bluuebunny/crossref_metadata_2025_split huggingface dataset:
Plaque shift to the brachiocephalic artery after subclavian artery stenting: illustrative case
Authors: Fukumori Junji , Fukutome Kenji , Aketa Shuta , Shiraishi Yuki , Shimotsuma Atsuko , Matsuoka Ryuta , Tei Rinsei , Shin Yasushi , Motoyama Yasushi 
Published: February 2025

BACKGROUND
Subclavian artery stenosis (SAS) has a prevalence of 1.9% in the general United States population. Revascularization, often by stenting, is indicated for symptomatic patients. Plaque shift (PS) is a well-known poststenting complication in coronary interventions but has not been reported in subclavian artery (SA) stenting. This case report documents the occurrence of PS after stenting for SAS, highlighting a rare but significant complication.

OBSERVATIONS
An 87-year-old woman with a history of hypertension and dyslipidemia presented with right upper-limb pain and fatigue. Imaging confirmed stenosis with calcified plaque at the origin of the right SA. Following endovascular stenting under local anesthesia, imaging revealed PS to the brachiocephalic artery (BA). To prevent migration into the common carotid artery (CCA), a dual-layer stent was placed from the CCA to the BA. The patient’s symptoms resolved, and follow-up confirmed successful plaque stabilization without restenosis 1 year postprocedure.

LESSONS
Even apparently hard SA plaque with calcification can result in PS with stenting. When PS occurs, prompt stenting can prevent cerebral embolism.
https://thejns.org/doi/10.3171/CASE24760
Surgical findings and precautions for removing cement that leaked into the spinal canal due to balloon kyphoplasty: illustrative cases
Authors: Noma Michita , Takeshita Yujiro , Saiki Fumiko , Sekimizu Masaya , Nakayama Yuta , Onodera Ryoko , Haseyama Motohiro , Miwa Satoshi , Oshima Yasushi , Miyoshi Kota 
Published: February 2025

BACKGROUND
Balloon kyphoplasty (BKP) is a widely utilized procedure for osteoporotic and metastatic vertebral fractures. However, cement leakage into the spinal canal is a serious complication that can result in neurological deficits, requiring timely and precise surgical intervention.

OBSERVATIONS
This report presents two illustrative cases of BKP-related cement leakage. The first case involved a 52-year-old man with a metastatic L3 fracture, in which cement leaked into the spinal canal. Surgical intervention included L2 and L3 laminectomy, resulting in successful cement removal without neurological deficits. The second case involved an 86-year-old man with an L5 osteoporotic burst fracture and cement leakage into the right lateral recess space, causing a unilateral drop foot. An L5 laminectomy performed 3 days later enabled cement removal, although neurological recovery was incomplete, possibly because of nerve compression or thermal injury. In both cases, the cement was brittle and nonadherent to the dura mater, facilitating safe removal.

LESSONS
Evaluating cement leakage after cement injection is essential to avoid oversights. Comprehensive preoperative imaging and meticulous planning are crucial due to the variability in cement leakage patterns. Surgical indications and timing require careful consideration, as cement leakage might be asymptomatic in some cases but result in irreversible damage if untreated.
https://thejns.org/doi/10.3171/CASE24796
БИОАЛУАНТҮРЛІКТІ ЗЕРТТЕУ НӘТИЖЕСІН ТҰРАҚТЫ ДАМУ МҮДДЕСІНДЕ ОҚУ ҮДЕРІСІНЕ КІРІКТІРУ
Authors: Аманбаева М.Б. , Майматаева А.Д. , Есентурова С.А. , Станкевич П.В. 
Published: February 2025

Мақалада биоалуантүрлікті зерттеу нәтижесін тұрақты даму мүддесінде оқу үдерісіне кіріктірудің әдістемелік негіздері туралы мәліметтер қарастырылады. Оқу іс-әрекетін ұйымдастыру кезінде алдымен биолог студенттерді іс-әрекетке ынталандыру үшін жағдай жасау қажет. Ол үшін биолог студенттердің танымдық қызығушылықтарын қалыптастырамыз, олардың мотивациялық қабілеттерін арттырамыз. Болашақ биология мұғалімдерін даярлау үдерісінде биоалуантүрлікті зерттеу нәтижесін тұрақты даму мүддесінде оқу үдерісіне кіріктірудің әдістемелік негіздемесінің кезеңдеріне талдау жасалды. Аталған әдістемелік негіздеменің кезеңдері: оқу үдерісінде жүзеге асыру, оқу үдерісінде жүзеге асыру, нәтижені коррекция жасау кезеңдерінің тиімділігіне сипаттама берілді. Мақаланың мазмұнында биологиялық білім берудің ғылыми-теориялық негіздері мен дамуы және жоғары білім беру салаларындағы тұрақты даму мүдделерінің қазіргі жай-күйі талданады. Осы мәселе бойынша ғылыми еңбектерді талдау негізінде студенттерге жүргізілген сауалнама нәтижелері талданды, тұрақты даму мүддесінде білім беру туралы қорытынды жасалды және білім беру мазмұнын одан әрі жетілдіру бойынша ұсыныстар берілді. «Омыртқасыздар зоологиясы» курсының мазмұны омыртқасыз жануарлардың биоалуантүрлілігін зерттеу нәтижесін қосымша мәліметтермен толықтырылды және тұрақты даму мүддесінде оқу үдерісіне кіріктірудің әдістемелік негіздерін ұсыну басты назарымыз ретінде қарастырдық. Осы әдістемелік негіздемені пән мазмұнына кіріктіру барысында белсенді оқыту әдістерді пайдаланылды. Қазіргі білім беру үдерісінде белсенді оқыту әдісін мақсатына байланысты нұсқау беру жəне айту, көрсету жəне моделдеу, түсіндіру жəне сипаттау, зерделеу жəне зерттеу, бекіту жəне қолданысқа енгізу, рефлексия жəне бағамдау, қорытынды шығару жəне есте сақтау кезеңдерне жіктелді. Студенттердің биоалуантүрлілікті зерттеу нәтижесін тұрақты даму мүддесінде оқу үдерісіне кіріктірудің әдістемелік негіздеменің тиiмдiлiгiн тұжыpымдaлды.
Hairy Rove Beetle Creophilus maxillosus (Linnaeus) (Insecta: Coleoptera: Staphylinidae)
Authors: Johsnton Nicolas , Stansly Philip , Lucky Andrea 
Published: February 2025

This document provides an overview of the hairy rove beetle, Creophilus maxillosus, detailing its identification, distribution, life cycle, and ecological significance. The beetle is recognized for its distinctive yellowish-gray setae and its role as a predator of pest fly larvae. Found globally, it inhabits various environments and is beneficial in forensic entomology for determining post-mortem intervals. Despite occasional urban infestations, the beetle is valued for biological control in agriculture. The article also discusses its defensive mechanisms and the importance of understanding its life cycle for effective pest management.
Valor del liderazgo transformacional en los procesos financieros del sector público: Enfoque eSIGEF a proyectos de I+D+i
Authors: Velastegui Cedeño Trajano Gonzalo 
Published: February 2025

Las innovaciones tecnológicas y el reingreso a la vida democrática en el Ecuador presentan un escenario hipotético en donde las instituciones debieron asumir el reto con absoluto profesionalismo y capacidad resolutiva, en procura de otorgar servicios de calidad y con la agilidad del caso, acordes al manejo e implementación de la tics facilitando el consecuente accionar de la cosa pública; y de hecho a nivel financiero la falta de direccionamiento claro, surge como objetivo pertinente conforme la estructura de la visión institucional la que se deberá convertirse en un factor que viabilice la adopción de la figura de liderazgo transformacional, para que quienes sean incorporados al sistema público a todo nivel, no tengan margen de duda respecto a la razón de ser de las instituciones de servicio público y se interprete la necesidad de contar con verdaderos líderes de procesos que potencialicen al recuso humano y no de jefes departamentales o despacho, que frenan o generan conflictos basados principalmente en cuestiones ajenas a la actividad institucional. Por ello en el marco del modelo de liderazgo que deberían mantenerse y sostenerse en el tiempo por parte de las instituciones y en sujeción a la herramienta de manejo financiero actual eSIGEF, se promueve este artículo en virtud de aportar sustancialmente al desarrollo las instituciones públicas, dada su situación actual y al encontrarse carentes de un nivel del liderazgo emancipador que promueva el desarrollo de las potencialidades de los miembros de una organización.
Penerapan Website E-Government Dalam Pendataan Infrastruktur Dan Fasilitas Publik
Authors: Rakhmansyah Mohamad , Sari Meri Mayang , Andwiyan Denny , Widada Sugeng 
Published: February 2025

The development of science and technology in the management system of social and public facilities will assist in improving the performance of the sub-district government. Currently, the Pasar Kemis District office does not yet have a web-based infrastructure and facility management system to overcome the problem of collecting data on social and public facilities that still use a semi-computer system, namely recording infrastructure and facility data using paper, then recapitulation is carried out to make reports on social facilities. And general. This system still has shortcomings such as difficulty in finding data, allowing errors in data collection, data piling up and requiring a long time in the reporting process. To overcome the problems faced, the authors propose a web-based social and public facility management system so that data collection on facilities becomes easier, shortens time, is organized in data storage. The author uses the method of Observation, Interview, and Literature Study in collecting data. All data are summarized and then clearly described in the Unified Modeling Language (UML). Making a prototype system using Adobe XD application and in analyzing the advantages and disadvantages ofÂ the system, the researcher uses the SWOT method. This system is made using the PHP programming language with the Codeigniter framework. The system was tested using the Black Box Testing method. The computerized system makes it easier to manage infrastructure and facilities data so as to assist in the data collection process, data retrieval and reporting of social and public facilities.
Gambaran Perilaku Pijat Bayi Dan Pijat Ibu Hamil Pada Masyarakat Etnik Jawa Di Desa Patila
Authors: Levia Yayang , Arni Rizqiani Rusydi  , Haeruddin  
Published: February 2025

Pijat merupakan salah satu metode pengobatan tertua di dunia. Pijat meliputi seni perawatan kesehatan dan pengobatan yang mampu melemaskan sendi yang terlalu kaku dan menyatukan organ tubuh dengan gosokan yang kuat. Pijat bayi dan pijat ibu hamil pada masyarakat etnik Jawa di Desa Patila sudah menjadi salah satu tradisi yang dilakukan turun-temurun. Penelitian ini dilakukan untuk menggali informasi mengenai manfaat pijat bayi dan pijat ibu hamil terhadap kualitas tidur, nafsu makan, dan kebugaran masyarakat etnik Jawa di Desa Patila Kecamatan Tana Lili Kabupaten Luwu Utara Provinsi Sulawesi Selatan. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kualitatif dengan pendekatan studi fenomenologi, penelitian kualitatif adalah suatu pendekatan penelitian yang mengungkap situasi sosial tertentu dengan mendeskripsikan kenyataan secara benar, dibentuk oleh kata-kata berdasarkan teknik pengumpulan dan analisis data yang diperoleh dari situasi yang alamiah. Hasil penelitian yang di peroleh kualitas tidur,nafsu makan dan kebugaran pada bayi dan ibu hamil sebelum diberikan pijat lebih cenderung dengan kualitas tidur yang kurang baik, terkadang bayi rewel, sulit tidur di malam hari dan setelah diberikan pijat bayi tidurnya lebih nyenyak dan lebih lama sehingga berpengaruh juga kepada daya tahan tubuhnya, begitu pun dengan ibu hamil dengan kualitas tidur yang baik dapat meningkatkan daya tahan tubuh dan mengurangi resiko terjadinya anemia.
Faktor Yang Berhubungan Dengan Keluhan Musculoskeletal Disorders Pada Pekerja PT. Industri Kapal Indonesia
Authors: Dina Anita Bela , Yuliati  , Abd. Gafur  
Published: February 2025

Musculoskeletal Disorders (MSDs) dapat menyebabkan permasalahan kerja yang sangat serius, salah satunya yaitu peningkatan kompensasi biaya kesehatan, penurunan produktivitas pekerja dan rendahnya kualitas hidup. Kondisi Musculoskeletal Disorders (MSDs adalah penyebab kecacatan di empat dari enam wilayah salah satunya Mediterania Timur dan Afrika. Tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan Musculoskeletal Disorders (MSDs) pada pekerja bagian pengelasan di PT. Industri Kapal Indonesia (Persero). Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif dengan menggunakan desain pendekatan cros sectional. Jumlah sampel yang digunakan pada penelitian ini sebanyak 45 pekerja pada bagian pengelasan di PT. Industri Kapal Indonesia (Persero). Teknik sampling yang digunakan dalam penelitian ini adalah teknik total sampling. Metode analisis data menggunakan uji bivariat dengan uji hubungan chi square. Dari hasil penelitian ini menunjukkan bahwa adanya hubungan yang signifikan antara aktivitas berulang (p = 0,001 < = 0,05), kebiasaan olahraga (p = 0,000 < = 0,05) sikap kerja (p = 0,000 < = 0,05) dengan keluhan Musculoskeletal Disorders (MSDs) Namun, tidak ditemukan hubungan yang signifikan antara lama kerja (p = 0,691 > = 0,05) dengan keluhan Musculoskeletal Disorders (MSDs). Dari hasil penelitian tersebut dapat disimpulkan bahwa tidak terdapat hubungan antara lama kerja dengan keluhan Musculoskeletal Disorders (MSDs) dan terdapat hubungan antara aktivitas berulang, kebiasaan olahraga dan sikap kerja dengan keluhan Musculoskeletal Disorders (MSDs) Diharapkan kepada peneliti selanjutnya sebaiknya dapat meneliti atau menambah variabel-variabel lain yang dapat berhubungan atau mempengaruhi tingkat kelelahan kerja.
Hubungan Kondisi Lingkungan Rumah Dengan Kejadian Tuberkulosis Di Wilayah Kerja Puskesmas Segeri Kabupaten Pangkep
Authors: Muhammad Fachrul Saleh  , Muhammad Ikhtiar  , Nasruddin Syam  
Published: February 2025

Tuberkulosis adalah penyakit menular yang disebabkan oleh kuman Mycobacterium tuberculosis. Pada tahun 2020, Profil Kesehatan Provinsi Sulawesi Selatan mencatat 9.325 kasus tuberkulosis Paru, dengan 5.587 kasus pada laki-laki dan 3.738 kasus pada perempuan. Angka penyakit tuberkulosis paru di Sulawesi selatan terus meningkat. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana variabel independen, yaitu kondisi fisik rumah, seperti pencahayaan dan ventilasi, kepadatan rumah, riwayat kontak serumah, dan kebiasaan merokok, berhubungan dengan variabel dependen, yaitu kasus tuberkulosis. Penelitian ini menggunakan analisis observasional dengan pendekatan cross-sectional study Metode pengambilan sampel yang digunakan adalah random sampling, dengan jumlah sampel sebanyak 146. Dari hasil penelitian menunjukkan bahwa adanya hubungan yang signifikan antara ventilasi dengan kejadian tuberkulosis (p = 0,001 < = 0,05), pencahayaan dengan kejadian tuberkulosis (p = 0,000 < = 0,05), kepadatan hunian dengan kejadian tuberkulosis (p = 0,004 < = 0,05), kontak serumah dengan kejadian tuberkulosis (p = 0,018 < = 0,05), kebiasaan merokok dengan kejadian tuberkulosis (p = 0,001 < = 0,05). Untuk masyarakat diharapkan membuat vetilasi yang sudah sesuai dengan aturan rumah sehat, mempunyai kesadaran untuk memperhatikan kondisi fisik rumah seperti pencahaan agar memenuhi syarat serta diharapkan diharapkan agar berhenti merokok karena rokok dapat membuat kekebalan tubuh menurun dan mudah terkena penyakit tuberkulosis.
Faktor Yang Berhubungan Dengan Produktivitas Kerja Perawat Ruang Inap di Rumah Sakit Ibnu YW-UMI Makassar
Authors: Nova Selviani  , Arni Rizqiani Rusydi  , Reza Aril Ahri  
Published: February 2025

Untuk melakukan peningkatan mutu pelayanannya, salah satu faktor yang paling penting diperhatikan oleh pihak Rumah Sakit adalah SDM. Pentingnya produktivitas kerja bagi perawat adalah bahan evaluasi untuk melakukan perbaikan secara terus menerus bagi seluruh komponen rumah sakit dan peningkatan kualitas hasil kerja oleh rumah sakit. Dampak dari rumah sakit yang memiliki produktivitas rendah akan mengakibatkan turunnya jumlah pelanggan karena rendahnya kualitas pelayanan yang dihasilkan. Tujuan penelitian ini untuk mengetahui hubungan motivasi, disiplin kerja, etos kerja dan keterampilan perawat ruang inap di rumah sakit Ibnu sina yw-umi kota makassar Tahun 2024. Jenis penelitian yaitu metode kuantitatif dengan pendekatan cross-sectional. Populasi penelitian ini adalah jumlah pasien rawat inap satu bulan terakhir yaitu 778 dan diperoleh sampel sebanyak 265 responden. Teknik pengambilan sampel purposive sampling dengan survei menggunakan kuesioner. Pengolahan data menggunakan analisis univariat dan bivariat, serta uji statistik chi square . Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara produktivitas kerja dengan motivasi, disiplin kerja, etos kerja dan keterampilan perawat ruang inap, Standar nilai p-value yang digunakan adalah 0,05 yaitu pada motivasi pada uji statistik chi square dengan nilai p Value ( p = 0,0000 ), disiplin kerja yang diperoleh ( p =0,000), etos kerja ( p =0,013), dan keterampilan ( p =0,001). Dari hasil hasil diatas, dapat ditarik kesimpulan bahwa terdapat hubungan yang signifikan antara produktivitas kerja dengan motivasi, disiplin kerja, etos kerja dan keterampilan perawat ruang inap di Rumah Sakit Ibnu Sina YW-UMI Kota Makassar 2024
Predictive Modeling of Li-Air Batteries Using Artificial Neural Network: A Comparative Study of Cathode Morphology
Authors: Jilani Aisha , Awan Zahoor Ul Hussain , Taqvi Syed Ali Ammar 
Published: February 2025

The artificial neural network (ANN) modeling is used to analyze the impact of two different cathode morphologies urchins (α-MnO2 ) and flower (δ-MnO2 ), on the charge/discharge voltage in lithium air batteries (LABs). Previous research has focused on ANN models for traditional lithium-ion batteries (LIBs) without accounting for varied cathode morphologies in LABs. This research presents an ANN modeling technique to predict the charge/discharge voltage LAB using manganese oxide as cathode materials with two distinct morphologies. For modeling Specific capacity use as the input variable, to perform a comprehensive analysis to validate charge/discharge voltages. This study explores multiple ANN configurations with varying neuron counts, identifying the optimal architecture (10 neurons in hidden layers) that balances prediction accuracy and efficiency. This systematic exploration provides insights into ANN tuning for LABs, which is a topic with limited coverage in existing literature. The ANN predicted results closely matched with the reported experimental work with the coefficient of determination R2 = 0.9998 for almost all models. The models performance was assessed by various error metrics mean absolute deviation (MAD), root mean square error (RMSE) and average absolute relative error (AARE). This study provides empirical validation of the model's robustness. The study highlights the applicability of ANN in capturing complex LAB performance metrics, such as the non-linear behaviors due to morphological differences.
DEVELOPING MARITIME ENGLISH PREPARATION TEST BY USING FLASH APPLICATION
Authors: Aprillina Aprillina , Abimanto Dhanan , Oktavia Ariana 
Published: February 2025

This study aimed at developing of teaching maritime English as English for Specific Purpose especially in conducting Maritime English Preparation Test. The purpose of this study is to find out the problems of maritime students’ in learning Maritime English and describe how the product will be developed. It is also intended to investigate how effective of MEPT for improving students’ achievement for learning maritime English. This study is Research and Development (R and D) and It was adapted from Borg and Gall (1983) and Sugiyono (2009) as the basis of conducting this research. There are Problem arise, Need analysis, Design the concept of Maritime English Preparation Test, Preliminary Test, Expert judgment, product revision, field test and final product of Maritime English Preparation Test by using flash application. The type of the test consisted of some of the aspects such as grammar, pronunciation, listening, vocabularies drilling. I used multiple choice tests as the treatment in order to find out the effectiveness of the product toward the students’ achievement. The aspect of the test item has already designed mixed randomly by the computer program. From the result of the research analysis showed that the product was effective to improve students’ score for Maritime English Test.
Consent mechanisms and default effects in health information exchange in Japan
Authors: Ito Atsushi , Nakamura Fumihiko 
Published: February 2025

BackgroundHealth information exchange (HIE) is an information system that efficiently shares patient information across medical institutions. However, traditional consent methods, represented by opt-in and opt-out, face a trade-off between efficiency and ethical, making it difficult to fundamentally improve consent rates. To address this issue, we focused on default settings and proposed an innovative approach called the “two-step consent model,” which leverages the advantages of existing models using utility theory. We evaluated the acceptability of this method.MethodsAn online survey was conducted with 2,000 participants registered with Japan's largest internet survey company. We compared and analyzed the consent rates of the opt-in, opt-out, and two-step consent models.ResultsThe opt-in model had a 29.5% consent rate, maximizing patient autonomy but increasing the burden and reducing efficiency. The opt-out model had a 95.0% consent rate but raised concerns among half of the respondents. The two-step consent model had a 68.5% consent rate, demonstrating its cost-effectiveness compared with traditional models.DiscussionThe two-step consent model, involving implicit and explicit consent when needed, ensures efficient consent acquisition while respecting patient autonomy. It is a cost-effective policy option that can overcome the ethical issues associated with the opt-out model. Introducing methods that leverage both opt-in and opt-out advantages is expected to address HIE stagnation.ConclusionThe two-step consent model is expected to improve consent rates by balancing the efficiency and quality of consent acquisition. To achieve this, patient education is crucial for raising awareness and understanding of HIE and its consent methods.
Instructional quality in nursing vocational education and training
Authors: Anselmann Veronika , Roggenstein Jennifer , Thudium Leonie 
Published: February 2025

IntroductionInstructional quality refers to classroom management, personal learning support and cognitive activation.MethodsThis study was conducted in nurses’ vocational education and training (VET). We asked nursing students (N = 496) to estimate instructional quality of their classes (n = 52). Furthermore, we asked teachers (N = 52) to describe the learning objectives they aimed to achieve. We used online and paper- pencil questionnaires with validated scales to measure classroom management, personal learning support, and cognitive activation, and connectivity. For analyzing our data, we used descriptive statistics and Anova with Bonferroni and Turkey’ post hoc tests. We also used structuring qualitative content analysis to teachers’ descriptions of learning goals.ResultsOur results indicate that nursing students estimated the instructional quality of their classes quite high. When teacher aimed on achieving higher levels of learning objectives classroom management and personal learning support were estimated significantly different.DiscussionIn VET it is important to coordinate the content, the way of instruction, and the way learners are supported in the learning process to achieve high instructional quality.