy Caruth, Jill Matus, and other contemporary trauma theorists, as well as Victorian theories of addiction, unconscious memory, and psychic shock, this article suggests that while Collins frames the imperial project as both “trauma” and “intoxication,” demonstrating how political violence creates a disturbance in memory and consciousness, the novel occupies an ideologically ambivalent space, unable to assimilate fully the horrors of British imperialism.
Carcerality and Violence
Authors: Besteman Catherine 
Published: March 2024

ABSTRACT
Prisons intersect with violence in multiple ways. In addition to holding people convicted of violent harms while also inflicting violence on those inside (including staff), they enact violence on the basic ability to be human by continually severing the kinds of personal relationships that define what it means to be human, such as through solitary confinement and the severe limitations placed by prisons on personal relationships between prisoners and people on the outside. This article questions the distinction between “violent offenders” and “nonviolent offenders,” suggests that the entire criminal legal system itself enacts exorbitant violence, and asks how people leaving prison are supposed to be able to recover their humanity by relearning how to form meaningful and committed relationships, after living for years in a place that denies them that right.
Violence, Plasticity, and Rhetoric
Authors: Happe Kelly , Wang Allegro 
Published: March 2024

ABSTRACT
Catherine Malabou builds on neuroscience to offer a theory of the plasticity of the brain, arguing that trauma holds transformative potential. This article argues, however, that her theory prioritizes resilience in the face of episodic moments of violence and trauma, which undertheorizes the trauma of chronic conditions experienced by racialized, particularly Black, subjects. Instead, this article turns to Christina Sharpe’s theory of wake work and, more specifically, Black annotation and Black redaction, to demonstrate how, in the wake of transatlantic slavery, there is space for the collective disruption of symbolic structures to generate openings for imagining and circulating alternative possibilities to the hegemonic institutions of the past and present. Contrasting Malabou’s focus on the transformation of the brain during episodic violence and trauma, this article contends that Sharpe may demonstrate the possibility of plasticity in form and the symbolic in quotidian experiences and practices.
The Banco de España Business Activity Survey: 2024 Q1
Authors: Fernández Cerezo Alejandro , Izquierdo Mario 
Published: March 2024

Rationale
The Banco de España Business Activity Survey (EBAE) provides highly valuable, real-time information on a broad sample of Spanish firms’ turnover, employment, costs and prices. This is particularly helpful for diagnosing current economic developments.
Takeaways
•Firms perceived a decline in their turnover in 2024 Q1, albeit with considerable cross-sector heterogeneity.
•Overall, the results show that investment activity has performed worse in the first quarter of the year compared both with the preceding quarter and with what firms expected for this quarter three months ago.
•Business activity continues to be shaped by uncertainty over economic policy (which remains the main conditioning factor) and by a growing concern over labour shortages (associated with greater expected rises in labour costs), and also appears to have felt the impact of the recent geopolitical tensions in the Red Sea.
Penerapan Metode Certainty Factor dalam Sistem Pakar untuk Mendiagnosa Penyakit Campak pada Balita
Authors: Anwar Badrul , Andeana Siti , Ambiyar Ambiyar , Verawardina Unung 
Published: March 2024

Campak merupakan penyakit infeksi menular (infeksius) pada balita yang disebabkan oleh virus golongan paramyxovirus. Di Indonesia, campak menempati peringkat keempat sebagai penyebab Kejadian Luar Biasa (KLB), setelah Demam Berdarah Dengue (DBD), diare, dan chikungunya. Meski demikian, pengetahuan masyarakat Indonesia terkait bahaya penyakit campak masih terbatas. Beberapa wilayah di Indonesia menghadapi tantangan di bidang medis, seperti kesulitan akses terhadap pelayanan kesehatan karena fasilitas kesehatan yang terbatas dan kekurangan tenaga medis, terutama dokter spesialis yang mengkhususkan diri dalam menangani penyakit campak. Tingginya biaya konsultasi di rumah sakit atau oleh dokter spesialis juga menjadi kendala bagi masyarakat berpenghasilan menengah ke bawah dalam mendapatkan penanganan medis yang lebih lanjut. Selain itu, sejak munculnya penyakit Covid-19 di Indonesia, masyarakat menjadi enggan untuk mengunjungi rumah sakit karena memandang rumah sakit sebagai tempat dengan risiko penularan virus yang tinggi. Untuk mengatasi permasalahan tersebut, diperlukan penerapan teknologi informasi yang dapat melakukan diagnosis penyakit campak pada balita melalui sistem pakar dengan menggunakan metode certainty factor. Metode ini memungkinkan penentuan tingkat keyakinan pakar terhadap fakta atau aturan tertentu, menggambarkan kepastian terhadap masalah yang dihadapi. Dengan mencapai nilai akhir sebesar 94.18%, hasil diagnosa ini mendekati hasil diagnosa yang dilakukan oleh seorang pakar, khususnya dokter anak. Hasil penelitian sesuai dengan tujuannya untuk mendiagnosis penyakit campak pada balita agar mendapatkan penanganan secara cepat dan juga membantu masyarakat memahami tingkat bahaya penyakit campak dan merespon dengan tindakan lebih cepat.
Penerapan Data Mining Untuk Pola Penjualan Pupuk Menggunakan Algoritma Apriori
Authors: Prayuda Dimas , Dahria Muhammad , Syahril Muhammad , Lubis Zulkifli , Sobirin Sobirin 
Published: March 2024

CV. Sumber Stona Jaya merupakan perusahaan yang beralamat dijalan Flamboyan Raya Gang Bersama,Tanjung Sari Kecamatan Medan Selayang dan bergerak dibidang pertanian. Perusahaan ini berkegiatan dalam jual beli berbagai merek pupuk. Dengan adanya kegiatan tersebut membuat CV. Sumber Stona Jaya memiliki data transaksi yang tercatat. Penelitian ini bertujuan untuk menemukan pola penjualan pupuk pada CV. Sumber Stona Jaya dengan menggunakan salah satu algoritma dalam Data Mining yaitu Algoritma Apriori. Algoritma Apriori dapat menemukan pola hubungan antar produk dari data transaksi CV. Sumber Stona Jaya. Algoritma Apriori merupakan salah satu algoritma dalam data mining yang menerapkan jenis aturan asosiasi. Salah satu tahap analisis asosiasi yang menarik perhatian banyak peneliti untuk menghasilkan algoritma yang efisien adalah analisis pola frekuensi tinggi (frequent pattern mining). Hasil yang diperoleh dari penelitian ini adalah informasi-informasi yang berisi tentang keterkaitan antar produk dan membentuk suatu pola dari kombinasi dari 1 produk maupun kombinasi dari 2 produk.
Implementasi Sistem Monitoring Dan Controlling Filterisasi pH Air Berbasis IoT Menggunakan NodeMcu Dan Telegram
Authors: Ikhsan M Khairul , Erwansyah Kamil , Anwar Badrul 
Published: March 2024

Dalam proses pengukuran kualitas pH air kolam renang pada umumnya masih menggunakan cara manual yaitu dengan menggunakan alat pengukur manual yang dilakukan pekerja secara langsung kekolam renang tersebut dan untuk menghidupkan mesin filter pekerja masih harus masuk keruangan bawah tanah untuk menghidupkan mesin tersebut cara ini cukup menghabiskan banyak waktu. Di dalam penelitian sistem monitoring dan controling pH air dan filterisasi dibuat agar memudahkan pekerja kolam dalam melaksanakan tugasnya.Dalam penelitian ini metodologi metode perancangan sistem yang digunakan yaitu Research and Development, dengan menggunakan NodeMcu ESP8266 sebagai mikrokontroler dengan menerapkan konsep IoT. Lalu Sensor pH sebagai pendeteksi kualitas air kolam renang dan pompa DC untuk menarik air ke dalam filter dengan menggunakan aplikasi Telegram sebagai media pengendali dan penginformasi. Hasilnya sistem berjalan dengan baik dan dapat bekerja sesuai yang diinginkan yaitu dapat memberikan informasi kualitas air kolam dan dapat menghidupkan dan mematikan mesin filter tanpa ada kendala baik secara sistem ataupun dalam jaringan.Â Sehingga informasi kolam renang sampai kepada pekerja dan pemilik kolam renang.Kata Kunci: IoT, Sensor pH,Pompa DC, NodeMcu8266, Telegram
La agenda medioambiental: el rol de los medios de comunicación en Nicaragua
Authors: Maliaños Altamirano Rosa María 
Published: March 2024

Este escrito tiene el propósito de conocer la agenda mediática de los noticieros televisivos de Nicaragua con el objetivo de reflexionar acerca del rol que desempeñan estos medios en la cobertura medioambiental. Otro de los propósitos consiste en determinar si los contenidos informativos están enfocados a la educación ambiental, haciendo también una valoración de la pertinencia o no, de una formación especializada en periodismo ambiental, que le permita al comunicador abordar estos temas con una visión más crítica y reflexiva, orientada al cuido de nuestra casa común, el Planeta Tierra. Para este trabajo, se tomó como referencia los noticieros: Crónica TN8 de Canal 8, TV Noticias de Canal 2 y Noticiero Acción 10 de Canal 10. Para su desarrollo, se hizo una revisión documental que contempló la búsqueda, selección y recopilación de información sobre el tema. Para ello se consultaron artículos científicos publicados en repositorios electrónicos. De igual manera, se trabajó en el monitoreo de los noticieros, considerando las variables como: título de las noticias, contenido, tipo de cobertura y verificación de las mismas en formato audiovisual y escrito, a través de los sitios web de los medios televisivos. Entre los principales hallazgos está el poco interés de los medios en la promoción, entre sus audiencias, de una cultura orientada a la conservación y preservación del medioambiente. Esto podría atribuirse a tres aspectos que se analizan en el trabajo: el desconocimiento que tienen los periodistas sobre el tema, el tipo de contenido que no se considera atractivo y por tanto no genera rating, por último, no se considera lucrativo, en términos de rentabilidad, para el medio este tipo de información. Es importante mencionar que existe un vacío en la redacción de los contenidos noticiosos, limitándose únicamente a la cobertura, sin aportar ninguna valoración del hecho informativo,ni preventivo. La ausencia en la agenda periódica de los medios estudiados de este tema transmite una falsa comprensión, entre sus audiencias, de que todo está bien, cuando en realidad se necesita de un trabajo informativo articulado entre las instituciones, empresas privadas y Estado que oriente a los diferentes estratos sociales de la población, a asumir prácticas amigables con el medioambiente.
Outcomes of Pediatric Proximal Phalanx Base Fractures
Authors: Schutz John , Korrell Hannah , Look Nicole , Lalka Andy , Hild Johanna , Cleary Gabriela , Sinclair Micah K. , Sibbel Sarah E. 
Published: March 2024

Introduction:
Extra-articular juxtaphyseal fractures of the proximal phalanx are among the most common finger fractures in children. Immobilization of the digit for 3 to 4 weeks after reduction of the fracture is the current standard of care. The purpose of this retrospective study was to evaluate outcomes after intervention among pediatric proximal phalanx base fractures and establish radiographic criteria to guide management.

Methods:
A multi-institutional retrospective review of skeletally immature patients treated for proximal phalanx juxtaphyseal fractures between 2002 and 2019 was conducted. Variables collected included Salter-Harris classification; initial, postreduction, early follow-up, and final angulation and displacement on the posterior-anterior and lateral radiographs; clinical rotational deformity at final follow-up; and method of treatment. Exclusion criteria included less than 3 weeks of follow-up; Salter-Harris III, IV, and V fractures; inadequate medical record details; and missing radiographs.

Results:
Six hundred thirty-four fractures meeting the inclusion criteria were categorized into no reduction, closed reduction (CR), and surgical (OP) groups. Only CR and OP groups saw large decreases in angulation by 11.8° CR (95% confidence interval, 10.1 to 13.6) and 19.0° OP (95% confidence interval, 8.7 to 29.3). Closed reduction patients had a mean coronal angulation value of 6.1° at post-reduction, which was maintained with immobilization to 5.8° at final follow-up. At final follow-up, scissoring was noted, three in the no reduction and three in the CR group for an overall 0.93% rotational malalignment rate.

Discussion:
Extra-articular proximal phalanx juxtaphyseal fractures rarely require surgical management and can typically be treated with or without CR, based on the degree of deformity, in the emergency department or clinical setting. Low rates of documented sequelae after nonsurgical management were seen in this cohort, allowing for establishment of treatment parameters that can result in clinically insignificant angular and rotational deformity.

Level of evidence:
Therapeutic IV.
MUSTAQILLIK YILLARIDA OʻZBEKISTONDA ICHKI ISHLAR PROFILAKTIKASI INSPEKTORLARI FAOLIYATINI TASHKIL ETISHNING HUQUQIY ASOSLARINI MUSTAHKAMLANISHI
Authors: Temirova Mashhura Muhammadaminovna  
Published: March 2024

Mazkur maqolada Mustaqillik yilarida Oʻzbekistonda ichki ishlar profilaktikasi inspektorlari faoliyatini tashkil etishning huquqiy asoslarini mustahkamlanishi, ichki ishlar sohasini takomillashtirish uchun respublikada olib borilgan islohatlar, qarorlar, farmonlar va ularning amaldagi natijalari ilmiy asosda tahlil etilgan. Maqolada tadqiq etilayotgan mavzu yuzasidan N.Taumuratov, A.Yermetov, Q.Qodirovlar tadqiqot ishlarini olib borgan boʻlib, mazkur tadqiqotlarda ichki ishlar sohasining sovetlar hukumronligi davridagi faoliyati oʻrganilgan. Q.Qodirov tomonidan esa soha faoliyatining mustaqillik yillardagi jarayonlari umumiy tarzda tahlil etilgan. Mazkur ishimizda yuqorida sanab oʻtilgan tadqiqotchilarning ishlari muhim manbaviy asos boʻlib xizmat qiladi. Shuningdek, biz tadqiqotga metodologik yondashgan holda arxiv manbalaridan ham toʻlaqonli foydalandik. Shu sababli biz mazkur tadqiqotda ichki ishlar sohasining muhim va asosiy boʻgʻini hisoblangan profilaktika xodimlari faoliyatini tadqiq etishni asosiy maqsad etib qoʻydik. Shuningdek maqolada mustaqillikning dastlabki yillaridagi respublikadagi jinoyatchilik va huquqbuzarlik holatlari islohotlardan keyingi jarayonlar bilan aniq tahlillar asosida qiyosiy oʻrganilgan. Shuningdek, olingan tahlil natijalari asosida ichki ishlar sohasi xodimlarining ish samaradorligini oshirishga doir taklif va xulosalar ishlab chiqilgan.
Use of machine learning models for the prognostication of liver transplantation: A systematic review
Authors: Chongo Gidion , Soldera Jonathan 
Published: March 2024

BACKGROUND
Liver transplantation (LT) is a life-saving intervention for patients with end-stage liver disease. However, the equitable allocation of scarce donor organs remains a formidable challenge. Prognostic tools are pivotal in identifying the most suitable transplant candidates. Traditionally, scoring systems like the model for end-stage liver disease have been instrumental in this process. Nevertheless, the landscape of prognostication is undergoing a transformation with the integration of machine learning (ML) and artificial intelligence models.
AIM
To assess the utility of ML models in prognostication for LT, comparing their performance and reliability to established traditional scoring systems.
METHODS
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, we conducted a thorough and standardized literature search using the PubMed/MEDLINE database. Our search imposed no restrictions on publication year, age, or gender. Exclusion criteria encompassed non-English studies, review articles, case reports, conference papers, studies with missing data, or those exhibiting evident methodological flaws.
RESULTS
Our search yielded a total of 64 articles, with 23 meeting the inclusion criteria. Among the selected studies, 60.8% originated from the United States and China combined. Only one pediatric study met the criteria. Notably, 91% of the studies were published within the past five years. ML models consistently demonstrated satisfactory to excellent area under the receiver operating characteristic curve values (ranging from 0.6 to 1) across all studies, surpassing the performance of traditional scoring systems. Random forest exhibited superior predictive capabilities for 90-d mortality following LT, sepsis, and acute kidney injury (AKI). In contrast, gradient boosting excelled in predicting the risk of graft-versus-host disease, pneumonia, and AKI.
CONCLUSION
This study underscores the potential of ML models in guiding decisions related to allograft allocation and LT, marking a significant evolution in the field of prognostication.