bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intraoperative allogeneic transfusion is associated with postoperative delirium in older patients after total knee and hip arthroplasty
Authors: OuYang Chun-lei , Hao Xin-yu , Yu Yao , Lou Jing-sheng , Cao Jiang-bei , Yu Ying-qun , Mi Wei-dong 
Published: January 2023

ObjectiveTo determine whether intraoperative transfusion of allogeneic or autologous blood is associated with an increased incidence of postoperative delirium (POD) after total knee arthroplasty (TKA) and total hip arthroplasty (THA).MethodsThe medical records of 1,143 older (≥65 years old) patients who received an intraoperative blood transfusion while undergoing total knee or hip arthroplasty at the First Medical Center of Chinese PLA General Hospital from 2014 to 2019 were reviewed; of these patients, 742 (64.92%) received allogeneic blood, while 401 (35.08%) received autologous blood. Patients who received autologous transfusion were paired with those received allogeneic transfusion using 1:1 propensity score matching method. The primary outcome was POD. The secondary outcomes were postoperative complications, including heart failure, deep vein thrombosis, myocardial infarction, stroke, and lung infection. Multivariable nominal logistic regression was used to identify any independent associations between intraoperative blood transfusions and POD, and secondary postoperative complications, respectively.ResultsPostoperative delirium occurred in 6.6% (49/742) of patients who had received an allogeneic blood transfusion and in 2.0% (8/401) of patients who had received an autologous blood transfusion. It is noteworthy that the multivariable logistic regression demonstrated a significant association between intraoperative allogeneic blood transfusion and POD (odds ratio [OR]: 4.11; 95% confidence interval [CI]: 1.95–9.77; p &lt; 0.001). After PSM, Allogeneic transfusion was also the strongest predictor for POD (OR: 4.43; 95% CI: 2.09–10.58; p &lt; 0.001).ConclusionsIn the patients who had received THA or TKA, intraoperative allogeneic blood transfusions were associated with an increased risk of POD.
Calcium channel blocker and risk of postoperation lymphatic-related complications among gynecologic malignances
Authors: Jiang Haote , Sun Mengxiao , Shao Rongrong , Su Shuyue , Zhang Yuyang 
Published: January 2023

PurposeThis study was performed to assess the association of calcium channel blockers (CCB) and other potential factors with postoperative lymphatic-related morbidity in patients with cervical cancer and endometrial carcinoma.MethodsPatients diagnosed with cervical cancer or endometrial carcinoma with pelvic lymphadenectomy between January 2017 and January 2022 were enrolled. Postoperative lymphatic-related morbidity was evaluated by calculating the lymph cyst occurrence within 3 months after surgery and the duration of pelvic drainage. Univariate analyses evaluating the risk factors for lymphatic-related morbidity were performed.ResultsOf a total of 251 patients, 52 patients were diagnosed with lymphatic cysts by B-ultrasound or computed tomography, and the duration of drainage from 110 patients exceeded the average number of days. Univariable analysis revealed that hypertension, CCB, and lymph node metastasis were independent predictors of postoperative complications.ConclusionsThis study demonstrated that CCB may be a factor associated with the incidence of postoperation lymph cysts, and CCB usage prolongs the duration of pelvic drainage.
Genome Investigation and Functional Annotation of Lactiplantibacillus plantarum YW11 Revealing Streptin and Ruminococcin-A as Potent Nutritive Bacteriocins against Gut Symbiotic Pathogens
Authors: Aziz Tariq , Naveed Muhammad , Makhdoom Syeda Izma , Ali Urooj , Mughal Muhammad Saad , Sarwar Abid , Khan Ayaz Ali , Zhennai Yang , Sameeh Manal Y. , Dablool Anas S. , Alharbi Amnah A. , Shahzad Muhammad , Alamri Abdulhakeem S. , Alhomrani Majid 
Published: January 2023

All nutrient-rich feed and food environments, as well as animal and human mucosae, include lactic acid bacteria known as Lactobacillus plantarum. This study reveals an advanced analysis to study the interaction of probiotics with the gastrointestinal environment, irritable bowel disease, and immune responses along with the analysis of the secondary metabolites’ characteristics of Lp YW11. Whole genome sequencing of Lp YW11 revealed 2297 genes and 1078 functional categories of which 223 relate to carbohydrate metabolism, 21 against stress response, and the remaining 834 are involved in different cellular and metabolic pathways. Moreover, it was found that Lp YW11 consists of carbohydrate-active enzymes, which mainly contribute to 37 glycoside hydrolase and 28 glycosyltransferase enzyme coding genes. The probiotics obtained from the BACTIBASE database (streptin and Ruminococcin-A bacteriocins) were docked with virulent proteins (cdt, spvB, stxB, and ymt) of Salmonella, Shigella, Campylobacter, and Yersinia, respectively. These bacteria are the main pathogenic gut microbes that play a key role in causing various gastrointestinal diseases. The molecular docking, dynamics, and immune simulation analysis in this study predicted streptin and Ruminococcin-A as potent nutritive bacteriocins against gut symbiotic pathogens.
Functional Outcome of Ilizarov Technique in Managing Proximal Tibial Fracture in Combined Military Hospital, Rawalpindi
Authors: Udin Hassan Hassan 
Published: January 2023

Background: Tibial plateau fractures involve injuries affecting the major weight-bearing joint and result in functional impairment which can be prevented by implying competent treatment techniques including dual column plating, assisted reduction, internal fixation with plating and Ilizarov circular fixator. The objective of this study was to evaluate the functional outcome of Ilizarov technique in treating closed tibial plateau fractures.
Methodology: A Quasi experimental study was conducted in the Orthopedic department of Combined Military Hospital, Rawalpindi from 30th July 2019 to 29th January 2020. A total of 100 patients with tibial plateau fractures of Schatzker type III to VI, 20 to 60 years of age of either gender were included. In all patients, Ilizarov technique was performed. Data were entered in SPSS 22. Descriptive analysis was done for quantitative variables and percentages were calculated for qualitative variables. Chi square test was applied to determine association of variables with functional outcome.
Results: Mean age of patients was 37.42 ± 8.94 years. Out of 100 patients, 70% were males and 30% were females, 76% patients managed with Ilizarov technique in treating closed tibial plateau fracture had excellent functional outcome, 15% good outcome, 5% fair and 4% poor outcome. Functional outcome with respect to age, gender, BMI and DM showed statistically significant difference with p value 0.017, 0.016, 0.004 and 0.001 respectively.
Conclusion: Functional outcome of Ilizarov technique in treating closed tibial plateau fracture is significantly better.
Keywords: Ilizarov Technique, Orthopedic Fixation Devices, Tibial Fractures
Vascular Complications and their Risk Factors in Patients of Diabetes Mellitus, Type 2
Authors: Dr. Tariq Farhad  , Dr. Muhammad Rahim Burghri  , Dr. Muhammad Uzair Memon  , Dr. Soha Fatima  , Dr. Yasir Latif  , Haji Abdullah Memon  
Published: January 2023

Introduction: To evaluate the vascular complications and their correlation with different risk factors among type-2 diabetic patients in Hyderabad, Sindh, Pakistan.
Methodology: Cross-sectional study was conducted at the department of medicine Isra University Hospital, Hyderabad from March to September 2021. Type 2 diabetics of either sex, between ages 20 and 70 years, on diabetic medication, were included in the study. While patients with type I diabetes, unconscious or with any mental health issues were excluded. A Non-random consecutive sampling technique was applied for the selection of participants. Socio-demographic, disease and medication information was collected using a written questionnaire while serum glucose level, albumin and lipid profile was analyzed.
Results: Over half of the participants (51.72%) were females, while most (70.87%) of the participants were aged < 40 years. A total of 124(28.5%) patients showed symptoms of macro-vascular complications with most (16.78%) of them having coronary artery disease. A significant relation (p<0.05) was found between coronary artery disease and age, duration of diabetes, blood pressure, body mass index and serum triglycerides. Peripheral vascular disease was significantly related (p<0.05) to the duration of diabetes, systolic blood pressure and serum triglyceride. While significant relation (p<0.05) between cerebrovascular disease with age, systolic and diastolic BP was there.
Conclusion: Coronary artery disease seems to be the most common macro-vascular complication among type 2 diabetic patients, with a high prevalence of risk factors such as advanced age, duration of DM, male sex, hypertension, Body Mass Index, and serum triglycerides.
Keywords: Coronary artery disease, diabetes mellitus type 2, Macro-vascular complications, peripheral vascular disease.
Ectopic Mediastinal Parathyroid Adenoma Excision via Video Assisted Thoracoscopic Approach: A Case Report
Authors: Umair Bilal , Sohail saqib  , Muhammad rashid husnain  , Farhan  , Raheel  
Published: January 2023

Ectopic parathyroid adenomas can be a cause of recurrent and refractory hyperparathyroidism. Majority of parathyroid adenomas are located in the neck region, however in very few cases they are located within the mediastinum. In such cases excision via cervical approach is not possible and it becomes a diagnostic as well as surgical challenge. Excision via thoracoscopic approach is a preferred approach in this regard. Here we represent a case of ectopic parathyroid adenoma embedded within thymus gland which underwent surgical excision via thoracoscopic approach.
Key words: Ectopic, Parathyroid adenoma, Thoracoscopy
Digitalisasi Ekonomi Sirkular di Indonesia
Authors: Salim Ahmad Ramdani 
Published: January 2023

ABSTRACT
Circular economy is an economic concept based on a closed loop in which all processes strive to reuse resources, raw materials, and finished products for as long as possible while producing as little waste or waste as possible. This concept applies the 5R principle, which stands for Reduce, Reuse, Recycle, Recovery, and Repair. The economic circular's discussion is closely related to the goals and agreements reached at the G20 meeting in Bali on November 15-16, 2022. In order to implement this circular economy with significant and contemporary economic added value, efforts must be made to accelerate digitization of all channels and aspects of the circular economy. This community service program is carried out through direct and interactive exposure methods to stakeholders supported by information processing through a qualitative literature review. The circular economy will have a positive impact on the environment as well as the financial aspects as a result of this digitization, and its utilization is expected to touch all related elements in an integrated manner. The government and all stakeholders, particularly in Indonesia, face a challenge in gaining a comprehensive understanding of circular economy digitization.
Interface engineering of amorphous gallium oxide crossbar array memristors for neuromorphic computing
Authors: Masaoka Naoki , Hayashi Yusuke , Tohei Tetsuya , Sakai Akira 
Published: January 2023

Abstract
This paper reports on the fabrication and characterization of crossbar array memristors using amorphous gallium oxide (a-GaO
x
) for implementing high-speed and wide-dynamic range artificial synaptic functions. The a-GaO
x
memristors were fabricated by pulsed laser deposition in an argon atmosphere using a platinum bottom electrode and an indium tin oxide (ITO) top electrode. We revealed that the interface engineering at a-GaO
x
/ITO is the key to demonstrating exemplary resistive switching operation. Stable counter figure-8 hysteresis loops were obtained by voltage application, leading to the successful demonstration of non-volatile retention over 104 s and the multi-level conductance modulation. Furthermore, spike-timing-dependent plasticity (STDP) was artificially implemented by applying pre- and post-spike voltages to the device. Consequently, significant weight-change rates were achieved in the asymmetric STDP imitation, which can be attributed to the reliable resistive switching properties of the device with an extensive dynamic range. These results indicate that the a-GaO
x
crossbar array memristor is a promising hardware platform for neuromorphic computing applications.
Two-photon photoacoustic spectroscopy of liquid solutions under degenerate and non-degenerate laser excitation
Authors: Sakurai Shiori , Isoda Miki , Harata Akira 
Published: January 2023

Abstract
A new apparatus to measure the two-photon (2P) absorption of a dilute liquid solution is designed using tunable laser excitation with an optical parametric oscillator and photoacoustic (PA) detection. Two-photon absorption of non- or less-fluorescent solute molecules in dilute liquid solutions was investigated. When PA signal intensity was plotted versus half of an excitation laser wavelength, a degenerate 2P PA spectrum of nitrobenzene showed a shape similar to that of the absorption spectrum, as expected from Laporte’s selection rule, with a slight red shift. The non-degenerate 2P PA spectrum of diphenylacetylene was compared with the degenerate 2P PA spectrum and good matching was observed. Results demonstrate that this method is suitable for observing 2P absorption for weakly fluorescent substances.
Enhanced extreme ultraviolet lighting using carbon nanotube-based cold cathode electron beam irradiation
Authors: Yoo Sung Tae , Park Kyu Chang 
Published: January 2023

Abstract
Laser-produced tin (Sn) plasma (LPP) is used to produce high-performance semiconductors using extreme ultraviolet (EUV), but LPP generates debris that limits the lifespan of the optical system, so research on debris mitigation is being conducted. When electrons are directly irradiated to a solid target, occurrence of debris can be minimized, and compact and low-cost EUV lighting can be manufactured. Here, we demonstrated enhanced EUV generation by optimizing the irradiation of Sn with electrons emitted from carbon nanotube-based cold cathode electron beam (C-beam). To minimize debris, a usable zone in which Sn does not melt was identified. It was demonstrated that using two C-beams in the usable zone increased the EUV intensity by about two times compared to using one C-beam. The multiple C-beam irradiation technique enables high-output EUV lighting by overlapping EUV light, which should be led by the development of advanced lithography and inspection technology.
Strategi Mempertahankan UMKM Bidang Kuliner di Era Digital Marketing pada Masa Pandemi Covid-19
Authors: Melania Dwi , Handayani Trisni 
Published: January 2023

Pandemi Covid-19 sangat berdampak pada seluruh sektor, salah satunya adalah ekoanomi. Dampak yang sangat terasa bagi pengusaha UMKM, tidak sedikit para pengusaha UMKM bisa mempertahankan usahanya selama pandemi. penelitian ini bertujuan untuk mengetahui strategi yang digunakan UMKM dalam mempertahankan usahanya selama Pandemi Covid-19. Metode yang digunakan adalah Kualitatif dengan pendekatan deskriptif dalam teknik pengumpulan data dengan observasi, wawancara dan dokumentasi. Dalam analisis data menggunakan teknik penarikan kesimpulan dan verifikasi. kesimpulan awal yang dikemukakan masih sumber data primer dan data sekunder. Data yang telah diperoleh selanjutnya akan dianalisis dalam bentuk penguraian kemudian hasil data akan dianalisis secara Reduksi data, penyajian data, dan kesimpulan atau Reduction Display Conclusion, dengan ketepatan sasaran, sosialisasi, pencapaian tujuan dan waktu. Dari hasil penelitian ini menunjukan bahwa 82 % UMKM daerah Cilangkap Jakarta Timur dapat bertahan karena telah menggunakan digital marketing dimasa pandemi. Penelitian lanjuttan disarankan agar UMKM Indonesia tetap bertahan dengan menggunakan digital marekting.
Evaluasi Pembuatan Kartu Kredit di Bank Mandiri Kantor Wilayah 2 Kota Palembang
Authors: Ibrahim  , Austin Trecy 
Published: January 2023

Evaluation of making credit cards at Bank Mandiri Regional Office 2 Palembang. The design of this study used a research method that the author did use a qualitative approach with a descriptive tier. Data or information was collected through interviews with informants to customers. This study uses data types that include: type of qualitative data obtained through interviews with informants besides that this researcher also makes references to books, laws, or searches. Data collection techniques used in this study include asking questions to informants, observing what is happening in the field, and taking photos of what is happening in the field. In this research, The current data analysis technique is analysis by collecting, condensing, grouping, and summarizing. based on the results of our investigation of the Evaluation of Credit Card Making at Bank Mandiri Regional Office 2 Palembang using evaluation theory according to Stufflebeam (Wirawan 2016:201), namely as follows: 1) Context consists of Objectives, Targets, and applicable rules, 2) Input consists of Human Resources, Funds, and budgets as well as Infrastructure and Facilities, 3) The process consists of The process of making a bank independent credit card 4). The product consists of Credit card benefits for users.
Peran Badan Permusyawaratan Desa (PBD) dalam Menyerap Aspirasi Masyarakat dalam Perencanaan Pembangunan Desa di Desa Wandanpuro Bululawang Malang
Authors: Rohman Kusmayadi Rudy Catur 
Published: January 2023

The successful implementation of community development is very dependent on the role of government and society. Without involving the community, the village government will not be able to achieve optimal development results. One of the functions of the Village Consultative Body (BPD) is to channel community aspirations in village development planning. Because it is from community participation that the direction of village development is determined. Community participation will be higher if there is encouragement and appeal from the Village Consultative Body (BPD) in implementing development. The role of BPD is very important in absorbing and accommodating people's aspirations. In this study using descriptive qualitative. This type of research is field research, namely conducting research on the role of the Village Consultative Body (BPD) in absorbing community aspirations in village development planning in Wandanpuro Village, Bululawang District. The results of the study show that the role of the Village Consultative Body (BPD) is expected in absorbing community aspirations not only in formal events such as Pra-Musdes/Musdus and Musdes, but is able to take a more approach to the community to accommodate aspirations in order to foster community aspirations and participation in development planning , such as "jagongan", "coffee together", and attending religious activities and cultural meetings in the village area. It is hoped that the Village Consultative Body (BPD) will also seek new strategies to absorb community aspirations in development planning and further enhance hamlet deliberation activities by narrowing their scope, for example at the RT and RW levels.
Keywords: role, participation aspirations, development planning
PERBEDAAN TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION(TENS) DENGAN NEURO MUSCULARTAPING (NMT) PADA PENURUNAN NYERI PINGGANG AKIBAT HERNIA NUCLEUS PULPOSUS DERAJAT I
Authors: Haryoko Imam 
Published: January 2023

Latar Belakang: Nyeri punggung bawah merupakan 1 dari 10 penyakit terbanyak di AS dengan angka prevalensi berkisar antara 7,6-37% insiden pada usia 45-60 tahun. Nyeri punggung bawah terjadi pada setiap umur, frekuensi paling sering terjadi pada usia pertengahan antara 45-65 tahun. Salah satu penyebab nyeri punggung bawah umumnya karena adanya trauma atauposisi yang kurang tepat saat membungkuk dan memungut barang dibawah sehingga menyebabkan terjadinya Hernia Nucleus Pulposus (HNP). Salah satu diantara upaya pelayanan kesehatan yang dapat melakukan tindakan medis pada kondisi tersebut adalah fisioterapi. Pada kasus hernia nucleus pulposus (HNP) ini ditemukan keluhan berupa adanya nyeri, keterbatasan gerak dan gangguan fungsi lumbal sehingga metode yang cocok digunakan pada kasus ini adalah Transcutaneous Electrical Nerve Stimulation (TENS) dan Neuromuscular Tapping (NMT). Tujuan: Untuk mengetahui perbedaan Transcutaneous Electrical Nerve Stmilation (TENS) dan Neuromuscular Taping (NMT) terhadap penurunan nyeripinggang akibat Hernia Nucleus Pulposus Derajat 1. Metode: Penelitian ini dilakukan selama 2 minggu pada bulan November 2020. Teknik pengambilan sampel dengan metode purposive sampling dari pasien poliklinik fisioterapi RS Muhammadiyah Palembang yang terindikasi hernia nucleus pulposus derajat I. Sampel dibagi menjadi 2 kelompok, masing-masing kelompok terdiri dari 9 orang. Kelompok perlakuan 1 diberikan transcutaneous electrical nerve stimulation (TENS), kelompok perlakuan 2 neuro muscular taping (NMT). Hasil: Rata-rata VAS sebelum TENS adalah 6.89 setelahnya 2.44. Rata-rata VAS sebelum NMT adalah 6.67 setelahnya menjadi 4.00. VAS pre selisih kedua intevensi tersebut 4.44 sedangkan selisih post 2.67. Dari hasil analisis data didapatkan perbedaan yang signifikan dari selisih kedua intervensi tersebut (p-value= 0.000). Berdasarkan nilai sig = 0,000 (sig < 0,05), berarti Ho ditolak dan bermakna ada perbedaan transcutaneous electrical nerve stimulation (TENS) dengan neuro muscular taping (NMT) pada gangguan gerak dan fungsi lumbal akibat hernia nucleus pulposus derajat I. Saran: Pasien dianjurkan mengikuti saran dari fisioterapis terkait aktivitas sehari-hari dan untuk latihan mandiri dirumah. Kata Kunci: Hernia Nucleus Pulposus (HNP), Transcutaneous Electrical Nerve Stmilation(TENS), Neuromuscular Taping (NMT), Visual Analogue Scale (VAS)
The Renovation of Italian Railway Stations: From the Journey to the Consumption of the Journey
Authors: Paone Sonia 
Published: January 2023

The article analyses the transformations that have affected Italian railway stations in recent decades. The first part deals with the history of the railway station and is devoted to understanding its functions as well as its social and symbolic meanings. The construction of railways had a significant impact on the urban form: it created new centralities and fractures and conditioned the development of the city. The railway station represented a novelty from an architectural point of view, being a space in which architectural and engineering knowledge merged. Because of their importance and monumentality, railway stations have been likened to cathedrals of modernity and movement and have been among the most important public spaces in the twentieth century. The second part of the article focuses on railway station renovation projects, in particular the «Grandi Stazioni» project, viewing it in the broader context of the profound changes in urban policies, which are increasingly oriented towards enhancing competitiveness and attractiveness. The renovation of stations has been aimed at revitalising rail mobility to address the mounting crisis in both the freight and passenger sectors, due to competition from road transport first and air transport later. The loss of centrality of rail transport had also affected railway station spaces, multiplying material and social voids as well as forms of decay. The renovation of railway stations has taken the form of a privatisation and commodification of spaces and an increase in surveillance and control. The transformations of railway stations can thus be read an example of contraction/domestication of public space.

Received: 21 October 2022 / Accepted: 26 December 2022 / Published: 5 January 2023