bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ensenator, sistema informático para el estudio de catastros históricos con bases de datos relacionales
Authors: Maeso Buenasmañanas Miguel Ángel 
Published: January 2024

El objetivo de esta investigación ha sido el desarrollo de un sistema software basado principalmente en bases de datos relacionales, que permita el registro y análisis de catastros históricos.
En cuanto a requisitos funcionales, la base de datos debía ser lo suficientemente robusta como para soportar el almacenamiento simultáneo de catastros de diferentes poblaciones y épocas. La versión inicial del sistema debía aportar una funcionalidad completa y, al mismo tiempo, debía servir como núcleo sobre el que se pudieran desarrollar versiones más avanzadas en el futuro.
Por otro lado, los requisitos técnicos establecidos para el software también fueron exigentes. El sistema debía ser capaz de funcionar en un ordenador personal. Esto no debería impedir la escalabilidad del software, de modo que también pudiera ser instalado en servidores más potentes de una universidad o centro de investigación o, incluso, publicarse en Internet. El sistema se debería construir sobre tecnologías maduras, de amplio uso, como bases de datos relacionales y hojas de cálculo, para evitar problemas de pronta obsolescencia tecnológica. En la medida de lo posible se deberían seleccionar herramientas gratuitas para evitar costes de licencias.
Estos objetivos han sido alcanzados con el desarrollo de un sistema al que hemos denominado Ensenator y que ha sido validado con la carga del catastro de Ensenada de Arenas de San Juan (Ciudad Real) de 1752 y del catastro de Martín de Garay de El Escorial (Madrid) de 1818. En este artículo se describe el diseño y funcionamiento del sistema Ensenator.
Quantitative Evaluation of Knee Cartilage in Professional Martial Arts Athletes Using T2 Mapping: A Comparative Study
Authors: Zhang Yao , Deng Chenghu , Xia Wei , Ran Jun , Li Xiaoming 
Published: January 2024

Context
Although the relationship between high-impact sports like football and basketball and the development of knee osteoarthritis is well established, the effect of martial arts on the knee joint remains unclear.

Objective
To compare the imaging abnormalities of knee joints and T2 relaxation times of cartilage in professional martial arts athletes and healthy controls.

Design
Cross-sectional study.

Setting
Hospital imaging center.

Patients or Other Participants
Nine asymptomatic professional martial arts athletes and 18 healthy volunteers.

Main Outcome Measure(s)
We performed 3T magnetic resonance imaging of the knee on both legs of athletes and the dominant leg of controls. The magnetic resonance imaging protocol included conventional sequences used for morphological assessment (cartilage, meniscus, ligaments, joint effusion, and bone marrow edema) and T2 mapping used for quantitatively evaluating the cartilage. Knee cartilage was manually divided into 8 regions, and T2 relaxation times of the corresponding subregions were measured. Fisher exact test and t test were used to compare the frequency of lesions and cartilage T2 values both between groups and between the athletes’ limbs. P &lt; .05 was considered significant.

Results
Professional martial arts athletes exhibited significantly higher frequencies of cartilage (55.6% vs 11.1%, P = .023) and ligament lesions (66.7% vs 16.7%, P = .026) compared with the control group. Athletes showed higher T2 values in 3 distinct cartilage segments: the central weight-bearing segment of the medial femoral condyle (P = .006), the medial tibial plateau (P = .012), and the trochlea (P = .032), when compared with the controls. Additionally, the dominant leg of athletes showed significantly higher T2 values compared with the nondominant leg.

Conclusions
The findings demonstrated the impact of martial arts on the knee joint, characterized by higher prevalence of lesions and elevated cartilage T2 values, particularly in the medial compartment. The dominant legs of martial arts athletes seem to have higher risk of cartilage degeneration due to the observed interlimb differences in T2 values.
The Effect of External Focus Versus Internal Focus Instruction on Jump-Landing Biomechanics in Healthy Females
Authors: Ericksen Hayley M. , Earl-Boehm Jennifer E. , Lally Erin M. 
Published: January 2024

Context
There are different ways to deliver external focus (EF) and internal focus (IF) instruction. Understanding each modality better will help to develop more effective interventions to reduce injury risk.

Objectives
To investigate the difference in landing biomechanics between participants who received EF and IF instruction and control participants. A secondary aim was to evaluate participant perceptions of focus of attention.

Design
Randomized controlled trial.

Setting
Laboratory.

Patients or Other Participants
Forty-one healthy women (EF: n = 14, 23.0 ± 2.9 years, 1.69 ± 0.07 m, 64.0 ± 6.8 kg; IF: n = 15, 22.9 ± 3.2 years, 1.66 ± 0.08 m, 66.2 ± 12.4 kg; control: n = 12, 21.1 ± 2.9 years, 1.67 ± 0.11 m, 74.3 ± 15.1 kg).

Main Outcome Measure(s)
Participants scoring greater than or equal to 5 on the Landing Error Scoring System were allocated into the EF, IF, or control group. Knee and hip flexion and abduction were collected pre- and postintervention during 5 drop vertical jumps. For the intervention, each group was provided separate instructions. In between the intervention jumps, participants answered, “What strategy were you focusing on when completing the previous jump-landing trials?” Postintervention minus preintervention change scores were calculated, and separate 1-way analysis of variance assessments were performed to determine differences in the dependent variables.

Results
Individuals in the EF group had a greater change in hip and knee flexion angles than individuals in the control group. There was no significant difference between the EF and IF groups for any variables. There were no significant differences in frontal plane variables. In the EF group, 71.4% aligned with the instructions given; in the IF group, 80% aligned; and in the control group, 50% aligned.

Conclusions
External focus instruction may not produce immediate changes in movement compared with IF instruction. Hip and knee flexion were greater in the EF group than in the control group but was not better than that in the IF group. Clinicians should provide instructions to patients, but the mode of instruction may not be as critical to see positive biomechanical changes. Patients may not always focus on the instruction being given; therefore, the relationship between instruction and patient experience should be further explored.
A Comparison of the Clinical Outcomes of Minimum and Maximum Hematocrit Levels During Cardiopulmonary Bypass (CPB) in Low-risk Patients Undergoing Coronary Artery Bypass Graft Surgery (CABG): A Cross-sectional Study
Authors: Shiravi Fatemeh , Shahzamani Mehran , Hosseini Sayyed Alireza , Shafie Davood 
Published: January 2024

Abstract

Background:
This study investigated the clinical outcomes at the minimum and maximum levels of hematocrit (HCT) during cardiopulmonary bypass (CPB) in low-risk patients undergoing coronary artery bypass graft (CABG) surgery.

Materials and Methods:
In this cross-sectional study, 85 patients who underwent CABG with an ejection fraction of greater than 35% were selected. Based on the HCT range during CPB, patients were divided into two groups: minimum HCT: HCT = 16–18% and maximum HCT: HCT = 25–27%. Then the operation outcomes, amount of drainage, and transfusion were recorded and compared between these groups.

Results:
In the middle tube 8 h after surgery and left tube 24 h after surgery, the amount of drainage in the minimum HCT group with mean of 71.00 ± 130.9 and 60.65 ± 71.23, respectively, was significantly lower than the maximum HCT group with mean of 101.5 ± 246.50 and 123.76 ± 93.17, respectively (P value < 0.05). The incidence of cognitive disorders in the maximum HCT group was significantly higher than in the minimum HCT group (11.1% vs. 0%, P value = 0.041). Also, the mean transfusion of packed red blood cell (PRBC) and fresh frozen plasm (FFP) during CPB in the maximum HCT group, with mean of 346.7 ± 86.22 and 396.1 ± 21.05, respectively, were significantly higher than the minimum HCT group with mean of 178.8 ± 80.91 and 136.8 ± 46.77, respectively (P value < 0.05). After CPB, there was no significant difference in transfusion products (P value > 0.05).

Conclusion:
According to the results of this study, patients undergoing CABG surgery with maximum HCT level versus minimum HCT level during CPB, need more packed cells and fresh frozen plasma products transfusion, which will be associated with the complication of cognitive impairment.
Corticosteroid treatment for persistent pulmonary infiltrates following COVID-19 infection: Clearing the fog?
Authors: Ntiamoah Prince , Biehl Michelle , Ruesch Victoria , Mehta Atul C. , Farha Samar 
Published: January 2024

Abstract:

BACKGROUND:
Systemic corticosteroids have been shown to improve outcomes in severe coronavirus disease 2019 (COVID-19) pneumonia; however, their role in post-COVID-19 persistent lung abnormalities is not well defined. Here, we describe our experience with corticosteroids in patients with persistent lung infiltrates following COVID-19 infection.

RESEARCH QUESTION:
What is the efficacy of systemic corticosteroids in improving lung function and radiological abnormalities in patients following COVID-19 pneumonia?

STUDY DESIGN AND METHODS:
This is a single-center retrospective study evaluating patients with persistent respiratory symptoms and abnormal chest computed tomography findings. Patients were divided into two groups based on treatment with corticosteroids: “steroid group” and “nonsteroid group.” Clinical data were collected from the electronic medical records.

RESULTS:
Between March 2020 and December 2021, 227 patients were seen in the post-COVID-19 pulmonary clinic, of which 75 were included in this study. The mean age was 56 years, 63% were female, and 75% were white. The main physiologic deficit was reduced Diffusing capacity of the Lungs for Carbon Monoxide (DLCO) at 72% (±22). On chest imaging, the most common findings were ground-glass opacities (91%) and consolidation (29%). Thirty patients received corticosteroid (steroid group) and 45 did not (nonsteroid group). Patients treated with corticosteroids had lower DLCO (DLCO [%]: steroid group 63 ± 17, nonsteroid group 78 ± 23; P = 0.005) and all had ground-glass opacities on imaging compared to 84% in the nonsteroid group (P = 0.04). At follow-up, patients in the steroid group (n = 16) had a significant improvement in spirometry and DLCO. In addition, there was a significant improvement with resolution of ground-glass opacities in both the groups (P < 0.05).

CONCLUSION:
The use of systemic corticosteroids in patients with persistent respiratory symptoms and radiological abnormalities post-COVID-19 was associated with significant improvement in pulmonary function testing and imaging. Prospective studies are needed to confirm whether these findings are the effect of corticosteroid therapy or disease evolution over time.
Comparative evaluation of insertion characteristics of PLMA using different techniques in the pediatric age group
Authors: Tiwari Suman , Seth Anita 
Published: January 2024

Abstract

Background and Aims:
The laryngeal mask airway ProSeal (PLMA) insertion should be easy, fast, and atraumatic. Most studies have been done on adults who cannot be considered as the reflection of pediatric patients. In this study, we compared the first attempt success rate of three techniques of PLMA insertion: introducer, 90° rotation, and pharyngoscopy technique in the pediatric population.

Material and Methods:
In this prospective comparative randomized study, a total of 135 patients of American Society of Anesthesiology grade I and II, aged three to eleven years, with normal airways scheduled for elective surgery, were randomly allocated into three groups: introducer, 90° rotation, and pharyngoscopy group. Parameters evaluated were: first attempt insertion success rate, insertion time, ease of insertion score, hemodynamic parameters, oropharyngeal seal pressure, manipulations, PLMA blood staining, postoperative sore throat, and hoarseness.

Results:
First attempt insertion success rate was higher in the 90° rotation (97.78%) and pharyngoscopy (97.78%) group as compared to the introducer group (93.33%). But the result was not statistically significant. PLMA insertion time was the least in the rotation group, followed by the pharyngoscopy and introducer group (P < 0.0001). Mean arterial pressure and heart rate were significantly raised in the pharyngoscopy versus rotation group and the introducer versus 90° rotation group after PLMA insertion. Oropharyngeal seal pressure was significantly higher in the introducer as compared to the rotation group (P = 0.007).

Conclusion:
All three techniques had a high first-attempt insertion success rate. As the rotation technique had the best result in insertion time and hemodynamic response, it may be considered a good alternative to pharyngoscopy and introducer technique in pediatric patients of age three to eleven years with a normal airway.

Key Messages: Several studies on PLMA insertion technique in adults are present, but few in the pediatric population. Introducer, pharyngoscopy, and 90° rotation technique were compared. The rotation technique was better in terms of insertion time and hemodynamic stability.
Prevalence of nocturnal enuresis among children of Aseer region in Saudi Arabia
Authors: Alamri Abdulaziz , Singh Vinod Prem , Alshyarba Mishari HM , Abdullah Alahmari , Ogran Meshal , Alsuayri Abdullah , Al-Amri Amal , Ashraf Tarique Hussain , Alyami Fahad , Alshahrani Mohammed Sharaf 
Published: January 2024

Introduction:
Nocturnal enuresis (NE) in children is a very common problem managed in pediatric urology. In this study, we present the prevalence of NE in children in Aseer region in Saudi Arabia.

Methodology:
This study was conducted as a descriptive cross-sectional survey to estimate the prevalence of NE among 555 Saudi children aged 5–15 years in Aseer region in Saudi Arabia. Data collection was done through a questionnaire, which included questions on sociodemographic data, personal knowledge, enuresis-related characteristics, risk factors, and management modalities.

Results:
This study identified a prevalence of enuresis of 24% of the study population, most of whom were boys. The majority of the parents had a high educational level. Clinical characteristics of the study population showed: 9% have a family history of NE, 2.2% have a history of neurological disorder, 10.0% have a history of urinary tract infections, 66.8% have associated daytime urgency, 67% have urine-holding behavior, and 19.5% have associated daytime enuresis of the study population.

Conclusion:
Our study found that 24% of children in the Aseer region in Saudi Arabia have NE. Our study finding helps us to understand the prevalence of NE in Aseer region in Saudi Arabia, and this can be applied to other regions in the kingdom. Furthermore, this finding helps us to understand the need to raise awareness in the community about NE and the need to educate the nonpediatric urologist health-care provider about the best management practice for NE.
Association between triglyceride-glucose index and colorectal polyps: A retrospective cross-sectional study
Authors: Teng Ya-Jie , Yang Ying-Xue , Yang Jing-Jing , Lu Qiu-Yan , Shi Jia-Yi , Xu Jian-Hao , Bao Jie , Wang Qing-Hua 
Published: January 2024

BACKGROUND
Colorectal polyps (CPs) are frequently occurring abnormal growths in the colorectum, and are a primary precursor of colorectal cancer (CRC). The triglyceride-glucose (TyG) index is a novel marker that assesses metabolic health and insulin resistance, and has been linked to gastrointestinal cancers.
AIM
To investigate the potential association between the TyG index and CPs, as the relation between them has not been documented.
METHODS
A total of 2537 persons undergoing a routine health physical examination and colonoscopy at The First People's Hospital of Kunshan, Jiangsu Province, China, between January 2020 and December 2022 were included in this retrospective cross-sectional study. After excluding individuals who did not meet the eligibility criteria, descriptive statistics were used to compare characteristics between patients with and without CPs. Logistic regression analyses were conducted to determine the associations between the TyG index and the prevalence of CPs. The TyG index was calculated using the following formula: Ln [triglyceride (mg/dL) × glucose (mg/dL)/2]. The presence and types of CPs was determined based on data from colonoscopy reports and pathology reports.
RESULTS
A nonlinear relation between the TyG index and the prevalence of CPs was identified, and exhibited a curvilinear pattern with a cut-off point of 2.31. A significant association was observed before the turning point, with an odds ratio (95% confidence interval) of 1.70 (1.40, 2.06), P < 0.0001. However, the association between the TyG index and CPs was not significant after the cut-off point, with an odds ratio (95% confidence interval) of 0.57 (0.27, 1.23), P = 0.1521.
CONCLUSION
Our study revealed a curvilinear association between the TyG index and CPs in Chinese individuals, suggesting its potential utility in developing colonoscopy screening strategies for preventing CRC.
Retrospective analysis of discordant results between histology and other clinical diagnostic tests on helicobacter pylori infection
Authors: Qi Xiaohua , Kuan Kevin , El Jabbour Tony , Lo Yungtai , Liu Qiang , Fang Yanan 
Published: January 2024

BACKGROUND
A reliable test is essential for diagnosing Helicobacter pylori (H. pylori ) infection, and crucial for managing H. pylori -related diseases. Serving as an excellent method for detecting H. pylori infection, histologic examination is a test that clinicians heavily rely on, especially when complemented with immunohistochemistry (IHC). Additionally, other diagnostic tests for H. pylori , such as the rapid urease test (CLO test) and stool antigen test (SA), are also highly sensitive and specific. Typically, the results of histology and other tests align with each other. However, on rare occasions, discrepancy between histopathology and other H. pylori diagnostic tests occurs.
AIM
To investigate the discordance between histology and other H. pylori tests, the underlying causes, and the impact on clinical management.
METHODS
Pathology reports of gastric biopsies were retrieved spanning August 2013 and July 2018. Reports were included in the study only if there were other H. pylori tests within seven days of the biopsy. These additional tests include CLO test, SA, and H. pylori culture. Concordance between histopathology and other tests was determined based on the consistency of results. In instances where histology results were negative while other tests were positive, the slides were retrieved for re-assessment, and the clinical chart was reviewed.
RESULTS
Of 1396 pathology reports were identified, each accompanied by one additional H. pylori test. The concordance rates in detecting H. pylori infection between biopsy and other tests did not exhibit significant differences based on the number of biopsy fragments. 117 discrepant cases were identified. Only 20 cases (9 with CLO test and 11 with SA) had negative biopsy but positive results in other tests. Four cases initially stained with Warthin-Starry turned out to be positive for H. pylori with subsequent IHC staining. Among the remaining 16 true discrepant cases, 10 patients were on proton pump inhibitors before the biopsy and/or other tests. Most patients underwent treatment, except for two who were untreated, and two patients who were lost to follow-up.
CONCLUSION
There are rare discrepant cases with negative biopsy but positive in SA or CLO test. Various factors may contribute to this inconsistency. Most patients in such cases had undergone treatment.
ANALISIS NILAI-NILAI PENDINDIKAN ISLAM DALAM NOVEL NEGERI 5 MENARA KARYA A. FUADI
Authors: Arnanda Rizky Yuda 
Published: January 2024

This study aims to determine (1) the value of Akidah education contained in the novel Negeri 5 Menara by A. Fuadi, (2) the value of worship education contained in the novel Negeri 5 Menara by A. Fuadi, (3) the value of Akhlak education contained in the novel Negeri 5 Menara by A. Fuadi. The research method is qualitative library research, a set of activities related to library data collection methods, reading and recording and processing of research materials. The object of research in this paper is the novel Negeri 5 Menara by A. Fuadi. The stages that must be taken in this library research are collecting research materials, reading library materials, making research notes, and processing research notes. The data analysis technique uses the documentation method, which is to search and collect data by searching and reviewing primary and secondary data sources. The results of this study are presented (1) There is the value of Islamic education, namely Akidah education in the form of God, (2) There is the value of Gairuh Mahdah worship education in the form of studying, reading the Qur'an, (3) There is the value of Akhlak education in the form of Amar ma'ruf nahi munkar, sincerity, honesty, effort, gratitude, patience, forgiveness, and Tawakal.
Strategi Sistem Jaminan Sosial Nasional Bidang Ketenagakerjaan Dalam Upaya Pelindungan Pekerja Di Kota Surabaya Dan Kota Pekanbaru
Authors: Retnaningsih Hartini 
Published: January 2024

The background of this research is the institutional transition period of PT Jamsostek to BPJS Ketenagakerjaan (BPJS TK ). The problem is the constraints BPJS TK in their duty to provide labour protection. The methode of this research is qualitative, and the analysis was based on the theory of workers social security. Aims of research are to find out the obstacles and strategy in protecting on workers. The conclusion of researh are: First, the obstacles is Jaminan Hari Tua ( JHT) cash flow chaos of BPJS TK; Second, the low of public awareness on BPJS TK as confusing by BPJS Health; Third, so many rules of the Central Government and Local Government are not in line; and fourth, the lack of the coordination among related agencies.That is why, it was need strategy to protect workers by strengthen the coordination among regulation and related institution. Latar belakang penelitian ini adalah masa transisi kelembagaan dari PT Jamsostek ke BPJS TK yang mengelola jaminan sosial tenaga kerja. Permasalahannya adalah kendala BPJS TK dalam menjalankan tugasnya memberikan pelindungan kepada tenaga kerja. Metode penelitian ini adalah kualitatif dan analisis didasarkan pada teori jaminan sosial. Tujuan penelitian adalah mengetahui kendala dan strategi SJSN Bidang Ketenagakerjaan dalam upaya pelindungan pekerja. Kesimpulan penelitian adalah: pertama, ketentuan JHT mengakibatkan kekacauan cash flow BPJS TK; kedua, masih rendahnya pemahaman masyarakat terhadap BPJS TK karena rancu dengan BPJS Kesehatan; ketiga, banyaknya aturan pemerintah pusat dan pemerintah daerah yang tidak sejalan; Keempat, kurangnya koordinasi antarinstansi terkait. Oleh karena itu, diperlukan strategi untuk melindungi pekerja melalui penguatan koordinasi antar berbagai regulasi dan lembaga terkait.