bluuebunny/crossref_metadata_2025_split huggingface dataset:
Esophageal Liposarcoma: A rare tumor
Authors: Kumar Ameet , Ishaqi M. Saqib Qamar , Baig Mehak Ali , Khan Rafeah 
Published: December 2023

Esophageal liposarcoma is a rare type of tumor. This case report documents the presentation, diagnosis, and management of a 74-year-old male with a medical history including diabetes mellitus, asthma, and hypertension. The patient’s primary complaint was dysphagia, accompanied by regurgitation and substantial weight loss over a six-month period. Diagnostic evaluation revealed a sizable esophageal liposarcoma, which was successfully resected through surgery. Follow-up assessments demonstrated the absence of residual mass. Esophageal liposarcomas, though rare, should be considered in patients presenting with dysphagia or chest discomfort. Surgical resection is the mainstay of treatment, with the recommendation for extended postoperative surveillance given the limited available data regarding long-term prognosis.
doi: https://doi.org/10.12669/pjms.40.2(ICON).8989
How to cite this: Kumar A, Ishaqi MSQ, Baig MA, Khan R. Esophageal Liposarcoma: A rare tumor. Pak J Med Sci. 2024;40(2):S103-S105. doi: https://doi.org/10.12669/pjms.40.2(ICON).8989
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Laryngo-Onycho-Cutaneous Syndrome (LOCS)
Authors: Hemani Fatima , Khurram Uzma , Naveed Anjum 
Published: December 2023

Shabbir Syndrome or commonly known as Laryngo-onycho-cutaneous syndrome (LOCS) is an autosomal recessively inherited syndrome, caused due to mutations in the laminin alpha-3 (LAMA3) gene. This syndrome affects the epidermal layer and results in granulation formation in the eyes, larynx, and nails. One of the most dreadful complications of this syndrome can be due to granulation formation in the larynx or sub-glottis region resulting in laryngeal stenosis and death. According to the latest Online Mendelian Inheritance in Man (OMIM) classification, LOCS has been reclassified as a subtype of Junctional epidermolysis bullosa (JEB). But it is still considered a rare syndrome with limited cases reported worldwide. In this case report, we have discussed a case of a four year old, Pakistani boy, who presented with stridor, fragile skin, and granulation of nails, with no family history of LOCS.
doi: https://doi.org/10.12669/pjms.40.2(ICON).9035
How to cite this: Hemani F, Khurram U, Naveed A. Laryngo-Onycho-Cutaneous Syndrome (LOCS). Pak J Med Sci. 2024;40(2):S100-102. doi: https://doi.org/10.12669/pjms.40.2(ICON).9035
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Implementasi dan Sosialisasi Mini Laboratorium Sistem Pembangkit Tenaga Surya di SMK Muhammadiyah 7 Gondanglegi
Authors: Robandi Imam , Candra Riawan Dedet , Wirjodirdjo Budisantoso , Guntur Harus Laksana , Putri Vita Lystianingrum Budiharto , Djalal Muhammad Ruswandi , Prakasa Mohamad Almas , Ghazi Argon Luthfan , Irsad Muh. Afif Al , Hidayat Muh. Taufik Imam , Saputra Reki Aji , Kumala Arimbi , Satria Moch. Adri , Himawari Waseda 
Published: December 2023

Indonesia memiliki potensi energi baru terbarukan (EBT) yang sangat besar, namun belum diikuti dengan pemanfaatan yang optimal. Sistem Listrik Tenaga Surya (PLTS) berbasis fotovoltaik menjadi teknologi yang paling mudah diimplementasikan oleh semua kalangan dan di berbagai sektor. Di sektor Pendidikan, Sekolah Menengah Kejuruan (SMK) memiliki visi membentuk sumber daya manusia yang memiliki kompetensi keahlian di bidang tertentu, salah satunya teknik instalasi tenaga listrik. Meski begitu, belum banyak SMK yang sudah mulai memperkenalkan pentingnya pemanfaatan EBT pada siswanya. Pada kegiatan Pengabdian Kepada Masyarakat (Abmas) ini diusulkan Implementasi dan Sosialisasi Mini Laboratorium Sistem Pembangkit Tenaga Surya sebagai Media Pembelajaran di SMK Muhammadiyah 7 Gondanglegi, Malang. Mini Laboratorium ini terdiri dari Trainer PLTS yang merupakan mereplika sistem PLTS stand-alone dalam skala laboratorium yang cukup untuk proses pembelajaran. Trainer PLTS ini terdiri dari sistem fotovoltaik, beserta komponen pendukung berupa Solar Charger Controller (SCC), baterai, dan inverter. Metode pelaksanaan kegiatan meliputi implementasi dan sosialisasi mini laboratorium. Dari hasil pelaksanaan abmas diperoleh peningkatkan pemahaman dan keterampilan para siswa dan guru terkait pemanfaatan teknologi EBT dalam bentuk trainer PLTS.
Optimalisasi Usaha Mikro Kecil dan Menengah (UMKM) melalui Pelatihan Dasar Manajemen di Desa Duri Kecamatan Slahung Kabupaten Ponorogo
Authors: Setyowati Endah , Mustofa Al Hilalul , Yuliawan Dwi , Astuti Eka Nurwidi , Mahasti Helda Sri Gana Duwi 
Published: December 2023

Usaha Mikro, Kecil, dan Menengah (UMKM) memiliki peran yang signifikan dalam pembangunan ekonomi nasional. Selain berkontribusi pada pertumbuhan ekonomi nasional dan penciptaan lapangan kerja, UMKM juga memiliki peran penting dalam distribusi manfaat pembangunan dan berfungsi sebagai pendorong utama dalam menggerakkan aktivitas ekonomi di tingkat nasional. Tujuan dari kegiatan pengabdian masyarakat ini adalah untuk menemukan aset yang ada di Desa Duri, Kecamatan Slahung, Kabupaten Ponorogo, dimana terdapat potensi berkembangnya UMKM. Pengabdian masyarakat ini menerapkan pendekatan ABCD (Asset Based Community-driven Development) dengan langkah-langkah meliputi proses inkulturasi, discovery, design, define, dan reflection. Langkah yang diambil dalam mengoptimalisasi pelaku UMKM di Desa Duri yaitu dengan mengadakan program seminar dan pelatihan dasar manajemen dengan kegiatan tindak lanjut berupa pembuatan dan pengelolaan akun di platform Google Bisnis, sertifikasi label halal, serta inovasi branding produk. Hasil evaluasi menunjukkan bahwa pelatihan dasar manajemen berkontribusi positif dalam meningkatkan pendapatan dari usaha mikro di Desa Duri, Ponorogo.
Factors influencing medical students’ decision to pursue a career in obstetrics and gynaecology
Authors: Ní hÉalaithe Caoimhe , Howard Aoife , Corcoran Paul , McCarthy Claire M. , Horgan Mary , Bennett Deirdre , O’Donoghue Keelin , O’Sullivan Suzanne 
Published: December 2023

Introduction
The career intentions of medical students can exert influence on service provision and medical staffing in the health services. It is vital for a specialty’s development and sustainability that it has a constant stream of trainees into it annually. An appreciation of how a specialty is viewed by medical students can be used as an opportunity for early intervention in order to improve perception of the specialty and reduce future workforce problems, such as retention and attrition within obstetrics and gynaecology (O&G). We aimed to analyse positive and negative factors of the specialty of O&G as perceived by medical students in order to gain insight into changes that need to be made to improve recruitment and retention into the specialty.

Methods
A 70-item structured questionnaire consisting of demographic information and 5-point Likert scale questions relating to O&G was administered to final year medical students in the Republic of Ireland. Data were analysed with descriptive statistics, logistic regression, and odds ratios as appropriate.

Results
Of 195 medical students approached, 134 completed the questionnaire, a response rate of 68.7%. The majority were female (55.2%, n = 74) and 76.1% of respondents (n = 102) were Direct Entry Medicine students, with the remainder Graduate Entry Medicine students. 30.8% (n = 41) of students who responded scored 6 or more on a 10-point Likert scale when asked about their likelihood of considering a career in O&G. Students’ clerkship experience factored heavily into their perception of the specialty and was more likely to be positive if they experienced direct consultant engagement and the opportunity for hands-on experience. Lifestyle factors, litigation and media were found to be deterrents to considering the specialty after graduation.

Conclusions
This study demonstrates the importance of good clerkship experience in fostering an interest amongst undergraduates in O&G. Educators and those working within the specialty should showcase the strengths of the specialty during undergraduate education, and work on ameliorating deterrents to ultimately provide a structured approach to improving recruitment into O&G.
Development, validity, and reliability of a questionnaire on mothers’ knowledge in complementary feeding practices (PI-MPASI) in Indonesia
Authors: Andriani Rini , Supriyatno Bambang , Kekalih Aria , Sjarif Damayanti Rusli 
Published: December 2023

Background A number of complementary educational feeding modules have been circulating in the community, but mothers have yet to use them optimally. There is an urgent need for an effective educational method on appropriate complementary feeding and an instrument to measure maternal knowledge in proper complementary feeding practices.
Objective To develop and assess the validity and reliability of a questionnaire on complementary feeding practices.
Methods We conducted a qualitative study to develop a questionnaire followed by a cross-sectional study to test the validity and the reliability of the PI-MPASI questionnaire. The research team designed the PI-MPASI questionnaire through a literature review with a team of experts, based on the evidence-based feeding practice recommendations for infants and toddlers in Indonesia as compiled by the Indonesian Pediatric Society (IPS) in 2015. Content validation was carried out through expert review, whilst the construct validity and the reliability were tested on 110 mothers who met the inclusion criteria.
Results In the content validity assessment, an average congruent percentage of 90% was obtained for the sub-themes of time, nutritional adequacy, safety, and feeding responsiveness as the four essential points that mothers should know regarding proper complementary feeding practices. Most of the item scores showed moderate to high correlations with the total score, with reliability test showcasing a good internal consistency (Cronbach's alpha = 0.715).
Conclusion This study showed that our questionnaire on mothers’ knowledge in complementary feeding practices (PI-MPASI) is a valid and reliable instrument to assess maternal knowledge on correct complementary feeding practices in Indonesia.
Gastrointestinal tract bleeding in children with chronic cholestasis: Prevalence and risk factors in a tertiary referral hospital in Indonesia
Authors: Alatas Fatima Safira , Nisa Cholifatun 
Published: December 2023

Background Cholestasis can lead to several complications, including portal hypertension and risk of gastrointestinal bleeding. However, there is a paucity of studies on the risk factors and prevalence of gastrointestinal tract bleeding in children with chronic cholestasis, particularly in Indonesia.
Objective To determine the prevalence and risk factors for gastrointestinal bleeding in children with chronic cholestasis in Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Methods This was a retrospective cohort study in a national referral hospital in Indonesia. Medical records of children with chronic cholestasis who visited the gastroenterohepatology outpatient clinic were collected for five years. Data on clinical symptoms, etiologies, and complications were obtained.
Results A total of 97 participants were recruited on this study. The median age of the group was 0.31 years old. The most common causes of chornic cholestasis were biliary atresia, toxoplasma, other infections, rubella, cytomegalovirus, and herpes simplex virus (TORCH) infection, and urinary tract infection. Gastrointestinal bleeding occurred in 27.8% of patients, with hematemesis-melena being the most prevalent symptom. We found that liver cirrhosis, splenomegaly, thrombocytopenia, portal hypertension, and esophageal varices were all highly related with gastrointestinal bleeding. Splenomegaly, thrombocytopenia, and esophageal varices were associated with an increased risk of gastrointestinal bleeding in children with chronic cholestasis (P=0.018, P=0.008, and P=0.039, respectively).
Conclusions The prevalence of gastrointestinal tract bleeding in children with chronic cholestasis is 27.8%, with splenomegaly, thrombocytopenia, and esophageal varices as significant risk factors.
Cumulative cyclophosphamide dose and serum anti-Mullerian hormone levels in adolescent cancer survivors in Indonesia
Authors: Mulatsih Sri , Ayuandari Sarrah , Rahmawati Naafi Rizqi , Oktasari Rizki , Dewanto Agung 
Published: December 2023

Background As both the prevalence and survival rates of cancer in children and adolescents has risen, longer-term effects of cancer treatment must be investigated. High-risk gonadotoxic chemotherapeutic agents such as cyclophosphamide may affect the ovarian reserve and impact female adolescent fertility. Anti-Mullerian hormone is a reliable marker to assess ovarian reserve.
Objective To assess for a possible correlation between the cumulative dose of cyclophosphamide and serum anti-Mullerian hormone (AMH) levels among adolescent cancer patients.
Methods This cross-sectional study included 12-18-year-old adolescent female cancer patients who had experienced menarche and received cyclophosphamide therapy. We recorded the patients’ full history, including menstrual history, computed the cumulative dose of cyclophosphamide received, and measured serum AMH levels. The correlation test was performed to evaluate for a possible correlation between the cumulative dose of cyclophosphamide and ovarian reserve as represented by AMH levels.
Results Out of 12 female adolescent cancer patients, three complained of disturbances in their menstrual cycles. Low levels of AMH (<1.5 ng/mL) were noted in five patients. Median cumulative cyclophosphamide dose was 1,000 mg/m2 (range 1,000 to 5,250 mg/m2). Cumulative cyclophosphamide dose was negatively correlated with serum AMH levels, but this correlation was not statistically significant (r=-0.316, P=0.318).
Conclusion This study has not been able to show a correlation between cumulative cyclophosphamide dose and serum AMH level. Regular evaluation of fertility and involvement of fertility team is recommended in adolescents receiving high-risk gonadotoxic chemotherapeutic agents.
Quality of life in children with chronic kidney disease
Authors: Fibrianto Ari , Lestari Hertanti Indah , Kesuma Yudianita , Damayanti Moretta , Fitriana Eka Intan , Rismarini Rismarini 
Published: December 2023

Background Chronic kidney disease (CKD) has become a global burden on the healthcare system and significantly impacts the quality of life of children with the condition.
Objective To assess quality of life in children with CKD as well as its relationship with sociodemographic, medical, and psychosocial factors.
Methods This cross-sectional analytic study was conducted from June to November 2021 at Dr. Moh Hoesin Hospital, Palembang. Children with CKD aged 2–18 years were included by consecutive sampling. Parents and patients were asked to complete the PedsQL™ generic score scale version 4.0 questionnaire.
Results We assessed quality of life in 112 children with CKD from parents’ and children’s reports in the PedsQL™ questionnaire. Physical and emotional parameters had the lowest scores. Based on parental reports, quality of life was significantly associated with disease severity (P=0.002), behavioral disorders (P=0.007), and sleep disturbances (P=0.001). Based on the children’s reports, the factors significantly associated with quality of life were anemia (P=0.044), sleep disturbances (P=0.024), and behavioral disorders (P=0.002). Almost one-third of children with CKD had general impairment of quality of life, both from parental reports (32.1%) and children’s reports (33.0%).
Conclusion Disease severity, anemia, sleep disturbance, and behavioral disorders were all associated with poorer quality of life in children with CKD.
Quality of life of children with acute lymphoblastic leukemia
Authors: Arifah Siti , Pookboonmee Renu , Patoomwan Autchareeya , Kittidumrongsuk Prasong , Andarsini Mia Ratwita 
Published: December 2023

Background Acute lymphoblastic leukemia (ALL) is the most common cancer in children worldwide, which requires long treatment. This condition and its subsequent treatment change the body's physiology, reducing children’s quality of life.
Objective To describe the quality of life in children with acute lymphoblastic leukemia in Java, Indonesia.
Methods This descriptive study with a cross-sectional approach included parents who had children with ALL at three referral hospitals in Java, Indonesia, between January 2021 and May 2022. We recruited 188 mothers or fathers who accompanied their children for follow-up visits or hospitalization. Children’s quality of life as the primary outcome was evaluated by parent proxy using the PedsQL 3.0 cancer module.
Results Most parents were mothers (81.9%); parents’ ages ranged from 22 to 59 years. The mean age of children was 7.63 (SD 3.85) years, with 63.3% boys and 147 (78.2%) treated in maintenance phase during the study. The mean overall children’s QoL score was 84.37 and it classified as high (73.9% of subjects), no children had very low QoL. The lowest mean sub-scale QoL score was in procedural anxiety (72.25), whereas the highest sub-scale score was in communication (91.56).
Conclusion There is an improvement in QoL of children with ALL in Indonesia. However, the procedural anxiety sub-scale requires more interventions to reduce anxiety and alleviate pain during invasive procedures.
The Role of Extralinguistic Factors in the Formation of the Lexical-Semantic Group "Fortitude (Courage) " In the English And Spanish Languages of the XIII-XV Centuries
Authors: Vanyushkina Olga 
Published: December 2023

The article discusses the features of the formation of the lexical-semantic group "Fortitude (Courage) " in the English and Spanish languages of the XIII-XV centuries, an important role in the formation of which was played by extralinguistic, in particular, religious factors. The source of the research material in English is presented by manuscripts of the XIII-XV centuries contained in the Corpus of Middle English Prose and Verse. The source of the research material in Spanish is presented by manuscripts of the XIII-XV centuries contained in the electronic corpus of the Corpus del español. The lexemes of this group in the languages under study belonged to the core of the lexis of positive moral and ethical evaluation in the period under review. This is explained by the significant role of the Church in the formation of ethical norms in mediaeval society. Mediaeval authors singled out seven virtues, three of which were considered theological (Faith, Hope, Love), and the remaining four were called cardinal: Prudence, Justice, Purity, and Fortitude (Courage). The names of virtues became semantic centers around which lexis of positive moral and ethical evaluation was formed in the English and Spanish languages of the XIII-XV centuries.
Utopias ciberclimáticas e interdisciplinaridade
Authors: Salmi Frederico , Coelho Gabriel Bandeira 
Published: December 2023

Cyberclimate Utopias and Interdisciplinarity
O artigo reflete sobre quais vetores sociais podem ser agregados ao imaginário utópico dos cientistas, programadores tecnológicos e demais profissionais filiados às ciências exatas e similares no contexto do fomento de políticas climáticas eficazes no Brasil e da revolução da inteligência artificial (IA), sendo o conceito de interdisciplinaridade utilizado como potencial vetor social. O trabalho situa-se no campo dos estudos sociais da ciência e da tecnologia (ESCT). O caminho metodológico partiu da revisão sistemática da literatura dos últimos dez anos (2011-2021), base Web of Science, sobre o nexo das mudanças climáticas e a IA. A análise mobiliza o quadro teórico da utopia crítica no nexo da interdisciplinaridade. Os resultados indicam (ainda) uma lacuna na convergência dos quadros ideológicos-utópicos entre as ciências no contexto das mudanças climáticas e da inteligência artificial.
LUDICIDADE, ALFABETIZAÇÃO E LETRAMENTO NOS ANOS INICIAIS DO ENSINO FUNDAMENTAL
Authors: Plá Sandini Sabrina , Dessordi Paz Ketlyn 
Published: December 2023

O objetivo desta pesquisa é elucidar a importância da ludicidade no processo de alfabetização e letramento no Ensino Fundamental. Considerando que diferentes estudos já foram realizados a partir desta temática, entre os quais podemos destacar os trabalhos de Kishimoto (2011; 2014) e Dinello (1984), para complementar este trabalho, contamos com os escritos de Soares e Batista (2005; 2010), Cagliari (1982) e Emília Ferreiro (2017), os quais se dedicam a pensar os processos de alfabetização e letramento. Nos baseando nos princípios epistemológicos desses autores é possível sustentar que as práticas lúdicas, em contexto escolar, podem contribuir com o processo de alfabetização tornando o mesmo mais prazeroso e significativo, levando em consideração sua complexidade. Imbuindo-nos em tais teorias, o estudo faz a reflexão sobre qual a percepção dos professores (as) alfabetizadores (as) em relação às contribuições da ludicidade para o processo de alfabetização e letramento. Esta pesquisa possui um caráter exploratório e descritivo, caracterizada como uma pesquisa qualitativa, utilizando um questionário destinado aos (às) professores (as) de turmas de 1º e 2º anos do Ensino Fundamental. A partir dos resultados obtidos, foi possível observar que por meio da inserção da ludicidade na prática cotidiana, a aprendizagem dos alunos se tornaealmente significativa e prazerosa, proporcionando um desenvolvimento integral aos mesmos. Porém, estas práticas demandam mais tempo do (a) professor (a) para planejá-las, confeccioná-las e aplicá-las, fatores que dificultam sua utilização, mas que são imprescindíveis mesmo que usadas poucas vezes.
A Pilot Study of Narrative Art Therapy on Psychological Wellbeing of Cancer Patients
Authors: Ando Michiyo , Kashiwada Tomomi , Kosugi Toshifumi 
Published: December 2023

The present study aimed to make a new Psychological approach for cancer patients and investigate possibility and utility of it as a pilot study. We made a Narrative Art Therapy, which is an approach integrated narrative therapy with art therapy. They participated the Narrative Art Therapy in which they made arts and narrated their lives including illness. They completed the S-WHO-5-J to measure mental health, the Subject Happiness Scale, and the Self-Compassion Scale pre and post the therapy. Eight cancer patients under chemotherapy participated with the study and six completed. A completion rate was 75%. The S-WHO-5-J score increased from 8.5 to 9.5. The Subjective Happiness score increased from 4.94 to 5.50. Moreover, the Self-Compassion score increased from 41.7 to 48.7. These results suggest that Narrative Art Therapy has possibility to conduct for cancer patients and utility on mental health, subjective happiness, and self-compassion of them.
“kišib-gu10 zi-ra-ab”: Annul my Sealed Tablet!
Authors: Alivernini Sergio 
Published: December 2023

Abstract
The practice of annulling or destroying written documents is well documented during the III Dynasty of Ur (2112–2004 BC), where several documents record the expression “kišib PN zi-re-dam,” the sealed document is to be annulled/destroyed. This practice is recorded in three different types of administrative documents: loan texts, “orders” requesting the annulment of another document, and documents whose annulment takes place only after another document has arrived. The aim of this article is to study the documents that record this practice and to provide a description of the administrative procedures related to the annulment of documents during the III Dynasty of Ur.