bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of radiological and clinical results of knee intra-articular injections with two ultrasonography-guided approach techniques: A randomized controlled study
Authors: Ertilav Esra , Sarı Sinem , Ertilav Devran , Nuri Aydın Osman 
Published: February 2024

Objectives: The objective of this study was to evaluate the clinical and radiological results of intra-articular injections performed with two different ultrasound-guided approaches in knee osteoarthritis.
Patients and methods: The randomized controlled study was conducted on 80 knees of 40 patients (9 males, 31 females; mean age: 63.6±8.2 years; range, 46 to 78 years) with Grade 2-3 gonarthrosis that underwent ultrasound-guided intra-articular injections with suprapatellar (SP) or infrapatellar (IP) approaches between March 2020 and January 2021. After the injection, opaque material spread was fluoroscopically observed. Before the procedure and at the one and three months after the procedure, patients' Visual Analog Scale (VAS) scores for pain and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores for functional recovery were recorded.
Results: In both techniques, one- and three-month VAS and WOMAC scores were found to be significantly lower (p<0.001 and p<0.001, respectively). Of the patients with positive opaque spread, 63.3% were in the IP technique group, and 36.7% were in the SP technique group (p=0.003). In 69.2% of those with radiologically positive opaque spread, the VAS score was significantly higher with >50% regression (p=0.04). In the IP technique, >50% regression rate of the VAS was 86.7% in patients with positive opaque spread, while VAS regression was significantly higher than those without opaque spread (p=0.02).
Conclusion: Although the IP approach shows an early-positive opaque transition due to its proximity to the joint, both approach techniques are clinically effective under ultrasound guidance.
Can optical coherence tomography angiography be a first line ophthalmological evaluation in patients with Behçet’s disease?
Authors: Karaca Dilhan , Dıraçoğlu Aynur , Önder Feyza 
Published: February 2024

Objectives: This study aimed to investigate whether early ocular findings can be demonstrated with optical coherence tomography angiography in patients with Behçet's disease.
Patients and methods: Thirty-seven eyes of 22 patients with Behçet’s disease with ocular involvement, 48 eyes of 26 Behçet patients without any ocular involvement, and 44 eyes of 22 healthy controls were included, for a total of 70 patients (39 males, 31 females; mean age: 42.3±11.7 years; range, 18 to 65 years), in the cross-sectional study conducted between September 2019 and April 2020. The parameters analyzed were the foveal avascular zone (FAZ), central macular thickness, total deep capillary plexus vessel density (DCPVD), parafoveal deep capillary plexus vessel density (PaDCPVD), total superficial capillary plexus vessel density (SCPVD), and parafoveal superficial capillary plexus vessel density (PaSCPVD).
Results: Total DCPVD, total SCPVD, PaDCPVD, and PaSCPVD were found to be low in the ocular involvement group compared to the others, and the FAZ area was larger compared to the control group. Capillary plexus densities were positively correlated with the best-corrected visual acuity and negatively correlated with disease duration. No statistically significant difference was found between patients with Behçet without ocular involvement and the control group in terms of the FAZ area, DCPVD, PaDCPVD, SCPVD, and PaSCPVD.
Conclusion: Optical coherence tomography angiography demonstrated decreased vascularity in Behçet patients with ocular involvement; however, it revealed no microvascular differences between patients with Behçet’s disease who do not have ocular involvement and the control group.
Pediatric Behçet’s disease: Experience of a single tertiary center
Authors: Açarı Ceyhun , İşgüder Rana , Torun Rüya , Makay Balahan , Erbil Ünsal Şevket 
Published: February 2024

Objectives: The aim of this study was to examine the clinical and phenotypic features of pediatric Behçet’s disease (PEDBD) in our clinic and present the rates of fulfilling the diagnostic criteria.
Patients and methods: Thirty-four patients (20 males, 14 females; mean age: 16.0±2.1 years; range, 10 to 18 years) diagnosed with PEDBD between January 2010 and December 2019 were retrospectively evaluated. Patients were reclassified according to 1990 International Study Group (ISG) criteria, 2014 International Criteria for Behçet’s Disease (ICBD), and PEDBD criteria.
Results: The mean age at diagnosis was 12.6±3.1 years, the median diagnosis delay time was 12.0 (range, 4.5 to 27.0) months, and the mean age at symptom onset was 10.8±2.9 years. The mean follow-up period was 31.9±20.9 months. Oral aphthous ulcer was observed in 33 (97.1%), genital ulcer in 16 (47.0%), ocular involvement in 15 (44.1%), skin lesion in 11 (32.3%), joint involvement in nine (26.4%), both vascular and neurological involvement in six (17.6%) patients. The pathergy test was positive in 11 (37.8%) patients, and human leukocyte antigen (HLA)-B51 was positive in 11 (78.5%) of 14 patients. The rates of patients meeting the criteria for ISG, ICBD, and PEDBD were 52.9%, 82.4%, and 50.0%, respectively.
Conclusion: Pathergy and HLA-B51 can be used as supportive findings in patients who do not meet the diagnostic criteria. However, expert opinion is still the gold standard in diagnosis.
autorización de viviendas unifamiliares aisladas en suelo rústico en la ley 7/2021, de 1 de diciembre, de Impulso para la sostenibilidad del territorio de Andalucía
Authors: Sánchez Sáez Antonio José 
Published: February 2024

Una de las grandes novedades de la LISTA ha sido la posibilidad de autorizar viviendas unifamiliares aisladas en suelo rústico, desvinculadas de la explotación económica de la finca.
Andalucía se iguala, así, a la mayoría de las CC.AA., que ya permitían estos usos.
La clave del asunto está en las condiciones y límites que se impongan. La LISTA y su reglamento han mantenido la exigencia de no creación de nuevo núcleo de población y otros requisitos muy exigentes.
Bienvenida esta posibilidad abierta por la LISTA, ya que la prohibición absoluta de la LOUA se ha demostrado perjudicial, pues esta demanda social legítima quedaba frustrada y se ha traducido en un incremento vertiginoso de las edificaciones clandestinas en nuestra región.
Pengaruh Kompensasi, Motivasi, dan Kompetensi SDM terhadap Kinerja Karyawan:
Authors: Raytasyah Zeinnisa Inggit , Santoso Bowo 
Published: February 2024

This study aims to explain the effect of compensation, motivation, and HR competence on employee performance. The object used in this research is the employees of UMKM Griya Tas Indah Sidoarjo. while the sample in this study were employees of UMKM Griya Tas Indah Sidoarjo. The sampling method used was saturated sampling technique with a total of 35 respondents. Data analysis in this study was carried out using the Partial Least Square (PLS) method which shows that all of these tests used a quantitative research design, data analysis in the form of descriptive statistics and PLS analysis. Based on the research results, it can be seen that 1) the fulfillment variable is able to support employee performance improvement, 2) motivational variable is able to support employee performance improvement, 3) HR competence variable is able to support employee performance improvement.
Keywords: Compensation, Motivation, HR Competence, Employee Performance
THEORETICAL FOUNDATIONS AND ECONOMIC CONTENT OF THE CONCEPT OF “TRANSPORT INFRASTRUCTURE” IN THE SYSTEM OF SCIENTIFIC KNOWLEDGE
Authors: Пономаренко В.В. 
Published: February 2024

В статье рассмотрены теоретические основы и экономическое содержание понятия «транспортная инфраструктура» в системе научного знания. Автором проанализированы современные научные подходы к определению транспортной инфраструктуры, определено, что в качестве транспортной инфраструктуры целесообразно рассматривать комплекс различных логистических, технических и технологических элементов (транспортных путей, транспортных коридоров, складов, заправочных станций, сервисных и ремонтных предприятий и т. д.) организаций и предприятий, занятых обслуживанием пассажирских и грузовых перевозок, обеспечивающих функционирование всех видов транспорта и формирующих условия для решения социально-экономических задач, которые определяются потребностями в перевозке грузов и пассажиров, а также финансово-экономическими потребностями экономики и непосредственно потребностями самих транспортных предприятий.
The article examines the theoretical foundations and economic content of the concept of “transport infrastructure” in the system of scientific knowledge. The author analyzed modern scientific approaches to defining transport infrastructure, determined that it is advisable to consider a complex of various logistics, technical and technological elements (transport routes, transport corridors, warehouses, gas stations, service and repair enterprises, etc.) as a transport infrastructure. organizations and enterprises engaged in servicing passenger and freight transportation, ensuring the functioning of all types of transport and creating conditions for solving socio-economic problems that are determined by the needs for the transportation of goods and passengers, as well as the financial and economic needs of the economy and directly the needs of the transport enterprises themselves.
Fostering Mutual Interest: Exploring the Dynamics of Regional Government Relations with the Regional People's Legislative Assembly in North Central Timor Regency
Authors: Kehik Bernardus Seran 
Published: February 2024

Purpose: This study aims to determine the Mutual Interest Pattern in the Relationship between the Regional Government and the Regional People's Representative Council.
Approach/Methodology/Design: This study uses a qualitative method. Descriptive research is a type of research that aims to analyze in depth a phenomenon. This study describes more about a phenomenon and does not carry out calculations using statistical figures.
Findings: The results show that the dimension of mutual interest is influenced by weak respect, trust between the two institutions, strong domination by political parties by ignoring the interests of society. As a result, the final result in the form of an outcome, namely increasing the welfare of the community, is considered to have not been successful.
Utility of positron emission tomography for determination of axillary metastasis of breast cancer
Authors: Pösteki Gökhan , Güreşin Alican , Ata Güler Sertaç , Şimşek Turgay , Zafer Cantürk Nuh 
Published: February 2024

Objective: The involvement of axillary lymph nodes plays a key role in breast cancer staging. Positron emission tomography is a promising modality for detecting axillary lymph node metastasis. In addition, nomograms are used to predict the status of axillary lymph nodes. In this study, the role of positron emission tomography in determining axillary metastasis and its correlation with the nomogram was evaluated.
Material and Methods: The axillary maximum standard uptake value (SUVmax) values of the patients in the preoperative period, the features in the perioperative and postoperative specimen and Memorial Sloan Kettering Cancer Center nomogram data were evaluated.
Results: As axillary SUVmax detected by Positron emission tomography in the preoperative period increased, so did the likelihood of lymph node involvement. Axillary SUVmax value were compared with Memorial Sloan Kettering Cancer Center nomogram data but no correlation was found. Age, lymph node number, histopathology results, mass diameter, presence or absence of lymphovascular invasion and/or perineural invasion, tumor type, estrogen receptor status, Ki67 and Cerb-B2 statuses were not correlated. However, axillary SUVmax was inversely correlated with grade and progesterone receptor status.
Conclusion: Results from positron emission tomography of axillary lymph nodes in breasts cancer patients showed that SUVmax was only inversely related to cancer grade and progesterone receptor status while not correlating with other accepted parameters for tumor assessment. Thus there is insufficient reliability for the use of axillary SUVmax alone for accurate assessment of tumor characteristics at present.
Clinical profile and treatment outcomes of Boerhaave’s syndrome: A 13-year experience from an upper gastrointestinal surgical unit
Authors: Surendran Suraj , Victor Coelho , Yacob Myla , Paul Negine , Chandran Sudhakar , John Anoop , George Simon Ebby , Samarasam Inian 
Published: February 2024

Objective: Boerhaave’s syndrome (BS) is a rare, but potentially fatal condition, characterized by barogenic esophageal rupture and carries a high mortality. We aimed to study our institutional experience of managing patients with BS.
Material and Methods: A retrospective review of patients with BS presenting to a tertiary care centre from 2005 to 2018 was carried out in this study. Clinical presentation, diagnostic evaluations, treatments received, and treatment outcomes were studied. Perforations were classified as early (<24 hours) and delayed (>24 hours), based on the time elapsed. Surgical complications were graded using Clavien-Dindo grade. The Pittsburgh perforation severity score was correlated with short-term treatment outcomes.
Results: Of the 12 patients [male, 75%; mean (range) age, 53 (28-80) years] included, 10 patients had a delayed (>24 hours) presentation. Chest pain was the dominant symptom (58.3%); six patients presented either in shock (n= 1) or with organ failure (n= 3) or both (n= 2). All the perforations were sited in the lower thoracic esophagus, of which three were contained and nine were uncontained. The seal of the perforation was achieved by surgical repair in four patients (primary repair, 2; repair over a T-tube, 2) and endoscopic techniques in four patients (clipping, 1; stenting, 3). Sepsis drainage [surgical, 7 (open-5, minimally-invasive-2); non-surgical, 5] and feeding jejunostomy were performed in all patients. Five (41.7%) patients received a re-intervention. Median (range) hospital stay was 25.5 (12-101) days, 30-day operative morbidity was 50%, and there was one in-hospital death. The Pittsburgh perforation severity score was as follows: 2-5 in two patients and >5 in 10 patients; there were more delayed presentations, increased surgical interventions, post-procedure morbidity, and in-hospital mortality in the latter group, but the differences were statistically not significant. In 11 patients followed-up [median (range):1507 (17-5929) days], there was no disease recurrence, symptomatic reflux or dysphagia.
Conclusion: Favourable treatment outcomes, including reduced mortality and organ preservation can be achieved for Boerhaave’s perforations, through a multimodality approach. Minimally invasive, endoluminal or open surgical techniques may be safely utilized in its management. The Pittsburgh severity score can be a useful clinical tool that can be used to select the initial intervention and to predict treatment outcomes.
Hospital teaching status and patient outcomes in intestinal obstruction surgery: A comparative analysis
Authors: Uwumiro Fidelis , Olaomi Oluwatobi , Okpujie Victory , Nwevo Chimaobi , Abel Umoudoh Uwakmfonabasi , Ogunkoya Grace , Abesin Olawale , Bojeranu Michael , Aderehinwo Bolanle , Oriloye Olasunkanmi 
Published: February 2024

Objective: Surgery at large teaching hospitals is reportedly associated with more favourable outcomes. However, these results are not uniformly consistent across all surgical patients. This study aimed to assess potential disparities in clinical outcomes by hospital type for patients with intestinal obstruction.
Material and Methods: 2018 NIS was queried for all adult non-elective admissions for intestinal obstruction. Hospitals were classified as either smallmedium non-teaching hospitals or large teaching hospitals. Multivariate regression analyses were used to assess the association between hospital type and inpatient mortality, access to surgery, admission duration, non-home discharges, hospital costs, and postoperative complications.
Results: After adjustments, admission to large teaching hospitals was not associated with a reduction in inpatient mortality (AOR= 0.73; 95% CI= 0.41- 1.31; p= 0.29), lower likelihood of surgery (AOR= 0.93; 95% CI= 0.58-1.48; p= 0.76) or increased chance of early surgery (p= 0.97). Patients admitted to large teaching hospitals had shorter hospital stays (p= 0.002) and were less likely to be discharged to other acute care hospitals (AOR= 0.94; 95% CI= 0.80-0.94; p= 0.04). Admission to large teaching hospitals was not associated with a reduction in perioperative complications (AOR= 1.04; 95% CI= 0.80- 1.28; p= 0.91) or significantly higher hospital costs (mean increase= 1518; 95% CI= 1891-4927; p= 0.38).
Conclusion: Admission to large teaching hospitals does not necessarily result in better patient outcomes. Merely considering the teaching status of the hospital in isolation cannot explain the diverse outcomes observed for this condition.
Safe postoperative outcomes following early cholecystectomy for acute calculus cholecystitis regardless of symptom onset
Authors: Woong Choi Joseph Do , John Fong Matthew , Shanmugalingam Aswin , Aslam Anoosha , Aqeel Abbas Kazmi Syed , Kulkarni Rukmini , James Curran Richard 
Published: February 2024

Objective: There is growing evidence for reduced post-operative complications, and lower hospital costs associated with early cholecystectomy for acute calculus cholecystitis (AC) compared to delayed surgery. Limited high-quality evidence exists for how early, if at all, should surgeons be operating emergently for AC based on symptom onset.
Material and Methods: Seven hundred seventy-four patients who had cholecystectomy performed by a single surgeon between January 2015-October 2022 were retrospectively reviewed. Five hundred fourty-one patients were analysed. Patients were divided into three groups based on symptom onset: Group 1: 0-72 hours (n= 305), Group 2: 72 hrs-1 week (n= 154) and Group 3: >1 week (n= 82).
Results: Median operative time was most prolonged in Group 2 (96.5 minutes), and had the greatest proportion of reconstituting 95% cholecystectomies (n= 22/154, 14.29%) compared to Group 1 (p> 0.05). The conversion to open was between 0.65-1.64% in all groups. The greatest proportion of bile leak occurred in Group 1 (n= 7/305, 2.3%) followed by Group 3 (n= 1/82, 1.22%) (p> 0.05). All were successfully managed with ERCP and biliary stent. Median hospital stay was significantly prolonged in Group 2 (2.3 days) compared to Group 1 (2 days) (p= 0.03). The proportion of 95% cholecystectomies in Group 2 and 3 were not significant compared to Group 1.
Conclusion: Early cholecystectomy for calculus cholecystitis, irrespective of the timing of symptoms appears to have safe postoperative outcomes. Surgeons do not necessarily need to limit early cholecystectomy for within 72 hours of symptom onset.
Metabolic and surgical factors affecting postoperative quality of life in patients with total pancreatectomy with or without splenectomy: Single center results
Authors: Umman Veysel , Gümüş Tufan , Korucuk Ebubekir , Temel Recep , Başçı Fırat , Uguz Alper , Zeytunlu Murat 
Published: February 2024

Objective: Pancreatic resection may be required in the treatment of patients with pathologies of the pancreas. Total pancreatectomy is a major surgical procedure with serious risk of mortality and morbidity, and patient selection is important for prognosis. The endocrine and exocrine pancreatic insufficiency that develops in patients after total pancreatectomy can lead to a serious decrease in the quality of life of the patients due to pain, diarrhea, vomiting etc. Our aim was to evaluate the effect of total pancreatectomy with spleen preservation as well as splenectomy on the quality of life of the patients.
Material and Methods: In our study, we retrospectively analyzed the data of patients diagnosed with pancreatic cancer, intrapapillary mucinous neoplasia, pancreatic neuroendocrine tumors, and chronic pancreatitis undergoing from partial to total pancreatic resections in our clinic between 12/2017 and 12/2022. Quality of life was compared using the EORTC QLQ-C30 scale.
Results: A total of 47 total pancreatectomy patients, 30 (63.8%) males and 17 (36.2%) females, were included in the study. Mean age of the patients was 61.38 (39-83) years. Five (35.7%) patients underwent perioperative total pancreatectomy because of high risk of pancreatic fistula development due to hard parenchyma and narrow pancreatic duct. Patients had a perioperative blood loss of 500 mL or more, and there was a statistically significant increase in perioperative blood loss compared to patients without vascular resection (p< 0.001). Forty (85.1%) patients used enzyme preparations to replace pancreatic enzymes.
Conclusion: After total pancreatectomy, quality of life of the patients is reduced both by surgical factors and by metabolic factors due to endocrine and exocrine insufficiency in the postoperative period.
Zinc supports liver regeneration after partial resection
Authors: Takahashi Yuki , Oyama Hideyuki , Nakamura Akihiro , Minegishi Yuzo , Tanaka Kuniya 
Published: February 2024

Objective: Safe removal of extensive liver tumor burdens depends on regeneration of the remnant liver, which requires a large amount of zinc over a short period of time. We studied how zinc influences regeneration.
Material and Methods: We measured perioperative serum zinc concentrations after liver cancer diagnosis in 77 patients undergoing hepatectomy to determine how serum zinc affected short-term outcomes and remnant liver regeneration.
Results: Serum zinc concentration at diagnosis showed no correlation with inflammatory or nutritional parameters except for a weak correlation with the lymphocyte-to-monocyte ratio. When patients were divided into a high pre-hepatectomy zinc group (≥75 µg/dL, n= 39, H group) and a low zinc group (<75 µg/dL, n= 38, L group), short-term results such as mortality (p> 0.999), morbidity (p= 0.490), and hospital stay (p= 0.591) did not differ between groups. However, hypertrophy in the future liver remnant after hepatectomy in the H group (127.7 ± 24.7% of original volume) was greater than in the L group (115.9 ± 16.7%, p= 0.024). In a subgroup of patients with extended hepatectomy, hypertrophy was 130.9 ± 26.8% in the H group vs. 116.4 ± 16.5% in the L group (p= 0.037).
Conclusion: Greater serum zinc at diagnosis was associated with greater hypertrophy in the future liver remnant.
Peran Perpustakaan Umum Daerah Karangasem dalam Meningkatkan Minat Baca Masyarakat Karangasem
Authors: Putu Nilayani Sang Ayu 
Published: February 2024

Penelitian ini bertujuan untuk mengetahui minat baca masyarakat Karangasem dan mengetahui peran Perpustakaan Umum Daerah Karangasem dalam meningkatkan minat baca masyarakat Karangasem. Jenis penelitian ini adalah penelitian pendekatan kualitatif karena dalam penelitian ini data-data yang dihasilkan berupa data deskriptif yang diperoleh dari data-data berupa tulisan dan kata-kata yang berasal dari sumber atau informan yang dapat diteliti dan dipercaya. Adapun hasil penelitian ini adalah minat masyarakat datang ke Perpustakaan Daerah (Perpusda) Karangasem untuk membaca buku terus mengalami penurunan. Untuk saat ini kunjungan masyarakat hanya sekitar 25-30 orang per hari. Sedangkan dulu bisa mencapai 100 orang lebih per harinya. Ada tiga peran yang dilakukan Perpustakaan Daerah Karangasem guna meningkatkan minat baca masyarkat Karangasem, yakni dengan meningkatkan koleksi buku di perpustakaan, meningkatkan pelayanan, serta melaksanakan promosi perpustakaan seperti melaksnakan beberapa program, misalnya program Perpustakaan Keliling, sering mengadakan lomba-lomba antar siswa baik TK, SD, SMP, atau SMA.