bluuebunny/crossref_metadata_2025_split huggingface dataset:
PESQUISA CONVERGENTE ASSISTENCIAL: POTENCIALIDADES DO MÉTODO PARA IMPLEMENTAÇÃO DA SISTEMATIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM
Authors: Alves Almeida Bastos, Rosangela , Mirim Lopes Costa Marta , Anderson de Oliveira Cruz Ronny , Das Chagas Alves de Almeida Francisca , Vieira Lordão Alana , Clementino Gomes Felipe 
Published: May 2023

Objetivo: Relatar as potencialidades da pesquisa convergente assistencial para a implementação da Sistematização da Assistência de Enfermagem em uma Unidade de Pronto Atendimento. Método: Trata-se de um relato de experiência do processo de implementação da sistematização da assistência de enfermagem que utilizou o método da Pesquisa Convergente Assistencial em uma Unidade de Pronto Atendimento com vistas a atender a legislação em Enfermagem, promover mudanças e qualificar o cuidado e assim, corroborar para inserção de inovações nas práticas de saúde fortalecendo o saber e o fazer da equipe de Enfermagem. Resultados: Após discussões coletivas com todos os atores envolvidos e a realização de oficinas para capacitar acerca da temática, os enfermeiros puderam repensar e reconstruir competências. Foi possível identificar as possíveis nuances que dificultavam a implementação das práticas assistenciais por meio do Processo de Enfermagem, bem como reforçar estratégias de motivação, conscientização e contribuições consideráveis no que concerne à qualificação do cuidado, uma vez que a implementação da Sistematização da Assistência de Enfermagem contribui para o reconhecimento profissional, crescimento e solidificação da Enfermagem enquanto ciência. Considerações Finais: A Pesquisa Convergente Assistencial permiti mudanças na prática assistencial em saúde, mantendo durante o processo uma estreita relação entre pesquisa e assistência com o propósito de encontrar alternativas para solucionar problemas e introduzir inovações no contexto da prática em que se faz utilização do método.
Early versus late decompressive craniectomy in large middle cerebral arterial infarct- A stitch in time saves nine
Authors: Degaonkar Amol Vijay , Gupta Vijay Kumar , Carvalho Ajay Sebastian , Sareen Rateesh 
Published: May 2023

Introduction: The etiology of malignant MCA infarctions is mostly due to thrombosis or embolic occlusion of either the internal carotid artery or the proximal MCA. The cornerstone of ischemic stroke diagnosis remains the history and neurological examination. A prospective study to compare outcome of early verses late decompression craniotomy was done at a tertiary care hospital in India.
Materials and methods: A prospective observational study in the neurosurgical department of a tertiary care hospital of India, for a period of 3 years from 2018-2021. A total of 30 patients (15 each for early and late decompressive craniectomy respectively) were included in study after fulfilling inclusion criteria. The patients were followed up for next 6 months with neuro examination and score making done after every 1 month, 3 months and 6 months of-decompressive craniotomy. To find the significance between early and late group of patients we have used 2 independent sample t-test for age. For MRS and Barthal index at 1st month, 3rd month and 6th month, Hospital stay we have used Mann-Whitney U test (Non-parametric test) because the data type is ordinal or not following normal Distribution/ skewed. All statistical test performed at 5% level of significance so the p-value < 0.05 considered as significant.
Results: The majority of patients were male in both the groups – early group 9 (60%) and late group 12 (80%). The mean age group for early and late groups was 44.07 and 42.87 years respectively. The comparison of MRS score in early and late group was not statistically significant at 1st month of follow up, however it showed significant difference at 2nd and 6th month respectively. MRS score with respect to affected side, in both the early and late group showed statistically significant difference at 6 months of follow up respectively. The Barthel index with respect to affected side showed significant difference in early group whereas in the late group significant difference was seen at 6th month of follow up only. The outcome of patients was not affected by side of involvement in both groups early as well as late. The mean hospital stay in early group was 14.8 days in comparison to late group where it was 42.47 days.
Conclusion: The results of the present study indicate that early surgical intervention for decompression craniectomy in cases of MCA infarct have better outcome than late intervention with shorter hospital stay better functional outcome at discharge and 6 months post discharge.
Investigating Students’ Understanding of Complex Number and Its Relation to Algebraic Group Using and APOS Theory
Authors: Longe Idowu Oluwaseun , Maharaj Aneshkumar 
Published: May 2023

This study focused on students’ inability to correctly use psychometric tests applied for complex numbers in the context of generating an Algebraic abelian group (closure, commutative, associatively, inverse, and identity). This was done using a psychometric test (Kuder and Richardson formula) and APOS Theory after they had been taught the relevant content. The 41 participants were second-year students in the Department of Statistics at the Federal Polytechnic Ile-Oluji. They were given a class test comprising eleven (11) objective questions, and 4 questions relating to group theory were extracted for this analysis. After that, six (6) students were interviewed to gain insight into their perspectives. It was observed that most of the students had difficulty understanding the concept of algebraic groups about complex numbers, founded on not seeing the relevance in the prerequisite knowledge of an algebraic group. Also, if the reliability test of the question is unacceptable, then a good percentage of the participant lacked the mental construction relating to APOS to answer such a question.
Keywords: Complex Number, Algebraic group, Prerequisite, Difficulty, Discrimination index, Psychometrics.
Rheumatic Carditis Presented with Only Palpitation
Authors: ASLAN Eyüp , KARADENİZ Cem 
Published: May 2023

Acute rheumatic fever (ARF) remains a serious problem for public health, and it is common in developing countries. It has a wide range of presentation and in some settings it can appear a dramatic event. Various rhythm problems such as first, second and third-degree atrioventricular blocks, premature contractions, accelerated junctional rhythm, ventricular tachycardia, and Torsades de pointes may occur during the acute stage of the disease.
We report a case of narrow QRS tachycardia in whom a palpitation was the only symptom of rheumatic carditis. The tachycardia returns to normal after the disease becomes inactive with acetylsalicylic acid treatment.
Metode Dakwah Dr. KH. Asep Saifuddin Chalim, MA
Authors: Yanti Reni Puspita 
Published: May 2023

Dalam pelaksanaan metode dakwah di suatu lembaga pendidikan Islam seperti pondok pesantren, peran seorang Kiai sangat penting dalam menentukan keberhasilan. Seorang Kiai atau pemimpin pondok pesantren dituntut untuk memiliki kemampuan dan kepandaian dalam perannanya sebagai pendakwah agar pesan dakwah tersampaikan kepada para objek dakwah ( santri) secara efektif dan efisien serta tepat sasaran. Peryataan di atas menimbulkan petanyaan bagi peneliti. Bagaimana konsep metode dakwah Dr. KH. Asep Saifuddin Chalim, MA di Pondok Pesantren Aamanatul Ummah Pacet- Mojokerto? Bagaimana penerapan metode dakwah Dr. KH. Asep Saifuddin Chalim, MA? Dan hambatan-hambatan apa saja yang dihadapi dalam menerapkan metode dakwah tersebut.Penelitian yang peneliti lakukan ini mengunakan teknik metode kualitatif, dengan pendekatan pada analisis Interaksi Simbolik. Proses pengumpulan data menggunakan teknik deskritif analitik yaitu data yang dikumpulkan berupa kata-kata, gambar, dokumentasi dan bukan angka-angka.Yang diperoleh dari hasil observasi, wawancara yang mendalam dengan narasumber dan dokumentasi yang akan menghasilkan penafsiran bagi peneliti.
Anselm Kiefer’in resimlerinde materyal kullanımı; saman ve kurşun
Authors: Doğan Samet 
Published: May 2023

İkinci Dünya Savaşı tüm dünyada büyük tahribatlar ve yıkımlar oluştururken, dönemin sanat anlayışını da etkilemiştir. Bu etkileri tüm boyutlarıyla eserlerine yansıtan birçok sanatçı farklı duyarlılık biçimleri geliştirerek sanatlarını oluşturmuşlardır. Bu sanatçılar arasında ön plana çıkan Anselm Kiefer günümüz sanat dünyasının yaşayan en önemli sanatçılarından biri olarak anılır. Eserleri yakın dönem Alman tarihini, Nazi Döneminin yıkım ve şiddetini konu alır. Bu konular etrafında ele aldığı eserleri aynı zamanda farklı dünya kültürlerine ait mitler, söylenceler ve hikayeleri de içerir. Kiefer’in eserlerinde kullandığı sıra dışı yöntemler ve materyal kullanımı onu kendi çağdaşlarından ayıran en önemli özelliktir. Eritilmiş kurşun ve samanın yanı sıra birçok doğal ve kimyasal elementlerden faydalanan sanatçı, tüm bu materyalleri devasa ölçekte resimlerine entegre ederek farklı bir anlatım dili geliştirmiştir.
Anselm Kiefer’in eserlerinde kullandığı malzemelerin sembolik bağıntılarını ve kullanım yöntemlerini ele alan bu makale, temel olarak sanatçının tuval resimlerindeki saman ve kurşun kullanımlarına odaklanmıştır. Bu kapsamda sanatçının saman ve kurşun kullanarak oluşturduğu eserleri tüm yönleriyle araştırılmış, söz konusu malzemelerin Kiefer’in sanatsal pratiklerindeki yeri ve önemini belirlemeye çalışmıştır. Çalışmanın ilk bölümünde Kiefer’in sanatçı kişiliği, sanatsal yaklaşımları ve eserlerindeki tematik yaklaşımlar incelenmiştir. Sonraki bölümde eserlerinde kullandığı materyallerin türleri, bu materyallerin sanatçı açısından önemi ve bu materyallerin icra biçimleri ele alınmıştır. Çalışmanın son bölümünde ise sanatçının saman ve kurşun kullanımına dönük pratikleri incelenmiş, bu malzemelerin sembolik, tarihsel ve metaforik anlamları, eserlerindeki kullanım biçimleri, konuyla ilişkileri eserlerle olan bağıntıları örnek eserler eşliğinde çözümlenmeye çalışılmıştır.
Causes of fatal traumatic brain injury in Finland
Authors: Posti Jussi P. , Cajanus Kristiina , Tornio Aleksi , Ruuskanen Jori O. , Luoto Teemu M. , Rautava Päivi , Kytö Ville 
Published: May 2023

OBJECTIVE
The phenotype of patients who suffer fatal traumatic brain injury (TBI) is poorly characterized. The authors examined the external causes, contributing diseases, and preinjury medication in adult patients with fatal TBI in a nationwide Finnish cohort.

METHODS
Deaths caused by TBIs in Finland were examined among decedents aged ≥ 16 years during 2005–2020 from the national Cause of Death Registry. Usage of prescription medications prior to TBI was studied using medication purchase data from the Social Insurance Institution of Finland.

RESULTS
The cohort consisted of 71,488,347 person-years, 821,259 total deaths, and 14,630 TBI-related deaths during 2005–2020, of which 67% (n = 9792) occurred in men. Women were older than men among those who suffered TBI-related death (mean age 77.2 ± 17.1 vs 64.5 ± 19.5 years, p < 0.0001). The overall crude incidence rate of fatal TBIs was 20.5/100,000 person-years (28.1/100,000 in men and 13.2/100,000 in women). TBI was the cause of death in 1.8% of all deaths in the Finnish population during the study years, but in patients aged 16–19 years, TBIs caused more than 17% of all deaths. The most common external cause of fatal TBI was a fall (70%), followed by poisoning or toxic effects (20%) and violence or self-harm (15%) overall. In men, the order of the most common causes of fatal TBI was similar to overall results (64%, 25%, and 19%, respectively), while in women, the most common cause was a fall (82%), followed by complications in healthcare (10%) and poisoning or toxic effects (9%). Cardiovascular diseases, psychiatric diseases, and infections were the most common diseases contributing to death. Blood pressure (lowering) medications were the most common type of medications used before fatal TBI. CNS medications were the second most common medication group. In the context of fatal TBI in Europe, Finland remains at the upper end of fatal TBI incidence.

CONCLUSIONS
TBI is a common cause of death in young adults, whereas the incidence of fatal TBI becomes increasingly higher with age in Finland. Cardiovascular diseases and psychiatric conditions were the most common diseases related to death, with opposite age trends. Healthcare facility complications were an alarmingly common cause of death in women with fatal TBI.
Outcomes and surgical approaches for pineal region tumors in children: 30 years’ experience
Authors: Cavalheiro Sergio , Valsechi Linoel Curado , Dastoli Patricia Alessandra , Nicácio Jardel Mendonça , Cappellano Andrea Maria , Saba da Silva Nasjla , Silva da Costa Marcos Devanir 
Published: May 2023

OBJECTIVE
Pineal region tumors account for 2.7%–11% of all CNS tumors in children. In this series, the authors present their surgical results and long-term outcomes from a pediatric pineal region tumor cohort.

METHODS
A total of 151 children aged 0–18 years were treated from 1991 to 2020. Tumor markers were collected in all patients; if positive, chemotherapy was performed, and if negative, biopsy was performed, preferably endoscopically. Resection was performed when there was a residual germ cell tumor (GCT) lesion after chemotherapy.

RESULTS
The distribution based on histological type, as verified by markers, biopsy, or surgery, was germinoma (33.1%), nongerminomatous GCT (NGGCT) (27.2%), pineoblastoma (22.5%), glioma (12.6%), and embryonal tumor (atypical teratoid rhabdoid tumor) (3.3%). A total of 97 patients underwent resection, and gross-total resection (GTR) was achieved in 64%; the highest GTR rate (76.6%) was found in patients with GCTs, and the lowest (30.8%) was found in those with gliomas. The supracerebellar infratentorial approach (SCITA) was the most common, performed in 53.6% of patients, followed by the occipital transtentorial approach (OTA), performed in 24.7% of patients. Lesions were biopsied in 70 patients, and the diagnostic accuracy was 91.4. The overall survival (OS) rates at 12, 24, and 60 months as stratified by histological type were 93.7%, 93.7%, and 88% for patients with germinomas; 84.5%, 63.5%, and 40.7% for patients with pineoblastomas; 89.4%, 80.8%, and 67.2% for patients with NGGCTs; 89.4%, 78.2%, and 72.6% for patients with gliomas; and 40%, 20%, and 0% for patients with embryonal tumors, respectively (p < 0001). The OS at 60 months was significantly higher in the group with GTR (69.7%) than in the group with subtotal resection (40.8%) (p = 0.04). The 5-year progression-free survival was 77% for patients with germinomas, 72.6% for patients with gliomas, 50.8% for patients with NGGCTs, and 38.9% for patients with pineoblastomas.

CONCLUSIONS
The efficacy of resection varies by histological type, and complete resection is associated with higher OS rates. Endoscopic biopsy is the method of choice for patients presenting with negative tumor markers and hydrocephalus. For tumors restricted to the midline and with extension to the third ventricle, a SCITA is preferred, whereas for lesions with extension toward the fourth ventricle, an OTA is preferred.
Return-to-learn after sport-related concussion: does school level matter?
Authors: Jo Jacob , Williams Kristen L. , Hill Tyler M. , Perry Garrett M. , Prosak Olivia L. , Amedy Amad , Anesi Trevor J. , Terry Douglas P. , Zuckerman Scott L. 
Published: May 2023

OBJECTIVE
Return-to-learn (RTL) after sport-related concussion (SRC) is an important yet understudied topic. The authors sought to do the following: 1) describe patterns of RTL among athletes by school level (i.e., middle school, high school, college); and 2) evaluate the predictive value of school level on RTL duration.

METHODS
A retrospective, single-institution cohort study of adolescent and young adult athletes 12–23 years old who sustained an SRC between November 2017 and April 2022 and who presented to a multidisciplinary specialty concussion clinic was conducted. The independent variable was school level, trichotomized into middle school, high school, and college. Time to RTL was the primary outcome and was defined as days from SRC to return to any academic activities. ANOVA was used to compare RTL duration across school levels. A multivariable linear regression was performed to evaluate for predictive value of school level on RTL duration. Covariates included the following: sex, race/ethnicity, learning disorder, psychiatric conditions, migraines, family history of psychiatric conditions/migraines, initial Post-Concussion Symptom Scale score, and number of prior concussions.

RESULTS
Of 1007 total athletes, 116 (11.5%) were in middle school, 835 (83.0%) were in high school, and 56 (5.6%) were in college. The mean RTL times (in days) were as follows: 8.0 ± 13.1 (middle school), 8.5 ± 13.7 (high school), and 15.6 ± 22.3 (college). One-way ANOVA showed a statistically significant difference between groups (F[2, 1007] = 6.93, p = 0.001). A Tukey post hoc test revealed a longer RTL duration in collegiate athletes when compared to middle school (p = 0.003) and high school (p < 0.001) athletes. Collegiate athletes had longer RTL duration compared to other school levels (β = 0.14, p < 0.001). There was no difference between middle school and high school athletes (p = 0.935). The subanalysis revealed a longer RTL duration in high school freshmen/sophomores (9.5 ± 14.9 days) when compared to juniors/seniors (7.6 ± 12.6 days; t = 2.05, p = 0.041), and being an older (junior/senior) high school athlete was predictive of shorter RTL duration (β = −0.11, p = 0.011).

CONCLUSIONS
When examining patients who presented to a multidisciplinary sport concussion center, RTL duration was longer in collegiate athletes when compared to middle and high school athletes. Younger high school athletes had longer time to RTL compared to their older counterparts. This study provides insight into how varying scholastic environments may contribute to RTL.
Safety and clinical efficacy of immune checkpoint inhibition and stereotactic body radiotherapy in patients with spine metastasis
Authors: Lee Emerson , Chen Xuguang , LeCompte Michael C. , Kleinberg Lawrence R. , Hales Russell K. , Voong Khinh Ranh , Forde Patrick M. , Brahmer Julie R. , Markowski Mark C. , Lipson Evan J. , Lee Sang Hun , Bydon Ali , Lo Sheng-Fu Larry , Lubelski Daniel , Redmond Kristin J. 
Published: May 2023

OBJECTIVE
Immunotherapy, particularly immune checkpoint inhibitors (ICIs), has revolutionized the treatment of patients with many tumor histologies. Simultaneously, stereotactic body radiotherapy (SBRT) provides excellent local control (LC) and plays an important role in the management of spine metastasis. Promising preclinical work suggests the potential therapeutic benefit of combining SBRT with ICI therapy, but the safety profile of combined therapy is unclear. This study aimed to evaluate the toxicity profile associated with ICI in patients receiving SBRT and, secondarily, whether ICI administration sequence with respect to SBRT affects LC or overall survival (OS) outcomes.

METHODS
The authors retrospectively reviewed patients with spine metastasis treated with SBRT at an academic center. Patients who received ICI at any point during their disease course were compared to those with the same primary tumor types who did not receive ICI by using Cox proportional hazards analyses. Primary outcomes were long-term sequelae, including radiation-induced spinal cord myelopathy, esophageal stricture, and bowel obstruction. Secondarily, models were created to evaluate OS and LC in the cohort.

RESULTS
Two hundred forty patients who received SBRT to 299 spine metastases were included in this study. The most common primary tumor types were non–small cell lung cancer (n = 59 [24.6%]) and renal cell carcinoma (n = 55 [22.9%]). One hundred eight patients received at least 1 dose of ICI, with the most common regimen being single-agent anti–PD-1 (n = 80 [74.1%]), followed by combination CTLA-4/PD-1 inhibitors (n = 19 [17.6%]). Three patients experienced long-term radiation-induced sequelae: 2 had esophageal stricture and 1 had bowel obstruction. No patients developed radiation-induced myelopathy. There was no association between receipt of ICI and development of any of these adverse events (p > 0.9). Similarly, ICI was not significantly associated with either LC (p = 0.3) or OS (p = 0.6). In the entire cohort, patients who received ICI prior to beginning SBRT had worse median survival, but ICI sequence with respect to SBRT was not significantly prognostic of either LC (p > 0.3) or OS (p > 0.07); instead, baseline performance status was most predictive of OS (HR 1.38, 95% CI 1.07–1.78, p = 0.012).

CONCLUSIONS
Treatment regimens that combine ICIs before, concurrent with, and after SBRT for spine metastases are safe, with minimal risk for increased rates of long-term toxicity.
Towards ontology of states: Experiencer verbs in Bulgarian
Authors: Tisheva Y. , Dzhonova M. 
Published: May 2023

The internal structure of the situations described by verbs or verbal phrases determines the lexical aspect (or Aktionsart) of the particular predicate. The main topic of our study is the syntactic structure of verbal predicates denoting perceptions, emotions, and mental states,
e.g. гледам (see), чувам (hear); обичам (love), обожавам (adore), радвам се (be happy/glad), безпокоя се (worry), плаша се (be afraid/scared); желая (desire), вярвам (believe). The objectives of our study are to propose a syntactic model of state predicates
represented by verbs of perception, emotions, and mental states and to determine the number, type, and semantics of their arguments (subject, direct, and indirect objects). Our aim is also to test the hypothesis of dependence between lexical semantics and syntactic
realizations of state predicates.
Novel approaches to contemporary minority language revitalization
Authors: Nagy L. , Hortobagyi I. 
Published: May 2023

The challenges faced by minority languages in the contemporary linguistic landscape have been a relevant topic for several years. With global languages claiming an increasing share of speakers, smaller, community-based languages have been neglected in favor of a lingua
franca. The paper aims to present a few possible ways in which this linguistic exposure can be transformed into a potential boon for language education and maintenance in smaller language communities, rather than this being a hindrance. The research relies on methods
of scrutiny present in all forms of the media-oriented towards achieving an increased usage and recognition of apparently neglected languages.
PENGARUH PERSEPSI KEMUDAHAN PENGGUNAAN, EFEKTIVITAS DAN RISIKO TERHADAP MINAT BERTRANSAKSI MENGGUNAKAN APLIKASI OVO STUDI PADA MAHASISWA S1 UNIVERSITAS SARJANAWIYATA TAMANSISWA
Authors: Nasir Fatma 
Published: May 2023

Penelitian ini dilaksanakan untuk menganalisis variabel-variabel yang mempengaruhi minat bertransaksi menggunakan aplikasi OVO. Variabel independen terdiri dari Persepsi Kemudahan Penggunaan (X1), Efektivitas (X2) dan Risiko (X3). Variabel dependen adalah Minat Bertransaksi Menggunakan Aplikasi OVO (Y).
Kriteria yang dijadikan sampel dalam penelitian ini adalah Mahasiswa S1 Universitas Sarjanawiyata Tamansiswa periode 2016-2020, pernah bertransaksi menggunakan aplikasi uang elektronik OVO dengan masa penggunaan minimal selama satu bulan. Pengumpulan data pada penelitian ini dilakukan secara online dengan menyebarkan survei kuisioner menggunakan Google Form kepada minimal 105 orang. Teknik pengambilan sampel yang digunakan adalahpurposive sampling. Alat analisis yang digunakan adalah SPSS 23. Hasil ini menunjukkan bahwa persepsi kemudahan penggunaan berpengaruh positif dan signifikan terhadap minat bertransaksi minat bertransaksi menggunakan aplikasi OVO. Efektifitas berpengaruh signifikan negatif terhadap minat bertransaksi menggunakan aplikasi OVO. Risiko berpengaruh signifikan negatif terhadap minat bertransaksi menggunakan aplikasi OVO. Secara simultan variabel persepsi kemudahan penggunaan, efektivitas dan risiko secara bersama-sama berpengaruh terhadap minat bertransaksi menggunakan aplikasi OVO.