bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of the H3B2A1 score with other risk models for upper gastrointestinal bleeding
Authors: fındık meliha , çakas muhammet , önler ahmet buğra 
Published: January 2025

Abstract

Background: Acute gastrointestinal (GI) bleeding is a critical emergency and a significant cause of morbidity and mortality worldwide, with rates ranging between 5% and 10%, despite advancements in treatment. Upper gastrointestinal bleeding (UGIB) accounts for a substantial proportion of cases, particularly in elderly populations with comorbid conditions.
Methods: This retrospective study evaluated the predictive accuracy of the H3B2A1 scoring model for mortality and intensive care unit (ICU) admission in UGIB patients. The AIMS65, Glasgow-Blatchford score (GBS), modified GBS (mGBS), and H3B2 scores were calculated for all patients. Receiver operating characteristic (ROC) curves were used to assess the scores' predictive performance.
Results: Compared with the AIMS65 score, the H3B2A1 score demonstrated comparable predictive accuracy for mortality (H3B2A1-AUC: 0.750; AIMS65-AUC: 0.754), with all the scores showing moderate accuracy (AUC = 0.7–0.9). In predicting ICU hospitalization, the AIMS65 score outperformed the other scores (AUC: 0.844; sensitivity: 96.1%), followed by H3B2 (82.4%).
Conclusion: The H3B2A1 model (modified H3B2), which incorporates albumin into the H3B2 score, provides a practical tool for assessing mortality risk, ICU admission, and the need for emergency endoscopy in UGIB patients. Its simplicity and predictive power makes it a valuable addition to clinical practice.
Modification of Chitosan-Coated Magnetic Material with Glycidyl-trimethylammonium Chloride for Cr(VI) Adsorption
Authors: Kamilia Salwa , Mukhayani Feri , Sutarno Sutarno , Nuryono Nuryono 
Published: January 2025

Modification of chitosan-coated magnetic material with quaternary ammonium chloride as adsorbent for Cr(VI) anions has been studied. The works included magnetic material (MM) separation from iron sand, magnetic material-chitosan (MM/Chit) synthesis, and attachment of quaternary ammonium groups from glycidyl trimethyl ammonium chloride (GTMAC) on MM/Chit to produce MM/Chit/GTMAC with various mass ratios. Products were characterized with FTIR, XRD, SEM-EDX, and VSM. Adsorption studies were carried out in a batch system with pH, time, and initial Cr(VI) concentration variations. The unadsorbed Cr(VI) was analyzed with AAS, and the adsorbed Cr(VI) was calculated from the difference between initial and unadsorbed concentrations of Cr(VI). The results showed that MM/Chit/GTMAC was successfully synthesized, and adding GTMAC increased the stability of MM/Chit and shifted the optimum pH for Cr(VI) adsorption from 3.0 to 4.0. The study of kinetics and adsorption isotherm showed that the adsorption of Cr(VI) anion on the adsorbent MM/Chit/GTMAC (with the mass ratio of Chit to GTMAC 1:6) follows the pseudo-second-order kinetic model with the adsorption rate constant of 5.3 × 10−3 g mg−1 min−1 and Langmuir isotherms with the adsorption maximum capacity of 104.17 mg g−1, which has a potential to be applied for removing Cr(VI) from polluted wastewater.
Living Networks
Authors: Johnson Anna , Black Richard 
Published: January 2025

Working from the periphery on Djaara Country, Castlemaine Regional Victoria,140km out of Melbourne, our proposal starts from the centre of this old gold mining town and seeks to document and capture our more-than-architectural endeavour. For this narrative, the architect’s business is as much about observing and taking note, revealing and paying heed to the invisible and often intangible systems of just what’s there now. Drawing from a Kraussian expanded architectural field, we have evolved a design process of building site knowledge and context that uncovers the histories, peripheral stories, forgotten memories and patterns of occupation. In seeking solutions to accommodate a growing community, to house those now homeless and to give more agency to our Indigenous people, we reflect on currently accepted design strategies and propose an alternative model that rethinks property boundaries and ownership, occupancy and vacancy regulations. Our work has been resisting the additions of new buildings and instead foregrounds what already exists, to recast the accumulations of built fabric and of its interstitial landscapes as inherently value filled. In doing this we reveal an eclectic town fabric, a mix of industrial, Victorian and 20th century material that holds traces of past occupation but also reflects a kind of vibrant eclecticism that speaks more to a possible future than carbon-hungry developer-led solutions. Our essay will build an alternative spatial narrative that makes visible a process that tracks and traces the voices of those invisible and marginalized protagonists as well as the value of existing built fabric. What we aim to construct is not more built stuff, but a more robust future that accepts what is already there; the ordinary, the unremarkable as well as remarkable. Our conclusions and contributions are as much in spatialising and making active – sensible – those forgotten and intangible voices and peripheral built heritages.
Treatment outcomes and short-term stability in adult anterior openbite patients treated with or without extractions: a National Dental Practice-Based Research Network study
Authors: Greenlee Geoffrey M. , Collins Jessica L. , Leroux Brian , Allareddy Veerasathpurush , Jolley Cameron , Shin Kyungsup , Vermette Michael ,   The National Dental PBRN Collaborative Group, Huang Greg J. 
Published: January 2025

ABSTRACT

Objectives
To investigate whether extractions in adult anterior openbite (AOB) patients lead to improved treatment outcomes and better short-term stability.

Materials and Methods
Records of extraction (EXT) and nonextraction (NE) adult patients were identified from all patients treated with fixed appliances through the National Dental Practice-Based Research Network. Photographic Openbite Severity Index was used to assess treatment success and stability. Skeletal, dental, and soft tissue treatment outcomes were evaluated using cephalometric analysis.

Results
Pretreatment and posttreatment records were collected for 115 patients. Thirty-three were treated with extractions; 82 were treated without extractions. The EXT group was younger, more crowded, and had less previous orthodontic treatment. Success rate of AOB correction in the EXT group was slightly higher (97%) than the NE group (92%) but not statistically different. No significant differences were observed in skeletal outcomes. The EXT group exhibited more lingual tipping and posterior movement of maxillary and mandibular incisors and less extrusion of mandibular incisors. Dental changes in the EXT group were associated with increased nasolabial angle and lip retraction. The small number of patients with AOB relapse did not provide enough power to identify differences in stability between the two groups.

Conclusions
Orthodontists have high success correcting AOB with or without extractions. The EXT group displayed more retraction and lingual tipping of incisors as well as increased retraction of soft tissues. Stability of AOB closure was more than 90% for both groups after 1 year, with marginal increases in stability after extractions.
Indicadores del Desarrollo Humano Sostenible Diferenciado en los municipios que integran el Valle de Tulancingo
Authors: Calderón Hernández Arturo , Lozano Rosales Raymundo 
Published: January 2025

Este trabajo tiene como objetivo identificar las diferencias existentes en los indicadores de desarrollo humano, pobreza y marginación, su interrelación dinámica y su probable relación con las capacidades funcionales municipales con que se opera el desarrollo sostenible y la igualdad de oportunidades en los municipios que integran la región del Valle de Tulancingo. El estudio se enfoca en presentar los indicadores que diferencian los avances logrados por cada municipio en los temas señalados. Para ello se han consultado referencias teóricas e informes del desarrollo sostenible de los municipios del estado de Hidalgo. Metodológicamente, se ubica dentro de una investigación mixta longitudinal de alcance exploratorio, utilizando una técnica de estudio causal comparativo y análisis documental. Los hallazgos identifican las brechas existentes entre las diferentes demarcaciones políticas consideradas y reconocen los efectos diferenciados. Finalmente se observa una interrelación entre el desarrollo humano, la pobreza y la marginación y se plantea una propuesta orientada a fortalecer las áreas de oportunidad detectadas en el Índice de Capacidades Funcionales Municipales.
El Índice de Capacidades Funcionales Municipales, definido como una herramienta para medir la operatividad de los municipios en el desarrollo sostenible, juega un papel clave en la identificación de áreas de oportunidad.
Discursos do Cardeal Tolentino
Authors: Tolentino de Mendonça Cardeal José 
Published: January 2025

Por ocasião dos 75 anos da Faculdade de Teologia Nossa Senhora da Assunção da PUC-SP, o Cardeal José Tolentino de Mendonça, Prefeito do Dicastério para a Cultura e a Educação, compartilhou uma série de discursos profundos e inspiradores. Destacamos três momentos importantes: Homilia Catedral de São Paulo; Que teologia para o nosso tempo?; Que recursos espirituais para enfrentar o futuro?
The Sudden Cardiac Death Continuum. Message 1
Authors: Lazutkina A. Yu. 
Published: January 2025

RELEVANCE Many clinical conditions are considered in a sequence of interrelated events of the continuity of the pathological process. This makes it possible to discover its patterns, specific mechanisms of occurrence and development of the disease. However, the continuum of sudden cardiac death (SCD) remains unknown.AIM OF THE STUDY To clarify the sequence of events of the continuum of the SCD using the example of initially healthy workers of locomotive crews of the Trans-Baikal Railway.MATERIAL AND METHODS Based on the material of a 6-year prospective observation of a natural group of 7,959 men aged 18–66 years, predictors of microalbuminuria (MAU), creatininemia (CR), reduced glomerular filtration rate (rGFR), retinopathy (RP), and SCD were determined in 22 positions. A 2×2 table, multivariate regression analysis, and survival analysis were used, and the relative risk of risk factors (RF) was estimated, which made it possible to study and construct a continuum of chronic kidney disease from pre-prepared symptomatic blocks: MAU, RP, CR, rGFR using the synthesis method based on the principle of assembling puzzles, to which the SCD block was added according to this principle.RESULTS The formation of SCD depends on the set of risk factors in each individual case and can occur from any peripheral point of the SCD continuum (from the risk factor). The formation of SCD is determined by the proximity of the predictor to the outcome, its independent effect and (or) interaction with other risk factors. The most dangerous predictor of SCD is excessive alcohol consumption, which causes damage to the heart and (or) kidneys, closing the dysfunctional circle of re-entry cardiorenal continuum and forming cardiorenal syndrome. In the population, those most at risk of SCD are those with an initially low number of nephrons and (or) a congenital defect of the microcirculatory bed.CONCLUSION Further study of the continuum of sudden cardiac death is needed to determine whether cardiac or renal involvement is primary and whether the risk of sudden cardiac death increases. cardiac death when each predictor is added to the continuum of sudden cardiac death, the effects of risk factor damage, their increasing power with prolonged exposure, the magnitude of tissue damage, and the probability and timing of sudden cardiac death.
Development of a Model of the System of Organizational Development of Treatment and Diagnostic Processes of a Multidisciplinary Hospital
Authors: Perminov A. Yu. , Fomenko N. S. , Petrikov S. S. , Samarin A. R. , Dragunova N. P. , Maksimov A. I. , Melnikova I. K. , Molodov V. A. 
Published: January 2025

The most important factor in improving the quality of medical services at present is the continuous improvement of all aspects of the activities of a medical organization, which determines the appropriateness of using modern approaches to organizational development in medical institutions with their appropriate adaptation.The paper presents the results of the analysis of 16 known models of organizational development, as well as the performance indicators of the Kaidzen proposal system at 19 Russian and foreign enterprises in various industries. An analysis of the authors’ long-term experience of working with small groups on standardization of treatment and diagnostic processes at the N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department was conducted, which confirmed the assumption that medical personnel of all categories have a large number of ideas for improving the organization’s work and are willing to participate in their implementation.The article presents the author’s model of the system of organizational development of treatment and diagnostic processes of a multidisciplinary hospital, which is based on the concept of personnel orientation and the basic principles developed by the authors.In the part of the model detailing, a developed system of classification features is presented, which allows determining the belonging of a proposal for improvement to a certain group or class, as well as the approach proposed by the authors to sorting proposals at various stages of working with them.The paper presents the results of testing the described approach using the example of proposals for improvement formulated by a pilot group of nurses of the operating unit of the N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department. Conclusions are made on the possibilities of applying the presented research results for medical organizations, as well as promising areas for the development of the presented approach.
Method for Assessing the Degree of External Dislocation of the Catheter for Prolonged Brachial Plexus Block
Authors: Yamshchikov O. N. , Marchenko A. P. , Emelianov S. A. , Ivanova O. D. 
Published: January 2025

AIM OF STUDY To demonstrate the effectiveness and safety of a method for assessing the degree of external dislocation of a catheter for continuous brachial plexus block (CBPB) using a dislocation scale in clinical practice.MATERIAL AND METHODS The study included 63 patients who underwent CBPB from the supraclavicular approach with fixation of the catheter on the skin with a patch sticker during operations for fractures of the bones of the upper limb. To analyze the size of the catheter dislocation, a method for assessing the degree of external dislocation of the catheter for CBPB was used.RESULTS In 16 patients, the size of the external dislocation was from 0 mm to 5 mm (grade 1), which was assessed as no dislocation, in 30 patients it was more than 5 mm to 10 mm (grade 2), while there were no changes in the quality of pain relief, in 15 patients the dislocation was more than 10 mm to 15 mm (grade 3), while there was a deterioration in the quality of pain relief, it was necessary to increase the dose of the administered local anesthetic and strengthen the fixation of the catheter to the skin of the supraclavicular region with a fixation device, in 2 patients the size of the external dislocation was more than 15 mm (grade 4), which was defined as migration of the catheter beyond the brachial plexus and led to the cessation of CPBP.CONCLUSION The physician operating the catheter for prolonged brachial plexus block, using the method of assessing the degree of external dislocation, has the opportunity to determine the likelihood of deterioration in the quality of anesthesia based on the size of the dislocation and prevent its cessation.
Intraoperative Axillary Artery Injury as a Complication of Reverse Total Shoulder Arthroplasty
Authors: Egiazaryan K. A. , Ershov D. S. , Ratyev A. P. , Gediev T. V. , Ershov N. S. , Salekh A. Z. 
Published: January 2025

ABSTRACT Axillary artery injury as a result of total shoulder artroplasty is a fairly rare complication. Isolated clinical observations are described in foreign articles, there are no reports of domestic authors about this problem. There is a need for more extensive coverage of this problem in order to prevent similar situations in the future.THE AIM of this publication is to present a clinical case of intraoperative axillary artery injury in the process of reverse shoulder arthroplasty, and the medium­ term result of surgical treatment after replacement of the artery defect with a synthetic graft.MATERIAL AND METHODS We present a rare clinical case of intraoperative axillary artery injury in the process of reverse shoulder arthroplasty. After the replacement of the artery defect by a team of vascular surgeons, it was decided to continue the shoulder joint replacement surgery. In the postoperative period, computed tomography angiography revealed occlusion of the restored section of the axillary artery, but the presence of collateral blood flow distal to the injury zone, the preservation of active movements in the joints of the right upper limb, and the absence of sensitivity disorders in the right hand made it possible to refrain from repeated surgical intervention. When evaluating the medium­term results 15 months after surgical treatment, a significant limitation of the function of the right upper limb was noted in the complete absence of pain syndrome.CONCLUSION The presented clinical case demonstrates the experience of managing a patient with simultaneous reverse shoulder arthroplasty and an intraoperatively damaged section of the axillary artery with the achievement of complete absence of pain syndrome with significant restriction of function in the remote period. Bearing in mind the possible damage to the main arteries, particularly in age­related patients, and the amount of medical care required in the event of this complication, it is recommended that medical care be provided in a multidisciplinary hospital with a team of vascular surgeons.
Dari Tanah Minang Hingga Bandung: Biografi Dan Pemikiran Muhammad Natsir
Authors: Hasanah Uswatun , Mufarohah Siti 
Published: January 2025

Penelitian menganai Muhammad Natsir bertujuan untuk menggali perjuangan tokoh yang beraliran nasionalis agamis pada era perjuangan kemerdekaan hingga awal kemerdekaan Indonesia. Dengan metode penelitian sejarah yang mengguakan empat tahapan metode yaitu: Heuristik, Verifikasi, interprestasi dan historiografi. Pemikiran Muhammad Natsir tidak hanya seputar pada persoalan agama tetapi juga tentang pendidikan, dan politik. Hal tersebut menarik untuk dikaji tumbuhnya pemikiran-pemikiran Natsir yang dipengaruhi oleh beberapa factor yang membentuk kerangka berfikirnya, yaitu factor lingkungan di tanah minang hingga tanah Sunda. Serta perjumpaannya dengan tokoh agama dan tokoh nasionalis. Di antara tokoh-tokoh tersebut adalah Ahmad Hassan dari Masyumi. Jejak tracking yang membentuk pemikiran Natsir tersebut membawa dampak bagi bangsa Indonesia, seperti pencetusan Mosi Integral dan pembangunan Lembaga Pendidikan islam berdasarkan prinsip keseimbangan ilmu.
Apropiación del Plan de Estudio para la educación básica 2022: un estudio de caso
Authors: Ceballos Escobar Fernando Iván 
Published: January 2025

El artículo tiene el objetivo de explorar los posicionamientos del profesorado, las acciones de mediación y las condiciones para la apropiación del Plan de Estudio para la Educación Básica 2022 en una escuela secundaria. Es un estudio cualitativo de corte interpretativo llevado a cabo mediante entrevistas semi-estructuradas y un grupo focal. A través de un análisis narrativo, los hallazgos dan cuenta de valoraciones heterogéneas con respecto a diferentes elementos de la propuesta curricular y algunas resonancias de planes anteriores en los imaginarios y las acciones de los sujetos, así como formas de acompañamiento poco cercanas a los intereses y necesidades del profesorado. Se concluye que la apropiación se da en distintos momentos donde las condiciones y los diferentes posicionamientos influyen sobre los discursos y las acciones llevadas a cabo durante el proceso.

Appropriation of the Study Plan for Basic Education 2022: a case study
Abstract
The article aims to explore the positions of teachers, mediation actions and the conditions for the appropriation of the 2022 Study Plan in a secondary school. It`s a qualitative, interpretive study carried out through semi-structured interviews and a focus group. Through a narrative analysis, the findings reveal situated and heterogeneous evaluations with respect to different elements of the curricular proposal and some resonances of previous plans in the discourse and actions of the subjects, as well as accompanying actions that are not close to the interests and needs of the teaching staff. It is concluded that appropriation occurs in stages where the different positioning influences the discourses and actions carried out during the process.
Soft Skills
Authors: De Lorenzo Ros Sara , González Rico Pablo , Atanes Torres Roberto 
Published: January 2025

El presente estudio tiene por objeto explorar las soft skills que se encuentran más relacionadas con la capacidad para responder a las actividades o tareas en el entorno de trabajo. La muestra está compuesta por 530 trabajadores a los cuales se les evalúan 11 competencias distribuidas en 24 dimensiones diferenciadas. Los resultados indican que la muestra se puede agrupar en tres clústeres significativamente diferenciados, entre los que destacan especialmente las puntuaciones de uno de ellos, siendo éste el más valorado por las organizaciones. Además, pone el foco en los campos de formación para un mayor desarrollo, desempeño profesional y empleabilidad. Resaltan las competencias de empatía, implicación, compromiso, responsabilidad y autonomía como eje vertebral de los tres clústeres. Por último, se interpretan los resultados destacando la aplicabilidad de los resultados en el mercado empresarial.
STUDI KASUS KLAIM MALAYSIA ATAS BERAS ADAN KRAYAN PROVINSI KALIMANTAN UTARA
Authors: Sugiharto Didit 
Published: January 2025

AbstractAs a country that has biodiversity spread across various regions in Indonesia, it is not impossible for the local varieties owned by regions in Indonesia is not impossible for local varieties owned by other countries. Indonesia is recognized by other countries, with the geographical fact that there are many areas that border directly with other countries. That border directly with other countries. Cases of claims on local varieties owned by Indonesia as done by Malaysia which claims local plant varieties owned by Indonesia, namely adan rice which is located in the highlands of highlands of Borneo, Krayan District, Nunukan Regency, North Kalimantan, which is a potential border area between Indonesia and Malaysia. The incident of the claim must become an awareness of the importance of legal protection of local varieties owned by Indonesia that have high economic potential Indonesia that have high economic potential. AbstrakIndonesia sebagai negara yang memiliki keanegaragaman hayati yang tersebar di berbagai daerah di Indonesia bukan tak mungkin terhadap varietas lokal yang dimiliki Indonesia di kliam oleh Negara lain, dengan fakta geografis terdapat banyak daerah–daerah yang berbatasan langsung dengan negara lain. Kasus klaim atas varietas lokal milik Indonesia seperti yang dilakukan oleh Malaysia dimana mengklaim varietas tanaman lokal milik Indonesia yaitu beras adan yang berada di dataran tinggi Borneo, Kecamatan Krayan, Kabupaten Nunukan, Kalimantan Utara, yang menjadi potensi daerah perbatasan RI-Malaysia. Peristiwa klaim tersebut harus menjadi sebuah kesadaran akan pentingnya perlindungan hukum atas varietas lokal yang dimiliki oleh Indonesia yang memiliki potensi ekonomis yang tinggi.