bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Prospective and Retrospective Study of the Outcome of High Tibial Osteotomy in Osteoarthritis of the Knee with Varus Deformity
Authors: Kumar Prashant , Dattagupta Swarnava , Mondal Kunal , Jha Dipak Kumar , Pujari Prasanta Kumar 
Published: May 2023

Introduction:
Knee osteoarthritis (OA) degenerative condition causes progressive wear in the articular cartilage and rises pressure over the medial compartment of the knee joint which will end up as a varus deformity. High tibial osteotomy (HOT) is one of the surgical managements in treatment of OA. The goal of the treatment is to relieve medial compartment knee pain and slowdown the arthritic progression.

Materials and Methods:
This prospective observational study was done on 20 patients of all ages and both genders having medial compartment OA with varus deformity of all grades over 24-month duration. Functional evaluation was done by the Knee Society Score, functional score, and the Lysholm score, whereas radiological evaluation was done by calculating various angles in orthoroentgenogram.

Results:
All the function scores hold high statistical significance. Changes in hip knee axis (HKA), medial proximal tibial angle, and tibial joint angle were statistically significant. All osteotomy sites consolidated in 6 months with not a single case of nonunion.

Conclusion:
HOT is an effective technique and has excellent functional and radiological outcomes with minimal complications in the management of OA. Appropriate patient selection, proper osteotomy type, and precise surgical techniques are essential for the success of HOT.
Outcome Analysis following Posterior Instrumentation, Decompression, and Intertransverse Fusion for Degenerative Lumbar Spondylolisthesis
Authors: Madhuchandra P. , Santhosh G. Sunil , Raju K. P. 
Published: May 2023

Background:
Degenerative spondylolisthesis is one of the most common causes for low back ache and radiculopathy and causes disability. Various surgical procedures have been described to achieve fusion. Intertransverse fusion (ITF) is the simplest of all with very less rates of complications.

Objectives:
The objective of this study was to analyze the outcomes of posterior instrumentation with pedicle screws, decompression, and ITF in degenerative lumbar spondylolisthesis based on the clinical outcome with Oswestry Disability Index (ODI) questionnaire and also to assess the fusion rates.

Materials and Methods:
A single-grouped, prospective interventional study was conducted from June 2015 to June 2019 in a tertiary care hospital. A total of 44 patients with Grades I and II degenerative lumbar spondylolisthesis of the Meyerding radiological grading system were included in the study. Posterior instrumentation with pedicle screws, decompression, and ITF was performed in all these patients. Patients were assessed preoperatively and postoperatively using ODI-based questionnaire.

Results:
The mean preoperative Oswestry score was 58.33 ± 10.66 and the mean postoperative score was 24.26 ± 12.80 at 1-year follow-up. Fifty percent had excellent and another 50% had better results with overall 100% satisfactory results, with a mean preoperative and postoperative difference of 34.07 ± 18.00 for ODI. All patients achieved radiological fusion.

Conclusion:
The study observed that ITF for Grades I and II degenerative lumbar spondylolistheses is a safe and simple fusion procedure with lesser rates of complications and higher rates of radiological fusion.
Metronomic Chemotherapy in Cancer
Authors: Shetty Yashashri Chandrakant , Aithal Yashoda Ramachandra 
Published: May 2023

Background:
Despite the high incidence of cancer and its related mortality, our knowledge regarding optimal treatment is limited necessitating the researchers to find an alternate therapy. Metronomic chemotherapy (MCT) is the potential new modality for cancer therapy. A dearth of studies on MCT has encouraged us to conduct a systematic review to observe the clinical trials conducted globally using MCT for various types of cancer. The primary objective was to assess the utilization of MCT in various cancers and drug regimens utilized. The secondary objective was to evaluate the objective, study design, patient demographics, country, and the outcome of the study.

Materials and Methods:
A literature search extracted the clinical trials using MCT from two electronic databases PubMed and clinicaltrial.Gov with an appropriate search term. Included articles were analyzed using descriptive statistics.

Results:
Two hundred and forty-five out of two hundred and eighty-seven articles retrieved met the inclusion criteria. The most studied cancers were breast (26.1%) and central nervous system (13.9%). Cyclophosphamide (46.1%) and capecitabine (18.8%) were the frequently used chemotherapeutic drugs. The rationale for drug selection was antiangiogenesis mostly (47.3%). Most of the studies were phase II clinical trials (56.3%). About 23.7% of trials were conducted in the United States of America, and 38.8% of the trials were carried out in a multicentric setup. Majority trials had tumor assessment as its endpoints (49.4%), and 35.1% of trials had open-label and nonrandomization methods.

Conclusion:
MCT was used commonly in breast cancer with cyclophosphamide and capecitabine being frequently used drug and tumor assessment being the most frequent endpoint utilized. MCT was employed due to its antiangiogenic properties in majority of the trials. Phase II and nonrandomized, single-arm, and open-labeled studies were the most observed study design.
Valoración de empresas: ¿cómo medir y gestionar la creación de valor en las instituciones de intermediación financiera?
Authors: García Reino Natalia Paulina , Peñaloza López Verónica Leonor , Vásconez Acuña Lenyn Geovanny 
Published: May 2023

Toda organización en algún momento de su vida necesita reconocer su valor para utilizarlo como herramienta en las negociaciones y la toma de decisiones. En la actualidad, existe una preocupación de los gestores que laboran en la Cooperativa de Ahorro y Crédito Educadores del Azuay Cía. Ltda., que se deriva de la incertidumbre sobre incrementar la creación de valor de la entidad con base en una adecuada elección de decisiones financieras, por lo que el objetivo del presente estudio es aplicar un método de valoración de empresas, que contribuya con la acertada toma de decisiones. Para ello, la investigación se desarrolló bajo un paradigma positivista, no experimental, transversal, apoyada en los métodos histórico-lógico y analítico-sintético. Se concluye que la Cooperativa lleva a cabo sus análisis financieros sobre la base de indicadores que demandan datos de los estados financieros, como soporte para la toma de decisiones; además, consideran relevante valorar la empresa para aprovechar las oportunidades del sector empresarial y mejorar sus posibilidades de inversión.
GENDER DAN PERAN MEDIA KOMUNIKASI DALAM MEMAHAMI PERBEDAAN
Authors: Batoebara Maria Ulfa , Lubis Muya Syaroh Iwanda , Junaidi Junaidi 
Published: May 2023

Gender merupakan perbedaan yang bukan biologis dan juga bukan kodrat Tuhan. Konsep gender sendiri harus dibedakan antara kata Gender dan kata Seks {jenis kelamin}. Perbedaan jenis kelamin antara laki-laki dan perempuan adalah kodrat Tuhan karena secara permanen tidak berubah dan merupakan ketentuan biologis. Sedangkan gender adalah perbedaan tingkah laku antara laki-laki dan perempuan yang secara sosial dibentuk. Perbedaan inilah yang akhirnya membentuk perbedaan secara biologis antara perempuan dan laki-laki. Berbicara tentang perempuan, perempuan selalu identik dikaitkan dengan seksualitas yang mengundang hasrat lelaki. Tidak sedikit media mengeksploitasi tubuh wanita dalam setiap tampilan. Di dalam kehidupan sosial perempuan selalu saja dijadikan objek dan tidak terlepas dari pelecehan seksual. Hal ini juga selalu dikaitkan bahkan menyalahkan perempuan sebagai seseorang yang memiliki peran berpakaian seksi. Kecenderungan perempuan dalam setiap objek, membuat perempuan lebih condong dibandingkan dengan laki-laki. Terutama dalam peliputan di media. Media komunikasi khususnya selalu melibatkan perempuan dalam setiap informasi berita. Hampir surat kabar memberitakan dan menginformasikan tentang perempuan, tidak jarang sebagai keuntungan bagi media. Media komunikasi tak ubahnya adalah alat komunikasi verbal bagi masyarakat. Lewat setiap komunikasi atau informasi yang ada di dalamnya masyarakat mengetahui tentang informasi atau berita apapun. Gencarnya gerakan feminisme tidak membuat konstruksi perempuan oleh media berubah. Ketimpangan gender yang terjadi hendaknya bisa diminimalisir dengan jurnalisme sensitive gender. Sterotipe gender dalam iklan memberikan kesan dan keyakinan tentang perilaku yang tepat untuk pria dan wanita (Santrock, 2010, h197). Bias gender akan mempengaruhi cara berpikir tentang peran dan cara berfungsinya gender dalam masyarakat. Iklan televisi selalu menggambarkan kekuatan iklan dalam menghasilkan produk pencitraan telah ikut andil dalam menyuburkan stereotype yang selama ini dilekatkan pada perempuan.
Vittoria Aganoor, l’Arménie Rêvée et Méconnue
Authors: Mauri Antonella 
Published: May 2023

Le présent article concerne la poétesse italienne Vittoria Aganoor (1855-1910), fille d’Edoardo Aganoor, aristocrate d’origine arménienne. Son précepteur, le père Zanella, grand poète et pédagogue, a décelé son talent poétique dès sa jeunesse. Dès les années 1870, elle publie des poèmes dans des revues littéraires : son premier livre sort en 1900 et connaît un grand succès, mais elle est déjà saluée par la critique et bien connue du public. Son père a refusé de lui enseigner l’arménien. La frustration liée à ce « langage dénié » l’accompagnera tout au long de sa vie. Elle ne pourra pas apprendre l’arménien dans sa jeunesse à cause du refus inexplicable de son père, et lorsqu’elle est enfin libre de le faire, elle était trop vieille. L’arménien restera à jamais un idiome étranger qui ne lui appartient pas : une partie d’elle-même lui a ainsi été enlevée et ne trouvera plus ses mots. L’incommunicabilité et le langage déni font partie intégrante de sa poétique, et apparaissent dans d’autres écrits, notamment ses lettres.
Educación virtual y Aprendizaje en los estudiantes de Necesidades Educativas Especiales de Básica Superior
Authors: Inca Orozco Mercedes , Sánchez Hildalgo Mildred Paola 
Published: May 2023

El aprendizaje es el proceso a través del cual se modifican y adquieren habilidades, destrezas, conocimientos, conductas y valores, esto como resultado del estudio, la experiencia, la instrucción, el razonamiento y la observación.
Los ambientes virtuales de aprendizaje deben ser espacios que favorecen el aprendizaje de los estudiantes con apoyo en la tecnología, mediante la cual se genera una interacción entre los discentes y el docente. De ahí que en el presente artículo se analizó las dificultades que presentan los estudiantes con necesidades educativas especiales de la Unidad Educativa “Provincia de Chimborazo” para aprender en, con y desde la virtualidad; se aplicó un estudio de carácter descriptivo; cuantitativo mediante encuestas dirigidas a padres de familia, docentes y autoridades, cortejando la información adquirida con informes de UDAI, DIAC e informes de logros de cada estudiante, obteniendo como resultado que el aprendizaje desde la virtualidad es no es el adecuado, debido al factor económico para la adquisición de equipo de cómputo, pero el más importante la falta de conocimiento de padres de familia en el manejo de plataforma virtuales para el ingreso y acompañamiento en el desarrollo de actividades académicas virtuales, debido que la mayoría de los estudiantes son hijos de padres con instrucción primaria.
Study on the effects of sports induced injuries on Janu sandhi (knee joint) marma - A retrospective observational study
Authors: Bawa Rupali R , Chandurkar Nitin , Jamdade Nitin , Tiwari Madhulika D 
Published: May 2023

In Ayurvedic samhita, it is explained that marma viddha lakshana are caused due to aghat (trauma). Sports injuries are concerned with traumatic injuries. Comparative study of marma sharira vigyan in shalyatantra of ayurveda with modern aspects of sports medicine can aware a sportsmen about the injuries. Janu sandhi (knee joint) is the mostly used joint in various sports leading to a wide range of injuries. The aim of this study was to evaluate sports injuries especially in Janusandhi Marma and structural damage occurring in it. The viddh lakshannas(traumatic injuries) of Janu Marma are limping (Khanjata) and the objective of this study is to determine the specific injury at the knee joint that might cause limping. Total 30 patients were selected as per the inclusion and exclusion criteria mention in proforma. Observation & Results were noted with the help of Objective criteria mentioned in the proforma which included sports wise distribution, types of injury, mode of trauma, structural deformities clinical examination score and final diagnosis in study group. The result was Maximum patients had Medial Collateral Ligament involvement followed by Anterior Cruciate Ligament & Medial Meniscus injuries. Patellar injuries and Lateral Collateral Ligament injuries were comparatively less. So it was concluded that with the assessment of clinical examination score it is possible to judge the severity of trauma to janu sandhi marma and the structures involved in the traumatic injuries amongst sports athletes. This study can be helpful for deciding the treatment regime of the patient.
Phytochemical and Physicochemical analysis of Siddha polyherbal formulation KaranthaiChooranam
Authors: M Srisakthilogisha , G Nivetha , M Mohamed Mustafa , TR Siddiq Ali , NJ Muthukumar , V Mahalakshmi 
Published: May 2023

Aim: Standardization of a Siddha Poly herbal compound formulation is essential for establishing its authentication quantity and efficacy. In this present study, an attempt has been made to standardize the KaranthaiChooranam (a polyherbal formulation that contains 14 plant materials). Hence standardization of traditional drugs becomes highly essential to explore their potency and efficacy in the global market. It has been increasing public interest and acceptance of traditional medicine. Methods: Physico-Chemical analysis, Phyto-Chemical Screening, Particle Size, Pesticide Residue, and Sterility test were performed as per PLIM (Pharmacopeia Laboratory of Indian Medicine) guidelines. Results: The loss of drying of the tested drug was 105°c .KC contains 0.59% acid-insoluble ash and solubility in the water was 9.63 %. Phytochemical screening KC has shown the presence of Alkaloids, Glycosides, Saponins, Phytosterols, Fixed Oil, Resins, Phenols, Flavonoids and Tannins. Microscopic observation of the particle size analysis reveals that the average particle size of the sample was found to be 115.5 ± 42.83 μm. Conculsion: From this set of parameters, it can be concluded that it is sufficient to evaluate the authenticity of KaranthaiChooranam can be used as a reference standard for the preparation of the standardized pharmaceutical product and further quality content research. This study suggests that quality specifications of KC can be developed using parameters described in Siddha along with analytical tools available today.
Management of Amlapitta (Hyperacidity) with Patoladi kwath: A Case Study
Authors: Thakare Seema H , Jumade Prashil P , Vidhate Sneha 
Published: May 2023

Amlapitta (Hyperacidity) is one of the gastrointestinal disorders. It is closely related with food habits, behavioral pattern & life style. It is not described in basic compendium of Ayurveda like Charak samhita, Sushruta samhita & Ashtang hridaya. Its detail description is available in Madhavnidan, Kashyap samhita, Yogratnakar etc. Consumption of etiological factors leads to provocation of tridoshas & causes Agnimandya. Vitiated Agni unable to digest the food properly & leads to fermentation of food. In Amlapitta (Hyperacidity) pachak pitta is increases in its quantity & its normal bitter taste (katu) gets converted to sour (amla) taste due to fermentation of food. Tikta-Katu rasatmak drugs are mainly used for treatment as they have Aampachan & Agnideepan properties. Patoladi Kwath was used for shaman chikitsa in present case. A 42 years male patient having chief complaints of Udar-uro daha (burning sensation in abdomen & chest region), Amlodgar (Sour belching), Aruchi (Anorexia), Hrillas (feeling of Nausea), Chardi (episodes of vomiting occasionally), Udarshula (Abdonimal pain), Klama (Fatigue) & Bhrama (Vertigo) was treated with Patoladi Kwath for 15 days. Follow-up of patient was taken after each 7 days. This Kwath (Decoction) is an excellent combination of pittashamak dravyas, performs functions like Agnideepana, pachana & helps to improve digestion. After 15 days treatment, symptoms like Udar-uro daha, Amlodgar, Hrillas, Chardi, Udarshula & Bhrama got complete relief while in symptoms like Aruchi & klama relief was 80% & 75% respectively. Overall percentage of relief was found to be 90%.
A cross-sectional study on the professional excitement of Vietnamese nursing students and related factors
Authors: Ha-Thi Nhu-Xuan , Nguyen-Thi Phuong-Vy 
Published: May 2023

Objective: The profession's development requires an advanced science and skills degree. The major's excitement helps students reduce stress and become more active in their studies. As a result, excitement about the major plays an essential role in increasing the efficiency and quality of learning. This study aims to determine the level of excitement and the factors related to the significant excitement of nursing students at the University of Medicine and Pharmacy in Ho Chi Minh City.
Methods: The cross-sectional study was conducted on an online survey of 465 nursing students. Each student completed a survey about the level of excitement based on awareness, emotions, learning behaviours, and factors related to excitement in a nursing major. Descriptive statistics were used to determine the current situation of nursing students' excitement for majors and related factors, and the chi-square test was used to assess the relationships.
Results: The level of nursing students' excitement in the major evaluated through awareness, emotion, and behaviour was average (17.35 points). Factors related to academic interest include as follows: Year(s) of study (p < 0.001). The most crucial objective factor is job opportunities (89%). The most critical subjective factor is understanding the role and responsibilities of being a nurse (81.5%).
Conclusion: According to the results, nursing students' excitement in Vietnam about their major was average and tended to decrease gradually over the school years. Job opportunities and a strong understanding of the role and responsibilities of a nurse are essential factors related to students' excitement about the major.
Management of Infertility caused by Polycystic Ovarian Disease (PCOD) - A Case Report
Authors: M Yogita Chaudhari , Smita Kadu , V Chaudhari Manojkumar 
Published: May 2023

A 29-year-old Indian woman who is a housewife and has PCOD as her primary cause of secondary infertility from 5 years, has also complained of irregular menstruation cycles and occasional constipation over the same time period. Her ongoing hormonal treatment had included investigative procedures including diagnostic laparoscopy, USG, and HSG, all of which had yielded negative results, and she had ultimately been recommended for IVF. Due to her ongoing hormone treatment, she had to deal with side effects like weight, hirsutism, stress, discomfort, and more. Her prolonged hormonal treatment had resulted in adverse effects like weight, hirsutism, stress, discomfort, etc. According to Ayurveda, PCOD symptoms point to the involvement of Kapha and Vata dushti, which leads to avarodha in Artavavaha srotasa. Virechana is advised in the classical texts of Ayurveda for Yonidosha (gynaecological diseases), while Erandamooladi basti is recommended for balancing Vata dosha. It was successfully treated by Ayurvedic management with Virechana and Basti from Shodhana chikitsa (total 18 days) and Shamana chikitsa (total 21 days), which has produced positive outcomes.
The Influence of the Principal's Leadership Style on Increasing Teacher Performance at SMK Negeri 1 Tulung Selapan
Authors: Gelisa Gelisa , Handayani Susi , Rosni Azra’ie K. 
Published: May 2023

This study aims to investigate how the influence of the principal's leadership style on teacher performance at SMK NEGERI 1 Tulung Selapan. The sample used in this study was 55 respondents. Data collection techniques using questionnaires, interviews, documentation. The analysis used was by testing the reliability data, t-test, correlation, hypotension test, simple linear test, correlation coefficient test (r), coefficient of determination (r2). The results of the study prove that the Leadership Style affects teacher performance by 29.54%. R Square of 0.141 or 14.1% indicates that the variable of teacher performance that can be explained by leadership style is 14.1% while 0.859 or 85.9% is explained by other factors not explained by this study. Based on the results of a simple linear analysis of Leadership Style on Teacher Performance, the constant value (a) is 21.082 and the Leadership Style (X) has a regression coefficient of 0.268 so Y = 21.082 + 0.268X, thus Y = 21.35.
CBT (Computer Based Test) Dan Pelatihan Pembuatan Soal HOTS (High Order Thinking Skills) Untuk Guru-Guru Sma Negeri 1 Pantai Labu Deli Serdang
Authors: Fuadaturrahmah, Riski Safitri Indri Dayana, 
Published: May 2023

Sebagai Salah satu tugas guru sebagai pendidik professional di merdeka belajar adalah menilai hasil belajar siswa menekankan pada bakat dan minat siswa. Guru harus mampu mengerti tentang CBT (Computer Based Test) dan membuat soal HOTS (high order thinking skills) dalam menilai siswa menekankan ke bakat dan minat siswa. Perangkat penilaian pembelajaran berupa kisi-kisi penilaian, item butir soal tes berbasis HOTS (high order thinking skills), pedoman peskoran, dan pedoman penilaian. Berdasarkan realita di lapangan dan hasil survey awal di SMA Negeri 1 Pantai Labu, Deli serdang terdapat beberapa permasalahan terkait penilaian pembelajaran tersebut. Adapun permasalahan penilaian pembelajaran antara lain guru hanya fokus terhadap penilaian ranah kognitif saja, kemampuan guru dalam menyusun perangkat penilaian masih rendah, guru belum mampu menyusun item butir soal yang berkualitas, penilaian hanya berfokus pada hasil tanpa mempertimbangkan penilaian proses, dan penilaian yang dilakukan masih mengandung unsur subjektivitas. Berdasarkan hasil survei awal di SMA Negeri 1 Pantai Labu, Deli serdang guru-guru belum mampu menyusun perangkat penilaian pembelajaran dengan tepat. Banyak guru yang masih melakukan penilaian pada ranah kognitif saja dan mengabaikan penilaian afektif dan psikomotorik. Penyusunan item butir soal sebagai instrument penilaian ranah kognitif siswa juga belum tepat. Soal yang disusun guru sebagian besar masih menggunakan soal low order thinking skill (keterampilan berpikir rendah). Atas dasar itu dilakukan Pengabdian kepada Masyarakat dengan tujuan menyusun perangkat penilaian pembelajaran dengan tepat. PkM ini dilaksanakan pada 19 Mei 2022 melalui pelatihan tatap muka. Hasil yang diperoleh yaitu adanya peningkatan pemahaman dan ketrampilan guru terkait menyusun perangkat penilaian pembelajaran dengan tepat. Sebelum adanya pelatihan, rata-rata pemahaman guru tentang CBT (Computer Based Test) (computer based test) dan pembuatan soal HOTS (high order thinking skills) memperoleh nilai 60, sedangkan setelah diberi pelatihan menjadi 80. Keterampilan guru dalam membuat menyusun perangkat penilaian pembelajaran juga meningkat dibuktikan dengan produk berupa kisi-kisi penilaian, item butir soal tes berbasis HOTS (high order thinking skills), pedoman peskoran, dan pedoman penilaian yang wajib dibuat oleh peserta pelatihan.