bluuebunny/crossref_metadata_2025_split huggingface dataset:
Carcinoma ductal bilateral con segundo primario en tiroides: Reporte de caso
Authors: Mancheno Lara Paula , López Tinitana Juan , Coyago Iñiguez Juan 
Published: September 2023

El carcinoma ductal invasivo es el tipo más frecuente de tumor maligno mamario. A nivel mundial el cáncer de mama en mujeres es la segunda causa de muerte; en América Latina es frecuente con el 14,1%. En Ecuador el cáncer de mama representa el 27% de la población entre los 40 y 55 años. El cáncer bilateral sincrónico en mamas es poco frecuente únicamente se presenta en el 1-2,5% de pacientes con cáncer mamario. La neoplasia folicular de tiroides no invasiva, es de bajo riesgo, el diagnóstico es histopatológico. No existe relación alguna entre las dos patologías en este caso, por lo que lo hace un caso interesante. A continuación, se presenta el caso de una paciente 47 años con antecedente de bulto en la mama derecha desde hace 7 años. Fue diagnosticada hace 3 años de cáncer de mama bilateral. 2 años después en controles se evidencia la presencia de un nódulo tiroideo TIRADS 4, por lo que mediante una biopsia patológica se diagnóstica de neoplasia folicular de tiroides no invasiva. En consenso médico se determina la realización de una lumpectomía bilateral con radioterapia, lobectomía tiroidea izquierda y como hallazgo incidental se diagnostica de taquicardia supraventricular por lo que se realiza ablación con radiofrecuencia. En conclusión, con la revisión bibliográfica y experiencia exitosa del paciente sumándose el manejo exhaustivo en cada patología se coincide con los diferentes procedimientos de abordaje. Este caso pretende explicar los beneficios de las diferentes técnicas utilizadas en la paciente, junto a su evolución.
Criteria of Good English Textbook for Students: A Senior English Textbook Analysis
Authors: Akhmad Enni , R. Saleh Yuwin , Pakaya Susanti 
Published: September 2023

Background: English textbooks are a medium for delivering a material; good textbooks must support good material in accordance with eight ideal textbook criteria.
Objective: This study aims to analyze and describe English textbooks used in SMA Negeri 1 Gorontalo Regency.
Purpose: This study aims to analyze and describe English textbooks used in SMA Negeri 1 Gorontalo Regency.
Method: This study used a qualitative method with a content analysis approach to textbooks. Data were obtained through a system of observation of topics, language aspects, task forms for four language skills, and task structures in each chapter of the book. The textbooks analyzed were for grade X high school students published by the Ministry of Education and Culture of the 2017 edition of the K-13 curriculum. The data were analyzed descriptively in accordance with eight criteria for textbook analysis, namely the purpose and approach of book design and organization, language content, language skills, topics, methodology, teachers' books, and language practice situations.
Results and Discussion: The results showed that of the eight criteria for a good textbook, this book fulfills five criteria. The five criteria have clear objectives and approaches, book design and organization, language content, language skills, topics, and language practice situations.
Conclusion and Implications: This research has implications for efforts to improve students' mastery of English language skills through the teaching materials in the textbooks used.
The Impact of Education Level, Access to Transportation, and the Home Environment on Patient-Reported Outcomes after Orthopaedic Trauma Surgery
Authors: Echeverria Nicolas J. , Mandalapu Sai A. , Kaufman Alexander , Yu Daohai , Lu Xiaoning , Ramsey Frederick V. , Colon Jared , Luginbuhl Joshua , Rehman Saqib 
Published: September 2023

Objectives It is known that Social Determinants of Health (SDOH) impact a variety of health outcomes. Of these determinants, it remains unclear how education level, access to transportation, and the home environment influence Patient-Reported Outcomes (PROs) following orthopaedic trauma surgery. Methods A cross-sectional survey was conducted at an urban level 1 trauma center to collect data on demographics, education level, access to transportation, and the home environment of 120 patients who underwent fracture fixation surgery. Patient data was correlated with PRO data as measured by Patient Reported Outcomes Measurement Information System (PROMIS) survey scores, including global mental health (GM), global physical health (GP), pain interference (PI), and physical function (PF). A multivariable mixed-effects regression analysis was performed to determine associations between SDOH and PROs. Results Multivariable regression analysis results demonstrated that patients with high school or lower education levels were associated with better PF (P=0.007). Patients with access to transportation were associated with higher GM (P = 0.016), while those who lived greater than 5 miles from the hospital were associated with higher GP (P = 0.0498). Those with difficulty accessing the bathroom were associated with lower GP (P = 0.007) and GM (P = 0.0008), increased PI (P = 0.0002), and lower PF (P = 0.004). People living in apartments had higher GM (P = 0.0008). Navigating stairs inside the home was associated with lower GP (P = 0.030) and higher PI (P = 0.0007), while those who navigated stairs outside of their home reported higher GP (P = 0.038). Conclusion This study found that in our population, education level, access to transportation, and the home environment appeared to be associated with PROs following orthopaedic trauma surgery.
Literasi Kesehatan Dalam Pencegahan Covid-19 (Studi Kasus Unilak)
Authors: Hidayat Rahmad , Rismayeti Rismayeti , Amelia Vita 
Published: September 2023

The aims of this study to determine the level of health literacy of lecturers and employees at Lancang Kuning University, one of the steps in preventing covid-19, in addition to studying the behavior in implementing health protocols for awareness of the importance of preventing covid-19. This study uses a quantitative descriptive method with a population of 420 respondents and a sample of 80 respondents. This study instrument use a questionnaire that has been tested for validity with a total of 30 questions with a Cronbach alpha result of 0.926, there are 3 indicators in this study, namely functional health literacy, interactive health literacy and critical health literacy. The results of this study from those 3 indicators, functional health literacy by 72%, interactive health literacy 76% and critical health literacy 77% overall the level of health literacy of Lancang Kuning University lecturers and employees is 76% in the 76%-100% range. which is included in the very good category. This means that the health literacy of Lancang Kuning University lecturers and employees is very good.
Keywords: Health literacy, covid-19; health literacy level; health protocol; lecturers and employees.
THOR Bootcamp in Budapest
Authors: Chen Xiaoli 
Published: September 2023

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Magyarország!
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We are happy to announce that the THOR Bootcamp tour bus is on its way to Budapest! On September 28 and 29th, the next and final event of the series will be hosted in collaboration with our friends at the Library of the Hungarian Academy of Sciences (DataCite member and ORCID integrator), taking place on its campus by the bank of river Danube, overlooking the magnificent Széchenyi Chain Bridge.
STRUCTURAL AND LITHOLOGICAL MODEL OF THE WESTERN SECTION OF THE GLUKHIVETSKY DEPOSIT OF THE ELUVIAL KAOLIN
Authors: Kroshko Yu.V. , Kovalchuk M.S. 
Published: September 2023

The material on the western section of the Glukhivetsky deposit of eluvial kaolins, which is located in the Koziatyn district of the Vinnytsia region, near the village of Glukhiv and is part of the Glukhivetsko-Turbivsky kaolin region.
The causal relationships of different petrotypes of bedrock with the thickness, material composition and zonation of the weathering crust and, as a consequence, with the structural and lithological structure of the eluvial kaolin deposit and its qualitative indicators are revealed.
Based on the coordinates and description of wells, the relief of the top and of the bottom surface of the kaolinite-hydromicaceous zone of the weathering crust and of the layer of eluvial kaolins, as well as the lateral change in their average thickness, were studied. Correlations between of the top and of the bottom surface and thickness of the kaolinite-hydromicaceous zone and eluvial kaolins have been studied. Based on the results of well testing and chemical analysis of kaolins, the lateral distribution of the average contents of iron and titanium oxides and the average content of the whiteness index, as well as their correlations, was studied.
Occupational Injuries Among Road Construction Workers In Ghana: Burden, Mechanism And Severity
Authors: Yankson Isaac Kofi , Karikari Akua Kusiwaa , Okyere Paul , Koranteng Yaw Adofo , Afukaar Francis , Otupiri Easmon , Donkor Peter , Owusu-Dabo Ellis , Mock Charles 
Published: September 2023

Objective: Road construction work involves diverse activities relying on the use of both skilled and unskilled manpower, posing serious risks to workers. This study sought to determine the burden, mechanism and severity of occupational injuries among road construction workers.
Methodology: The study design was institution-based descriptive cross-sectional using a questionnaire with closed- and open-ended questions. From Ashanti, Ahafo and Western North regions, 353 road workers reported on work-related injuries, types of injury, body parts injured, day(s) lost to activity and cause of injury from 27th January, 2020 to 4th March, 2020.
Results: The workers were primarily young (mean age 32.4 years) and male (97.7%). Most (70.2%) workers were contract/casual staff. Nearly 88% experienced injury the past year with 67.5% experiencing multiple injuries. The body parts most affected included
waist/low back (29.9%), forearm/palm (18.9%), leg/foot (17.5%), chest (8.9%) and joints (7.1%). Mechanism of injury included slips/trips (18.5%), use of tools/equipment (13.8%) and overexertion during lifting (10.2%). For injury severity, 88.0% of workers had minor injuries, 8.8% moderate and 3.2% severe injuries. Conclusion: There is high burden of injury among road construction workers in Ghana. Most experienced injury during the past year, with over 4-in-5 having minor injuries. Leading mechanisms were slips/trips, use of tools/equipment and overexertion during lifting. Limitations include biases like memory decay, purposive selection of construction sites and driver over-representation. Hence, recommendations deriving from this study include enforcement of personal protective equipment use, proficiency training in use of tools/equipment and inter-lacing manual handling-related activities with activities that vary worker-postures.
Challenges of Implementing the “Additional Protocol to the European Charter of Local Self-Government on the Right to Participate in the Affairs of a Local Authority” in Georgia
Authors: Kakhidze Irakli 
Published: September 2023

Democracy implies not only the existence of elected representatives, but also the existence of active and politically engaged citizens. People's participation in the exercise of government is the basic essence, ground and purpose of democracy.
The present article analyzes the environment and practice of citizens' participation in the implementation of local self-government in Georgia. The article talks about the challenges in Georgia in the mentioned field, their causes and ways to solve them.
The Issue about the Provision for Damage Inflicted by Preventive Security Measures upon Adjudicating the Dispute over Legality of Enabling Individual Administrative-legal Acts
Authors: Agapishvili Meri 
Published: September 2023

The Constitutional Court of Georgia considers the constitutional submission of Tbilisi Court of Appeals requesting to establish the constitutionality of inadmissibility of the reversal of provision upon applying the preventive security measures in the administrative process.
The idea of admitting the reversal of provisional measures in the administrative proceedings of civil procedure standards aims at the maintenance of balance between the private interests of participants in the administrative process. However, it is impossible to speak about the methods and prospects of its implementation without the joint understanding of the enabling individual administrative-legal act as the essence of examining the result of conflict of interests, the legitimacy of state administration, the principle of legal trust and the major function of administrative justice at the stage of preventive security.
The goal of this paper is to present certain viewpoints on the problematic aspects of admissibility of the reversal of civil security in administrative proceedings and their solutions pursuant to the principle of their legal trust.
Legal Regulations and Practical Features of a Person’s Arrest with a Court Ruling
Authors: Tavberidze Elguja 
Published: September 2023

This article looks at the one of the most important institutes of criminal procedure law. Protecting the right to liberty is a major positive responsibility of any democratic state. The freedom of the person is inviolable. Consequently, the restriction of this right and the interference of the state in it is possible only in rare, exceptional cases, provided that the normative rules established by the imperative must be observed unconditionally.
The article is based on the analysis of scientific literature, legislation and investigative / judicial practice. It reviews the key provisions of lawful arrest and the challenges involved. The purpose of the study is to identify gaps in legislative and investigative / judicial practice related to the arrest of a person based on a judge's ruling and to develop the necessary recommendations for their elimination.
Scourge of Peripheral Artery Disease in a Low-Income-Setting: The Role of Vascular Surgery
Authors: Nwafor IA  , Onoh US  , Nsude IO  
Published: September 2023

Background: Peripheral artery disease (PAD) is a progressive disorder characterized by stenosis and/or occlusion of large and medium-sized arteries, other than those that supply the heart (coronary artery disease, CAD) or the brain (cerebrovascular disease). It is increasingly becoming a challenge in developing countries owing to poverty and ignorance.
Objective: To review the scourge of peripheral artery diseases in our institution in a low-income setting with a view to determining the role of a vascular surgeon.Materials and method: Over a period of 15 years (2006 to 2021), patients with documented PAD were reviewed. Data of the patients were retrieved from the record department and such data included demography, aetiology/risk factors, clinical features and investigative parameters as well as modes of treatment especially vascular surgery.
Results: There were 35 patients which comprised 20 males and 15 females with male to female ratio of 4:3. Age range affected most was 71-80 years. Aetiologically, artherosclerosis was dominant. Leriche Fontaine classification used in clinical evaluation showed that type III was dominant. 6 Ps (pain, pulselessness, paralysis, paraesthesie, pallor and poikilothermia) of vascular ischemia were evident. Doppler/duplex ultrasound and computer angiography were used in diagnosis. Medical and or surgical treatments were used in patients’ management. Vascular and or orthopedic surgery played significant role.
Conclusion: PAD affects the lower extremities more commonly than the upper extremity vessels especially in the elderly leading to intermittent claudicationn which is the most recognized symptomatic subset of lower extremity PAD. Morbidity and mortality emanating from inadequate revascularization are burden to emerging economy like ours.
Prevalence of pain among adult patients living with HIV in Uyo, South-South, Nigeria
Authors: Ettah OE  , Edoho I  , Kalu Q  
Published: September 2023

Background: HIV infection is a major global public health issue. Pain is a common and debilitating symptom of HIV disease which is gravely underestimated and treated.
Patients And Methods: This was a cross-sectional survey conducted at the HIV Clinic of the University of Uyo Teaching Hospital, after obtaining approval from the Research Ethical Committee. Data was obtained using a Data Sheet and Brief Pain Inventory (BPI) questionnaire. Information obtained included demographic characteristics, duration of infection, clinical stage and treatment. The BPI asked patients to report if they experienced pain, pain score, treatment and interference with their quality of life.
Results: A total of 210 patients participated in the study, 60 males and 150 females, the prevalence of pain was 29.5%, and the average duration of pain was 4-9 months. The commonest site of pain was waist (39.3%), followed by headache (13.1%), neck (11.5%) and Knee (11.5%). Majority of the patients (53.4%) rated their average pain between 1 – 4 on the numerical rating scale. Most of the patients received over the counter analgesics (29.5%) while 27.9% did not take any medication at all. Majority of the patients with pain had mild interference with their quality of life.
Conclusion: The Prevalence of pain among adult HIV Patients is high and grossly undertreated. Training of health workers in pain management may improve the situation.
COVID-19 vaccine hesitancy among healthcare workers in Nigeria: A systematic review protocol
Authors: Buowari DY  , Worgu GO  , Somiari A  , Osi CU  , Onyeaghala C  , Ogbonna VI  , Joshi S  , Inimgba T  , Agiri (Jr) UA  , Abaate TJ  , Maduka O  
Published: September 2023

Background: The COVID-19 pandemic has led to a significant change in society. Healthcare workers are at risk of contracting the novel virus while at work as it becomes a hospital-acquired infection, starting from the first wave of the pandemic. Healthcare workers can acquire and transmit the virus from the medical workplace to their households. Hence they must receive the COVID-19 vaccine. However, some healthcare workers have refused to get inoculated with the COVID-19 vaccine, exhibiting vaccine hesitancy. There are several reasons healthcare workers knowledgeable about vaccines refuse to receive them—this protocol is for a systematic review of hesitation towards the COVID-19 vaccine among healthcare workers in Nigeria.
Aim and Objectives: To investigate vaccine hesitancy among healthcare workers in Nigeria.
Methods and Analysis: This protocol followed the preferred reporting items for systematic review and meta-analysis (PRISMA-P) 2015 guideline and is registered with PROSPERO. The registration number is CRD42022365489. We will conduct an electronic search for pertinent papers in several databases, including Medline, Embase, Cochrane Central Library, Scopus, web of Science Citation Index, and African Index Medicus. The search period will be between March 7, 2021 to March 27, 2023, for published articles on healthcare professionals' hesitation to receive the COVID-19 vaccine.
Three independent reviewers will select the articles based on strict eligibility criteria, and a fourth reviewer will address any disagreement.
We will use the New Castle Ottawa scale to assess the risk of bias in the included studies and perform quantitative and qualitative synthesis. The former is for sufficiently similar studies, using Review Manager Version 5.3. While the latter will be conducted where variabilities exist among the studies.
Conclusion: Even though healthcare workers have more knowledge about the COVID-19 pandemic and the COVID-19 vaccine compared to the members of the public, some of them exhibit hesitancy towards the COVID-19 vaccine.
Sonographic Measurement of the Liver in the healthy adult Nigerian Population
Authors: Obiozor AA  
Published: September 2023

Background: This study is on sonographic measurement of the liver in the healthy adult Nigerian population. The objective of the study is to determine normal lengths of the liver and to correlate the measurements with the sex, age, height, weight and body mass index, in the adult Nigerian population.
Materials and Methods: A sample size of five hundred (500) was used for the study and the individuals were not less than twenty (20) years as at the time of data collection. A questionnaire was used for inclusion and exclusion criteria. Consent was obtained from the individuals before the study and strict confidentiality was maintained. Descriptive and inferential statistics were deployed to realize the objectives.
Results: The mean length (L1) of the liver was 117.2±12.5mm for males and 119.2±13.3mm for females with P values of 0.087 which is not significant. More so, the mean length (L2) of the liver was 133.1±10.1mm for males and 134.5±10.8 for females with P values of 0.133 which is not significant.There is positive correlation of the liver lengths (L1)with age P values 0.000, height P values 0.006 and width with P values 0.019.
Conclusion: Liver size is affected by many variables such as age and weight in both genders. Liver length decreased with age, and size of the liver in males was greater than in the females. Also, there is a significant positive correlation with liver dimensions and the variables studied.
Social media and e-learning in response to seismic events: Resilient practices
Authors: Tull Susan P. C. , Dabner Nicki , Ayebi-Arthur Kofi 
Published: September 2023

The motivation to adopt innovative communication and e-learning practices in education settings can be stimulated by events such as natural disasters. Education institutions in the Pacific Rim cannot avoid the likelihood of natural disasters that could close one or more buildings on a campus and impact their ability to continue current educational practices. For one university, the impetus to innovate was a series of seismic events. This paper presents findings from studies that identified resilient practices within this ‘late adopter’ university in New Zealand. The findings indicate that the combined use of social media and e-learning to support teaching, learning, communication and related organisational practices fosters resilience for students, staff and organisations in times of crises. Recommendations are presented that have relevance to all educational organisations which could be impacted by similar events.
Increasing Online Information Retention: Analyzing the Effects
Authors: Zeglen Eric , Rosendale Joseph A. 
Published: September 2023

While online education offerings continue to grow in the higher education marketplace, issues of student achievement and course rigor remain challenges to the underlying instructional model and alignment with institutional missions. Pedagogically, instructors and course designers can mitigate these issues by leveraging technology to further enhance students’ cognition and knowledge retention within the online domain. This study analyzed the effects of visual hints and elaborate feedback embedded in serious educational games to determine the effects on student learning and information recollection. Using a quasi-experimental design and quantitative testing methods, significant differences were found among 3 groups of students within an online educational environment based on differing forms of feedback within the game. Supporting information processing theory, mean scores on comprehension tests indicated that participants exposed to elaborate feedback and visual hints performed better than control groups in an online learning environment.