bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of clinical efficacy of different internal fixation methods in older adult patients with osteoporotic fractures of proximal humerus
Authors: Wang Zongpu , Wang Tienan , Qin Song , Wang Jianchuan 
Published: January 2025

ObjectiveTo compare the efficacy of three treatment methods for older adult patients with osteoporotic proximal humerus fractures: proximal humerus locking plate (PHILOS) combined with calcium sulfate injection, PHILOS plate alone, and artificial hemi-shoulder joint replacement.MethodsThe clinical data of 48 older adult patients with osteoporotic proximal humerus fractures admitted to the Shoulder and Elbow Surgery Department of Zhongshan Hospital Affiliated with Dalian University from February 2018–August 2021 were retrospectively analyzed. The patients comprised 18 males and 30 females, with a mean age of (68.6 ± 5.8) years. The 48 patients were divided into three groups based on their treatment methods: Group A: 16 patients treated with PHILOS plate combined with calcium sulfate injection. Group B: 16 patients treated with the PHILOS plate alone. Group C: 16 patients treated with artificial hemi-shoulder joint replacement. Key parameters such as operation time, blood loss, incision length, operation cost, and shoulder joint motion at the final follow-up were recorded and compared. Shoulder joint function was evaluated using the American Shoulder and Elbow Surgeons (ASES) score, Visual Analogue Scale (VAS) for pain, University of California Shoulder Joint Score (UCLA), and Brief Shoulder Function Test (SST).ResultsThere were no statistically significant differences in the preoperative general data between the three groups (P &gt; 0.05), indicating comparability. There was no significant difference in operation time, blood loss, and incision length among Groups A, B, and C (P &gt; 0.05). However, Group C had significantly higher operation costs compared to the other two groups (P &lt; 0.05). At the final follow-up, there were no significant differences in shoulder flexion and rotation among the three groups (P &gt; 0.05). However, a statistically significant difference in abduction was observed between Group A and Group C (P &lt; 0.05). No significant differences were found in ASES, VAS, UCLA, and SST scores among the three groups at the last follow-up (P &gt; 0.05).Complications occurred in 1 patient (Group A), 3 patients (Group B), and 4 patients (Group C), showing a statistically significant difference among the groups (P &lt; 0.05).ConclusionAll three surgical methods are effective in treating older adult osteoporotic proximal humerus fractures, as they significantly alleviate pain and restore joint function. However, the use of a PHILOS plate combined with calcium sulfate injection (Group A) is particularly effective, demonstrating reliable clinical efficacy with fewer complications.
Clinical and radiological outcomes of lumbar endoscopic decompression for treating lumbar spinal stenosis and degenerative lumbar scoliosis: a retrospective study at mean 4.4 years follow-up
Authors: Fan Ning , Wang Aobo , Yuan Shuo , Du Peng , Wang Tianyi , Zang Lei 
Published: January 2025

PurposeTo assess the clinical and radiological outcomes of lumbar endoscopic decompression for the treatment of lumbar spinal stenosis (LSS) with concurrent degenerative lumbar scoliosis (DLS).MethodsThis study retrospectively reviewed 97 patients with LSS and DLS who underwent lumbar endoscopic decompression between 2016 and 2021. The average follow-up duration was 52.9 months. Another 97 LSS patients without DLS were selected as the control group. The pre- and postoperative visual analog score (VAS) and the Oswestry disability index (ODI) were recorded and analyzed to compare clinical outcomes. Radiological findings, such as coronal balance and intervertebral disc height, have also been reported.ResultsBoth groups' mean VAS scores for back pain, leg pain, and ODI were significantly improved two weeks after surgery and at the final follow-up (p &lt; 0.001). There was no significant difference in the prevalence of surgical complications or patient satisfaction rates. However, patients in the DLS group reported more severe back pain at the final follow-up than those in the LSS group (p = 0.039). Radiological follow-up revealed no significant deterioration in coronal imbalance or loss of disc height in either group.ConclusionLumbar endoscopic decompression can be a safe and effective surgical technique for treating LSS with DLS, particularly in elderly patients with poor general conditions.
Comparison of bison and elk susceptibility to experimental challenge with Brucella abortus strain 2308
Authors: Olsen S. C. , Boggiatto P. M. , Putz E. J. 
Published: January 2025

IntroductionBrucellosis is endemic in bison and elk in Yellowstone National Park and surrounding areas.MethodsA comparative study was conducted using data from naive (n = 82 and 67, respectively) and Brucella abortus strain RB51 (RB51) vaccinated (n-99 and 29, respectively) bison and elk experimentally challenged with virulent B. abortus strain during pregnancy.ResultsThe incidence of abortion, fetal infection, uterine or mammary infection, or infection in maternal tissues after experimental challenge was greater (p &lt; 0.05) in naïve and vaccinated bison when compared to similar groups in elk. Vaccinated bison had lower (p &lt; 0.002) abortion rates and recovery of Brucella from fetal or uterine/mammary tissues when compared to naïve bison. Vaccinated elk had reduced (p &lt; 0.01) rates of maternal infection, but rates of abortion and fetal or uterine/mammary infection did not differ (p &gt; 0.05) from naïve elk. Naïve and vaccinated bison had greater (p &lt; 0.05) Brucella colonization in placentomes, and parotid and supramammary lymphatic tissues when compared to elk. In elk or bison that aborted, mean colonization in placentome tissues were typically more than 5 logs higher than in animals that did not abort.DiscussionThe results of our study suggest differences in disease pathogenesis between these two wildlife reservoirs of B. abortus.
Synthesizing Local Capacities, Multi-Source Remote Sensing and Meta-Learning to Optimize Forest Carbon Assessment in Data-Poor Regions
Authors: Mohammed Kamaldeen , Kpienbaareh Daniel , Wang Jinfei , Goldblum David , Luginaah Isaac , Lupafya Esther , Dakishoni Laifolo 
Published: January 2025

As the climate emergency escalates, the role of forests in carbon sequestration is paramount. This paper proposes a framework that integrates local capacities, multi-source remote sensing data, and meta-learning to enhance forest carbon assessment methodologies in data-scarce regions. By integrating multi-source optical and radar remote sensing data alongside community forest inventories, we applied a meta-modelling approach using stacked generalization ensemble to estimate forest above-ground carbon (AGC). We also conducted a Kruskal–Wallis test to determine significant differences in AGC among different tree species. The Kruskal–Wallis test (p = 1.37 × 10−13) and Dunn post-hoc analysis revealed significant differences in carbon stock potential among tree species, with Afzelia quanzensis (x~ = 12 kg/ha, P-holm-adj. = 0.05) and the locally known species M’buta (x~ = 6 kg/ha, P-holm-adj. = 5.45 × 10−9) exhibiting a significantly higher median AGC. Our results further showed that combining optical and radar remote sensing data substantially improved prediction accuracy compared to single-source remote sensing data. To improve forest carbon assessment, we employed stacked generalization, combining multiple machine learning algorithms to leverage their complementary strengths and address individual limitations. This ensemble approach yielded more robust estimates than conventional methods. Notably, a stacking ensemble of support vector machines and random forest achieved the highest accuracy (R2 = 0.84, RMSE = 1.36), followed by an ensemble of all base learners (R2 = 0.83, RMSE = 1.39). Additionally, our results demonstrate that factors such as the diversity of base learners and the sensitivity of meta-leaners to optimization can influence stacking performance.
Níveis séricos da apolipoproteína e como marcadores de risco cardiovascular em adultos: uma revisão de literatura
Authors: Freire Júlia Mâmbela , Souza Erick Almeida Correia de , Costa Livia , Bergo Thiago Augusto , Silvério Alessandra Cristina Pupin 
Published: January 2025

Esse artigo buscou analisar a relação entre níveis séricos da Apoproteína E no Risco cardiovascular em adultos. Essa Revisão Integrativa utilizou plataformas, como PubMed, Scielo, Google Acadêmico e Biblioteca Virtual Science of Direct para encontrar fontes relevantes e confiáveis para o desenvolvimento deste projeto. Descritores em Ciências da Saúde (DeCS): Fatores de risco para doenças cardíacas, Apoproteína E, ApoE, Adulto e Risco cardiovascular em associação com operadores booleanos que foram coletados para a pesquisa, resultando em 1430 artigos. Desses artigos, após usados critérios de exclusão e inclusão, apenas 13 artigos tornaram-se fontes oficiais. Estudos mostram a influência da Apolipoproteína E no desenvolvimento de Doença Arterial Coronariana, assim como no de Doença Arterial Periférica, devido à afinidade da apoproteína com componentes lipídicos. No entanto, seus polimorfismos mostraram que há benefícios em partes específicas dela, contribuindo para efeitos ateroprotetores e de desenvolvimento lipídico normal. A Apoproteína E possui polimorfismos, sendo eles parte benéficos ao corpo, parte contribuintes aos malefícios cardíacos, o que ressalta a necessidade de novas pesquisas que englobam a temática, pois tal discussão pode determinar vantagens futuras de tratamento e prevenção cardiopatologicas.
Clareamento dental: um estudo sobre mitos e evidências relacionados à sua eficácia e segurança
Authors: Guimarães João Victor Morais , Fernandes Raquel dos Santos , Araújo Érika Holanda de 
Published: January 2025

Os procedimentos estéticos vêm ocupando um grande lugar na odontologia, sendo o clareamento dental o tratamento de escolha para os pacientes, devido à sua abordagem minimamente invasiva e com baixo custo, comparado a outros procedimentos. Normalmente, os profissionais optam por géis clareadores com peróxido de hidrogênio como agente ativo, por causa da sua eficácia. No entanto, quanto maior for a concentração do gel, maior a chance de ocorrer efeitos adversos, como sensibilidade ou irritação gengival. Assim, o objetivo do estudo é realizar uma nova abordagem do clareamento dental acerca da sua eficácia a longo prazo e realização do procedimento com segurança. A realização desse estudo se deu por meio de uma busca nas bases de dados PubMed e Mendeley, utilizando os DeCS: “clareamento dental”, “eficácia” e “segurança”. Foram incluídos estudos que abordassem sobre uma nova perspectiva do clareamento dental e sua segurança e eficácia, no período de 2019 a 2024 disponível no formato de texto completo em português e inglês. Foram excluídos estudos in vitro, séries clínicas, revisões narrativas, artigos duplicados e artigos incompletos. O clareamento dental quando bem planejado e executado possui uma boa adesão a estrutura dentária, resultando em uma estabilidade a longo prazo e sem efeitos adversos, que podem ser minimizados quando tratados previamente. Por fim, os estudos indicaram que quanto maior a concentração do gel clareador, maiores são as chances de gerar sensibilidade dentária. Para que seja evitado isso, é necessário utilizar géis de baixa concentração que apresentem segurança e eficácia, assim como auxílio de dessensibilizantes e barreira gengival, a fim de evitar irritação da mucosa bucal também.
Habilidades sociales y relaciones interpersonales en docentes como agentes educativos
Authors: Borbor-Balón Clara Maricela 
Published: January 2025

Este articulo tuvo como propósito comprender cómo se implican las habilidades sociales y las relaciones interpersonales en los docentes como agentes educativos. Dicho artículo se circunscribe a una investigación de tipo documental desarrollada mediante un diseño bibliográfico. Como conclusión, se tiene que las habilidades sociales y las relaciones interpersonales son aspectos fundamentales en el desempeño de los docentes como agentes educativos. Los educadores que poseen habilidades sociales sólidas como la comunicación, empatía, asertividad, entre otras, pueden establecer vínculos y conexiones significativas con sus estudiantes, colegas y padres de familia, lo que contribuye a un ambiente educativo positivo y propicio para el aprendizaje.
Analisis Pengaruh Suhu dan Angin Terhadap Daya dan Efisiensi Panel Surya 100 Wp
Authors: Husai Siregar Alwi , Harahap Partaonan 
Published: January 2025

Abstract — Solar radiation has a big influence on the output of photovoltaic systems. Wind speed is directly related to the PV cooling system and can also affect the performance of solar grills. This research provides the effect of temperature and wind speed on the power and efficiency of 100 Wp solar panels in Belawan. Solar radiation and wind speed have a significant influence on the performance of photovoltaic systems. High temperatures can reduce panel voltage and efficiency, while wind can help cool the panels and improve their performance. This study was carried out over five days, with the average temperature of the solar panels reaching 31.7°C. The measurement results show efficiency variations from 40.26% to 14.7% during the research period. Linear regression analysis revealed that 16.1% of the efficiency variation could be explained by changes in wind speed, with the remainder influenced by other factors such as sunlight intensity. These findings demonstrate the importance of considering environmental factors in solar panel design and installation to maximize energy efficiency.\

Keywords: Electrical Energy, Wind Speed, Solar Panels, Temperature

Abstrak — Radiasi matahari mempunyai pengaruh yang besar terhadap keluaran sistem fotovoltaik. Kecepatan angin berhubungan langsung dengan sistem pendingin PV dan juga dapat mempengaruhi kinerja pemanggang tenaga surya. Penelitian ini memberikan pengaruh suhu dan kecepatan angin terhadap daya dan efisiensi panel surya 100 Wp di Belawan. Radiasi matahari dan kecepatan angin mempunyai pengaruh yang signifikan terhadap kinerja sistem fotovoltaik. Suhu tinggi dapat mengurangi voltase dan efisiensi panel, sementara angin dapat membantu mendinginkan panel dan meningkatkan kinerjanya. Penelitian ini dilakukan selama lima hari, dengan suhu rata-rata panel surya mencapai 31,7°C. Hasil pengukuran menunjukkan variasi efisiensi sebesar 40,26% hingga 14,7% selama periode penelitian. Analisis regresi linier menunjukkan bahwa 16,1% variasi efisiensi dapat dijelaskan oleh perubahan kecepatan angin, sedangkan sisanya dipengaruhi oleh faktor lain seperti intensitas sinar matahari. Temuan ini menunjukkan pentingnya mempertimbangkan faktor lingkungan dalam desain dan pemasangan panel surya untuk memaksimalkan efisiensi energi.

Kata Kunci : Energi Listrik, Kecepatan Angin, Panel Surya, Suhu
PERBEDAAN KEPUASAN PASIEN BPJS DAN PASIEN UMUM PADA BAGIAN PENDAFTARAN RAWAT JALAN DI RUMAH SAKIT KABUPATEN SIDOARJO TAHUN 2024
Authors: Atika Atika , Abdurrohman KM M. Sa’id , Sari Ika Puspita 
Published: January 2025

Latar belakang: Ketidakpuasan pasien di Rumah Sakit Kabupaten Sidoarjo khususnya pasien BPJS dan umum masih terdapat beberapa keluhan terkait pelayanan yang diberikan oleh rumah sakit yang disampaikan melalui ulasan website. Tujuan: untuk mengetahui mengetahui perbedaan kepuasan pasien BPJS dan Pasien Umum di bagian pendaftaran rawat jalan. Metode: penelitian ini menggunakan deskriptif kuantitatif dengan pendekatan cross sectional. Populasi pada penelitian ini berjumlah 10.272 responden, besar sampel 100 responden, teknik Pengambilan sampel dengan menggunakan teknik rancangan acak dengan sederhana (Simple Random Sampling), waktu penelitian dilaksanakan pada bulan Januari 2024, teknik analisis yang digunakan uji beda Mann Whitney U-test. Hasil: Responden BPJS yang merasa puas 28 orang (56%), dan yang merasa sangat puas 22 orang (44%). Responden Umum yang merasa puas 6 orang (12%), dan yang merasa sangat puas 44 orang (88%). Selain itu, hasil penelitian ini juga mennjukkan bahwa ada perbedaan kepuasan Pasien BPJS dan Pasien Umum di bagian pendaftaran rawat jalan di Rumah Sakit Kabupaten Sidoarjo dengan nilai p value 0,000 (p < 0,05). Kesimpulan: ada perbedaan kepuasan Pasien BPJS dan Pasien Umum di bagian pendaftaran rawat jalan di Rumah Sakit Kabupaten Sidoarjo, Rumah Sakit Kabupaten Sidoarjo disarankan untuk meningkatkan kepuasan pasien dengan memberikan pelatihan kepada petugas pendaftaran tentang pelayanan.
The perception of archives and archivists in the public imaginary. A case study
Authors: Mele Maria Antonietta 
Published: January 2025

Object of this study is the perception of archives and archivists in the public imaginary through the analysis of the national and international literature review existing about the topic and the creation and distribution of an on line survey.
Aim of this work is to trace an overview of the existing research about the theme, on the one hand, and to have preliminary data from the survey on the other, in order to know how the archival world is imagined and to understand the impact, the power and the public awareness of the value of archives and archivists in the society.
Clinical outcomes of Lateral Tarsal Strip Procedure for the correction of entropion and ectropion
Authors: Huma Farah , Kamal Siddiqui Zahid , Rizwan Khan Muhammad , Ahmed Waqar , Iftikhar Bahadur 
Published: January 2025

Purpose: Evaluating the clinical outcomes of Lateral Tarsal Strip Procedure for the correction of entropion and ectropion.
Study Design: Interventional case series.
Place and Duration of Study: Mayo Hospital Lahore, from January 2018 to March 2023.
Methods: Lateral Tarsal Strip Procedure was performed for the correction of Lower lid malposition in 43 patients for entropion or ectropion. Complete ocular assessment was done including palpebral fissure height, amount of inward/outward turning of lids, abnormalities of lashes and pre-existing tear film abnormality. Patients with previous eye surgery were excluded. We collected data regarding surgical outcomes and satisfaction of patients.
Results: Forty-three patients were included in this study. There were 30 men and 13 women in the age range of 59 to 82 years (mean 72.2±4.9 years). There were 28 right and 15 left lower eyelids. Surgical success with anatomical correction of Involutional ectropion was achieved in all patients. Distribution of type of lid abnormality is shown in Table 1. There were no perioperative or postoperative complications. After initial 100% results, only two out of forty-three eyelids (4.6%) had recurrence of involutional ectropion after 4 and 6 months.
Conclusion: LateralTarsalStrip is a simple and effective approach in achieving correction for entropion/ectropion.
The Impact of Induced Anisometropia on Binocular Vision
Authors: Mutwaly Raghda Faisal 
Published: January 2025

Purpose: To assessthe impact ofinduced anisometropia on binocular visual function.
Study Design: Quasi experimental study.
Place and Duration of Study: Optometry clinicsof Qassim University, from January 2024 to June 2024.
Methods: The study included 60 subjects of 16-26 years. Anisometropic myopia was induced by plus lenses (+1DS, +2DS, +3DS) and anisometropic hypermetropia was induced by minus lenses (-1DS, -2DS, -3DS) keeping them emmetrope with normal binocularity. Subjects with squint, suppression and amblyopia were excluded. Clinical assessment included;assessment of vision,refraction and near phoriawith Maddox wing. Assessment of bifovealfusion, suppression and diplopiawas done using Worthfour dot test and stereoscopic vision with Titmus fly test. Data was analyzed by using SPSS- v.25.
Results: There were 66.7% males and 33.3% females. Mean agewas 22.37±2.81 years. A significant difference in stereoacuity was found in 1D (41.75±130.26 sec arc), 2D (233.77±172.09 sec arc) and 3D (399.267±181.31 sec arc) anisometropic myopia (p˂0.001) as well asanisometropic hypermetropia(p˂0.001).There was no significant difference in stereoacuity between males and females (p ˃ 0.05). However, diplopia was higher in 3D of anisometropic hyperopia (73.3%) than anisometropic myopia (66.7%). Monocular suppression was present in 6.7% and 3.3% of 3D anisometropic hyperopia and anisometropic myopia respectively. Alternate suppression was present in 1.7% of eyes with 2D anisometropic hyperopia only.
Conclusion: Small degree of anisometropia significantlyimpact binocular vision. It affects bi-foveal fusion, leads to diplopia, suppression and reduction in stereopsis.
PENINGKATKAN PEMAHAMAN KELOMPOK TANI TERHADAP PENGOBATAN TUBERCULOSIS DAN PENCEGAHANNYA MELALUI FOCUS GROUP DISCUSSION
Authors: Rahem Abdul , Utami Wahyu , Hermansyah Andi , Sukorini Anila Impian , Rahayu Titik Puji , Athiyah Umi , Yuda Ana , Sulistyarini Arie , Wijaya I Nyoman , Noorrizka V Gusti , Priyandani Yuni , Budiatin Aniek Setiya , Aryani Toetik , Zulkamain Bambang Subakti 
Published: January 2025

Tuberculosis was a cause of global morbidity and mortality. Sumenep Regency has a high number of TBC cases, namely in 2017 were 1,627 people and 1,709 people in 2018. The difficulty in overcoming them is mainly due to the public and drug managers' understanding regarding drug side effects. Therefore, it is necessary to increase their literacy regarding this matter. This research aims to analyze the influence of Focus Group Discussions on farmer group members' understanding of the treatment and prevention of tuberculosis. It also analyzes the understanding of community health center drug managers regarding the side effects of TBC drugs and how to deal with them. A quasi-experimental design, with a pretest â€“ posttest design, was carried out on 49 members of the Bungbungan village farmer group and 39 community health center drug managers in Sumenep. The results showed that the farmer group understanding scores before and after the intervention were as follows: 6.02Â±1.19 and 6.69Â±1.46. for drug managers were 14.67Â±2.41 and 18.36Â±1.65. Conclusion The Focus Group Discussion had an impact on increasing understanding of the treatment and prevention of tuberculosis for farmer groups, and for community health center drug managers it had an impact on understanding the side effects of TBC drugs and how to deal with them.
МАТЕМАТИЧЕСКОЕ МОДЕЛИРОВАНИЕ ЖИЗНЕННОГО ЦИКЛА ИНЖЕНЕРНЫХ СИСТЕМ ЗДАНИЯ
Authors: Саввин Н.Ю. 
Published: January 2025

Вероятностный анализ последствий жизненного цикла, к примеру, оценка затрат на ремонт, простои или ущерб в течение всего срока службы объекта, может обеспечить оптимальное управление жизненным циклом критически важных объектов в условиях неопределенности. Это позволяет принимать эффективные решения для минимизации затрат на восстановление целостности работы инженерных систем здания. В статье рассматривается эффект воздействия факторов на инженерные системы здания в совокупности. Для прогнозирования используется стохастический Марковский процесс с дискретными состояниями и временем. Это дает возможность оценить вероятность нахождения системы в любом состоянии производительности после каждого возмущающего события. Предложено понятие коэффициента ущерба для увеличения точности расчетов и снижения пиковых эффективностей работы оборудования.
Probabilistic life cycle impact analysis, for example, estimating repair costs, downtime, or damage over the life of an object, can ensure optimal lifecycle management of critical facilities under conditions of uncertainty. This allows you to make effective decisions to minimize the cost of restoring the integrity of the building's engineering systems. The article examines the effect of factors on the engineering systems of a building in aggregate. Stochastic Markov process with discrete states and time is used for forecasting. This makes it possible to estimate the probability of the system being in any performance state after each disturbing event. The concept of the damage coefficient is proposed to increase the accuracy of calculations and reduce the peak efficiency of equipment operation.