bluuebunny/crossref_metadata_2025_split huggingface dataset:
Management of dyspnea and acute chest pain in pericardial cysts by Ayurveda interventions: A case report
Authors: Kadu Amol S. , Soni Pawan Kumar , Mohokar Punam , Sharma Anita , Asutkar Rupali D. , Gangasagre Nagnath S. 
Published: January 2025

Abstract
Pericardial cysts are rare medical conditions that typically go undetected, with an incidence rate of 1 in 100,000 cases. The majority of pericardial cysts (50%) do not cause any symptoms and rarely can lead to serious complications. A patient may have symptoms if the cyst presses on the heart or lungs. Shortness of breath, pain and heaviness in the chest, and persistent cough are symptoms of pericardial cysts. Patients with pericardial cysts are treated conservatively with surgery, percutaneous aspiration, and regular follow-up. Cysts often only need to be observed for increase in size; but, if they enlarge or start to cause symptoms, surgical removal may be required. A 33-year-old female with a pericardial cyst experienced sudden pressing chest pain during inspiration, chest heaviness, and difficulty breathing. Symptomatic relief of chest pain and difficulty in breathing was achieved within 5 h after taking Ayurvedic medication with induction of sound sleep on the same night. On the next morning, the patient was completely symptom-free with a feeling of lightness in the chest region. Symptomatic relief was observed from the symptomatic pericardial cyst with a single herbomineral formulation, that is, Vachadi Yoga (VY) in Churna (powder) form. Future clinical trials on the clinical management of symptomatic pericardial cysts by applying Ayurveda principles with (VY) administration are necessary to confirm and validate the results obtained in this case report.
EL CURRICULUM COMPRENSIVO EN EL PROYECTO INTEGRADOR: UNA VÍA PARA FORMAR INVESTIGADORES
Authors: Núñez William , Briceño Magally , Meléndez Gómez Nelly Coromoto , Lucente Rosina 
Published: January 2025

Esta investigación, tiene como objetivo analizar el papel del currículum comprensivo (CC) en la formación de investigadores. Se parte del concepto que el CC es el medio mediante el cual se contextualizan los contenidos mediante procesos de participación que se producen entre estudiantes y profesores lo que permite mejoras en el proceso de docencia, investigación y extensión. Fuguet (2011), plantea que el currículum comprensivo requiere de reflexión para la toma de decisiones, participación de los actores (profesores y estudiantes), análisis de las opciones para un consenso, empoderarse del conocimiento, focalizar objetivos claves, y la consideración de los docentes como transformadores y generadores de cambio. La investigación utilizó como enfoque el análisis de contenido de cinco proyectos integradores realizados por los estudiantes de diferentes asignaturas de la UNICyT. La investigación demostró que el proyecto integrador, al estar enraizado en un currículo comprensivo, se erige como una herramienta poderosa para la formación de investigadores. Su capacidad para fusionar la teoría y la práctica, impulsar el trabajo colaborativo, fomentar la comunicación efectiva y cultivar competencias específicas de investigación lo convierten en un crisol donde se forjan las habilidades esenciales para la investigación base fundamental para el logro de las metas institucionales.
Impact of Multicultural Communication on Public Relations in Global Brands in China
Authors: Lihua Chen 
Published: January 2025

Purpose: The aim of the study was to analyze the impact of multicultural communication on public relations in global brands in China
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: Multicultural communication helps global brands in China connect with diverse audiences by aligning PR strategies with local cultural values. Culturally adapted campaigns build consumer trust, while missteps risk damaging reputations. Leveraging digital platforms like WeChat enhances engagement and responsiveness. Effective PR requires cross-cultural training and localized approaches to succeed in China's complex market.
Unique Contribution to Theory, Practice and Policy: Cultural dimensions’ theory, intersectionality theory & the excellence theory may be used to anchor future studies on the Stakeholder engagement is critical brands should involve their consumers and communities in CSR decisions and solicit feedback to make initiatives more impactful and responsive to consumer values. Governments should enforce standardized CSR reporting frameworks to ensure that brands provide clear, credible, and comparable data on their social and environmental efforts.
Determinants of the Republic of Qatar-Federal Republic of Somalia Development Aid Relations Since 2014
Authors: Yusuf Khalid Abdi , Oduor Otieno Isaiah 
Published: January 2025

This article examined the determinants of the Republic of Qatar-Federal Republic of Somalia development aid relations. The study was guided by a double contribution of two theoretical perspective realisms and dependency and underdevelopment theories. The realist perspective assisted in evaluating to the political self- interest in the interactions. On the other hand, dependency and underdevelopment theory assessed the actual beneficiary in Somalia- Qatar partnership. This study employed the exploratory research design. A total of 120 respondents were selected for field interviews. Structure questionnaires and interview schedules were used as the main tools of data collection. This study employed both quantitative and qualitative methods of data analysis and interpretation. This study established that, ideological orientation, Somalia foreign policy and regional geo-political interests influenced development aid relations between the Federal republic of Somalia and its international partners. It was also noted that state strategic interests, religion and culture influence the Republic of Qatar-Federal Republic development aid to the Federal Republic of Somalia.
Penerapan Model Pembelajaran Project Based Learning (PjBL) Untuk MeningkatKan Hasil Belajar Siswa Pada Mata Pelajaran Ipas Topik B Kelas IV SD Inpres Oepoi Kupang Tahun Ajaran 2023/2024
Authors: Bota Yuliana Tange , Sunimbar  
Published: January 2025

Penelitian ini bertujuan untuk meningkatkan hasil belajar peserta didik pada mata pelajaran IPAS topik B Daerahku dan Kekayaan Alamnya Kelas IV SD Inpres Oepoi Tahun Ajaran 2023/2024 melalui penerapan model pembelajaran Project Based Learning. Penelitian ini merupakan penelitian tindakan kelas (PTK). Teknik pengumpulan data dilakukan dengan tes hasil belajar, lembar observasi dan pengamatan aktivitas peserta didik. Teknik analisis data dilakukan dengan pengumpulan data, reduksi rata, sajian data dan penarikan kesimpulan dengan menggunakan model pembelajaran Project Based Learning serta perangkat pembelajaran berupa, ATP, Moful Ajar, dan LKPD, aktivitas guru, aktivitas siswa. Dengan menerapkan model pembelajaran Project Based Leraning dalam proses pembelajaran bab 5 topik B maka dapat meningkatkan hasi belajar peserta didik pada pelajaran IPAS ditandai nilai rata-rata yang dicapai di atas KKM 70 sebanyak 80 dari jumlah peserta didik. Hasil penelitian menunjukan adanya peneingkatan hasil belajar. hasil belajar peserta didik dapat meningkat dari rata-rata. Hasil penelitian yang dilakukan menunjukan adanya peningkatan dari setiap aspek yang telah ditentukan. Pada siklus I, nilai yang diperoleh siswa adalah 45,45% dengan kategori cukup baik, skor aktivitas siswa mengalami peningkatan pada siklus II memperoleh presentase 86,6% dengan kategori sangat baik. Dari hasil tersebut dapat disimpulkan bahwa penerapan model pembelajaran project based learning dapat meningkatkan hasil belajar peserta didik pada mata pelajaran IPAS tipok B Kelas IV SD Inpres Oepoi Tahun Ajaran 2023/2024
PRINCÍPIOS JURÍDICOS DA ATUAÇÃO POLICIAL
Authors: Novak Pablo Fernando , Cavagnolli Roni 
Published: January 2025

O presente trabalho dedica-se a analisar os princípios jurídicos em face dos ditames legais vigentes no Brasil, focando nas limitações do Estado em relação aos direitos e garantias fundamentais. O objetivo geral da pesquisa é identificar os pressupostos legais e os limites da abordagem policial. Tendo uma necessidade de aprofundar o conhecimento sobre esse tema, pois, durante uma abordagem, alguns direitos dos cidadãos são restringidos, e é crucial entender o embasamento legal dessas ações. O tema é relevante tanto para agentes públicos, que devem evitar arbitrariedades em suas ações, quanto para os cidadãos, que têm direitos e deveres perante a sociedade, observando o princípio da supremacia do interesse público sobre o privado. Este trabalho aborda as garantias fundamentais e como elas interferem nos direitos dos cidadãos, reconhecendo que nenhum direito é absoluto. Em relação aos limites do poder de polícia, a abordagem policial estrita refere-se à busca pessoal, que deve atender a requisitos como a fundada suspeita para que o ato administrativo não seja considerado arbitrário.
Transport into the polar stratosphere from the Asian monsoon region
Authors: Yan Xiaolu , Konopka Paul , Ploeger Felix , Podglajen Aurélien 
Published: January 2025

Abstract. The Southeast Asian boundary layer has witnessed alarming pollution levels in recent years, which even affects the trace gas composition in the Southern Hemisphere by inter-hemispheric transport. We use SF6 observations and the Lagrangian chemistry transport model Chemical Lagrangian Model of the Stratosphere (CLaMS), driven by the ERA5 reanalysis data for the period 2010–2014, to assess the impact of the Asian monsoon (AM) region (15–45° N, 30–120° E) as a significant source of pollutants for the stratosphere, in particular in polar regions. We examine the contribution of transport from the AM region to the Northern Hemisphere polar region (NP) (60–90° N) and to the Southern Hemisphere polar region (SP) (60–90° S). Despite the smaller geographical size of the AM region when compared to the Southern Hemisphere subtropics (15–45° S) and the tropics (15° S–15° N), our findings reveal that the air mass fractions from the AM to the polar regions are approximately 1.5 times larger than the corresponding contributions from the Southern Hemisphere subtropics and only about 2 times smaller than those from the tropics. The transport of air masses from the AM boundary layer to the stratospheric polar vortex primarily occurs above an altitude of about 450 K and over timescales exceeding 2 years. In contrast, transport timescales to the polar regions situated below the vortex are shorter, typically less than about 2 years. Furthermore, the transport contribution from the AM region to the polar regions exhibits distinctive inter-annual variability, significantly influencing the distributions of pollutants. Our analysis of detrended SF6 from an Atmospheric Chemistry Experiment Fourier transform spectrometer (ACE-FTS) over the polar regions reveals a strong correlation with the fraction of relatively young air (less than 2 years old) originating from the AM, Southern Hemisphere subtropics, and the tropics. Importantly, our reconstructed SF6 data indicate that approximately 20 % of SF6 in both the northern and southern polar stratosphere originates from the AM boundary layer. The largest fraction of SF6 in the polar stratosphere still originates from the tropical boundary layer, contributing about 50 % of SF6.
Narrar
Authors: Santos João Victor Rodrigues 
Published: January 2025

Neste artigo pretende-se abordar a obra do escritor cretense Nikos Kazantzákis e refletir sobre como o ato de narrar pode ser associado ao exercício da busca por liberdade. Para isso, partimos da leitura de seus livros Zorba, o grego ([1978?]) e Relatório ao Greco (2014) e exploramos episódios nos quais o autor reflete sobre seu processo criativo e sobre a importância da busca pela liberdade. Contamos com as contribuições, sobretudo, de Kundera (1988), Osho (2016), Lukács (2009), Samoyault (2008) e Compagnon (2010). Desse modo, sugerimos que, em Kazantzákis, a constante busca pela liberdade encontra forma no próprio desenvolvimento de suas narrativas, sendo a criação artística um projeto de vida e uma ponte para a superação de dualidades que mitigam o aspecto criativo da humanidade.
How crisis management led to enduring collaboration in clinical education: a case report
Authors: Drevyn Elsa , Schack-Dugre Judi , Galley Robin , Neely Laurie , Roadarmel Diane , Svoboda Stephanie , Dietrich Jamie , Wang Sabrina , Welch-Rawls Donni 
Published: January 2025

Rationale: Historical challenges in clinical education were intensified by the global health pandemic. This paper describes how clinical educators in Florida collaborated during the crisis to strategize to meet immediate clinical education needs of clinical sites and academic programs while creating a roadmap for sustainable future success.
Clinical education scenario: A task force of clinical educators was formed to assess the current state of clinical education and manage the evolving crisis. Two unique needs assessments were developed and disseminated to both academic and clinical educators. A descriptive research design was used. Quantitative findings were reported through descriptive statistics.
Outcomes: Obtaining objective data was crucial for decision-making and implementing solutions during this crisis. Data analysis informed a series of coordinated, phased, action items that were implemented. Not only opportunities for immediate support were identified, but also longstanding challenges within clinical education were confirmed. The study results led to informed crisis management, reduced competition, and enduring collaboration.
Discussion and implications: Without collaboration, the pandemic’s impact on clinical education could have been more severe. Implementing data-driven crisis management strategies mitigated challenges posed by the pandemic and improved processes, enhancing the future state of clinical education in Florida.
Modelo basado en aprendizaje automático de probabilidad de riesgo de mortalidad en pacientes con trauma craneoencefálico, Hospital Ernesto Sequeira Blanco
Authors: Mendoza Jhonny Francisco , Urroz Cruz Emely de los Ángeles , Martínez Cuthbert Shanely Tatiana , Kelly Kandler Kerry Kenton , Sambola Dexon-Mckensy 
Published: January 2025

El objetivo de este artículo es presentar los resultados obtenidos de un proyecto cuyo propósito fue desarrollar un modelo automático que facilitara identificar las complicaciones y riesgos de mortalidad en pacientes con Trauma Craneoencefálico que llegan al Hospital Regional Escuela Ernesto Sequeira Blanco de la ciudad de Bluefields. Para el desarrollo del trabajo se utilizó el marco de trabajo SCRUM y se utilizaron técnicas de aprendizaje automático con base al conjunto de datos de CRASH-2, el cual cuenta con una base de 20,207 registros aleatorizados de pacientes que han sufrido trauma craneoencefálico. Se hizo uso de dos modelos de aprendizaje, el de regresión logística y el árbol de decisiones, haciendo una combinación entre estos para asegurar la obtención de mejores resultados. Los datos de la primera prueba realizada, aplicando el modelo de regresión, se obtuvo una precisión del 76 %, una sensibilidad del 77 % y una especificidad del 73 %. En la segunda prueba, aplicando el modelo de árbol de decisiones, se obtuvo una precisión del 80%, una sensibilidad del 81% y una especificidad del 79%. Los resultados obtenidos en la aplicación de ambas pruebas mostraron resultados prometedores para una predicción más precisa en los casos revisados durante las validaciones internas. Así mismo, estos resultados muestran que el modelo puede ser un instrumento útil en la estimación de las probabilidades de riesgo de mortalidad en pacientes con trauma craneoencefálico.
Public Perception on the Implementation of PON XXI Event North Sumatera-Aceh at Situngkir Panguruan Beach in 2024
Authors: Zuhriyah Zuhriyah , Zarei Azadeh , Gula Louie Peter , Siregar Samsuddin 
Published: January 2025

The purpose of the study. This study aimed to evaluate public perception regarding the implementation of PON XXI Event North Sumatra-Aceh at Situngkir Panguruan Beach in 2024, focusing on economic impact, infrastructure development, environmental considerations, and cultural integration. The research examined community attitudes toward event implementation and its implications for local development.
Materials and methods. A cross-sectional descriptive study was conducted using a structured questionnaire administered to 100 residents of Situngkir Village, selected through stratified random sampling. Data collection employed a 45-item questionnaire covering five dimensions, utilizing a 5-point Likert scale. Analysis included descriptive statistics, factor analysis, and multiple regression analysis using SPSS version 26.0.
Results. The study revealed predominantly positive perceptions of PON XXI Event implementation, with 82.5% reporting positive business opportunity expectations and 95% satisfaction with infrastructure development. Multiple regression analysis identified economic benefits (β = 0.445, p < 0.001), infrastructure development (β = 0.376, p < 0.001), and environmental management (β = 0.315, p = 0.002) as significant predictors of overall satisfaction. The model explained 78.4% of variance in community satisfaction (adjusted R² = 0.784, p < 0.001).
Conclusions. The implementation of PON XXI Event at Situngkir Panguruan Beach demonstrated successful integration of event requirements with community needs, particularly in economic opportunities and infrastructure development. However, environmental management requires additional attention, particularly in waste management and beach conservation. The findings provide valuable insights for future sport-tourism event planning and regional development strategies.
Effectiveness of a Mixed Martial Arts-Based Training Program in Reducing Obesity and Improving Cardiovascular Health Among Women in Indonesia
Authors: Adi Saputra Surya , Hamni Septiani Dewi , Shirley Exie , Knowles Helen 
Published: January 2025

The purpose of the study. To develop and validate a comprehensive Body Fighter Camp Model and Training Program specifically designed for women in Indonesia, addressing the growing obesity epidemic and its associated health risks. The study aims to create an effective mixed martial arts-based exercise intervention that can simultaneously improve body composition and cardiovascular health.
Materials and methods. The research employed a quasi-experimental design with 20 female participants (age range 20-45 years) recruited from the Malang area. The Body Fighter Training Program consisted of 20 sessions over 2.5 months, incorporating 9 different exercise components including High Intensity Interval Training, Body Weight Training, Boxing, Judo, Karate, Tabata, Fitness, Circuit Training, and Crossfit. Participants underwent comprehensive health screenings, and measurements of Body Mass Index (BMI) and blood pressure were taken before and after the intervention.
Results. The study demonstrated significant improvements across various health parameters. Obese participants experienced BMI reductions of 5-10 kg/m², while overweight participants showed moderate declines of 3-5 kg/m². Blood pressure outcomes were equally promising, with 85% of participants showing cardiovascular health improvements. Statistical analysis revealed a statistically significant result (p = 0.039), with a moderate effect size and 80% statistical power. The program achieved a 100% completion rate and over 90% success in participants reaching their health goals.
Conclusions. The Body Fighter Camp Model provides a promising, culturally appropriate approach to addressing obesity and cardiovascular health among women in Indonesia. By integrating martial arts principles with high-intensity interval training, the program offers an engaging and effective alternative to traditional exercise interventions. The research suggests potential for broader implementation in public health strategies targeting obesity prevention and management.
Computer Usage and Product Returns - A Study of Consumers in India
Authors: N Bhavya , Viswanath N S , Sateeshchandra Navya Gubbi , Dean Samrat Ray, 
Published: January 2025

Research on the management of product returns has gained significant attention in recent years, as it has become an integral part of a company's overall supply chain strategy. Several past studies have suggested that the diverse purposes for which consumers utilize computers, ranging from online shopping and product research to general communication, can have a profound impact on the frequency and characteristics of product returns. Higher the usage of computers higher is the returns. The study explores the relationship between computer usage purposes and product returns in Bengaluru city, India. The study is an empirical analysis with primary data collection. 223 customers of computer users are considered for the study. The study is intended to help organizations to understand how computer usage purpose has significant relationship on computer product returns. To formulate models and strategies to minimize returns and cost. Computer manufacturers, retailers and e-waste companies can plan their return process efficiently. This research seeks to comprehensively explore the purposes for which consumers employ computers and the nuanced response variables associated with their interactions. The study aims to understand how logistics managers need to design and develop models from both cost and competition points of view. The return policy is going to become in coming days a potent instrument in making purchases. The more the consumer is educated, the more he would like to learn about the return policy and its action. The study finds the return behaviour of consumers and suggest how to predict returns and improve process efficiency for better operations.
Falling Rates of Public Orthopaedic Surgery Reimbursements and Utilization, 2016 to 2024
Authors: Branden Lee , Levin Adam S. 
Published: January 2025

Background:
Declining reimbursement rates can lead to decreased access and utilization of common orthopaedic surgeries for patients on Medicare, which is a particularly vulnerable population for musculoskeletal injuries.

Methods:
Using the Centers for Medicare & Medicaid Services Physician Fee Schedule Look-Up Tool from 2016 to 2024 and utilization data for Medicare and part B beneficiaries from 2016 to 2022, we analyzed reimbursement and utilization trends. Simple linear regressions were executed to measure the annual trends, and Wilcoxon matched-pairs signed rank test were used to analyze the statistical significance of price and utilization changes.

Results:
Between 2016 and 2024, mean reimbursements for all evaluated orthopaedic surgeries decreased 26.2% with a −3.34% compound annual growth rate, from $1,558 to $1,150 (P < 0.0001). Comparatively, reimbursement rates for evaluation and management (E/M) services fell by 15.82% or a −1.91% compound annual growth rate, from $102.3 to $86.12 (P < 0.0021). The federal utilization of all orthopaedic surgeries fell from 2016 to 2022 (P < 0.0001), although no significant changes were seen for E/M services (P = 0.9102).

Conclusion:
We observe that Medicare reimbursement rates for orthopaedic surgeries from 2016 to 2024 have fallen consistently with a large drop in utilization, especially during the Covid-19 pandemic. Reimbursements for E/M services have fallen at attenuated rates with minimal changes in utilization. This demonstrates the supportive role that declining reimbursement rates may play in utilization and accessibility of orthopaedic surgery.