bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series
Authors: Diwan Sandeep , Nair Abhijit , Adhye Bharati , Bhong Ganesh , Sancheti Parag 
Published: October 2023

Abstract
Background
Patients with polytrauma (fractures of the humerus and the femur) require concurrent operative fixation. Pain originating from multiple operative sites leads to increasing doses of opioid-based analgesia, which has detrimental effects in the form of longer hospital stays, higher costs, and increased mortality.

Case presentation
In twelve patients with humerus and femur fractures, a cervical erector spinae plane block (ESPB) at the level of T1 and a lumbar ESPB at the level of L2 were administered with a catheter and continuous infusion technique for postoperative analgesia. None of these patients required opioids in the postoperative period. The catheters were removed after 48 h.

Conclusions
A dual ESPB can be used successfully in patients with multiple injuries by appropriately selecting the level of intervention, and opioid-sparing analgesia can be effectively delivered to these patients.
Revealing the therapeutic potential of dupilumab: a case report on managing post-COVID-19 chronic pruritus in a geriatric patient
Authors: Meltan Shakira , Matthew Ethan , Tarbox Michelle 
Published: October 2023

This case report describes a 73-year-old Caucasian male who contracted COVID-19 and struggled with chronic, severe pruritus after that. The patient's pruritus resisted numerous conventional and unconventional therapy modalities, highlighting the difficulty of treating post-COVID-19 dermatological symptoms. Pruritus in the patient was significantly alleviated due to therapy with Dupixent, a monoclonal antibody that inhibits interleukin-4 and interleukin-13 signaling. Treatment of the condition improved significantly with the use of Dupixent. The report describes the story of the patient's journey, from the first-time symptoms showed up after COVID-19 infection, through several treatments that was not effective, to when the patient's symptoms disappeared after starting Dupixent. The patient's recent SARS-CoV-2 infection may be connected to the immune-mediated process shown by the patient's histopathological results. Even though these results are based on a single instance, they highlight COVID-19's ability to cause chronic pruritus and recommend Dupixent as a possible treatment approach. More study is required to confirm these findings and investigate possible immunological connections between COVID-19 and chronic pruritus.
Presentation and management of pneumomediastinum in patients with COVID-19 infection
Authors: Karim Sulaiman , Nugent Kenneth 
Published: October 2023

Pneumomediastinum, characterized by the presence of air in the mediastinum, can be primary (spontaneous) or secondary. Although relatively rare and usually benign with an incidence of 1 in 7,000 to 12,000 hospital admissions, some cases can develop hemodynamic instability due to mechanical pressure, reducing venous return and may require emergency surgery. Prior to the COVID-19 pandemic, reports of tension pneumomediastinum were infrequent, and there was no consensus on the best surgical approach to manage this condition. This review considers the diverse presentations, underlying causes, and diagnostic and operative approaches in patients with COVID-19 infection and pneumomediastinum. A systematic search of databases, including PubMed and Scopus, was conducted. Articles were reviewed to identify the risk factors for pneumomediastinum, the hemodynamic consequences, and approaches to management in both COVID-19 and non-COVID-19 cases. In patients with COVID-19 infection, pneumomediastinum represents a risk factor for poor outcomes, especially in patients requiring mechanical ventilation. In patients with tension pneumomediastinum, surgical release of mediastinal air is essential and can use suprasternal incisions, lateral sternal incisions, or sternotomy, all with drains. These patients are also at increased risk for tension pneumothorax and may require surgical chest tubes.

Keywords: Pneumomediastinum, COVID-19, hemodynamics, surgical management, clinical challenges
Examination of the relationship between volunteering motivation for sports activities and attitudes towards sports of students in an elite university
Authors: Beşikçi Tolga , Dinler Kıvanç , Atalmış Erkan Hasan 
Published: October 2023

Aim: The focus of this study was to analyze the motivation for volunteering, attitudes towards sports, and the relationship between these two factors among university students participating in a 3X3 basketball tournament.
Method: This study was designed with a correlational survey model by adopting a quantitative approach. The sample of the study consisted of students from a university ranked in the top 5 in Turkey. "Sports event voluntary motivation scale" and "University students' attitudes towards sports scale" were used as measurement tools. Statistical analysis methods such as independent sample t-test, one-way analysis of variance (ANOVA), Mann Whitney-U test, Kruskal Wallis test and Pearson Correlation analysis were applied.
Findings: According to the results of the study, the general dimension and psychosocial dimension of university students' sport attitudes differ in favor of female students in terms of "gender" variable. A significant, positive and moderate relationship was determined between students' motivation for voluntary participation and their attitudes towards sports.
Conclusion: These results show that there is a significant relationship between university students' motivation to participate in sport activities and their attitudes towards sport and only gender can play a determinant role on sport attitude.
(Extended English summary is at the end of this document)
Özet

Amaç: Bu araştırmanın odak noktası, 3X3 basketbol turnuvasına katılan üniversite öğrencilerinin gönüllülük motivasyonları, spora yönelik tutumları ve bu iki faktör arasındaki ilişkiyi analiz etmektir.
Yöntem: Bu araştırma, nicel bir yaklaşımı benimseyerek ilişkisel tarama modeli ile tasarlanmıştır. Araştırmanın örneklemini Türkiye’de ilk 5’te yer alan bir üniversitedeki öğrenciler oluşturmaktadır. Ölçüm aracı olarak “spor etkinlikleri gönüllü motivasyon ölçeği” ve “üniversite öğrencilerinin spora yönelik tutumları ölçeği” kullanılmıştır. Araştırmada bağımsız örneklem t-testi, tek yönlü varyans analizi (ANOVA), Mann Whitney-U testi, Kruskal Wallis testi ve Pearson Korelasyon analizi gibi istatistiksel analiz yöntemleri uygulanmıştır.
Bulgular: Araştırma sonuçlarına göre, üniversite öğrencilerinin spor tutumları genel boyutu ve psikososyal boyutu, "cinsiyet" değişkeni açısından kadın öğrencilerin lehine farklılık göstermektedir. Öğrencilerin gönüllü katılım motivasyonu ile spora yönelik tutumları arasında anlamlı, pozitif ve orta düzeyde bir ilişki belirlenmiştir.
Sonuç: Bu sonuçlar, üniversite öğrencilerinin spor etkinliklerine katılım motivasyonu ile spora olan tutumları arasında analamlı bir ilişki olduğu ve sadece cinsiyetin spor tutumu üzerinde belirleyici bir rol oynayabileceğini göstermektedir.
Familiarization with ambulatory sleep and blood pressure monitoring is necessary for representative data collection
Authors: Kleiber Kasey , Smith Caroline J. , Beck Steven D. , Hege Adam , Corgan Makenzie , West Crystal A. , Hunnicutt Lainey , Collier Scott R. 
Published: October 2023

AbstractAmbulatory sleep and blood pressure monitoring are gaining popularity as these can be completed in an individual's home. Little is known regarding the reliability of data and the time it takes to acclimate to the equipment. This study aimed to determine how many nights of wearing the monitoring equipment were required to restore sleep architecture and blood pressure data to baseline. It was hypothesized familiarization would be demonstrated by night 3. Ten male and 10 female subjects completed three nights of sleep and blood pressure recordings. At visit 1, the subjects were familiarized with the equipment and instructed to wear the Sleep Profiler{trade mark, serif} and SunTech Medical Oscar2 ambulatory blood pressure cuff simultaneously for three consecutive nights, then subjects returned the equipment. The percent of time spent in rapid eye‐movement (REM) sleep was statistically different on night 3 when compared to night 1. Wake‐after‐sleep onset and sleep latency were not statistically different between nights 1, 2, and 3. Systolic, diastolic, and pulse pressure were all significantly lower on night 3 compared to night 1. Cortical and autonomic arousals were statistically different on night 3. Ambulatory sleep and blood pressure monitoring need at least 3 nights for familiarization. The percent of time spent in REM sleep was statistically different on night 3 when compared to night 1. Systolic blood pressure, diastolic blood pressure, and pulse pressure were all significantly lower on night 3 compared to night 1. Cortical and autonomic arousals were statistically different on nights 3 and 2, respectively compared to night 1. Based on these findings, ambulatory sleep and blood pressure monitoring takes three nights before the data are reliable and the person is familiarized with the mode of measurement. Therefore, it is recommended to use at least three nights of data collection when using the Sleep Profiler and Oscar2 ambulatory blood pressure cuff in order for results to be valid and reliable.
An Advisor to a Family Business. Main Challenges from the Perspective of Socio-Emotional Wealth (SEW)
Authors: Koładkiewicz Izabela , Wojtyra-Perlejewska Marta 
Published: October 2023

Abstract
The objective of the article is to identify from the perspective of socio-emotional wealth the key challenges that formal advisors cooperating with family businesses face and the factors determining their effective cooperation. The paper has a theoretical character. Using the assumptions of socio-emotional wealth construct the propositions indicating the future research directions were formulated. The main challenge of formal advisors working with family businesses is to understand and accept that socio-emotional wealth is an important point of reference in the process of making strategic decisions. Therefore, one of the most important factors for their effective cooperation is the advisor’s awareness of the importance of SEW for the owners’ family, sources of socio-emotional wealth and the current phase in the life cycle of the family business.
Multidimensional numerical simulation of thermodynamic and oscillating gas flow processes of a Gifford-McMahon cryocooler
Authors: Panda Debashis , Satapathy Ashok Kumar , Sarangi Sunil Kr. , Behera Upendra 
Published: October 2023

Abstract
The Gifford-McMahon cryocoolers are considered to be prominent candidates for the cooling of high-temperature superconducting magnets, liquefaction of permanent gases, helium recondensation in magnetic resonance imaging machines, cooling of superconducting quantum interference device, etc. In this paper, multi-dimensional numerical simulation is performed to visualize the oscillating heat and fluid flow processes that happen in a mechanically driven GM cryocooler. Influence of the ideal gas equation and real gas equation of states on the cooling behaviour is explained. The minimum achievable refrigeration temperature of a uniform mesh regenerator is compared with a multi-mesh regenerator. It is noticed that a multi-mesh regenerator produces a lower refrigeration temperature as compared to a uniform mesh regenerator. In addition to this, a one-dimensional simulation is conducted and results are compared with multi-dimensional numerical simulation. The no-load temperature value calculated by the one-dimensional model and multi-dimensional model with ideal gas is lower than that of real gas equations. Additionally, the refrigerating capacity calculated by the one-dimensional model and multi-dimensional model with the ideal gas equation is higher than those of the real gas equation of state.
Seeing like a region
Authors: Schragger Richard C. 
Published: October 2023

Abstract
Observers of metropolitan dysfunction have long advocated for a regional tier of government that could (among other things) equalize spending across local jurisdictions, pursue cooperative economic development policies, provide for fair share housing, rationalize land use, and coordinate transportation planning. For many good government reformers, right-scaling our fragmented metropolitan areas appears to be an obvious solution to interjurisdictional spillovers and competitive races-to-the-bottom.
This article counsels caution. “Region hope”—the idea that the substantive problems of metropolitan governance can be solved regionally by redrawing territorial boundaries to encompass ever-larger areas—is perennial. But territorial manipulation in aid of state centralization has significant drawbacks. The regional impulse exhibits some key features of failed social engineering efforts; seen through the lens of the state, these efforts privilege technocratic over democratic governance, bureaucratic over local knowledge, and mobile over immobile capital. That does not mean that regionalism should be resisted in all cases, but only that the costs of territorial manipulation should be weighed against its asserted benefits.
The democratic problems with Washington as the capital
Authors: Fontana David 
Published: October 2023

Abstract
Democracy demands a capital city that represents a country and is not removed from it. If the government is to be of the people and for the people, then the capital must be able to relate to the people—and the people to the capital. In the United States, democracy struggles not just because of what happens outside of and comes to Washington, but because of what happens inside Washington. The federal government, in other words, faces democratic problems because of the type of place that Washington is. There are many factors to consider in deciding where a country should be governed from, but the ability of the capital to understand the country it governs is certainly one of the most important of these factors. The goal of this symposium article is to consider the contemporary democratic crisis in these geographical terms. Washington was initially a rural area meant to govern a rural country. It has gradually turned into a dynamic metropolitan area meant to govern a country featuring many—and many different—dynamic metropolitan areas. During its entire history, though, Washington has remained dominated by a single company: the federal government. A company town will struggle to attract and to cultivate the large range of people featured in the United States. Given that a company town struggles to satisfy the democratic demands of a capital, the question then becomes whether other types of places would better satisfy these democratic demands.
Shadow regionalism in immigration enforcement during COVID-19
Authors: Marouf Fatma 
Published: October 2023

Abstract
Stark variations exist in U.S. immigration enforcement. These variations have persisted even during the COVID-19 pandemic, when special measures that should have constrained variations were in place. This Article argues that variations in discretionary enforcement decisions based on resistance to national policies, bias, illegal tactics, or arbitrariness are unjust and should be curtailed. The Article first distinguishes between transparent sources of variation in immigration law and variations that stem from non-transparent, discretionary determinations. Within the category of discretionary determinations, the Article argues that there are just and unjust variations. It contends that unjust variations raise serious constitutional concerns, weaken preemption doctrine, and require us to reconceptualize the immigration federalism debate to account for cooperative and uncooperative behavior within the federal government itself. Finally, the Article offers solutions to help limit unjust variations.
Effectiveness Of Pilates and Range of Motion Excercises in Improving Mechanical Pain and Functional Performance in Neck Pain
Authors: Jahan Afreen , Anwer Zaki 
Published: October 2023

BACKGROUND: Mechanical neck pain is a common problem in the world today and there are various studies that shows the high incidence and prevalence of mechanical neck pain which affects people daily activities. Neck pain is characterized by pain and limited range of movement at neck. This condition causes reduction in quality of life, leading to emotional and psychological changes and difficulties at work. Generally, the therapeutic methods for the treatment of mechanical neck pain consists of stretching and strengthening of neck muscles, cervical mobilization exercises, and electrotherapy. The Pilates is to improve general body flexibility and health by emphasis on stability to the center of the body (i.e. the core), posture, and coordination of breathing with movement. It heals the individual physically, emotionally and psychologically. METHOD: 30 participants were taken who were aged 18 – 40 years and had neck pain more than 3 months. The participants were given Pilates and range of motion exercises for 3 weeks. Outcome measure were calculated using Visual Analog Scale (VAS) and Neck Disability Index (NDI). RESULT: As a result, both the groups showed significant improvement but Pilates group shows more improvement in all the parameters of reducing pain & improving functional performance. CONCLUSION: However, we could conclude that, Pilates exercises had a significant impact on reducing cervical pain and disability among patients with chronic neck pain, with 3 weeks of the exercises.
“Impact Of Metformin Therpy on Serum Cobalamin and Homocysteine Among the Type II Diabetes Mellitus Patients”
Authors: J ANDREW GNANAPRAKASAM , G VEERAMANI , K MANJANNA 
Published: October 2023

Objective: The aim of the study is to observe the long-term treatment of metformin and its associated effect on Vitamin B12 among Type II Diabetes mellitus south Indian patients. Methods: An observational study conducted over a period of 54 months on Type II Diabetes mellitus patients who are in chronic therapy with metformin. The study described the Vitamin B12 levels among the Type II DM patients, which could alert the patients who are in the low and borderline range of serum Vitamin B12, which may prevent the risk of peripheral neuropathic complications and anaemic conditions, etc. Findings: Totally, 387 patients were enrolled as per the inclusion and exclusion criteria, including 232 males (59.94%) and 155 females (40.05%). A total of 39 patients had been observed to have low levels of Vitamin B12, among them 23 females (Mean 184.17 ± S.D. 10.69) and 16 males (Mean 185.31± S.D 7.56), followed by 16 patients found to be above the normal range of Vitamin B12, among them 02 females (Mean 991 ± S.D. 15.55) and 14 males (Mean 1578.14 ± S.D. 406.93), followed by 76 patients had been found to be borderline of Vitamin B12, among them 43 females (Mean 220.76 ± S.D 6.50). Conclusion: High doses of chronic Metformin therapy may alter Vitamin B12 levels. Some of the patients had an abnormally high level of serum Vitamin B12, whose medical condition should be ruled out, and such Patients’ diet histories were also cross-examined, which was a mixed normal diet, and they had various medical conditions. However, the high chances of metformin-associated effects on Vitamin B12 with higher doses and long-term therapy of metformin, whose duration was 10 to 20 years, Moreover, age is also an important factor, and the study reveals that, among genders, female populations had a higher rate of low-level Vitamin B12 than male populations. Patients in the age group between 50 and 65 years had a higher rate of low-level Vitamin B12 than other age groups, total 20 patients, among them 12 females (Mean 183.08 ± S.D. 13.17) and 8 males (Mean 185.5 ± S.D. 4.3). Patients with other comorbid conditions also had low levels and borderline levels of Vitamin B12 and had been on long-term metformin therapy. Further, homocysteine investigations had been done on low and borderline vitamin B12 patients. Investigation of homocysteine had been done on low range (39) and border line (76) of vitamin B12 patients. Among Low vitamin B12, 13 patients have elevated level of Homocysteine (6 males & 7 females). Among border line of vitamin B12, 4 patients (2 males and 3 females) have elevated level of Homocysteine. Therefore, our study concluded that chronic therapy and higher doses of metformin may lead to a deficit in serum Vitamin B12, which requires regular checks on Vitamin B12 among Type 2 DM patients to avoid the risk of Peripheral neuropathy and other complications.
A Study on Financial Inclusion and Investment Decision Through Atal Pension Yojana (Apy)
Authors: Thomas Shijimole , Scaria Rintu Mariya , Ramu N , Jayavel R. , Joseph Amalu Elizebeth 
Published: October 2023

Atal Pension Yojana is a government backed pension scheme provided in India at unorganised sector.It was launched by prime minister Narendra Modi on 9th may2015.APY is emerging as the most popular social security scheme under the National Pension System( NPS) APY providing multiple benefits like fixed guaranteed pension, tax savings, pension to spouse on any unforeseen event and encouraging saving and investing no matter how small the amount.It is observed to be an effective financial inclusion programme which facilitates inclusive growth and social security among people from unorganised sector.
The Relationship between the Colour of Packaging Materials on Consumer Purchase Intention and Confidence
Authors: Yuting Tao , Mohamed Fauzi Naeim 
Published: October 2023

The role of packaging is significant in the marketing of products and services within various competitive environments. Effective packaging has the potential to enhance product sales, minimise inventory levels, and ultimately contribute to greater profitability. This paper examines the correlation between an effective packaging initiatives and consumers’ confidence and their inclination to purchase goods and services. The qualitative research were adopted and the data were obtained through comprehensive interviews with twelve participants who willingly participated in the research. The following criteria for the participants were selected based on their purchase frequency at groceries shopping, and belonging to diverse categories in terms of gender, race, socioeconomic status, and family background. The data analysed using thematic analysis with NVIVO software. The research findings were classified into four different categories in order to address the research objectives. The findings suggest that a well-designed label comprising extensive and precise product information can have a significant impact on consumer confidence. On the other hand, other visible information appears to have an insignificant effect on consumer confidence. Finally, this paper carries out a comprehensive analysis of the implications from the findings and propose different possibilities for further research.
Panubok: Reviving the Embroidery Tradition of Panay Bukidnon
Authors: Berondo Ronilo G. 
Published: October 2023

This study aimed to understand the best practices and the cultural tradition of panubok, the embroidery tradition original to Panay Bukidnon, and reviving this embroidery tradition in the barangays of Tapaz, Capiz, Philippines. Using the qualitative research design, four (4) informants from Minan, Tapaz, Capiz that are practicing panubok were purposively chosen. Fieldwork, observations, key informant interviews, and documentary and photographic analysis were the methods used. Verbatim data transcripts were analyzed using the general inductive approach by Thomas (2006). The results of the study showed that the respondents see panubok as an integral part of their culture and think of it as a source of income for their community. Though researches tell that this cultural practice is facing extinction, there are many ways that these can be promoted more and taught to Panay Bukidnon youth natives to preserve their culture, tradition and identity.