bluuebunny/crossref_metadata_2025_split huggingface dataset:
Manejo integral de tricobezoar: Reporte de caso
Authors: Velázquez Blanco Génesis , Victoria Sánchez Daniel 
Published: August 2023

Un bezoar es un conglomerado de material extraño en el tracto digestivo. El tricobezoar es la variante más común (50% de los casos). El 90% de ellos ocurre en el sexo fe- menino, la mayoría en menores de 30 años; la edad más común oscila entre los 10 y los 20 años. Estos conglome- rados son de tamaño variable, mismo que depende del hábito de la tricofagia, del tiempo de evolución, y de la longitud y cantidad de cabello ingerido. En cuanto a la presentación clínica se describe la triada clásica: dolor abdominal (37%), pérdida de peso (38%) y masa abdo- minal palpable preferentemente epigástrica (70%). Los tricobezoares son resistentes a la disolución enzimática, por lo que requieren manejo endoscopio o quirúrgico. Se asocian a enfermedades mentales como trastornos del espectro de la ansiedad, trastorno obsesivo compulsivo, y discapacidad intelectual.
Este hallazgo quirúrgico es poco reportado. En México se han descrito cuatro casos clínicos, dos de ellos en la Ciudad de México, uno en Culiacán, y el último en Veracruz.

Management of trichobezoar: case report
Abstract
Introduction. A bezoar is a collection of for- eign material in the digestive tract. Trichobe- zoar is the most common variant (50% of cases). They occur predominantly in the fe- male sex (90%) the majority in those under 30 years, most commonly occurring between the ages of 10 and 20. They are of variable size, depending on the rate of occurrence of trichophagia, time of evolution and the length and quantity of ingested hair. Clinical presentation often presents the classic triad: abdominal pain (37%), weight loss (38%) and palpable abdominal mass, predominant- ly epigastric (70%). Trichobezoars are resis- tant to enzymatic dissolution and therefore require endoscopic or surgical management. They are also associated with mental illness- es such as anxiety disorders, obsessive-com- pulsive disorder, and intellectual disability.
This surgical finding is rarely reported. In Mexico, four clinical cases have been de- scribed, two of them in Mexico City, one in Culiacán and the last one in Veracruz.
Awareness, knowledge, and practice of performance status scale in the management of head and neck cancer patients among health-care providers in Edo state, Nigeria
Authors: Edetanlen Ekaniyere Benlance , Babalola Olajumoke 
Published: August 2023

Objectives:
The roles of performance status scales (PSSs) are well-documented globally and is largely, routinely, and traditionally used in the management of cancer patients in the developed countries, but this is not true in developing countries, reason largely due to lack of awareness. Therefore, the present study aimed to assess the level of awareness, knowledge, and practice of PSSs among medical practitioners in Edo state Nigeria.

Material and Methods:
This descriptive cross-sectional study design recruited all medical practitioners that managed head and neck cancers (HNCs) (Family Dental Physicians, Otolaryngologist and Oral and Maxillofacial Surgeons) in Edo state between April 2019 and December 2019. Data were obtained using a self-administered questionnaire which was given to all the participants that gave written informed consent. The statistical analysis was done using the Statistical Package for the Social Sciences version 21 (IBM, Chicago, Illinois, USA).

Results:
One hundred and six of the 110 randomly distributed questionnaires were retrieved, given a response rate of 96.4%. The male-to-female ratio was 2.4:1.0. The mean age was 33.3 ± 5.30 years, ranging from 25 to 46 years. Most of the respondents were within the age range of 31–40 years, while the least numbers were over 40 years. Of the total 106 respondents, less than half (46.2%) had heard of PSS. More than two-third (73.6%) of the respondents had a general poor knowledge regarding PSS. More than half (53.8%) of the respondents answered that they have never used PSS in the course of managing HNC patient. The age, gender, years of practice, type of specialty, and location of practice were not related to the knowledge of PSS by the respondents (P > 0.05). There was a significant association between awareness of PSS before this study and the knowledge of PSS among the respondents (P = 0.02).

Conclusion:
Most Medical Practitioners that manage head and neck cancer patients lack awareness and knowledge of PSSs and hence are poorly utilized in the management of patients in routine practice.
Effect of the lunar cycle on mental illness – A single-center retrospective observational study
Authors: Radhakrishnan Sriramadesigan , Selvaraj Arun , Sivakumar Perarul , Kulothungan Vasanth , Sathiyamoorthy Preethi 
Published: August 2023

Objectives:
In Shakespeare’s play “Othello,” the maid Emilia tells Othello that the moon has drawn too close to the Earth — and driven men insane. The notion that a full moon can elicit strong emotions, strange behavior, and even physical disease is not merely literary. Even now, it is a deeply held notion. The goal of this study was to determine the effect of the lunar cycle on the psychiatric presentation of individuals with schizophrenia, BPAD mania, and ATPD.

Material and Methods:
Case files of Schizophrenia, bipolar affective disorder (BPAD) mania and psychosis patients admitted in our hospital during full moon and new moon ± 3 days for the past 5 years will be included in the study. Name, age, sex, duration of admission, worsening of symptoms during full moon day and new moon day, any injectable given or not will be noted. These data will be collected from medical records. Telephonic verification of symptom worseness during full moon and new moon will be done.

Results:
Among 207 participants 74 patients had Schizophrenia, 91 patients had BPAD mania, 25 patients had ATPD and 17 patients had acute psychosis. The exacerbation of psychiatric symptoms, chemical restraints, and admission during phases of moon was statistically associated with lunar patterns in the study population. The rest of the socio-demographic factors, duration of admission, caregiver belief, and symptom worsening noted by caregiver were all not associated with mental illness during lunar phases which is in line with most reported literature in this area.

Conclusion:
There was an association between symptom exacerbations, chemical restraints, admission with different lunar phase. There was no association for sociodemographic details, duration of admission, caregiver belief on symptom worsening, symptom worsening noted by caregiver with different lunar phases.
Disruption of Natural Order in Video Game Dark Souls
Authors: Yahya Mohammad Fahmi , Retnaningdyah Pratiwi 
Published: August 2023

This study discusses the environmental issue distortion of the game Dark Souls using Garrard's ecocriticism theory and uses the qualitative descriptive method to analyze the data. The objectives of the study are to show the disruption of the natural order and its consequences. This study is conducted by gathering data from the game through screenshots and dialogues while also from the video through the narrative. The study shows that the disruption of natural order occurred because the individuals of the Age of Fire did not desire their era to end with them being replaced by the Age of Dark, which would be humanity's era, and thus do whatever is necessary to extend the Age of Fire, despite the fact that involves changing the nature of humanity itself. The consequences of the disruption experienced by every individual as the world grew hostile and dangerous, the world's logic warped, individuals suffering from the world's conflict as many resigned to their ultimate fate. Despite acknowledging environmental problems, few solutions have been formulated, leading to the continued deterioration of nature. AbstrakPenelitian ini membahas isu lingkungan yang menyimpang dari gim (permainan) Dark Souls dengan menggunakan teori ekokritik Garrard dan menggunakan metode deskriptif kualitatif untuk menganalisis data. Tujuan dari penelitian ini adalah untuk menunjukkan gangguan terhadap tatanan alam dan konsekuensi dari gangguan terhadap tatanan alam tersebut. Penelitian ini dilakukan dengan mengumpulkan data dari gim melalui tangkapan layar dan dialog, serta video melalui narasi. Temuan dari penelitian ini menunjukkan bahwa terganggunya tatanan alam terjadi karena individu-individu di Zaman Api tidak menginginkan era mereka berakhir dan digantikan oleh Zaman Kegelapan, yang akan menjadi era umat manusia sehingga mereka melakukan apa saja untuk memperpanjang Zaman Api, meskipun hal itu berarti mengubah sifat dasar dari umat manusia itu sendiri. Konsekuensi dari gangguan yang dialami oleh setiap individu ketika dunia menjadi semakin tidak bersahabat dan berbahaya, logika dunia menjadi bengkok, individu-individu yang menderita akibat konflik dunia banyak yang pasrah pada nasib mereka. Meskipun mengakui adanya masalah lingkungan, hanya sedikit solusi yang telah dirumuskan yang mengarah pada kerusakan alam yang terus berlanjut.
The Effect of the Flipped Classroom Model on Improving Student Speaking
Authors: Kristyowati Dyah , Satria Widodo Jordy , Widya Kurniasari Resty 
Published: August 2023

This study aims to investigate the application of the flipped classroom learning model to influence class-A students' English speaking skills in the English Literature Study Program at Pakuan University, Bogor. This research uses action research. Action research is included in the scope of applied research (applied research) that combines knowledge, research, and action. This type of research employs classroom action research with 30 students in class A during the odd semester of 2022/23 enrolled in Speaking III. The collection of data was conducted with the use of speaking tests and observation sheets. Analyzing the data, an average score of 83% of students who had problems with speaking because they did not reach the passing standard value established in the lecture contract, and only 17% of students who were able to achieve the passing grade standard were obtained in the pre-action phase. The cycle I graduation rate increased to 46%; in cycle II, 100% of students achieved the standard passing score. The results of this study indicate that the flipped classroom learning model can influence students' English speaking skills. AbstrakPenelitian ini bertujuan untuk mengetahui apakah penerapan metode flipped classroom dapat meningkatkan kemampuan berbicara menggunakan Bahasa Inggris mahasiswa kelas A prodi Sastra Inggris Universitas Pakuan Bogor. Penelitian ini menggunakan penelitian tindakan. Penelitian tindakan termasuk dalam ruang lingkup penelitian terapan (applied research) yang menggabungkan pengetahuan, penelitian, dan tindakan. Penelitian ini menggunakan penelitian tindakan kelas dengan subyek penelitian adalah siswa kelas A mata kuliah Speaking III pada semester ganjil 2022/2023 sebanyak 30 mahasiswa. Pengambilan data dilakukan dengan menggunakan tes speaking dan lembar observasi. Data tersebut dianalisis dan diperoleh skor rata-rata pada pratindakan sebesar 83% mahasiswa yang menunjukkan mengalami masalah dalam speaking karena tidak mencapai nilai standar kelulusan yang ditetapkan di kontrak perkuliahan dan hanya 17 % mahasiswa yang dapat mencapai standar nilai kelulusan, kemudian siklus I mengalami peningkatan dengan tingkat pencapaian kelulusan mahasiswa sebanyak 46%, selanjutnya pada siklus II diperoleh hasil sebanyak 100 % mahasiswa mencapai standar nilai kelulusan. Dari hasil penelitian ini dapat disimpulkan bahwa metode flipped classroom dapat meningkatkan kemampuan berbicara menggunakan Bahasa Inggris mahasiswa.
PENGARUH WAKTU FLOKULASI PADA PROSES KOAGULASI FLOKULASI DENGAN BIOKOAGULAN KELOR UNTUK MENYISIHKAN KADAR BESI AIR SUMUR
Authors: Fitria Dewi , Komala Puti Sri , Vendela Dura 
Published: August 2023

Salah satu sumber air baku air minum yang sering digunakan adalah air sumur. Air sumur pada umumnya mempunyai kualitas yang lebih baik dibanding air permukaan. Masalah yang sering ditemui pada air sumur adalah airnya terkadang mengandung logam besi (Fe) yang tinggi. Fe yang tinggi dapat menimbulkan gangguan kesehatan, menimbulkan bau yang menyengat dan gangguan estetika akibat perubahan warna air. Dalam penelitian ini digunakan proses koagulasi flokulasi untuk menurunkan kandungan Fe di dalam air sumur dengan menggunakan biji kelor sebagai biokoagulan. Percobaan ini menggunakan variabel utama waktu flokulasi dengan rentang 10-30 menit dengan interval 2 menit. Pengaruh waktu flokulasi pada penyisihan Fe juga dikaji pada variabel yang ikut mempengaruhi penyisihan Fe seperti ukuran flok, C-organik air hasil koagulasi dan kadar air dalam flok. Waktu koagulasi yang digunakan adalah selama 1 menit dengan kecepatan 100 rpm, kecepatan flokulasi 40 rpm, waktu pengendapan 60 menit, dan dosis kelor yang digunakan 33 mg/L. Hasil penelitian menunjukkan bahwa waktu flokulasi optimum penyisihan Fe adalah 18 menit.
FORMULASI CANGKANG KAPSUL DARI PEKTIN KULIT BUAH NANGKA (Artocarpus heterophyllus Lam) DAN UJI WAKTU HANCUR KAPSUL
Authors: Rizal Rosiana , Salman Salman , Wulandari Eka 
Published: August 2023

Capsule is capsule preparations which consisting of a drug in a soft capsule and hard capsule sell. Capsule is the preparations that most people used to discover the unpleasant taste of the drug. Most of capsule sell are made of gelatin, but it can also made with starch or other ingredients. The other ingredients which can substitute gelatin is pectin. Pectin is an ingredient belong to the class of carbohydrates. This study aim to find others alternative that can be used as new ingredients of capsule sell, which is jack fruit peels. Dissolved 20 mg jack fruit peels in 1000 ml of distilled water and, added 5% of citric acid. Then extracted on a hot plate with a stirring speed 600 rpm, temperature of 85ͦC, for 120 minutes. The yield obtained was 0.319%. The best formulations results were 2 (0.7 gram pectin, 5.00 gram carrageenan, 100ml disttiled water). The result of the evaluation of capsule sell standards with a body diameter of 6,2 mm, 6,3 mm, of a lid diameter, a body length of 15,2 mm, a lid length of 07.8 mm, and those that are unqualified with 0.09 gram of capsule weights. The organleptic results are light brown color, texture a little loud and there is no fragrance. The capsule sell disintegration should meet the requirements set by the Indonesian Pharmacopoeia V edition, is 13 minutes 47 seconds.Keywords: jackfruit skin (Artocarpus heterophyllus Lam), pectin, capsule shell
O sujeito mulher do/no discurso imobiliário publicitário na região norte de mato grosso:
Authors: Lucyk Luciane 
Published: August 2023

O presente artigo realiza uma leitura do sujeito mulher veiculada na publicidade imobiliária da microrregião norte do estado de Mato Grosso - Brasil, na época de sua colonização na década de 1970 e na década atual 2020, que coloca e articula distintas condições de produção, o sujeito e a memória como lugar de interpretação do discurso. O recorte da pesquisa se dá através de jornais, revistas e panfletos distribuídos na época da colonização da região norte como publicidade do empreendimento imobiliário, bem como publicidade atual com o objetivo de venda de bens imobiliários veiculada em mídias digitais. O objetivo é compreender, à luz dos pressupostos teórico-metodológicos da teoria da Análise do Discurso Materialista Francesa, o processo de constituição do sujeito mulher no espaço urbano (espaço como estrutura física, como um sistema de organização social e um conjunto de atitudes e ideias) em que os sujeitos significam a si mesmos e aos outros, na estrutura e acontecimento da linguagem que movimenta e significa o sujeito de direitos e deveres, ontem e hoje.
Interlocuções entre os estudos culturais, a educação e os estudos decoloniais:
Authors: Wortmann Maria Lúcia Castagna , Fonseca Janete Rosa da 
Published: August 2023

Esta edição da Revista Eventos Pedagógicos, tem como temática os Estudos Decoloniais. Os objetivos da entrevista oportunizam aos leitores e pesquisadores da área reconhecer a importância dos Estudos Decolonais para o entendimento das dinâmicas sociais e, em particular para a nossa área de interesse que é a Educação, da mesma forma pretende, estabelecer os pontos de encontro entre os Estudos Culturais e a Decolonialidade. A escolha de nossa entrevistada, Dra. Maria Lúcia Castagna Wortmann, deve-se às pesquisas e publicações na área dos Estudos Culturais na Educação e de sua grande e expressiva experiência na graduação e na Pós-graduação.Os estudos decoloniais enfatizam a importância de assumirem-se práticas, experiências e saberes gestados para além do eurocentrismo, interessando-se pelo entendimento dos processos de construção de relações de poder-saber, bem como pela desconstrução de postulações gestadas na racionalidade moderna, encontrando muitas possibilidades de diálogo entre as práticas assumidas nos Estudos Culturais e nos Estudos Decoloniais.
Fenomena narsis beragama di media sosial: Sebuah analisis-reflektif Matius 6:1
Authors: Silalahi Haposan , Sibarani Yosua , Marbun Kevin Boris 
Published: August 2023

Sometimes social media is used to insult and attack people who do not share the same faith or religion and spiritual understanding through religious narcissism. This article explains the meaning of Jesus' warning in Matthew 6:1 regarding religious activities as God's people's efforts to reject the phenomenon of religious narcissism on social media. Through the exegetical study method, the principle contained in Matthew 6:1 is not showing off and seeking human praise in carrying out religious or pious activities. Social media is an opportunity to show the existence of a believer's faith to bring others to repentance, not a place to show off piety. AbstrakTerkadang media sosial digunakan untuk menghina dan menyerang orang yang tidak memiliki keyakinan atau agama serta pemahaman spiritual yang sama melalui perilaku narsisme beragama. Artikel ini bertujuan untuk menjelaskan makna teguran Yesus dalam Matius 6:1 tentang kegiatan agama sebagai upaya umat Tuhan menolak fenomena narsisme beragama di media sosial. Melalui metode studi hermeneutik, prinsip yang terkandung dalam Matius 6:1 adalah tidak pamer dan mencari pujian manusia dalam melakukan kegiatan agama atau kesalehan. Pada dasarnya, media sosial merupakan peluang untuk menunjukkan eksistensi iman orang percaya untuk membawa orang lain kepada pertobatan, bukan ajang pamer kesalehan.
Tıp Fakültesi ve Diş Hekimliği Fakültesi Öğrencilerinin Gözünden Kadavra Etiği, Uygulamaları ve Beden Bağışı
Authors: ORTADEVECİ Abdullah , ÖZTÜRK Hülya 
Published: August 2023

Amaç: Tıp eğitiminin temel branşlarından birisi olan anatomi eğitiminde ve cerrahi yeteneklerin geliştirilmesinde kadavra vazgeçilmez bir öğretim aracıdır. Fakat beden bağışı sayısındaki yetersizlikten kaynaklı kadavra kıtlığı kadavraya ulaşımı güç hale getirmektedir. Beden bağışı sayısındaki yetersizliğin en büyük sebebi toplumun bilgilendirilmesindeki eksikliklerdir. Biz de bu çalışmamızda tıp fakültesi ve diş hekimliği fakültesi öğrencilerinin kadavra etiği ve uygulamalarının yanı sıra beden bağışı konusundaki farkındalıklarını belirlemeyi amaçladık.
Yöntem: Literatürde bulunan çalışmalardan uyarlanmış anket tamamı Eskişehir Osmangazi Üniversitesi Tıp Fakültesi ve Diş Hekimliği Fakültesindeki öğrencilere Google formlar aracılığıyla ulaştırıldı. Anket demografik sorular, sekiz çoktan seçmeli soru, 24 tane 5’li Likert tipi önerme (1-hiç katılmıyorum, 5-tamamen katılıyorum) ve iki açık uçlu sorudan oluşuyordu. Anketi 277 öğrenci tamamladı. Sonuçlar frekans analiziyle incelendi. Ayrıca demografik verilerle önermeler arasındaki ilişkileri incelemek için ki-kare testi uygulandı.
Bulgular: Ankete katılan öğrencilerin %9,4’ü organ bağışı yapmış olmasına rağmen hiç birisi beden bağışı yapmamıştı. Katılımcıların %69,7’sinin beden bağışı konusunda çekinceleri vardı. Öğrencilerin %36,8’inin çekincesi kadavraların kullanımıyla ilgiliydi. Katılımcıların organ bağışı yapmak konusunda istekli olduklarına dair ifadeye verdikleri yanıtın ortalaması 3,68±1,15 iken, beden bağışında bu rakam 2,47±1,07 olarak hesaplandı. Akademik eğitimim sırasında beden bağışıyla ilgili bilgi almak isterim ifadesinin ortalaması 3,82±0,98 iken, kadavra etiğiyle ilgili bilgi almak isterim ifadesine verilen cevapların ortalaması 3,97±0,86 olarak tespit edildi.
Sonuç: Tıp fakültesi ve diş hekimliği fakültesi öğrencilerinin beden bağışı yapmak konusunda ciddi çekinceleri olmasına rağmen beden bağışı ve kadavra etiği üzerine bilgilendirilmek konusunda oldukça önemli bir oranda isteklilerdi. Ayrıca beden bağışı konusundaki çekincelerin kadavraların kullanımıyla ilgili olması kadavra etiği konusunda bazı eksiklikler olduğunu ortaya koyabilir.
Retweets as Trust: The Sharing of Pandemic-Related Information from U.S. Government Accounts
Authors: Stone Jeffrey 
Published: August 2023

<p>The rapid onset of the COVID-19 pandemic created a desire for information about the virus and government-directed response efforts. Twitter is a popular mechanism for disseminating crisis information, but questions exist about what government sources citizens trust enough to share their posts (“retweet”) as well as the types of language which encourage sharing. This study examines trust in U.S. government officials and organizations during the onset of the COVID-19 pandemic. The sharing of U.S.- and COVID-specific tweets from government accounts acts as a proxy for trust, representing implicit confidence in these units to provide credible information. This study investigated whether significant differences in the retweet frequency of government sources existed based on the source (public officials, public agencies, federal-level, or state-level, Republican-led states, or Democrat-led states) and differentiated by time period (pre- or post-declaration). Retweets were also examined to determine whether linguistic factors predicted the retweet frequency. The post-declaration period was found to have significant impact, with more active federal and state accounts. Significant group differences suggest greater trust in state-level sources versus federal sources (especially Democrat-led states), as well as public officials versus public agencies. Emotion-related language was also shown to predict the frequency of retweeting, though impacts differed based on the source. </p>