bluuebunny/crossref_metadata_2025_split huggingface dataset:
Real-Time Artificial Intelligence-Assisted Colonoscopy and the Effect of Endoscopist Experience on Polyp Detection Rates at a Tertiary Referral Center
Authors: Seow-En Isaac , Khor Shao Nan , Zhao Yun , Ng Yvonne Ying-Ru , Tan Emile John Kwong Wei 
Published: November 2023

Abstract

Background:
In recent years, new technology has emerged with the potential to considerably influence the future landscape of gastrointestinal endoscopy. One example of this is real-time artificial intelligence-assisted colonoscopy (AIC). Reported improvements in polyp detection rate (PDR) and adenoma detection rate (ADR) over standard colonoscopy (SC) have led to its rapid adoption in several tertiary endoscopy centers worldwide. However, many clinicians have mixed attitudes concerning the use of AIC. Similar to other skill-based procedures, the quality of endoscopy is directly proportional to the technical expertise and proficiency of the endoscopist.

Objective:
To evaluate the use of real-time AIC versus SC at a tertiary, high-volume referral center.

Design:
Retrospective cohort study.

Settings:
Single tertiary referral center.

Patient and Methods:
Data was retrospectively analyzed from patients who underwent elective colonoscopy at Singapore General Hospital from August 1, 2022 to October 31, 2022.

Main Outcome Measures:
The primary study outcome was PDR and ADR. Subgroup analysis assessed the differences in polyp detection according to the experience level of the endoscopist.

Sample Size:
Eight hundred and fifty-nine patients.

Results:
Over the 3-month study period, 859 patients underwent complete colonoscopies performed by nine accredited endoscopists; 430 patients underwent SC and 429 underwent AIC. Both groups were statistically similar in age, gender, and indication for colonoscopy. The median ADR was 34.2% (range, 24.6%–57.3%) for the entire cohort. Overall detection rates were higher for AIC than SC for diminutive polyps (≤5 mm) (45.7% vs 38.6%, P = 0.045), sessile polyps (48.5% vs 37.4%, P = 0.009), and polyps with adenomatous (42.4% vs. 36.3%, P = 0.043) or serrated histology (1.2% vs. 0%, P = 0.025). Using SC, PDR among junior versus senior endoscopists was comparable at 47.9% vs 45.6% (P = 0.672) and ADR at 36.1% vs 36.8% (P = 0.912). With real-time AI enhancement, PDR and ADR for junior endoscopists considerably increased over their senior counterparts, with PDR at 69.5% vs 44.9% (P = 0.0001) and ADR at 50.0% vs 37.7% (P = 0.016). Among senior endoscopists, AIC did not result in any statistical improvement of PDR (P = 0.999) and ADR (P = 0.854) compared to SC.

Conclusions:
AIC significantly increases PDR and ADR compared to SC, particularly for detecting diminutive and sessile polyps. This benefit was only observed among less experienced endoscopists.

Limitations:
This study is limited by its retrospective nature, short study duration, and availability of the AI system, leading to practical constraints.

Conflict of Interest:
The authors have no conflict of interest to declare.
Heart Rate Variability Measured from Wearable Devices as a Marker of Disease Severity in Tetanus
Authors: Hai Ho Bich , Cattrall Jonathan W. S. , Hao Nguyen Van , Van Hoang Minh Tu , Thuy Duong Bich , Nhat Phung Tran Huy , Khanh Phan Nguyen Quoc , Duong Ha Thi Hai , Duong Tran Duc , Lu Ping , Phuong Le Thanh , Greeff Heloise , Zhu Tingting , Yen Lam Minh , Clifton David , Thwaites C. Louise 
Published: November 2023

ABSTRACT.
Tetanus is a disease associated with significant morbidity and mortality. Heart rate variability (HRV) is an objective clinical marker with potential value in tetanus. This study aimed to investigate the use of wearable devices to collect HRV data and the relationship between HRV and tetanus severity. Data were collected from 110 patients admitted to the intensive care unit in a tertiary hospital in Vietnam. HRV indices were calculated from 5-minute segments of 24-hour electrocardiogram recordings collected using wearable devices. HRV was found to be inversely related to disease severity. The standard deviation of NN intervals and interquartile range of RR intervals (IRRR) were significantly associated with the presence of muscle spasms; low frequency (LF) and high frequency (HF) indices were significantly associated with severe respiratory compromise; and the standard deviation of differences between adjacent NN intervals, root mean square of successive differences between normal heartbeats, LF to HF ratio, total frequency power, and IRRR, were significantly associated with autonomic nervous system dysfunction. The findings support the potential value of HRV as a marker for tetanus severity, identifying specific indices associated with clinical severity thresholds. Data were recorded using wearable devices, demonstrating this approach in resource-limited settings where most tetanus occurs.
Gender biased representation in learning materials in Nigeria educational system
Authors: Mustapha Abolaji Samuel 
Published: November 2023

Educational processes and practices have long been recognised as reproducing those gender relations that society endorses - its gender ideology. In this study, we examine educational materials that are used in Nigerian educational system for the gender ideology that they tend to reflect and reinforce.Content analysis and discourse mode were used to analyse seven widely used English Language textbooks for Junior Secondary School students in Nigeria.Findings reveal over-representation of males in the public sphere, especially in a range of professions, politics, requisite qualities, accomplishments, and contributions, on the one hand. Women, on the other hand, are overrepresented in the private sphere of home, as mothers and wives. Thus, males are rendered more visible in the public sphere than females; the latter are rendered more visible in the home sphere than males who are rarely represented in that domain. These findings indicate gender-biased learning materials that might be inimical to achieving gender equality in and through education consequently suggesting that these learning materials might be long overdue for reform to reflect gender fairness that is in consonance with Nigeria’s National Gender Policy goals. Keywords: gender ideology, equality, education, learning materials, Nigeria, policy Representación de sesgo de género en los libros de texto en inglés en el sistema educativo de NigeriaResumenPrácticas y procesos educativos durante mucho tiempo han sido reconocidas como reproducir las relaciones de género que la sociedad apoya - su ideología de género. En este estudio, examinamos los materiales educativos que se utilizan en sistema educativo nigeriano para la ideología de género que tienden a reflejar y reforzar. Análisis del contenido y el modo de discurso fueron utilizados para analizar siete libros de lengua inglesa ampliamente utilizados para los estudiantes de escuela secundaria en Nigeria. Los resultados revelan sobrerrepresentación de los varones en la esfera pública, especialmente en una variedad de profesiones, la política, cualidades necesarias, logros y contribuciones, por un lado. Las mujeres, por el contrario, son representadas en el ámbito privado del hogar, como madres y esposas. Por lo tanto, los machos se procesan más visibles en la esfera pública que las hembras; este último se procesa más visible en la esfera de la casa que los machos, que raramente están representados en ese dominio. Estos resultados indican materiales educacionales sesgo de género, que pueden ser perjudiciales para alcanzar la igualdad de género en y a través de la educación en consecuencia sugiriendo que estos materiales de aprendizaje pueden ser demorados reforma reflejar la equidad de género que está en consonancia con los objetivos de la política nacional de género de Nigeria. Palabras clave: género ideología, igualdad, educación, política, Nigeria, los materiales de aprendizaje
La «Machine Jacobine»? un Fantasme Historiographique Revisité Ã l'aune d'un Exemple local: la Société Populaire de Honfleur (1791-1795)
Authors: Biard Michel 
Published: November 2023

Outre les anciennes diatribes de Cochin contre la sociabilité jacobine, remises au goÃ»t du jour dans les années 1970, l’histoire des sociétés populaires, clubs politiques apparus pendant la Révolution française, a également dÃ» compter avec nombre de simplifications nés de la plume d’historiens soucieux de dégager des classements politiques Ã l’échelle nationale. Ainsi, dans les années décisives que furent 1792 et 1793, les sociétés populaires ont pu Ãªtre recensées ici comme des « sociétés girondines », lÃ comme des « sociétés montagnardes », tandis que plusieurs ouvrages et atlas historiques proposaient alors une vision nationale de cette partition. Hélas, les discours péjoratifs sur la « machine jacobine », d’une part, les classements politiques réalisés Ã l’échelle nationale, de l’autre, reposent souvent sur des raisonnements trop généraux. L’exemple de la Société des Amis de la Constitution de Honfleur, ici présenté, vient souligner après plusieurs autres recherches l’inanité des raisonnements hérités de Cochin, mais aussi apporter des nuances aux traditionnels classements opérés entre les sociétés. En effet, lÃ elle est supposée avoir été « girondine », un examen détaillé de ses archives prouve que les réalités sont infiniment plus mouvantes.
A INVASÃO TECNOLÓGICA NO ENSINO
Authors: Trentin Tamara , Dieterich Daniela , Batista Klener , Meroto Monique Bolonha das Neves , Alves Renata Camargo Costa 
Published: November 2023

Quando abordamos temáticas de cunho amplo de caráter que configura a democracia e a inclusão das pessoas, devemos ter bastante tato para que não causemos um grau de invisibilizarão de algum provável grupo de pessoas inclusas num contexto social, financeiro ou que possuam algum tipo de limitação física ou mental. Para isto devemos sempre analisar o contexto econômico do país e na realidade de perspectiva das pessoas nas quais trabalhamos rotineiramente. Desta forma, sabemos que a educação há algumas décadas atrás era vista como privilégio onde, quem a seguia devia vir de família bem estruturada e amparada financeiramente para que pudessem arcar com os estudos dos filhos de forma que isso não acarretasse na vulnerabilidade da família. Neste sentido, foram criadas vias para que mitigassem os efeitos exclusivistas de uma educação inteiramente presencial, tal como, a criação de ensinos utilizando do ensino remoto (online) para que esta educação apresentasse um caráter mais democrático e que realmente atendesse a todos. Obviamente a grande explosão deste recurso veio como resultado da tão temida pandemia causada pelo SARS-COV, porém, os aprendizados adquiridos neste período repercutem até os dias atuais e tendem a permanecer por um bom tempo. Associado a isto, temos a utilização da Inteligência Artificial como meio de amparo e ferramenta de apoio aos alunos inseridos neste modelo de educação tornando-a mais acessível e prática. No mais, este trabalho visa a análise de dados teóricos disponíveis em sites acadêmicos, e a partir deles realizar uma visão crítica correlacionando com minhas vivencias.
The Relevance of the Dars-e-Nizami Curriculum to the Development of Modern Islamic Religious Education in Pakistan
Authors: Mahmood Nadeem 
Published: November 2023

ABSTRACT
Traditional education in Pakistan has deep and varied roots, primarily due to the cultural and ethnic diversity that exists in the country. The unstoppable flow of globalization threatens to shift cultural heritage including traditional education in Pakistan. Thus, efforts are needed so that traditional education is not abandoned and remains relevant to current developments. The aim of this research is to determine the relevance of the Dars-e-Nizami curriculum for the development of modern Islamic religious education in Pakistan. This research is field research combined with literature study. The data collection instrument used was semi-structured interviews. This research was conducted in 15 school institutions, both formal and informal, in 5 big cities in Pakistan. The results of this research found that the Dars-e-Nizami curriculum has several limitations in terms of relevance to modern needs. Islamic educational institutions retain Dars-e-Nizami for the reason that they see it as a way to preserve and inherit the classical Islamic intellectual tradition as well as to maintain a strong understanding of the Islamic religion among students. Education based on the Dars-e-Nizami curriculum still has an important place in the highly conservative and traditional Muslim community. The implications of this research are that schools in Pakistan do not abandon traditional education or curriculum, but continue to preserve it by making adjustments that are relevant to current developments
Reasons for emergency department visits of patients with opioid use disorder at an urban safety-net hospital: A retrospective records review
Authors: Ali Shawkut , Lowe Shona , George James S. , Brown Christopher , Sanchez Gloria , Pendergraph Bernadette 
Published: November 2023

Objectives: The purpose of this study was to describe the emergency department (ED) visit chief complaints and discharge diagnoses of patients with an opioid use disorder (OUD) empaneled to a primary care clinic.
Design: ED visits were retrospectively reviewed through electronic health records. Patients with a history of using multiple substances and medical or psychiatric conditions were compared to those without these conditions.
Setting: This study was conducted at Harbor-UCLA ED, a safety-net level one trauma center.
Patients and participants: Eligible participants were empaneled to the Harbor-UCLA Family Health Center with a diagnosis of OUD between January 1, 2018, and December 31, 2020.
Main outcome measures: The primary outcome measures included number of ED visits, hospital admissions, chief complaints, and discharge diagnoses.
Results: The total number of patients was 59. The most common chief complaints were musculoskeletal (34 percent), gastrointestinal (18 percent), general (13 percent), and skin (8.6 percent). The most common discharge diagnoses were musculoskeletal (27 percent), gastrointestinal (20 percent), infectious (11 percent), substance use disorder related (11 percent), psychiatric (7 percent), and cardiovascular (7 percent). Co-occurring alcohol use was associated with a higher number of visits, 3.18 versus 1.15 (p = 0.021), and a higher percentage of patients with frequent visits, 46 percent versus 8 percent (p = 0.008). Patients with diabetes had more frequent visits, 40 percent versus 10 percent (p = 0.036), and were more likely to be admitted, 43 percent versus 15 percent (p = 0.010).
Conclusions: This study highlights the importance of screening and the management of alcohol use and diabetes among patients with OUD.
ANALISIS ALASAN KUNJUNGAN TERHADAP PILIHAN METODE KONTRASEPSI SUNTIKAN PADA AKSEPTOR KB DI PMB KABUPATEN BIREUEN
Authors: Raudhati Sri 
Published: November 2023

Penggunaan alat kontrasepsi oleh pasangan usia subur sangat penting digunakan untuk menekan lonjakan kelahiran masyarakat di masa depan. Kontrasepsi hormonal jenis KB suntikan ini di Indonesia semakin banyak dipakai karena berbagai alasan, seperti cara kerjanya yang efektif, pemakaiannya yang praktis, harganya relatif murah dan aman. Tujuan penelitian ini adalah untuk mengetahui apa saja alasan akseptor KB menggunakan kontrasepsi suntikan sebagai salah satu metode dalam program Keluarga Berencana di PMB Kabupaten Bireuen. Penelitian ini merupakan penelitian survei deskriptif kuantitatif, dengan jumlah sampel sebanyak 142 orang. Analisis data menggunakan analisis univariat dan bivariat (menggunakan uji chi square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan terdapat hubungan antara alasan kunjungan dengan pilihan metode kontrasepsi suntikan di PMB Kabupaten Bireuen, dengan nilai p value 0.001 < 0.05. Kesimpulannya, pemilihan jenis kontrasepsi suntik yang digunakan akseptor KB secara garis besar sudah sesuai. Dari hasil penelitian ini, diharapkan agar responden terus meningkatkan pengetahuan untuk mengetahui berbagai metode kontrasepsi yang lain sebagai pilihan untuk program KB dalam menjarangkan kehamilan sesuai dengan yang diinginkan untuk kesejahteraan keluarga dan tujuan pemerintah tercapai.
Komunikasi interpersonal para pedagang tradisonal Kabuapaten Bireuen dalam menjaga loyalitas pelanggan
Authors: Maihani Syarifah , Kumita Kumita , Khairani Cut 
Published: November 2023

Komunikasi Interpersonal yang terjadi antara pedagang tradisonal pada awalnya melalui tahapan kontak yang di lakukan oleh pedagang tradisonal khusus nya di Kabuapten Bireuen dengan memberikan sapaan menayakan kabar ramah berjabat tangan. Kemudian adanya keterlibatan hubungan dalam percakapan transaksi jual beli maupun keterlibatan percakapan di luar urusan menjual dan membeli. Pada tahap terakhir terbinanya keakraban diantara pedagang dan pembeli yang ditunjukan dengan kedekatan emosional. Dimana terjalainya hubungan kekeluargaan bukan hanya sekedar menjual dan membeli semata. Penelitian yang dilakukan bertujuan untuk memahami dan menganalisa komunikasi interpersonal yang di lakukan oleh pedagang tradisonal di pasar yang meliputi proses komunikasi keterlibatan dan keakraban hubungan yang terjalin antara pedagang tradisonal dalam menjaga loyalitas dari pelanggannya. Penelitian ini menggunakan metode deskriptif kualitatif. Data di peroleh melalui wawancara mendalam dan observasi. Narasumber dalam penelitian ini adalah pedagang dan pelanggan di pasar tradisonal Kabupaten Bireuen.
Pengaruh pematahan dormansi secara kimiawi terhadap kemampuan berkecambah benih hanjeli (Coix lacyma jobi L.)
Authors: Aida Ruhul , Nursayuti Nursayuti 
Published: November 2023

Penelitian ini bertujuan untuk mengetahui pematahan dormansi secara kimiawi terhadap kemampuan berkecambah benih hanjeli (Coix lacyma jobi L.). Penelitian ini dilaksanakan di Laboratorium MIPA Universitas Almuslim Kabupaten Bireuen pada bulan Juni sampai dengan bulan Agustus 2022. Rancangan percobaan yang digunakan dalam penelitian ini adalah Rancangan Acak Lengkap (RAL) yaitu perlakuan perendaman dengan KNO3 (K), yang terdiri dari 7 taraf perlakuan yaitu : K0 = 0,000 M, K1 = KNO3 0,004 M, K2 = KNO3 0,008 M, K3 = KNO3 0,012 M, K4 = KNO3 0,016 M, K5 = KNO3 0,020 M % dan K6 = KNO3 0,024 M. Pengamatan dalam penelitian ini meliputi umur berkecambah, potensi tumbuh, daya berkecambah, kecambah mati, nilai penundaan pada perkecambahan, panjang radikula dan panjang plumula. Hasil penelitian menunjukkan bahwa perendaman benih hanjeli dengan KNO3 berpengaruh nyata terhadap umur berkecambah, potensi tumbuh, daya berkecambah, kecambah mati, nilai penudaan perkecambahan, panjang radikula dan panjang plumula benih hanjeli. Hasil penelitian menunjukkan bahwa perlakuan KNO3 konsentrasi 0,008 M dan 0,012 M memberikan hasil terbaik terhadap pematahan dormansi benih hanjeli. Nilai rata-rata terbaik umur berkecambah yaitu 7,33 hari, potensi tumbuh yaitu 66,66%, daya berkecambah yaitu 61,10%, kecambah mati yaitu 0,00%, nilai penudaan perkecambahan yaitu 33,33%, panjang radikula yaitu 6,58 cm dan panjang plumula yaitu 7,91 cm. Perlakuan terbaik terdapat pada perlakuan pemberian KNO3 konsentrasi 0,008 M dan 0,012 M.
The Impact of Implementing Quizizz on Developing Vocabulary Skills in Language Learning Among Malaysian Secondary School Students in Rural Areas
Authors: Nordin Salome Stephenia 
Published: November 2023

Gamification of education Technology definitely plays a significant part in English Language Teaching (ELT). Nowadays, Quizizz is one of the popular game-based learning that is frequently applied in education especially in language learning lesson. This study investigates the impact of implementing Quizizz, a gamified online learning platform, on the development of vocabulary skills among Malaysian Secondary School Students in rural areas. The current study comprised 33 participants, all of them were from three secondary students with mixed ability proficiency from SMK Desa Kencana in Lahad Datu. Pre- and post-test assessments measure the development of vocabulary skills. The study aims to determine whether Quizizz have a significant positive impact to the development of the students' vocabulary skills. Additionally, students' perceptions of Quizizz as a learning tool are explored through quantitative data using questionnaire. The results of the paired t-test analysis and the difference in mean scores suggested a significant rise in students' vocabulary achievement. Furthermore, according to the questionnaire findings, pupils have a positive perception towards the implementation of Quizizz in language learning. The findings contribute insight into the potential benefits and limitations of applying Quizizz for vocabulary skill development, providing insights into the practicality of utilising technology-enhanced learning approaches in rural education situations. Overall, the findings of this study have significance for educators, policymakers, and curriculum designers looking for new ways to improve language learning outcomes in rural secondary schools.
Diversity, Abundance and Distribution of Gastropoda in a Tropical Agricultural Village in Kadavoor, Kerala, India
Authors: Baby Brigitt , Cyril Aleena Elizabeth , K. Joseph Gigi 
Published: November 2023

Gastropods are an ecologically significant taxon which take part in crucial ecosystem services like nutrient cycling, food web, calcium cycle, pollination and seed dispersal. The gastropod diversity of Kadavoor village was studied for eight months in monoculture plantations of pineapple, rubber, banana, mixed crop agroecosystems, paddy fields and freshwater bodies. Random sampling was employed monthly in five quadrats of 1 * 1 square metre. A total of 14 species belonging to two subclasses, four orders and nine families were recorded. These include land snails, freshwater snails, slugs and semislugs. Six out of 14 species recorded are endemic to the Indian subcontinent. Two invasive species namely Laevicaulis alte and Allopeas gracile were recorded. It is notable that Achatina fulica was not recorded during our study. Ariophantidae was the most abundant family followed by Subulinidae. The mixed crop agroecosystem was found to be more species-rich than monoculture plantations which might be due to an increase in microhabitats and leaf litter layer. The Simpson’s diversity index values are highest for the rubber plantation and lowest for the banana plantation since the species are more evenly distributed in the rubber plantation. Mariaella dussumieri is a constant species in all three monoculture plantations since its constancy value is greater than 50%. Sorenson’s similarity index for species composition between monoculture ecosystems is high but variable. Microhabitats of snails in all these ecosystems were also recorded. The study is a first attempt at the gastropod diversity of agroecosystems in Kerala and would help in the conservation and management of the gastropods.
Spontaneous Intracranial Haemorrhage as Part of the Initial Manifestation of Childhood Systemic Lupus Erythematosus: An Unusual Clinical Presentation
Authors: Auckburally Bibi Nabiilah , Mohd Kori Anis Munirah , Samsudin Ahmad Hadif Zaidin , Ilias Mohamad Ikram 
Published: November 2023

Childhood-onset systemic lupus erythematosus is a systemic autoimmune disorder with a variety of clinical manifestations. Most children and adolescents experience the gradual onset of prolonged fever, weight loss, fatigue, and arthralgia over weeks or months. Nonetheless, isolated haematological abnormalities are unusual as an initial clinical manifestation. We report a case of spontaneous intracranial haemorrhage due to severe thrombocytopenia as part of the initial manifestation of SLE in childhood. A high index of suspicion is necessary to diagnose systemic lupus erythematosus in children who present with unexplained spontaneous intracranial haemorrhage and isolated thrombocytopenia as an initial presentation.