bluuebunny/crossref_metadata_2025_split huggingface dataset:
Membangun Gerakan Mutu Dalam Penjaminan Kualitas Lembaga Pendidikan Islam
Authors: Zunairoh Dewi Luthfiana , Muhajir As'aril , Mutohar Prim Masrokan 
Published: September 2023

Abstrak: Membangun gerakan mutu pendidikan tidak hanya pada satu aspek saja, akan tetapi mencakup segala aspek yang berkaitan dalam proses pendidikan .Mutu pendidikan menjadi bagian pertama yang dilihat dalam pemberian kritik saran perbaikan dan pemilihan lembaga pendidikan untuk dijadikan tempat menimba ilmu pengetahuan. Penelitian ini bertujuan untuk mengetahui bagaiman SMK AL FALAH WINONG membangun gerakan mutu dalam penjaminan kualitas lembaganya. Jenis penelitian yang digunakan adalah penelitian lapangan dengan pendekatan kualitatif. Teknik pengumpulan data yang digunakan yaitu melalui wawancara, observasi, dokumentasi dan catatan lapangan. Hasil Penelitian ini menunjukkan bahwa : 1).Gerakan mutu yang dilaksanakan di SMK AL –FALAH Winong mencakup gerakan mutu input, proses dan output yang pelaksanaannya menjadi tanggung jawab semua warga sekolah. 2).Pembangunan gerakan mutu dalam menjamin kualitas lembaga pendidikan islam SMK AL-FALAH WINONG berpedoman pada Sistem Manajemen Mutu berbasis IS0 9001 : 2015 . 3).Keberhasilan pembangunan gerakan mutu dalam menjamin kualitas lembaga pendidikan akan tercapai jika fungsi-fungsi manajemen dalam lembaga pendidikan berjalan secara sistematis. Tulisan ini memberikan kontribusi signifikan baik secara teoritis maupun praktis. Secara teoritis, menambah temuan baru tentang “Membangun Gerakan Mutu Dalam Penjaminan Kualitas Lembaga Pendidikan Islam” yang relevan untuk diimplementasikan di Indonesia. Secara praktis, memberikan pemahaman baru kepada kepala dan para stakeholder dalam mengelola lembaga pendidikannya sehingga dapat mewujudkan lembaga pendidikan islam yang bermutu dan berkualitas.
Assessment of cognitive impairment in patients with ONMC on the background of coronary artery bypass grafting
Authors: Komissarova N. V. , Valetdinov D. A. , Adilov R. R. , Perevozchikova A. V. 
Published: September 2023

Relevance. Coronary artery bypass grafting (CABG) is one of the main methods of surgical treatment of coronary heart disease and is performed in order to restore perfusion and improve the functional state of the myocardium. According to the literature, CABG has a high percentage of neurological complications. About 80 % of patients in the postoperative period have mild or moderate brain damage, which is manifested primarily by cognitive decline. One of these complications is an acute violation of cerebral circulation (ONMC).Study aim. To compare patients with ONMC after CABG and patients with ONMC, which were based on other reasons for the leading impaired cognitive functions and to assess cognitive impairment.Material and methods. The severity of cognitive impairment in patients with a history of CABG was studied using the MoCA test scale, comparing the results obtained with the data of stroke patients without CABG.Results. Significantly more often patients (ONMC with CABG) tests on visual-constructive skills, on the skills of "Delayed reproduction" performed worse. Memory".Conclusion. In patients with ONMC with CABG in the anamnesis, visual disturbances were observed 2 times more often. Based on the data obtained, it can be concluded that CABG surgery significantly affects the degree of impairment of visual-constructive skills and delayed reproduction (memory) in ONMC, which is the basis for further, more in-depth study of this problem.
Effectiveness of simultaneous surgical treatment of patients with tuberculosis of multiple localizations: respiratory organs and lumbar spine
Authors: Khomenko V. A. , Guseynov T. Sh. , Tarasov R. V. , Chitorelidze G. V. , Asoyan G. A. , Khozikov А. S. , Bagirov M. A. 
Published: September 2023

Objective: to show the effectiveness of simultaneous surgical treatment of patients with tuberculosis of multiple localizations: tuberculosis of the lungs and the lumbar spine.Materials and Methods. Simultaneous surgical treatment was performed in 24 patients. Evaluation of the effectiveness of treatment was carried out according to the signs of the early and later (after 12 months) postoperative period. Operational material for detection microbiologically and morphologically to determine its causative agent, drug sensitivity and inflammation activity.Results: the effectiveness of simultaneous surgical treatment was 87.3 %. The number of complications in the early postoperative period was 8.4 % (n = 2), in the late 4.2 % (n = 1). According to the results of the examination of the surgical material, tuberculosis was confirmed in 20 patients (83.3 %), both in the bone structure and in the lung tissue. In 4 (16.7 %) patients, nonspecific inflammation of the bone structure was noted.Conclusion: Simultaneous surgical treatment of tuberculosis of the lungs and lumbar spine is a highly effective method of treating tuberculosis of multiple localizations. It is possible to recommend the use of simultaneous surgical treatment for simultaneous sanitization of foci of infection, both in the lung tissue and in the spine.
Structural changes of medium-tech economic sectors under digital transformation of industry
Authors: Seliverstova N. S. , Shkutko O. N. , Grigoryeva O. V. 
Published: September 2023

Objective: to describe certain structural changes in industry influenced by digitalization.Methods: general scientific, abstract-logical, dialectical, phenomenological methods, observation, and description.Results: the general statistical characteristics of digitalization in the processing industry are shown, based on the meta-analysis by HSE and Rosstat; two directions of structural changes in industry influenced by digitalization are identified: the growing digital maturity and increased use of the Russian solutions in the field of software and information-telecommunication technologies in general, including the respective equipment; and digitalization of communication processes in the field of sustainable development. Two technological features of industry digitalization are identified, namely: the platform nature and the use of the Russian technological solutions for further industry digitalization.Scientific novelty: it is proposed to consider the digital maturity indicators as an integral indicator of the development of a homogeneous group of economic agents; two directions of structural changes in the industrial sector among medium-tech industries are shown: firstly, the digital maturity growth and the increased use of the Russian solutions in the field of software and information-telecommunication technologies equipment; secondly, digitalization communication processes in the field of sustainable development.Practical significance: the clarification of the interrelationships between the processes of digitalization and industrial development will not only allow a more structured approach to the development of industrial policy research programs for medium-tech industries, but will also create a basis for deepening existing knowledge in this area (which can be used both in industrial companies themselves and in regional, federal, and international projects on digital transformation).
An Objective Index for Rainy Season Onset and Withdrawal Dates Over the Mexico Valley Basin
Authors: Sanchez Rodrigo Muñoz , Ordoñez Paulina , Puyol David Gallego , Ochoa-Moya Carlos A. 
Published: September 2023

Abstract
This work aims to define an index to declare rainy season onset and withdrawal dates for the Mexico Valley Basin, located in central Mexico. The onset/withdrawal is obtained using only precipitation for the study period 1981-2020. The onset is defined as the first day, between May 1st and July 15th, of the first 20 consecutive days having a 20-day average precipitation over the Basin of at least 2.5 mm/day. The withdrawal is defined as the last day, between September 1st and November 15th, of the last 20 consecutive days having a 20-day average precipitation of at least 1.7 mm/day. The mean onset is June 6, with a standard deviation of 14.3 days; the mean withdrawal date is October 15, with a standard deviation of 16.1 days; and the average length of the rainy season is 131 days, with a standard deviation of 22.7 days. These criteria maximize the precipitation change slope during onset/withdrawal. We categorized pre- and post-onset/withdrawal periods to investigate mean circulation characteristic changes. Besides a stark increase (decrease) in rainfall over the Basin during onset (withdrawal), we found that vertically integrated moisture transport over the Caribbean Low-Level Jet core region increases (decreases). The onset/withdrawal dates derived show interannual trends, while a late (early) withdrawal is associated with a positive (negative) ENSO Index, and a strong (weak) Caribbean Lower Level Jet (CLLJ) is associated with a late (early) onset.
Sub-Saharan Africa needs better agronomy to meet maize demand without massive cropland expansion and imports
Authors: Grassini Patricio , Aramburu-Merlos Fernando , Tenorio Fatima , Mashingaidze Nester , Sananka Alex , Aston Stephen , Ojeda Jonathan 
Published: September 2023

Abstract

Maize demand in sub-Saharan Africa will increase 2.3 times during the next 30 years driven by demographic and dietary changes. Over the past two decades, the area cropped with maize has expanded by 17 million hectares in the region, with little improvement in farmer yields. If these trends persist, massive increase in maize area and/or imports will be needed to meet domestic demand. Here we used data collected from 13,364 smallholder fields to identify agronomic practices that can promptly deliver large on-farm yield gains. We show that good agronomic practices regarding nutrient, crop management, and cultivar selection can more than double on-farm yields and provide an additional 93 million tons of maize within current cropland. Given the magnitude and urgency of the challenge ahead, agricultural research and development investments must be re-oriented towards agricultural practices with proven capacity to raise yields in farmer fields.
The MyoKinetic prosthetic hand: Implanted magnets restore grasping in humans with upper limb amputation
Authors: Cipriani Christian , Gherardini Marta , Ianniciello Valerio , Masiero Federico , Paggetti Flavia , D'Accolti Daniele , Frazia Eliana La , Mani Olimpia , Dalise Stefania , Fragapane Noemi , Maggiani Luca , Ipponi Edoardo , Controzzi Marco , Nicastro Manuela , Chisari Carmelo , Andreani Lorenzo , Dejanovic Katarina 
Published: September 2023

Abstract
The loss of a hand disrupts the sophisticated neural pathways between the brain and the hand, severely affecting the level of autonomy of the patient and the ability to perform daily, work and social activities. Recent years have witnessed a rapid evolution of surgical techniques and technologies aimed at restoring dexterous motor functions akin to those of the human hand through bionic solutions. These approaches mainly rely on probing electrical signals from the residual nerves and muscles for achieving control. Here we report on the first clinical implementation of a novel interface aimed at achieving this goal by exploiting muscle deformation, sensed through passive magnetic implants: the myokinetic interface. One participant with a transradial amputation received the implantation of six permanent magnets in three muscles of the residual limb. For the first time, a truly self-contained myokinetic prosthetic arm which embedded all hardware components and the battery within the prosthetic socket, was developed. By retrieving muscle deformation caused by voluntary contraction through magnet localization, we were able to control in real-time a dexterous robotic hand following both a direct control strategy and a pattern recognition approach. In just six weeks, the participant successfully completed full batches of functional tests, achieving scores similar to standard of care solutions with comparable physical and mental workload. We are aware that this first experience raised conceptual and technical limits of the interface, which nevertheless pave the way for further investigations in a partially unexplored field. It also undoubtedly demonstrates a new viable possibility for interfacing humans with robotic technologies in an intuitive way.
Evidence of Molecular Hydrogen in the N-doped LuH3 System: a Possible Path to Superconductivity?
Authors: Tresca Cesare , Forcella Pietro Maria , Angeletti Andrea , Ranalli Luigi , Franchini Cesare , Reticcioli Michele , Profeta Gianni 
Published: September 2023

Abstract

The report of near-ambient superconductivity in nitrogen-doped lutetium hydrides could represent an epochal discovery, awaited for more than a century, possibly leading to inconceivable scientific and technological implications.
However, after months since the first report, clear experimental and theoretical confirmations are yet to come: The initially proposed compound structure fails to explain the superconducting behavior, calling for a shift in perspective.
By means of machine-learning-accelerated force-field molecular dynamics, we explore the formation of H$_2$ molecules in nitrogen-doped lutetium hydride, demonstrating the active role of nitrogen in stabilizing this phase.
Our density functional theory calculations show that the presence of hydrogen molecules leads to a dynamically stable structure, characterized by a superconducting phase requiring no applied pressure, although the predicted temperatures are still much lower than room temperature.
We believe that the possibility to stabilize hydrogen in molecular form represents a new route to explore disordered phases in hydrides and their transport properties at near ambient conditions.
The impact of pediatric intensivists on the management of severe pediatric diabetic ketoacidosis in pediatric intensive care units
Authors: Choi Ah Young , Park Esther 
Published: September 2023

Abstract
Introduction
The impact of pediatric intensivists on the management of pediatric patients with diabetic ketoacidosis (DKA) remains unknown. This study aimed to evaluate the impact of pediatric intensivists on outcomes in pediatric intensive care units (PICUs).
Methods
This was a two-institution retrospective study of patients with DKA admitted to the PICU between 2012 and 2023. Pediatric patients (< 19 years of age) were included if they met the criteria for severe DKA on PICU admission. The patients were subsequently divided into two groups based on the presence or absence of a pediatric intensivist. The primary outcome was the PICU length of stay (LOS). Secondary outcomes were adverse effects during DKA treatment, hospital LOS, time to DKA resolution, and mortality.
Results
Thirty-two patients admitted to the PICU with a median age of 11.50 years (range 0–18 years) were included; 18 (56.3%) were female. Patients managed by pediatric intensivists had significantly shorter PICU LOS (2.40 vs. 4.87 days, p < 0.05). Neither group had a significant difference in time to DKA resolution or in hospital LOS. However, adverse effects during DKA treatment were significantly decreased in the high-intensity group compared to the low-intensity group (7.7% vs. 52.6%, p < 0.05).
Conclusions
Management of DKA patients by pediatric intensivists can reduce the PICU LOS with significant improvement in DKA treatment complications.
Reliability, Validity and Distribution of the Spanish Female Sexual Function Index in Women with Multiple Sclerosis
Authors: Gil-Perotin Sara , Reddam Salma , González-Mingot Cristina , Gil-Sánchez Anna , González-Suarez Inés , Peralta Silvia , Escrivá Patricia , Barea-Moya Lucas , Sánchez-Sánchez Beatriz 
Published: September 2023

Abstract
The Spanish Female Sexual Function Index (FSFI) is a widely used scale to assess sexual dysfunction (SD), but its validation in Spanish women with multiple sclerosis (MS) has not been done. This cross-sectional multicenter study aimed to investigate the psychometric properties of the 19-item Spanish version of FSFI (svFSFI) in 137 women with MS and evaluate the prevalence of SD and its association with clinical and sociodemographic variables. Results showed excellent test-retest reliability and substantial-to-excellent internal consistency for the svFSFI. Convergent validity was significant in domain intercorrelations. Discriminant validity revealed differences in SD between women with high and low neurological disability, measured with Expanded Disability Status Scale (EDSS) scores. Exploratory factor analysis suggested a five-factor structure for the svFSFI. The prevalence of SD in the MS cohort was 42.6%, with 'desire' and 'arousal' being the most affected spheres. Only EDSS, fatigue, depression, and having a stable partner influenced the total svFSFI. The study confirmed the svFSFI as suitable for evaluating SD in Spanish women with MS. MS predominantly affects young women, making SD a frequent occurrence in this population. The study's strengths include a relatively large multicenter cohort and being the first validation of the svFSFI in women with MS. However, disbalanced patient numbers in EDSS categories and lack of responsiveness evaluation to intervention are limitations. Overall, the svFSFI is a reliable and valid questionnaire to assess sexual spheres in women with MS, revealing the prevalence of SD in this population.
Semaglutide Attenuates Anxious And Depressive-Like Behaviors and Reverses The Cognitive Impairment in a Type 2 Diabetes Mellitus Via The Microbiota-Gut-Brain Axis
Authors: de Paiva Igor Henrique Rodrigues , Silva Rodrigo Soares da , Mendonça Ingrid Prata , Maciel Laís Macedo , de Souza José Roberto Botelho , Peixoto Christina Alves 
Published: September 2023

Abstract

Newly conducted research suggests that metabolic disorders, like diabetes and obesity, play a significant role as risk factors for psychiatric disorders. This connection presents a potential avenue for creating novel antidepressant medications by repurposing drugs originally developed to address antidiabetic conditions. Earlier investigations have shown that GLP-1 analogs exhibit neuroprotective qualities in various models of neurological diseases, encompassing conditions such as Alzheimer's disease, Parkinson's disease, and stroke. Moreover, GLP-1 analogs have demonstrated the capability to enhance neurogenesis, a process recognized for its significance in memory formation and the cognitive and emotional aspects of information processing. Nonetheless, whether semaglutide holds efficacy as both an antidepressant and anxiolytic agent remains uncertain. To address this, our study focused on a mouse model of depression linked to type 2 diabetes induced by a High Fat Diet (HFD). In this model, we administered semaglutide (0.05mg/Kg intraperitoneally) on a weekly basis to evaluate its potential as a therapeutic option for depression and anxiety. Diabetic mice had higher blood glucose, lipidic profile, and insulin resistance. Moreover, mice fed HFD showed higher serum IL-1β and LPS associated with impaired humor and cognition. The analysis of behavioral responses revealed that the administration of Semaglutide effectively mitigated depressive- and anxiety-like behaviors, concurrently demonstrating an enhancement in cognitive function. Additionally, Semaglutide treatment protected synaptic plasticity and reversed the hippocampal neuroinflammation induced by HFD fed, improving activation of the insulin pathway, demonstrating the protective effects of Semaglutide. We also found that Semaglutide treatment decreased astrogliosis and microgliosis in the dentate gyrus region of the hippocampus. In addition, Semaglutide prevented the DM2-induced impairments of POMC, and GPR43 and simultaneously increased the NeuN + and GLP-1R + neurons in the hippocampus. Our data also showed that Semaglutide increased the 5-HT and its receptor (5-HTT) and glutamatergic receptors in the hippocampus. At last, Semaglutide changed the gut microbiota profile (increasing Bacterioidetes, Bacteroides acidifaciens, and Blautia coccoides) and decreased leaky gut, improving the gut-brain axis. Taken together, Semaglutide has the potential to act as a therapeutic tool for depression and anxiety.
Prognostic value of circulating tumor cells associated with white blood cells in solid cancer: A systematic review and meta-analysis of 1471 patients with solid tumors
Authors: Ju Mingguang , Gao Ziming , Gu Gaoxiang , Huang Haibo , Sun Anqi , Zheng Chen , Li He , Zhang Yixiao , Li Kai 
Published: September 2023

Abstract
Background
The clinical relevance of circulating tumor cell-white blood cell (CTC-WBC) clusters in cancer prognosis is a subject of ongoing debate. This study aims to unravel their contentious predictive value for patient outcomes.
Methods
We conducted a comprehensive literature search of PubMed, Embase, and Cochrane Library up to December 2022. Eligible studies that reported survival outcomes and examined the presence of CTC-WBC clusters in solid tumor patients were included. Hazard ratios(HR) were pooled to assess the association between CTC-WBC clusters and overall survival (OS), as well as progression-free survival(PFS)/disease-free survival(DFS)/metastasis-free survival(MFS)/recurrence-free survival(RFS). Subgroup analyses were performed based on sampling time, treatment method, detection method, detection system, and cancer type.
Results
A total of 1471 patients from 10 studies were included in this meta-analysis. The presence of CTC-WBCs was assessed as a prognostic factor for overall survival and PFS /DFS /MFS /RFS. The pooled analysis demonstrated that the presence of CTC-WBC clusters was significantly associated with worse OS (HR = 2.44, 95% CI: 1.74–3.40, P < 0.001) and PFS/DFS/MFS/RFS (HR = 1.83, 95% CI: 1.49–2.24, P < 0.001). Subgroup analyses based on sampling time, treatment method, detection method, detection system, and cancer type consistently supported these findings. Further analyses indicated that CTC-WBC clusters were associated with larger tumor size (OR = 2.65, 95% CI: 1.58–4.44, P = 0.0002) and higher alpha-fetoprotein levels (OR = 2.52, 95% CI: 1.50–4.22, P = 0.0004) in hepatocellular carcinoma. However, no significant association was found between CTC-WBC clusters and TNM stage, depth of tumor invasion, or lymph node metastasis in the overall analysis.
Conclusions
CTC-WBC clusters are negative predictors for OS and PFS /DFS /MFS /RFS in patients with solid tumors. Monitoring CTC-WBC levels may provide valuable information for predicting disease progression and guiding treatment decisions.
Parathyroid adenoma with successful recovery following surgical resection: Experience in a resource-poor setting
Authors: GUNARATHNE MALINGA , Edippuliarachchige udayakumara , Madhuranga priyantha , madhuwantha prabath , chathuranga sashika , jayasinghe saman , dissanayake tharaka , Eeshwara Janith , karunathilaka parakrama 
Published: September 2023

Abstract
Introduction
Parathyroid adenoma is a parathyroid proliferative disorder where the patients typically present with evidence of primary hyperparathyroidism where the diagnosis is challenging especially in a resource-poor setting like Sri Lanka and requires multiple imaging modalities.
Case presentation
We present a case of a 52-year female who presented with non-resolving long-standing back pain for more than 5 years, associated with progressive bilateral hip joint and shoulder joint pain with generalized body aches with prolonged fatigue who was found to have hypercalcemia and later diagnosed with primary hyperparathyroidism and parathyroid adenoma with multinodular goitre. She had a tremendous clinical improvement following the resection of the parathyroid adenoma along with a total thyroidectomy preserving other parathyroid glands.
This case concludes that parathyroid adenoma diagnosis requires high clinical suspicion when patients present with vague symptoms and hypercalcaemic symptoms and should proceed with a workup with multiple imaging modalities depending on the availability for early diagnosis to prevent potential complications.
Conclusion
Surgical resection of parathyroid adenoma preserving normal gland results in a good prognosis with complete symptomatic relief within a few months.