bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sense of Defeat, Social Status and Oral Health among Forensic Psychiatric Patients
Authors: Buunk Abraham P. , Buunk-Werkhoven Yvonne A.B. 
Published: August 2023

Abstract

Aims
The aim was to examine how sense of defeat and social status are related to perceived oral health, tooth brushing, and oral health-related quality of life among Dutch male forensic psychiatric patients.

Methods
The sample consisted of 40 hospitalized forensic psychiatric patients participated. The questionnaire included five questions about moments of tooth brushing, scales for sense of defeat and subjective social status, a scale from 1 to 10 for perceived oral health and a Dutch version of the Oral Health Impact Profile- 14 (OHIP-14).

Results
The results showed that on the basis of a factor analysis of the OHIP-14, three meaningful scales could be constructed, i.e., functional limitations, social discomfort, and psychological inhibitions. The major results revealed that sense of defeat correlated negatively with tooth brushing after breakfast and before going to sleep, positively with social discomfort because of one’s teeth, mouth, or dentures, not with functional limitations, and negatively with self-perceived oral health. Social status correlated positively with tooth brushing before going to sleep, with psychological inhibitions, but not with social discomfort, and neither with functional limitations.

Conclusions and implications
The major conclusion is that sense of defeat and social status have theoretically meaningful relations with oral self-care and oral health. Oral health professionals working with male forensic psychiatric patients should be sensitive to the sense of defeat these patients may experience, and to the fact that this may be associated with problems with their oral health and with a lack of oral self-care.
Health Tourism and Alternative Medicine: A Study on the Offer and Profile of Establishments nearby Two Hospitals in the City of Porto Alegre-Brazil
Authors: de Almeida Izabel Cristina Schander , Ribeiro Helena Charko 
Published: August 2023

Abstract
Alternative medicine is a term that describes medical treatments that are used instead of traditional therapies. About 40% of adults in the United States say they use some form of alternative medicine. We analyze establishments that offer alternative treatments and are located in the vicinity of hospitals that receive health tourists. We found 10 establishments (through Google search) but only 04 responded to the survey. The reason for not performing in the other 06 was: 01 was not in attendance, in 03 it was not possible to contact, 01 was not found and 01 refused to respond. Among those who answered, 03 were not aware of health tourism. All attend patients from outside Porto Alegre and 03 from other states and countries. The percentage of out-of-town patient visits ranged from 0 to 10% in two establishments and 31 to 40% in two others. Chiropractic and Reike were the most commonly offered therapies, followed by Bach Flowers and others such as Orthomolecular Medicine, Chromotherapy and Aromatherapy. All the establishments have pages in the internet but only in 01 it is possible to obtain information in another language (in English, in the page of the parent company). We conclude that health tourism is still unknown by alternative medicine establishments and that even among those who receive patients from other sources, the movement can be considered small in half of them. Lack of sites in other languages may be a barrier to foreign tourists.
Improving Cinnamomum Burmannii Blume Value Chains for Farmer Livelihood in Kerinci, Indonesia
Authors: Menggala Sidi Rana , Damme P V 
Published: August 2023

Abstract
Cinnamon is the most common baking spice in the world. It comes from a small evergreen tree that’s part of the Lauraceae family. Genus Cinnamomum regroups some species whose stem bark is harvested, conditioned and traded as cinnamon in the international market. Over the centuries, the species have been domesticated so that now at least six different ones are grown in Southeast Asia. One of the species is burmannii, also known as Koerintji Cinnamon, which generates income for numerous smallholder farmers in Kerinci district, Jambi, Indonesia. Koerintji cinnamon is known for its unparalleled quality that comes with its sharp and sweet flavour, with a slightly bitter edge. However, international market requirements for product certification and quality standards make it difficult for a farmer to comply. Our research will address issues related to (improvement of) productivity, sustainability and value chains faced by cinnamon producers in Kerinci, to strengthen their product’s value chains. Smallholder farmers are very vulnerable to a well-functioning market, and thus empowering the value chains of agricultural products will increase farmers resilience to have access to the market. The research will analyse the development of agricultural value chains, certification & standards on trade mechanism to help farmers earn a better income and prospects.
Subsidiarity in Environmental Issues: Nuances and Shifts
Authors: Riguera Florencio R. 
Published: August 2023

Abstract
Although subsidiarity is dipolar, preference has been for the “lower” pole at the early stages of its development as a principle in Quadragesimo Anno: the “higher” administrative unit should act only if the “lower” unit could not deal with the issue. But in a generation, Pacem in Terris posited a nuance that put the preference on the “higher” unit. The capabilities of “higher” units could supersede the rights of “lower” units because the “on reserve” aid from “higher” units leads to more effectivity. Then, applying integral ecology, Laudato Si’ put the preference on the “higher” pole when issues are environmental in character. This stems from an understanding of complex and interconnected mechanisms in the interaction between populations and the environment. Because Nature has predetermined ways of acting and reacting to events like those caused by populations, Nature relays the impact of actions, such as environmental backlash, to other locations, sections, or later generations; it can also “slap back” at the local agents of events. Thus, the default option should be for the “higher” units to act when it comes to researching the complex interconnections of actions at the ecological level. But this option can lead to gaming the deliberations on public policy with questions of uncertainty or risk because valid understanding is needed to guide actions or policies. Perspectives broader than the local in terms of understanding and of values to be shared are needed.
Metabolic disorders during endogenous Cushing’s syndrome: prevalence, associated factors, and outcome after remission
Authors: Chihaoui Melika , Oueslati Ibtissem , Khessairi Nadia , Chaker Fatma , Cherni Skander , Hammami Bessam , Feki Moncef , Yazidi Meriem 
Published: August 2023

Abstract

Objective. The prognosis of Cushing’s syndrome (CS) is related to a higher cardiovascular morbidity and mortality. This study aimed to determine the prevalence of metabolic disorders in patients with CS, the associated factors, and the rate of remission of these disorders after the remission from CS.

Methods. It is a retrospective study including 75 cases of CS followed up at the university hospital La Rabta of Tunis from 1987 to 2018. Clinical and paraclinical data were collected from medical files.

Results. The mean age of the patients was 44.1±18.9 years and the sex ratio was 0.39. At CS diagnosis, the frequencies of obesity, hypertension, diabetes, dyslipidemia, and metabolic syndrome were 52, 75, 43, 83, and 73%, respectively. The age, gender, body mass index, waist circumference, and baseline serum cortisol level were not associated with the presence of diabetes, hypertension or dyslipidemia. Forty-eight patients were operated on. At one year, 38 patients were in remission from CS. The remission rates of hypertension, diabetes, and dyslipidemia were respectively 58% (p<0.001), 76% (p<0.001), and 17% (NS).

Conclusion. Metabolic disorders were frequent during CS and their frequencies decreased after the remission from the syndrome.
Effects of antipsychotics, haloperidol and olanzapine, on the expression of apoptosis-related genes in mouse mHippoE-2 cells and rat hippocampus
Authors: Osacka Jana , Kiss Alexander , Bacova Zuzana , Tillinger Andrej 
Published: August 2023

Abstract

Objective. Modified levels of pro- (caspase3, Bax) and anti-apoptotic (Bcl-2) regulatory proteins have been detected in certain brain areas of schizophrenic patients indicating a possible dysregulation of apoptosis. In the present study, effects of antipsychotics, haloperidol (HAL) and olanzapine (OLA), on the gene expression of caspase3 (casp3), Bax and Bcl-2 were studied in vitro in mouse hippocampal mHippoE-2 cell line and in vivo in the hippocampus of MK-801 animal schizophrenia model with the aim to provide evidence that antipsychotics may affect the activity of apoptosis-related markers.

Methods. mHippoE-2 cells were incubated with MK-801 (20 µM), HAL (10 µM), and OLA (10 µM) alone or combined, MK-801+HAL/OLA, for 24, 48, and 72 h. Male Sprague Dawley rats were injected with saline or MK-801 (0.5 mg/kg) for 6 days and since the 7th day, they were treated with vehicle (VEH), HAL (1 mg/kg) or OLA (2 mg/kg) for the next 7 days. The casp3, Bax and Bcl-2 gene expression in mHippoE-2 cells and rat hippocampus was measured by RT-PCR.

Results. In mHippoE-2 cells, casp3 gene expression was increased by MK-801 and OLA treatments alone for 48 h, HAL treatment alone for 24 and 72 h, and co-treatment with MK-801+OLA for 24 and 72 h compared to controls. HAL and OLA suppressed the stimulatory effect of MK-801 on casp3 mRNA levels in cells after 48 h of incubation. Bax mRNA levels in mHippoE-2 cells were decreased after HAL treatment for 24 and 48 h, and also after co-treatment with MK-801+HAL for 72 h. In vivo, MK-801 decreased mRNA levels of both pro-apoptotic markers, casp3 and Bax, in hippocampus of VEH-treated rats and Bax mRNA levels in hippocampus of HAL-treated animals. OLA reversed the inhibitory effect of MK-801 on casp3 expression in the VEH-treated animals. Neither MK-801 nor antipsychotics induced changes in the gene expression of anti-apoptotic marker Bcl-2 in mHippoE-2 cells as well as hippocampus of rats.

Conclusions. The results of the present study demonstrate that antipsychotics, HAL and OLA, may affect mRNA levels of pro-apoptotic markers in hippocampal cells in vitro, but not in vivo. The obtained data do not clearly support the assumed potentiating role of MK-801 in inducing apoptosis in specific brain areas and a possible protective role of antipsychotics against induction of apoptosis. The obtained data may contribute to a deeper insight into the neurodevelopmental changes connected with schizophrenia.
Diabetic Foot: Old Disease, New Challenges
Authors: Nguen Dobromir D. , Dimitrov Vasil M. 
Published: August 2023

Summary
Diabetes is a socially significant disease that brings a significant burden to healthcare systems worldwide. The vicious nature of the disease affects almost all of the systems and organs of the body. The foot is one of the most important and clinically significant areas where these complications are manifested. Diabetic foot gangrene is a leading cause of non-traumatic foot loss worldwide. Although the disease has been known for over a decade, understanding it has gone through highs and lows, leading to suboptimal results in many cases. In this review article, we focused on diabetic foot and the methods for evaluation and assessment of the condition to properly initiate adequate treatment.
Characteristics of Adult Celiac Disease in Eastern Algeria
Authors: Abed Nousseiba , Bouzaroura Imen , Guergour Amel 
Published: August 2023

Summary
The objective of this study was to determine the clinical picture of adult celiac disease in the population of eastern Algeria. We conducted a retrospective study on a sample of 156 patients in Internal Medicine service, Hepato-Gastroenterology Service, Endoscopy Service in the University Hospital BENBADIS - Constantine and the Military Regional University Hospital - Constantine. Our results have shown that, in this population, celiac disease can be manifested by a number of signs and related pathologies. A variety of digestive symptoms were reported, primarily chronic diarrhea (81.4%), abdominal pain (57.1%), anorexia (42.9%) and vomiting (48%). Extra-digestive symptoms manifested mainly as weight loss (90.4%), pallorous of skin and mucosa (84%), asthenia (60,3%), edema of the lower limbs (46.8%) and dehydration sings (37.8%). In addition, we noted biological disorders, the most common being hypocalcemia (77.4%) and hypoalbuminemia (57.7%), and a series associated pathologies namely: anemia (67.9%) and digestive diseases (38.46%). CD in adults in our population may express a variety of digestive and extra-digestive symptoms in addition to a number of associated pathologies.
Laparoscopic Hernia Repair: Tapp Versus Tep. A Single Centre Experience
Authors: Stoyanov Toni I. 
Published: August 2023

Summary
Surgery for inguinal hernia is currently the most common surgical procedure worldwide, and every year over 20 million patients undergo open or laparoscopic hernia repair. Two generally accepted endoscopic approaches are transabdominal preperitoneal procedure (TAPP) and total extraperitoneal procedure (TEP). For nine years (2010 – 2018), 48 patients with inguinal hernia had laparoscopic hernia repair (TAPP or TEP) at Villarobledo General Hospital. Forty-three patients (89.6%)) were male, and five (10.4%) were female. Of these, ten had right inguinal hernia (RIH), 18 - left inguinal hernia (LIH), 12 - bilateral inguinal hernia (BIH), 6 had recurrent unilateral inguinal hernia (RUIH), and 2 had recurrent bilateral inguinal hernia (RBIH). In 33 patients (68.7%), transabdominal preperitoneal laparoscopic hernia repair (TAPP) was performed. Total extraperitoneal laparoscopic hernia repair (TEP) was performed on 15 patients (12%). In 8 patients (16.6%), simultaneous surgical procedures were performed: umbilical hernioplasty in 4 (8.3%) patients and laparoscopic cholecystectomy in 4 (8.3%) patients. There were no conversions in any of the surgical procedures. The average operative time was 77 minutes. Twenty-six patients underwent one-day surgery, 18 were in the hospital for one day, and four patients were discharged on the second postoperative day following surgery. In 7 patients (14%), recurrences occurred: in the first postoperative year - 1 patient; in the second year after surgery - 3 patients; in the third after surgery - 2 patients; and in the sixth year - 1 patient. The recurrence rate was 2 in 33 patients after TAPP (6%) versus 5 in 15 patients after TEP (33%), Chi-squared=5.91 (p=0.015). In one patient, perforation of the bladder occurred after TEP and was managed conservatively using a urethral catheter and preperitoneal drainage. TAPP and TEP had a considerable discrepancy in recurrence rates. Such discrepancy in recurrences is probably due to the higher complexity of the TEP technique and the required supervising of experienced surgeons during the learning curve.
Assessment of the Measures Implemented in Bulgarian Legislation to Reduce the Content of Nitrates in Groundwater Used for Public Water Supply
Authors: Bankova Emilia K. 
Published: August 2023

Summary
The article analyzes the application of the current documents related to reducing nitrate pollution of groundwater bodies used for public water supply in the Pleven administrative region. The requirements of the European legislation are fully implemented in the Bulgarian legislation, but the legislative measures have not led to quick and permanent results, i.e., small drinking water sources contaminated with nitrates still exist. Special attention should be paid to the diffusive sources of pollution (mineral fertilization of soils) since they are of the most significant importance in groundwater contamination with nitrates. For settlements with permanently elevated nitrate content (over 50 mg/L), it is necessary to consider the application of an individual approach in dealing with this long-standing problem: changing the water source, mixing the water from two neighboring water sources or implementing specific purification methods (biological denitrification, ion exchange resins, etc.). We analyzed the data from the monitoring of drinking water carried out by the Regional Health Inspectorate – Pleven and found that in the Pleven region, there are 17 towns or villages (out of a total of 123) for which some of the listed measures should be foreseen. The district’s relative share of the exposed population is 3.2%, comparable to the country’s exposed population for 2004-2007.
A Rare Case of Vascular Malformation in the Orbit
Authors: Balchev Georgi Y. , Gey Zehra B. , Duhlenski Boris I. , Stoyanov Tsvetomir S. , Murgova Snezhana V. 
Published: August 2023

Summary
We present the case of an 87-year-old female with a one-week history of redness, swelling, and pain in the left eye, accompanied by headache and neck pain. Computed tomography (CT) scan demonstrated extreme enlargement of the supraorbital artery, engaging the superior rectus muscle of the left eye. We could not find similar articles in well-recognized scientific networks. Conservative treatment was conducted, with no improvement. The patient refused surgery.
A Case of Hepatosplenic γ/δ T-Cell Lymphoma Debuting With Massive Hemoptysis
Authors: Antonov Antonio I. 
Published: August 2023

Summary
Hepatosplenic γ/δ T-cell lymphoma (HSTL) is a very rare, aggressive extranodal lymphoma affecting mainly young adults. Clinically, presents with a symptomatic hepatosplenomegaly and systemic symptoms but without lymphadenopathy. The diagnosis is confirmed after careful evaluation of bone marrow and liver biopsies or, in some cases, after diagnostic splenectomy. Overall, survival is short regardless of chemotherapy regimens applied, including autologous stem cell transplantation. We present a case of γ/δ HSTL with massive pulmonary hemoptysis requiring bronchial artery embolization.
Clinical Case of a Patient with Extranodal Diffuse Large B-Cell Lymphoma and Surgical Complications
Authors: Ilieva Ralitsa G. , Todorieva-Todorova Doroteya K. , Hristov Ivaylo G. , Tsintsarska Vasilena P. 
Published: August 2023

Summary
Diffuse large B-cell lymphoma (DLBCL) is one of the most common types of non-Hodgkin lymphoma in adults. In most of the cases a complete remission is possible to obtain by applying conventional immunochemotherapy (rituximab in combination with cyclophosphamide, doxorubicin, vincristine, methylprednisolone or R-CHOP). Its effect depends on some risk factors, cellular origin of the lymphoma and to some extend – the localization when extranodal involvement is confirmed.
We present the case of a patient with DLBCL of small intestine and non-specific clinical manifestation. Following treatment with standard therapy R-CHOP patient fail to achieve disease response and gastrointestinal track (GIT) complications were registered.
Aortic Dissection Type a in Combination with Acute Anterior Myocardial Infarction. Myocardial Protection
Authors: Stoitsev Georgi J. , Gavrilov Veselin D. , Gegouskov Vassil A. 
Published: August 2023

Summary
Acute aortic dissection is an extremely serious condition with a high mortality risk. Symptoms may mimic other emergencies such as myocardial ischemia, often leading to misdiagnosis. A combination between coronary hypoperfusion and aortic dissection is relatively rare, but when present it could be fatal. Early diagnosis and correct surgical approach are essential to success in those patients and the high mortality rate requires improvement of myocardial protection. Development of acute cardiac ischemia on top of mandatory global ischemia is a serious precondition for a severe postcardiotomy syndrome, and only excellent cardiac protection can lead to successful surgical intervention.
Comparative analysis of numerical solutions of 2D unsteady dambreak waves using FVM and SPH method
Authors: Rahou Ibrahim , Korichi Khaled 
Published: August 2023

Abstract
This work presents a comparison of two-dimensional numerical solutions of unsteady free surface flow. This is a simulation of the dam-break wave with different configurations using based-mesh finite volume method and meshless smoothed particle hydrodynamics (SPH). Two well-known approaches, widely used in the computational fluid dynamics (CFD). These techniques have proven their robustness in the numerical treatment of such conservation laws. The main goal is to check the ability of the SPH method and the first order finite volume HLLC solver to reproduce the numerical solutions of the 2D shallow water equations. Based on many benchmark tests, one investigates the effect of the topographic variation along the x and y directions on behavior of the numerical solutions namely at the wet-dry front. The comparison between the simulated results, the analytical solutions and the experimental measurements shows a good correlation, although the finite volume approach remains more advantageous in terms of accuracy and the CPU time.
Authoritarianism in the discourse of online forums: A study of its articulations in the Swedish context
Authors: Ekström Mats 
Published: August 2023

Abstract
The overall aim of this study is to explore the authoritarian dimension in the far-right discourse of online forums. The study argues for a focus on the articulations of authoritarianism to understand the dynamics of far-right discourse. Four central features of authoritarianism are identified and explored: 1) the authoritarian values underlying articulated opinions on diverse issues; 2) the emotional dimension of authoritarianism; 3) the coexistence of civil and uncivil articulations of authoritarianism; and 4) the role of mainstream news as reference for and trigger of authoritarian responses. The qualitative study is based on data from two Swedish forums, Flashback and Familjeliv [Family life], and consists of 79 threads related to three issues on the agenda: disorder in school, gang crime, and transgender. The results show expressions of authoritarian–liberal value conflicts, and, most significantly, the vigour of an authoritarian culture on the forums, with implications for the normalisation of far-right discourse.