bluuebunny/crossref_metadata_2025_split huggingface dataset:
RELATIONSHIP BETWEEN VITAMIN B12 LEVELS AND ADVERSE LIPID PROFILES IN APPARENTLY HEALTHY INDIVIDUALS VISITING WELLNESS ASSESSMENT CENTER: A PROSPECTIVE STUDY
Authors: SHENDE VIJAYALAXMI 
Published: March 2024

Objective: For metabolic disorders, an abnormal lipid profile stands alone as a risk factor. Since most research has been done on unhealthy populations, a relationship in vitamin B12 deficiency and lipid profile is unclear.
Methods: We conducted a cross-sectional research with 201 apparently healthy vitamin B12 deficient people, aged 25 to 60, in order to evaluate a relationship in serum vitamin B12 levels and lipid profiles.
Results: Sociodemographic, anthropometric, and biochemical data has been collected. Serum vitamin B12 deficiency has defined as serum B12 level of<159 pmol/l.25% of the subjects had raised cholesterol, 70% had raised LDL, 35% had raised triglycerides, and 71% had low HDL. We observed that only MCV was negatively associated with vitamin B12 levels (P<0.0001). A remaining other variables, including lipid profile were not associated with vitamin B12 levels. We also found that presence of comorbidities was not significantly associated with vitamin B12 levels (P=NS).
Conclusion: Therefore, in apparently healthy individuals, low serum vitamin B12 levels are not linked with abnormal lipid profiles.
STUDY OF FUNCTIONAL AND RADIOLOGICAL OUTCOMES OF OPEN REDUCTION AND INTERNAL FIXATION OF PROXIMAL HUMERUS FRACTURES WITH PROXIMAL HUMERUS LOCKING PLATE
Authors: GAMI DHAWAL , BANDE PRAVIN , WAJEKAR SAGAR 
Published: March 2024

Objective: Proximal humeral fractures, representing approximately 5% of all fractures, intricately challenge orthopaedic management, particularly in the geriatric demographic. Displaced variants, frequently encountered in the elderly, prompt surgical intervention to mitigate notable morbidity. The introduction of angular stable proximal humerus locking plates heralds a pivotal shift, purveying biomechanical robustness in osteoporotic contexts. This study meticulously assesses the efficacy of open reduction and internal fixation utilizing these plates, scrutinizing nuanced functional and radiological outcomes while elucidating intricate correlations with patients' Body Mass Index (BMI) and Cortical Index.
Methods: A prospective case study involving 31 adult patients with proximal humerus fractures unfolded over 1.5 y within the bastions of the Department of Orthopaedics at BARC Hospital. Inclusion criteria encompassed specific fracture morphologies, while exclusion criteria diligently precluded medically infirm subjects and isolated tuberosity fractures. Radiographic scrutiny encompassed parameters such as cortical index, fracture classification, neck-shaft angle, GT to AS distance, and medial hinge reduction. Functional assessments, including QuickDASH and Constant-Murley scoring, were conducted postoperatively at 3 and 6 mo. Correlation analyses interfacing with BMI and cortical index engendered a profound understanding.
Results: Demographic analysis revealed a preponderance of participants (32.3%) within the 61-70 age bracket, with 54.8% manifesting Neer 2-part fractures. The cohort exhibited an average BMI of 26.27 (SD = 4.29), coupled with a Cortical Index averaging 0.216 (SD = 0.012). Significantly improved QuickDASH scores, dwindling from 25.54±6.74 at 3 mo to 13.16±8.57 at 6 mo (p<0.0001), underscored noteworthy clinical advancement. Complications, while relatively infrequent, manifested in 6.5% as screw penetration and 9.7% as superficial infection.
Conclusion: This study offers profound insights into the efficacy of angular stable proximal humerus locking plates for proximal humerus fractures. The discerned stability in anatomical metrics, coupled with substantial functional amelioration and a judiciously low complication milieu, emphatically underscores the procedural effectiveness. Correlation analyses unmask intricate associations with BMI and cortical index. Despite auspicious outcomes, ongoing research imperatively seeks refinement of understanding and the delineation of prophylactic measures for complications.
COMPREHENSIVE ASSESSMENT OF RADIOLOGICAL AND FUNCTIONAL OUTCOMES FOLLOWING TRANSFORAMINAL LUMBAR INTERBODY FUSION IN LUMBAR CANAL STENOSIS PATIENTS
Authors: SINGH RAHUL KUMAR , TOPGIA CHHEWANG , DEEPAK PRIYANK 
Published: March 2024

Objective: The lumbar spine, a crucial component of the musculoskeletal system, is integral for structural support and mobility. Lumbar canal stenosis (LCS), characterized by spinal canal narrowing, is a growing concern associated with degenerative changes. Transforaminal lumbar interbody fusion (TLIF) has emerged as a surgical intervention for LCS, aiming to achieve decompression and stabilization. This study comprehensively assesses the radiological and functional outcomes post-TLIF in LCS patients.
Methods: A cohort of 40 LCS patients undergoing TLIF at Indira Gandhi Medical College was studied. Fifteen were retrospectively assessed operated on before May 2016, and 25 were prospective, operated between May 2016 and May 2017. Demographic data, preoperative ASIA scores, ligamentum flavum hypertrophy, facet joint arthropathy, and Bridwell Fusion Grades were analyzed. Statistical tests included mean calculations, chi-square tests, and Mann-Whitney U tests.
Results: The study revealed a significant male predominance (57.5%) and age distribution (32 to 72 y) with a male-to-female ratio of 1.35:1 (p value 0.0049). Preoperative ASIA scores showed 50% ASIA grade D and 25% grade E. Ligamentum flavum hypertrophy and facet joint arthropathy were present in 70% and 67.5% of patients, respectively. Bridwell Fusion Grade indicated 80% achieved grade 1 fusion.
Conclusion: This study contributes valuable insights into TLIF outcomes in LCS patients, emphasizing the significance of age, gender, neurological status, and associated pathologies. Favorable fusion outcomes suggest TLIF effectively stabilizes the lumbar spine. Future research with larger cohorts could further validate these findings and refine TLIF's role in LCS management.
EXPLORING THE IMPACT OF PIM 3 SCORE ON CLINICAL DECISION-MAKING: A SINGLE-CENTER STUDY
Authors: HAREESH  , HASEEB ABDUL , MALASHETTY SHARANABASAPPA 
Published: March 2024

Objective: In the dynamic landscape of healthcare, the quest for precision in clinical decision-making is pivotal. The Pediatric Index of Mortality 3 (PIM 3) score has emerged as a crucial metric in predicting mortality risk among critically ill children, shaping medical choices in pediatric intensive care units.
Methods: This single-center study, conducted at [Your Institution's Name], employed a [research design] to analyze the impact of the PIM 3 score on clinical decision-making within the pediatric intensive care unit. The study included [number] critically ill pediatric patients aged 1 mo to 18 y, with data extracted from electronic health records. Statistical analyses, including correlation and regression models, were applied to explore relationships and identify factors influencing clinical decision-making.
Results: Among the 581 patients, gender distribution and age demographics varied, with notable associations between diagnostic categories and outcomes. Survivors exhibited lower PIM 3 scores compared to nonsurvivors. Probability scores related to outcomes revealed distinct patterns, emphasizing the predictive utility of the PIM 3 score.
Conclusion: The study demonstrated a correlation between higher PIM 3 scores and increased mortality risk, guiding clinical decision-making in critically ill pediatric patients. Bridging theory and practice, the findings provide valuable insights for enhancing bedside decision-making and improving the quality of care. Acknowledging contextual factors is crucial for a comprehensive understanding of decision-making processes.
COMPARATIVE ANALYSIS OF FEASIBILITY AND RELIABILITY OF PIM 3 SCORE VS. TRADITIONAL SCORING SYSTEMS: INSIGHTS FROM A SINGLE INSTITUTION
Authors: HAREESH  , HASEEB ABDUL , MALASHETTY SHARANABASAPPA 
Published: March 2024

Objective: This comparative analysis explores the feasibility and reliability of the Pediatric Index of Mortality 3 (PIM 3) Score in contrast to traditional scoring systems within the context of a single institution. The study delves into the intricate landscape where the contemporary PIM 3 score converges with the time-honored methodologies of conventional scoring systems, offering valuable insights into prognostic evaluation.
Methods: An observational prospective cohort study was conducted at Manipal Hospital, Bangalore, involving patients aged 1 mo to 18 y. The study focused on children admitted to the Pediatric Intensive Care Unit (PICU) for at least 1 hour, studying the feasibility of obtaining PIM 3 scores within the first hour. Exclusion criteria included neonates, infants less than one-month-old, and children requiring elective procedural sedation. Feasibility was assessed, and logistic regression was employed to evaluate PIM 3's ability to discriminate between survivors and non-survivors.
Results: The training dataset comprised 2,534 patients with a mean age of 8.2 y. Patient characteristics, including age, gender, race, patient type, and origin, were well-distributed. Trauma and variables like elective admission and mechanical ventilation in the first hour were infrequent. The mortality rate across datasets was 1.0%. The PIM 3 risk of mortality and PICU medical length of stay were calculated, forming a comprehensive overview of patient profiles.
Conclusion: The comparative analysis unfolds as a cerebral sojourn, revealing the intricate dance of perplexity and burstiness in the juxtaposition of PIM 3 score against traditional scoring systems. The study contributes nuanced insights, portraying each word and concept as integral notes in the composition of knowledge. This singular institutional perspective offers a profound understanding into the intricacies of prognostic evaluation, creating a narrative that transcends conventional methodologies.
DETECTION OF METHICILLIN RESISTANCE IN CLINICAL ISOLATES OF STAPHYLOCOCCUS AUREUS IN TERTIARY CARE HOSPITAL, TIRUPATI
Authors: KODI VINEELA , RANGINENI JAYAPRADA , SHARABU YAMINI 
Published: March 2024

Objective: The study aimed to estimate the prevalence of methicillin resistance of Staphylococcus aureus in various clinical samples received at tertiary care hospital. Initially, the Staphylococcus aureus and its antibiotic susceptibility tests is performed in clinical samples which are submitted to the department of Microbiology. And Methicillin Resistance Staphylococcus Aureus (MRSA) is determined by using cefoxitin (30 μg) as per CLSI guidelines.
Methods: The prospective study was conducted in department of Microbiology in a tertiary care hospital. All Staphylococcus aureus organisms isolated in clinical samples were included in the study and processed as per the standard operating procedure. Methicillin susceptibility was tested by using cefoxitin (30μg) disks on Muller-Hinton agar plates that were inoculated with a suspension (equal to 0.5 McFarland standards) of the s. aureus.
Results: In our study, amongst hundred staphylococcus aureus isolates, sixty isolates were shown resistance to cefoxitin (30µg), which indicates that percentage of methicillin-resistant s. aureus in our study is 60. Majority of s. aureus were isolated from blood samples 44% (n= 44) followed by pus samples 32% (n=32). Linezolid resistance reported was 3%. All isolates were sensitive to vancomycin and daptomycin by disc diffusion test as per CLSI guidelines 2021.
Conclusion: To conclude, MRSA plays a significant role and it can be transmitted through endogenous, cross-infection and reinfections. Phenotypic methods like use of cefoxitin disc (30µg) can be considered for detection of methicillin resistance in S. aureus, as it consumes less time and easy to perform.
Sikap Toleransi untuk Meningkatkan Kerukunan Hidup Beragama di Kampung Karya Bumi Namblong – Kabupaten Jayapura
Authors: Hibatullah Alif , Patasik Serli , Mursyid Andi Miftahul Maulidil , Wariyatun Wariyatun 
Published: March 2024

Perbedaan ideologi kerap menimbulkan konflik, namun dengan sikap toleran hal itu bisa dihindari. Seperti yang dilakukan masyarakat Karya Bumi yang toleran dengan perbedaan keyakinan. Metode ABCD dipilih dengan alasan metode ini paling relevan dengan kondisi masyarakat Karya Bumi yang memiliki aset namun belum dimobilisasi dengan baik. Aset-aset yang dimiliki diantaranya sumber daya alam berupa sungai, bukit, lahan pertanian, sumber daya manusia yaitu skil bertani, berdagang dan kelompok PKK, serta aset yang paling berharga adalah sikap toleran diantara sesama yang berbeda agama. Adapun metode penelitian yang digunakan adalah inkulturasi, discovery, design, define, refleksi. Program yang dilakukan selama proses ini diantaranya melatih mengelola kelapa menjadi VCO, mengelola beras menjadi bedak wajah, dan pembinaan kepada masyarakat dalam hubungan dengan hidup berdampingan kendati berbeda agama. Penelitian ini difokuskan pada sikap toleransi beragama di Kampung Karya Bumi, dengan harapan agar kebersamaan dalam hal saling membantu, saling membimbing untuk kemajuan di segala bidang serta saling menghargai perbedaan keyakinan, tetap dipertahankan dan diwariskan kepada generasi pembangun masa depan bangsa.
Pembudayaan Membaca Kritis dan Menulis Kreatif bagi Siswa Sanggar Bimbingan Sentul Kuala Lumpur Malaysia
Authors: Ainiyah Aylul Fajrinniar , Rani Putri Oktafia , Irianti Risda , Wahyudi Maulidya Eka , Pita Nora , Intantri Maya Sofiya , Dewi Cyntia , Prayitno Harun Joko , Huda Miftakhul , Murgiyanti Murgiyanti 
Published: March 2024

Pendidikan merupakan salah satu faktor kunci dalam menghadapi tantangan dunia modern. Dengan memberikan pendidikan yang berkualitas, masyarakat dan khususnya para siswa dapat meningkatkan kemampuan berpikir kritis dan kreatif. Penelitian ini bertujuan untuk mengukur dampak dari program latihan membaca dan menulis yang dilaksanakan di SB Sentul Kuala Lumpur, Malaysia. Penelitian ini menggunakan metode observasi untuk mengumpulkan data tentang perkembangan keterampilan membaca dan menulis para siswa yang mengikuti program tersebut. Program ini menggunakan media papan tulis sebagai alat bantu pembelajaran yang efektif dan interaktif. Penelitian ini melibatkan siswa dari kelas 1, 2, 3, dan 6 yang memiliki tingkat kemampuan yang berbeda-beda. Hasil penelitian ini menunjukkan bahwa program latihan membaca dan menulis memberikan manfaat yang signifikan bagi para siswa. Misalnya, siswa kelas 1 yang sudah memiliki dasar yang kuat dalam membaca dan menulis, dapat memperluas wawasan dan pengetahuan mereka melalui program ini. Siswa kelas 2 dan 3 yang masih membutuhkan bimbingan dalam membaca dan menulis, dapat meningkatkan motivasi dan minat belajar mereka melalui program ini. Program ini juga memberikan kesempatan bagi mereka untuk berlatih menggunakan telepon genggam sebagai media pembelajaran yang positif, bukan sebagai distraksi. Siswa kelas 6 yang baru bergabung dengan Sanggar Belajar, dapat memperbaiki keterampilan membaca dan menulisnya melalui program ini. Meskipun usianya lebih tua dari siswa lainnya, ia ditempatkan di kelas 6 agar sesuai dengan tingkat perkembangan psikologisnya.
KARAKTERISASI MORFOLOGI DAN UJI ANTIFUNGI ISOLAT JAMUR Trichoderma spp. DARI TANAH GAMBUT TERHADAP PATOGEN PADA JARAK KEPYAR (Ricinus communis L.)
Authors: Aini Nur , Martina Atria 
Published: March 2024

Castor oil (Ricinus communis L.) is an oil producing commodities that plays a role in meeting industrial and economic needs. Infection with the pathogen fungi caused a decrease in the production of castor oil. Biological control using Trichoderma spp. has been widely used. Trichoderma spp. known as one of the benefical biofungicide because it has high antagonistic properties inhibiting the growth pathogenic fungi. The purpose of this study was to obtain isolates and characters as well antifungal test for Trichoderma spp. isolated from peat soil to control pathogen Aspergillus sp. on castor been (Ricinus communis L.). Trichoderma spp. isolated from peat soil in Meranti Islands, Riau. The antagonistic activity the isolates against pathogen Aspergillus sp. was studied in vitro using dual culture and in vivo assay. In this study, six isolates of Trichoderma spp have isolated. Trichoderma sp. GBA5 has the highest growth rate on PDA and TSM medium. Trichoderma sp. GBA3 and Trichoderma sp. GBA4 were most effective in percentage inhibition of mycelial growth of test pathogen i.e 84,55% and 83,71% respectively. In in vivo assay, only Trichoderma sp. GBA5 inhibited pathogen with the percent infected castor capsule was 51.66%.
The Relationship Between the Tutor's Learning Approach and Students' Learning Enthusiasm in Package C PKBM Zahratul Syitha Pasaman Barat
Authors: Lassura Annisa , Ismaniar Ismaniar 
Published: March 2024

Latar belakang penelitian ini adalah rendahnya antusias belajar warga belajar pada paker C PKBM Zahratul Syitha Pasaman Barat. Hal ini diduga karena pendekatan belajar tutor yang digunakan kurang cocok. Penelitian ini bertujuan untuk : 1. Mendeskripsikan pendekatan belajar yang digunakan tutor di paket C di PKBM Zahratul Syitha Pasaman Barat, 2. Mendeskripsikan antusias warga belajar di paket C di PKBM Zahratul Syitha Pasaman Barat, 3. Mengetahui hubungan pendekatan belajar dengan antusias belajar warga belajar di paket C di PKBM Zahratul Syitha Pasaman Barat. Penelitian ini menggunakan pendekatan kuantitatif, dengan jenis korelasional. Populasi penelitian ialah berjumlah 30 warga belajar dan teknik pengambilan sampel menggunakam Stratified Random Sampling dan diambil sebanyak 70% yaitu 21 orang. Teknik pengumpulan data menggunakan angket dan alat pengumpulan data berupa daftar pernyataan. Teknik analisis data menggunakan rumus persentase dan Rank Order. Hasil penelitian menemukan : 1) Gambaran pendekatan belajar tutor di paket C PKBM Zahratul Syitha Pasaman Barat dikategorikan kurang baik; 2) Gambaran antusias warga belajar di paket C PKBM Zahratul Syitha Pasaman Barat dikategorikan rendah; 3) Terdapat hubungan yang signifikan antara pendekatan belajar tutor dengan antusias belajar warga belajar di paket C PKBM Zahratul Syitha Pasaman Barat. Selanjutnya saran diharapkan bahwa : 1) Diharapkan kepada tutor agar menggunakan pendekatan yang tepat dalam belajar yang sesuai dengan sasaran / warga belajar yang dihadapi sehingga dapat mendukung kegiatan pembelajaran yang efektif; 2) Diharapkan kepada warga belajar agar dapat lebih antusias dalam mempelajari materi yang diberikan tutor sehingga memperoleh hasil belajar yang lebih maksimal; 3) Diharapkan kepada peneliti selanjutnya untuk dapat berinovasi dengan meneliti variabel yang baru sehingga dapat menambah dan memperbanyak variabel yang ada.
Literature Review: The Role of Education and Installation Training Solar Power Plant towards increasing teacher professional competence
Authors: Rachmandani Hanifa , Rusmiati Hasanah Viena , Emi Chiara 
Published: March 2024

Writing scientific papers is closely related to education and research. For this reason, in this research, training plays a role in understanding the increase in teacher professionalism after attending education and training. In this research, researchers studied a systematic literature review (SLR) regarding the role of education and training in installing Solar Power Plants (PLTS) in improving teachers' professional competence. The data source in this research is the Google Scholar database of 110 documents published from 2018 to 2022, filtered by applying inclusion and exclusion criteria, and 8 articles analyzed in full-text form. Based on research results with a systematic literature review, education and training can increase teacher professionalism, such as increasing interest in teaching talents, increasing teaching creativity, having a professional organization that has the authority to regulate matters related to teachers' professional duties, and teachers can make the best use of their time. -good. it is possible to improve knowledge and skills through other training. Keywords: Education and training, teacher professionalism
Relationship Between The Effectiveness Of Commucation In The Family with The Intensity Of The Use Of Early Childhood Gadgets In Kenagarian Pasar Baru Pesisir Selatan Regency
Authors: Okta Pratama Silvia , Natsir MHD 
Published: March 2024

This research was motivated by the high intensity of playing with gadgets from early childhood in Kenagarian Pasar Baru, Pesisir Selatan Regency. The method used in the research is a quantitative approach with a correlational type. The population of this study was 52 parents who had children aged 3-6 years. The data collection method used is a questionnaire which contains statements that are used as a data collection tool. Next, the data was analyzed using a percentage formula with correlation using the Product Moment formula. The results of the research show that: (1) the effectiveness of communication in the family is classified as poor, (2) the intensity of gadget use in early childhood in Kenagarian Pasar Baru, Pesisir Selatan Regency is classified as high, and (3) there is a significant relationship between the effectiveness of communication in the family and the intensity of communication in the family. Early childhood gadget use in Kenagarian Pasar Baru, Pesisir Selatan Regency. Keywords: effectiveness of family communication, intensity of gadget use
Cutaneous metastasis in hypopharyngeal carcinoma: a case report
Authors: Shahzad Rafia , Anjum Tooba , Shahid Abu Baker 
Published: March 2024

Abstract

Background
Occurrence of cutaneous metastasis in hypopharyngeal carcinoma is an extremely rare event reported in the literature, with an incidence of only 0.8%–1.3%. Early diagnosis of cutaneous metastasis would have a positive impact on treatment response and disease prognosis with diagnosis mainly dependent on physical examination and radiological imaging (ultrasonography, computed tomography scan or PET-CT). Palliative care is, however, the mainstay of treatment for cutaneous metastasis.

Case presentation
We report a middle-aged female patient, with known case of hypopharyngeal squamous cell carcinoma, who initially showed partial response to chemoradiotherapy but developed cutaneous nodules in the region of the right axilla and bilateral lateral chest wall posterior to the posterior axillary fold. Excision biopsy of one of these nodules showed metastatic squamous cell carcinoma. The patient was again referred to the Oncology Department of INMOL Hospital and her chemotherapy was planned for cutaneous metastasis.

Conclusion
Being uncommon, the occurrence of cutaneous lesions in a patient with hypopharyngeal carcinoma should prompt detailed evaluation to rule out metastasis. Early detection will help in improving disease prognosis and median survival.