bluuebunny/crossref_metadata_2025_split huggingface dataset:
Beden Eğitimi Öğretmeni Adaylarının Öz Yeterlikleri İle Bireysel Değerlerinin İncelenmesi
Authors: BAŞ Mustafa 
Published: December 2023

Araştırmada; Beden Eğitimi ve spor öğretmeni adaylarının öz-yeterlikleri ile bireysel değerlerini mezun olunan lise ve cinsiyet değişkenlerine göre incelemektir.
Araştırma, nicel araştırma yaklaşımlarından ilişkisel tarama modeline uygun planmıştır. Araştırmanın evrenini, 2021-2022 öğretim yılında Giresun üniversitesi ve Trabzon üniversitesi spor bilimlerinde öğrenimlerine devam eden öğretmen adayları; örneklemini ise random yöntemiyle ve gönüllülük esasına göre belirlenen 135 kadın ve 122 erkek toplam 257 beden eğitimi öğretmen adayı oluşturmaktadır. Çalışmada verilerin toplanması için; Öğretmen Öz Yeterlik Ölçeği ile Bireysel Değerler Ölçeğinden yararlanılmıştır. Elde edilen veriler SPSS programına aktarıldıktan sonra istatistiki işlem olarak; Indepented sımple t-Testinden yararlanılmıştır. 0.05 anlamlılık düzeyi ele alınmıştır. Veri analizlerinde SPSS 24.00 paket programından faydalanılmıştır.
Sonuç olarak; yapılan analizler neticesinde ortaya çıkan istatistiki bulgular incelendiğinde beden eğitimi ve spor öğretmen adaylarının genel öz-yeterlilik alt boyutları bakımından cinsiyet değişkeni açısından anlamlı farkın olduğu ve bu fakın kadın katılımcıların lehine olduğu; mezun olunan lise değişkenine göre ise farkın olmadığı anlaşılmıştır. Cinsiyet değişkenine göre; bireysel değerler alt boyutlarından “saygı ve doğruluk, disiplin ve sorumluluk ile paylaşım ve saygı” alt boyutları bakımından anlamlı bir fark tespit edilmiş ve puan ortalamalarına göre farkın kadın katılımcıların lehine olduğu anlaşılmıştır. “Dürüstlük ve Paylaşım ile Güven ve Bağışlama” alt boyutları arasında bir farkın olmadığı saptanmıştır.
Clinical evaluation of dry eye in type 2 diabetes mellitus: A hospital-based study from Eastern India
Authors: Kumar Atish , Mohanty Loknath , Das Suprava , Panigrahi Pradeep Kumar , Minj Anita 
Published: December 2023

Abstract

Background:
The burden of dry eye in Indian patients with type 2 diabetes mellitus is not well documented.

Methods:
A hospital-based cross-sectional clinical study was conducted in a tertiary healthcare centre in Eastern Odisha on 100 T2DM patients from January 2017 to January 2019 to study the burden of dry eye. A detailed history of presenting symptoms, duration, progression and any associated condition, if present, were recorded. A detailed history regarding diabetes mellitus and treatment was recorded. The assessment of dry eye symptoms of patients was made using a questionnaire. The comprehensive ocular surface evaluation examination included visual acuity, and anterior segment examination included corneal surface, height of tear meniscus, pre-corneal tear film, tear film break-up time (TBUT) and Schirmer’s test.

Results:
Their mean age was 53.7 ± 9.8 years; there were 54 were males. Sixty-two patients had complaints of dry eye. Mild, moderate and severe dry eye were noted in 31, 22 and 9 patients, respectively. Twenty-six patients with mild dry eye disease were noted with glycosylated haemoglobin HbA1c (%) levels between 6.1 and 7, and eight patients with severe dry eye disease had HbA1c 8%. TBUT was found to decrease as the severity of dry eye increased.

Conclusions:
In the present study, a strong association was found between T2DM and dry eye. It is necessary to examine the ocular surface routinely in DM patients for early detection of dry eye and prevention of structural damage to the ocular surface.
Methaemoglobinaemia due to nitrobenzene poisoning
Authors: Chandrasekhar K. , Sree P. Chandana , Siddhartha Kumar Bhattaram , Nemilete Mounika 
Published: December 2023

Abstract
Nitrobenzene poisoning presenting as acute methaemoglobinaemia is an uncommon medical emergency. The case of a 17-year-old male with alleged history of consumption of ‘flower all’ (composition-nitrobenzene) is being reported here. At the time of presentation to the emergency department, the patient had cyanosis of lips and feet with Glasgow coma score 12. His pulse was 161/min, blood pressure 70/40 mm Hg and oxygen saturation by pulse oximeter was 72% on room air. His pupils were bilaterally dilated with sluggish reaction. Rest of the physical examination was unremarkable. In view of desaturation, he was intubated and connected to mechanical ventilator. Blood sample taken for arterial blood gas (ABG) analysis was dark brown in colour. ABG showed pH: 7.443, arterial carbon dioxide tension: 27.8 mm Hg, arterial oxygen saturation (SaO2) 95.6% and bicarbonate 18.7 mEq/L. The calculated difference between SaO2 and SPo2 was 23%. Despite being on mechanical ventilation, he continued to have hypoxia. With a suspicion of methaemoglobinaemia, blood samples were sent for methaemoglobin level. Blood methaemoglobin was 13%. The patient was immediately started on injection methylene blue and injection ascorbic acid. Two sessions of haemoperfusion and one session of exchange transfusion were done. He started to improve clinically on day 3. He was gradually weaned off the mechanical ventilator and was discharged in the stable condition after 3 weeks of in hospital stay.
Bone and joint disease – Not always a rheumatological diagnosis
Authors: Naini Abhilash , Ashwitha Chawan , Sree Aakula Suguna , Pappu Sai Subrahmanyam , Chandra Naval , Raju Yadati Satyanaryana , Uppin Megha , Nallapareddy Kavitha 
Published: December 2023

Abstract
A 17-year-old female presented with a 7-day history of joint pains involving the bilateral knee, ankle and small joints of the hands and feet symmetrically, associated with bilateral knee joint swelling and early morning stiffness and bilateral red eyes. General examination was normal except for pallor. Musculoskeletal system examination revealed bilateral swollen and tender knee joints with restriction of movement along with tenderness in the bilateral shoulder, elbow, ankle joints and spine from T3 to T7 thoracic vertebral levels. Examination of other systems was normal. Investigations showed anaemia, elevated urea and creatinine. Skeletal survey showed multiple lytic lesions. Positron emission tomography revealed multiple punched-out lytic lesions in skull bones, scapulae, sternum, clavicles, ribs on both sides, vertebrae at multiple levels and in pelvic girdle bones. Few lesions showed mild 18fluorodeoxyglucose (18FDG) uptake, metaphyseal moth-eaten lysis in long bones with mild FDG uptake. Bone marrow biopsy and immunohistochemistry confirmed the diagnosis of acute B-cell lymphoblastic leukaemia. The terminology is according to 2016 revision of WHO classification of myeloid neoplasms and acute leukemia.
Correlation of serum markers with FibroScan® liver for assessment of hepatic fibrosis in patients with non-alcoholic steatohepatitis
Authors: Pasha Mohammed Mahaboob , Tirumala Narendra Sreekanth , Mujeeb V R 
Published: December 2023

Abstract

Background:
Newer non-invasive modalities such as FibroScan and laboratory testing methods such as aspartate aminotransferase (AST) platelet ratio index (APRI) scores, AST/alanine aminotransferase (ALT) ratio and fibrosis-4 (FIB-4) scores are being used for fibrosis assessment in non-alcoholic fatty liver disease (NAFLD) patients where facilities for liver biopsy are lacking. We studied the relationship between FibroScan® scores and serum fibrosis markers in non-alcoholic steatohepatitis (NASH) patients.

Methods:
One hundred patients who had undergone FibroScan of the liver over the past 2 years were enrolled. Demographic data were collected along with serum ALT, serum AST and platelet counts. The AST/ALT ratio, APRI score and FIB-4 were compared with the FibroScan fibrosis scores. Correlate between the degree of fibrosis in relation to age, platelet counts, serum ALT, serum markers and FibroScan scores was studied.

Results:
A significant positive correlation was noted between the FibroScan® results and the AST/ALT ratio, the APRI score and the FIB-4. No significant correlation was noted between age and fibrosis score. There was a highly significant correlation between platelet count and stiffness score.

Conclusions:
Our observations suggest that FibroScan®, along with the serum fibrosis markers, is helpful in assessing liver fibrosis in NASH patients, eliminating the need for liver biopsy in resource-poor settings.
Pulmonary arteriovenous malformation in a case of hereditary haemorrhagic telangiectasia
Authors: Reddy Adam Sandeep , Nethaji Madhuvanthini , Kumar C. Sunil , Prasanthi P. , Sivakumar Manubolu , Venkatramireddy B. , Madhavi Gottam Bindhu , Gururaj Kale Pavan Kumar , Katyarmal D. T. 
Published: December 2023

Abstract
Pulmonary arteriovenous malformations (PAVMs) are one of the most common serious complications of hereditary haemorrhagic telangiectasia (HHT). We present the case of a 63-year-old woman who presented with respiratory distress, pedal oedema and palpitations. She had a history of recurrent epistaxis and frequent blood transfusions. Family history of telangiectasias over oral and nasal mucosa is present. At the time of presentation, the patient had hypoxia, maintaining oxygen saturation 88% on pulse oximetry while breathing ambient air. Examination revealed decreased breath sounds in the right lung fields. Computed tomography pulmonary angiography showed a ruptured PAVM with haemothorax. The present case highlights the occurrence of a PAVM in a case of HHT.
High incidence of periodontitis in patients with ascitic decompensated cirrhosis
Authors: Pischke Sven , Ashouri Mohamad Motee , Peters Ulrike , Shiprov Anita , Schulze Zur Wiesch Julian , Sterneck Martina , Fischer Frank , Huebener Peter , Mader Maria , Fischer Lutz , Fründt Thorben , Aarabi G , Beikler Thomas 
Published: December 2023

BACKGROUND
Periodontitis has been associated with various liver diseases. However, the relevance of periodontitis in the progression of decompensated cirrhosis remains inconclusive. In particular, it is unclear whether the common periodontitis pathogens, Porphyromonas gingivalis (P. gingivalis ) and Actinobacillus actinomycetemcomitans (A. actinomycetemcomitans ), can be detected not only in the oral mucosa but also in ascites and stool.
AIM
To investigate the significance of periodontitis, P. gingivalis , and A. actinomycetemcomitans in cirrhosis patients with ascitic decompensation.
METHODS
This prospective study was conducted at the University Hospital Hamburg-Eppendorf, a tertiary center in Northern Germany. A cohort of 27 patients with ascitic decompensated liver cirrhosis underwent dental examinations to assess the association between periodontitis and various clinical parameters of cirrhosis, as well as patient outcomes. PCR was used to test gingival samples, ascites, and stool for the presence of P. gingivalis and A. actinomycetemcomitans . Gingival samples were collected by probing the deepest gum pocket of a sextant and wiping them on a cotton swab.
RESULTS
Periodontitis was diagnosed in 22 out of 27 (82%) ascite patients, which is significantly more common than in a control cohort of 100 unselected patients (59%, P = 0.04). P. gingivalis was detected in the gingiva of six patients, and one of them also had P. gingivalis in their stool. However, P. gingivalis was not found in the ascites of any patient. Five out of six patients with P. gingivalis had periodontitis (83%). A. actinomycetemcomitans was not detected in any sample. Patients without periodontitis had a significantly higher mortality rate compared to those with periodontitis, and survival (Kaplan-Meier analysis) was longer in patients with periodontitis (P = 0.02). Transplant-free survival was also more common in patients with periodontitis compared to those without (63% vs 0%, P = 0.02).
CONCLUSION
Decompensated cirrhotic patients frequently suffer from periodontitis. However, there was no evidence of the translocation of P. gingivalis or A. actinomycetemcomitans into ascites. The survival of cirrhotic patients with periodontitis was not reduced.
Hepatic pseudotumor associated with Strongyloides infection: A case report
Authors: Gialanella Jessica P , Steidl Tyler , Korpela Kokkola , Grandhi Miral S , Langan Russell C , Alexander H Richard , Hudacko Rachel M , Ecker Brett L 
Published: December 2023

BACKGROUND
Strongyloides sterocoralis is a parasitic infection caused by a roundworm that is transmitted through soil contaminated with larvae. It can infrequently cause hepatic abscesses in immunocompromised patients and is rarely reported to form hepatic lesions in immunocompetent hosts.
CASE SUMMARY
We present a case study of a 45-year-old female who presented with right upper quadrant abdominal pain and constitutional symptoms for several weeks. Cross-sectional imaging identified several malignant-appearing liver masses. Further investigation, including serological testing and histopathologic examination, revealed the presence of serum Strongyloides antibodies and hepatic granulomas with extensive necrosis. Following treatment with ivermectin for 2 wk, there was complete resolution of the liver lesions and associated symptoms.
CONCLUSION
This case highlights the importance of considering parasitic infections, such as Strongyloides , in the differential diagnosis of hepatic masses. Early recognition and appropriate treatment can lead to a favorable outcome and prevent unnecessary invasive procedures. Increased awareness among clinicians is crucial to ensure the timely diagnosis and management of such cases.
The Hopping Dead. Zombies in the Chinese Culture. Translation into English
Authors: Sarakaeva Asia A. , Sarakaeva Elina A. 
Published: December 2023

The article examines the image of zombies in Chinese culture, the traditional perception of their appearance and internal characteristics. A wide scope of written sources served as the basis of the study: inscriptions on oracle bones, ancient fortune-telling calendars, historical treatises, chronicles and commentaries on chronicles, essays on geography and medicine, fiction of old and modern China, as well as entries and comments from the Chinese blogosphere.
The authors examine how the idea of evil spirits (with a body or bodiless ones) first appeared in the religious worldview of the ancient Chinese, and trace its origin to the doctrine of existence of multiple souls in one person. The article also details the formation of the pictorial image of Chinese zombies: animated corpses covered with hair or dressed as government officials, with their arms extended forward, hopping on straight legs unable to bend their knees. As for the functional characteristics of zombies, the authors discuss not only their well-known features (e.g., cannibalism), but also their deep inner connection with water and drought. In conclusion, the authors explore the evolution of zombies in modern urban legends and demonstrate the continuity of traditional demonology that develops into modern narrative.
Apart from that, the article contains a number of analogies and comparisons of the Chinese image of zombies with other nations’ mythological tradition.
Proses Berpikir Tingkat Tinggi Mahasiswa Menggunakan Kerangka Kerja Teori Mason Berbantuan ChatGPT Pada Analisis Real II
Authors: Ratnawati Oktaviana Ainun , Artuti Emy , Pancarita Pancarita 
Published: December 2023

Pemecahan masalah matematika terdiri dari konsep, prosedur, dan proses yang menggambarkan proses psikologis pada seseorang yang memiliki kemampuan tingkat tinggi. Jenis penelitian adalah kualitatif deskriptif. Subjek penelitian ditentukan berdasarkan nilai pada mata kuliah sebelumnya yaitu Analisis Real I. Tahapan pada Teori Mason dapat membantu mendeskripsikan proses berpikir seseorang, dengan tahapan yang terdiri dari entry, attack, dan review. Penelitian ini bertujuan untuk mendeskripsikan proses berpikir tinggi mahasiswa dalam menyelesaikan permasalahan pada mata kuliah Analisis Real II dengan bantuan teknologi AI dalam hal ini adalah ChatGPT. Hasil penelitian menunjukkan bahwa mahasiswa dapat melewati semua tahapan pada teori Mason dengan baik dan dapat memanfaatkan ChatGPT untuk memperdalam pemahaman.
Flood Syndrome, Rare but Feared Complications
Authors: Laiq Sobia , Ahmad Nabeel , Yaqoob Sadia 
Published: December 2023

Madam,
I am writing to bring attention to a medical condition known as Flood Syndrome, a life-threatening occurrence characterized by the sudden rush of fluid following the spontaneous rupture of an umbilical hernia in individuals with long-standing ascites and end-stage liver disease. While uncommon, this syndrome poses a serious threat to patients' well-being. The umbilical hernia typically ruptures due to increased intra-abdominal pressure resulting from coughing, vomiting, straining during defecation, or an increased ascitic fluid volume (1).
This syndrome's history dates back to 1901, when Johnson first described it, while the term "Flood Syndrome" was coined by Frank B. Flood in 1961 (2). Ascites, a common complication of liver cirrhosis, affects nearly half of the population with this condition. Large-volume ascites significantly impairs the patients' ability to perform daily activities. Approximately 20% of cirrhotic patients with ascites also develop an umbilical hernia. Flood Syndrome presents several potential complications, including cutaneous infections, skin necrosis or ulceration, peritonitis, hypotension, fluid imbalance, sepsis, and bowel incarceration (3).
Despite its rarity, only a few case studies available on this topic, with the majority focusing on cases related to liver cirrhosis. An intriguing case presented by Murruste et al (5). highlights Flood Syndrome following right-sided heart failure, with no previous records of such a condition in connection with ascites primarily caused by right-sided heart failure. The optimal treatment for Flood Syndrome remains a matter of debate; however, research suggests that surgical intervention yields better outcomes compared to conservative treatment alone. Mortality rates can be as high as 60%-80% with conservative measures, while surgical hernia repair has a lower mortality rate of 6%-20% (4).
Hence, raising awareness about Flood Syndrome and its associated risk factors is essential for improving patient outcomes and reducing the incidence of this life-threatening condition. Therefore, educate patients, particularly those with severe ascites due to liver cirrhosis to diligently follow up with their doctors and adhere to their prescribed medications to avoid such dreaded complications. Additionally, physicians should advise their patients to avoid heavy lifting, which can help prevent the formation of umbilical hernias. We can work towards more effective preventive measures and treatments.by fostering a better understanding of this syndrome among medical professionals and patients alike., Timely diagnosis and a multidisciplinary approach to treatment are vital in achieving the best possible outcomes in such cases. Together, we can make a significant impact in addressing this medical challenge.
The aetiology, risk factors and outcome of acute kidney injury in patients requiring kidney replacement therapy – a prospective single center experience
Authors: Abbas Rabeea , Elahi Tabassum , Manan Shumaila , Younas Shafique 
Published: December 2023

Objective: To find out the causes, associated leading factors and impact of kidney replacement therapy on patients hospitalised for acute kidney injury in a tertiary care setting.
Method: The prospective, cross-sectional study was conducted at the Sindh Institute of Urology and Transplantation, Karachi, from January 1 to March 31, 2022, and comprised patients of either gender aged 18 or more years presenting with acute kidney injury as per the Kidney Disease Improving Global Outcomes criteria and required kidney replacement therapy. Complete, partial or no recovery was the main outcome parameter noted at the end of 90 days. Possible aetiologies were identified and categorised as pre-renal, renal and post-renal aetiologies. Risk factors for acute kidney injury were recorded, including age, gender and co-morbidities. Data was analysed using SPSS 22.
Results: Of the 210 patients with mean age 46.1±14.24 years, 109(52%) were males and 101(48%) were females (p>0.05). Hypertension was the most common comorbidity 98(46.8%), followed by diabetes mellitus 75(35.7%) and underlying chronic kidney disease 55(26.2%). Multiple therapeutic interventions were required, including vasopressors in 101(48.1%) patients and mechanical ventilation in 31(14.8%). Renal failure due to intrinsic renal aetiology was the most common 98(46.7%), followed by post-renal aetiology 61(29%). There was no significant association between outcomes and aetiologies (p>0.05). There was increase in chronic kidney disease cases from 55(26.2%) patients at baseline to 107(50.9%) at the end of 90 days. Complete recovery was noted in 71(33.8%) patients, partial in 73(34.76%), no recovery in 34(16.1%) patients who required maintenance kidney replacement therapy, and 32(15.2%) patients died.
Conclusion: Complete recovery after 90 days of kidney replacement therapy was observed in one-third of the patients. Intrinsic renal aetiology was the most prevalent, and hypertension was the most common comorbidity.
Key Words: AKI, CKD, KRT.
Comparison of muscle energy technique and facet joint mobilisation in the patient with chronic neck pain: A randomized controlled trial
Authors: Huma Tabassum  , Mariam Misbah , Gondal Kirran Sikandar 
Published: December 2023

Objective: To compare the effects of muscle energy techniques, facet joint mobilisation and conventional physical therapy on pain, disability, cervical lordosis and range of motion in patients with chronic neck pain.
Method: The parallel-design randomised controlled trial was conducted at the Physical Therapy and Rehabilitation Department of the Heavy Industries Taxila Hospital, Taxila Cantt, Pakistan, from December 2020 to May 2021, and comprised patients of either gender aged 35-50 years who had chronic neck pain, recurrent neck pain, and cervical spine curve. The participants were randomised into muscle energy techniques group A, facet joint mobilisation group B and conventional physical therapy group C. The outcome measures were cervical lordosis, pain intensity, neck disability index and cervical range of motions. Data was analysed using SPSS 21.
Results: Of the 115 patients initially assessed, 105(91.3%) were included; 67(63.8%) females and 38(36.2%) males. There were 35(33.3%) subjects in group A with mean age 40.09± 4.29 years, 35(33.3%) in group B with mean age 40.14±4.57 years and 35(33.3%) in group C with men age 39.26±5.19 years. There were no significant differences among the groups at baseline in terms of mean age, weight, height, body mass index, neck disability index, cervical lordosis and range of motion (p>0.05). Of the total, 6(5.7%) were lost to follow-up and the study was completed by 99(94.3%) subjects. Outcome variables in group A were superior to those in groups B and C with respect to flexion, rotation and side-bending (p<0.05). There was no significant difference between groups A and B related to numeric pain rating scale and neck disability index (p>0.05).
Conclusion: Muscle energy techniques and facet joint mobilisation showed significant improvement in neck pain, disability and cervical range of motions compared to conventional physical therapy. Muscle energy techniques and facet joint mobilisation produced similar outcomes with respect to pain intensity and functional disability.
Clinical Trial Number: The study was prospectively registered with clinicaltrials.gov (NCT05040477).
Key Words: Cervical lordosis, Facet joint, Mobilisation, Muscle energy techniques, Neck pain.