bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Case of Early Neuroborreliosis in a Female Patient with Generalized Dystonia with Deep Brain Stimulation
Authors: Чернуха Т.Н. , Лихачев С.А. , Ващилин В.В. , Вельгин С.О. 
Published: April 2023

В статье приводится описание клинического случая пациентки с сочетанием двух редких диагнозов: нейроборрелиоза и генерализованной дистонии на фоне глубокой стимуляции мозга. Диагностика раннего нейроборрелиоза у пациентки с генерализованной дистонией на фоне глубокой стимуляции мозга была затруднительна из-за стертости клинической симптоматики и необходимости исключения инфекций, обусловленных установкой нейростимулятора. Выполнение широкого спектра обследований, включая анализ на ВИЧ, исследование спинномозговой жидкости, иммуноблот, позволило диагностировать ранний нейроборрелиоз, который клинически проявлялся серозным менингитом и невропатией лицевого нерва с умеренным прозопарезом. Назначение антибиотикотерапии с отсрочкой решения по операции эксплантации системы для глубокой стимуляции мозга позволило сохранить эффект от нейростимуляции, диагностировать ранний нейроборрелиоз и назначить своевременное лечение. На фоне стандартного курса лечения цефтриаксоном наблюдался полный регресс симптомов Лайм-боррелиоза.
In the article, we described the clinical case of a female patient with a combination of two rare diagnoses: neuroborreliosis and generalized dystonia with deep brain stimulation. Diagnosis of early neuroborreliosis in the patient with generalized dystonia and deep brain stimulation was difficult. The patient had erased clinical symptoms, and it was necessary to exclude infections caused by the implantation of a neurostimulator. We performed a wide range of examinations, including HIV, analysis of cerebral spinal fluid, immunoblot, allowing us to diagnose early neuroborreliosis, which was clinically manifested by serous meningitis and facial neuropathy with moderate prosoparesis. Administrating antibiotic therapy with a delayed decision on the operation for deep brain stimulation system explantation allowed preserving the effect of neurostimulation, diagnosing early neuroborreliosis and prescribing timely treatment. A complete regression of Lyme borreliosis symptoms was observed against the background of the standard course of ceftriaxone treatment.
Relationship of Maxillary Sinus and Maxillary First Molar Root Using Cone Beam Computed Tomography
Authors: HASSAM ANJUM MIR  , Saima Shafiq  , Maheen Khan  , Sumbal Mukhtar  , Ali Asif  , Qayyum Akhter  
Published: April 2023

Background: Cone beam CT (CBCT) is an advancement of conventional CT that uses a divergent pyramidal or conical X-ray beam for imaging the craniofacial complex. Studies on the maxillary sinus and its relationship with the roots present within its close proximity are mostly based on computed tomography imaging and rarely being based on cone-beam computed tomography (CBCT). This study aims to determine the relationship of maxillary sinus and the mesiobuccal root of maxillary first molar using cone beam computed tomography (CBCT).
Methods: The study was conducted in Armed Forces Institute of Dentistry (AFID) from Sept, 2019 to Feb, 2020. 142 CBCTs were studied in the duration of six months. The distance between the maxillary mesiobuccal root and floor of maxillary sinus was measured using the built in software. The data collected was analyzed using SPSS 23. p-value of <0.005 was considered significant.
Results: The mean distance was -0.85 mm ± 2.56 on left side and -0.74mm ± 2.40 on right side. There was no significant difference between left and right side. The correlation between age and left and right-side measurements was statistically significant, p-value 0.000.
Conclusion: The relationship of maxillary sinus and the mesiobuccal root of maxillary first molar is significant. The study shows that in dentate healthy patients, the maxillary mesiobuccal molar root is nearly in contact with the sinus floor. These findings lead to the conclusion that performing surgical procedures in maxillary molar region may invariably lead to sinus perforation if one is not care full.
Keywords: Cone beam computerized tomography, Dental implant, Maxillary sinus, Molar
Evaluation of the Occlusal Contact between the Opposing Teeth and the Cusp of Carabelli in Maxillary Permanent First Molars in Patients Visiting Peshawar Dental College
Authors: Arbab Sana , Khattak Munawar Aziz , Khattak Imran , Yusra Jamil  , Faiza Ijaz  , Ambereen Hamayun  
Published: April 2023

Background: The Cusp of Carabelli is a small additional cusp which is situated on the mesiopalatal surface of first maxillary molars. This nonfunctional cusp comes in many forms including furrows, ridges or pits and is collectively known as the Carabelli trait
Objective: To evaluate the frequency of the occlusal contacts between the accessory cusp of Carabelli and the opposing arch tooth among both genders in patients attending the out-patients department of Peshawar Dental Hospital, Peshawar
Methodology: This descriptive cross-sectional study was conducted on 300 subjects visiting the OPD of Peshawar Dental Hospital from October 2022 to December 2022. The sample size was calculated using WHO formula N=p(100-p)z2/d2 (Http://www.fao.orgThe age group selected for the participants was from 13-30 years. Consecutive sampling technique was used.). Articulating paper was used to assess the occlusal contacts caused by the cusp of Carabelli. The data were analyzed using SPSS version 20. Pearson’s chi square test was applied to analyze the data. P value of ≤ 0.05 was considered statistically significant.
Results: The results of the current study showed that 10.7% of the participants experienced occlusal contacts caused by the presence of their accessory cusp with the opposing arch tooth with no statistically significant difference between genders.
Conclusion: The cusp of Carabelli is the most prevailing variation found on the palatal aspect of mesiopalatal cusp of permanent maxillary first molars in a hospital-based inhabitants of Peshawar with rare occlusal contacts experienced by the patients.
Key words: Cusp of Carabelli, Maxillary permanent first molars, Occlusal contact.
Optical emission spectroscopy in deep oscillation magnetron sputtering (DOMS) of titanium
Authors: Yokoyama Eisuke , Sanekata Masaomi , Nishimiya Nobuo , Tona Masahide , Yamamoto Hiroaki , Tsukamoto Keizo , Fuke Kiyokazu , Ohshimo Keijiro , Misaizu Fuminori 
Published: April 2023

Abstract
Optical emission spectroscopic diagnostics are applied to determine the temporal evolution and distance dependence from the target surface for deep oscillation magnetron sputtering (DOMS) with a titanium target. In the time evolution of emission intensities for atomic lines of optically emitting species formed in DOMS plasma, the envelope of the peak emission intensity for sputtered neutrals in each pulsed discharge was observed to rise gradually with increasing distance. The increase in the distance dependence of the optical emission corresponds to plasma build-up from gas plasma to metallic plasma, which has been reported in the deposition region using a time-of-flight mass spectrometer in Sanekata et al. [J. Appl. Phys.
131, 243301 (2022)]. On the other hand, the ion confinement effect was strongly observed for sputtered ions in the region up to the edge of the magnetic trap around 40 mm downstream from the target surface for the first pulse discharge.
Deep Transfer Learning Optimization Techniques for Medical Image Classifcation - A Survey
Authors: Kariuki Paul , Gikunda Dr. Patrick Kinyua , Mwangi Wandeto Dr. John 
Published: April 2023

<p>Medical image classification is not only a complex task but also a challenging one due to the heterogeneous nature of medical data. Deep transfer learning has proven to be a viable technique for medical image classification throughout the years, mostly because it is able to leverage knowledge from pre-trained models learned from large-scale datasets, improved performance, minimal training and overcoming the disadvantage of small data sets. This paper offers a succinct review of the cutting-edge deep transfer learning optimization approaches for medical image classification. The paper begins with an overview of convolutional neural networks (CNN) and transfer learning techniques, such as relation-based, feature, parameter and instance-based transfer learning. Then, the study examines classical classifiers, such as Resnet, VGG, Alexnet, Googlenet, and Inception, and compare their performance on medical image classification tasks. The study also presents optimization techniques, including batch normalization, regularization, and weight initialization, data augmentation and the kernel mathematical formulations. Finally, the study unearths various challenges that arise when using deep transfer learning for medical image classification as well as potential future approaches for this field.</p>
Modelling and Design for Position-Free Inductive Couplers with the Homogeneous-Flux Transmitting Coil in Wireless Power Transfer Systems
Authors: Dou Yi , Huang Xiaosheng , Ouyang Ziwei , Andersen Michael A. E. 
Published: April 2023

<p>This paper presents a design algorithm to combine the analytical magnetic flux modelling and the genetic algorithm (GA) for position-free inductive couplers in inductive power transfer (IPT) systems. The design concept can enhance the position tolerance significantly by making the transmitting coil generate a homogeneous flux density at the target receiving position. Based on the analytical magnetic flux models and the proposed design algorithm, the winding configurations for the air-core transmitting coils or magnetic shielded transmitter coils can be directly generated. Two case studies demonstrate the design algorithm: the analytical magnetic flux models and the generated homogeneous flux density are verified by 2D FEM simulation and measurement results. Furthermore, the non-interference for the inverters’/rectifiers’ operation with the position shift is experimentally verified on the 6.78 MHz prototypes. </p>
Prediction of Patients at High Risk and Associated Risk Factors in Mucormycosis
Authors: Jain Shradha 
Published: April 2023

<p>We gathered a dataset of 440 patients diagnosed with mucormycosis, as well as an additional dataset of 2460 patients who were not diagnosed with the infection. This dataset was organized and tabulated for use in a machine-learning algorithm. The sample size included 2900 patients, some of whom had also suffered from COVID-19. The study included confirmed and suspected cases of mucormycosis, including cases where patients had been infected with mucormycosis after recovering from COVID-19. </p>
Real-Time PCR for Detection CP1 & CP5 Virulence Factors of Entamoeba Histolytica in Patients Stool Samples in Al - Najaf Al- Ashraf Province
Authors: Hamady Haiytham Mohamed , Hussein Zainab Ali 
Published: April 2023

Objective: It aims to determine the genes characterization of CP1 and CP5 pathogenic factors of E.histolytica parasitic in stool samples of patients in AL- Najaf Al Ashraf Province
Methodology: This study was carried out for 6 months in the first of December 2012 till the end of June 2013, The samples collected of Al-Sadar teaching hospital, AL-Zahra maternity and children hospital, AL-abasia hospital, AL-Forat hospital, AL-Hakime hospital, AL-Manathera hospital and private clinic in Al- Najaf governorate.
Results: To detect the major virulence factors (V.F.) cysteine proteinase1 (Cp1), cysteine proteinase 5 (CP5) of E.histolytica, Real -Time PCR technique was conducted, by using specific primers for E.histolytica, the results showed that 40 samples out of 162 were positive, out of these positive samples, there were 16 samples positive for C P1, 24 samples were positive for CP5.
Conclusion: CP1 & CP5 is one of the most important virulence factors in E.histolytica such as toxin like activity.
Recommendation: further study development of molecular diagnosis such as real time PCR for other non-pathogenic Entamoeba species which found in human, such as E.moskoviskii in comparison with E.histolytica, because the RT-PCR quantitative and qualitative improved method for the specific diagnosis of E.histolytica infection.
Isolation of Escherichia Coli and Klebseilla from Patient with Urinary Tract Infection
Authors: Hassan Kawther Adnan 
Published: April 2023

Background: Resistance to antibiotics arising in Escherichia coli and Klebseilla species isolates may complicate therapeutic management of urinary tract infection(UTI) by this organism.
Objective: The aim of this study was to assess antibiotic activity against UTI isolates of E.coli in Al- Najaf governorate.
Methodology: A total of 81 mid-stream urine samples were collected of patient suspected of UTI and screened for the occurrence of E.coli.
Result: Susceptibility of the isolates to antibiotics was test by standard methods. Highest rate of resistance (100%) was found to ampicillin and amoxicillin, while moderately resistant to cephalothin .
Conclusion: The present study concluded that E.coli resistance to multiple antibiotic were recognized.
ALGORITMA APRIORI UNTUK MENENTUKAN PAKET PENJUALAN BARANG DI UMKM BINAAN DISPERINDAG KABUPATEN GROBOGAN
Authors: Supriyadi Eko , Adri Tiyono  , Agus Susilo Nugroho  , Dhika Malita Puspita Arum  , Achmad Rizki Ramadhani  
Published: April 2023

Minat beli dari masyarakat di Kab. Grobogan sangat kurang di penjualan online Usaha Mikro Kecil Menengah (UMKM). Dikarenakan penawaran yang ada di e-commerce (UMKM) tidak adanya paket diskon yang ditawarkan, Oleh karena itu pengembangan e-commerce (UMKM) sebagai wadah penjualan barang oleh masyarakat sangatlah diperlukan perubahan, perubahan yang harus dilakukan adalah menerapkan algoritma apriori yang ditanam di aplikasi e-commerce yang telah ada. Dengan menggunakan algoritma apriori, dapat menghasilkan aturan asosiasi untuk menunjukkan seberapa kuatnya pengaruh item ke item lain dan pola beli konsumen. Data yang di proses adalah data penjualan yang paling diminati dn juga yang kurang diminati masyarakat dipergunakan sebagai paket diskon penjualan. Dari hasil pengujian aplikasi tersebut dapat membantu pemilihan produk yang akan dipaketkan dengan diskon yang ditawarkan kepada masyarakat guna meningkatkan minat beli masyarakat pada UMKM di Kab Grobogan.
Effect of medication adherence on the risk of cardiovascular events in outpatients with stable coronary artery disease: results of two-year monitoring
Authors: Fitilev S. B. , Vozzhaev A. V. , Saakova L. N. , Bondareva I. B. , Kliuev D. A. , Shkrebniova I. I. 
Published: April 2023

Introduction. Incidence of inadequate medication adherence to secondary prevention medications among Russian coronary patients is around 50 %, but the question, how this might influence on the risk of unfavorable outcomes, still has no answer.Aim. To determine the effect of medication adherence on the risk of unfavorable clinical outcomes in outpatients with stable coronary artery disease (CAD). Methods. Prospective observational cohort study was conducted. 281 subjects with verified stable CAD were included in line with the pre-specified criteria. Medication adherence was measured by validated 8-item Morisky scale. Data on cardiovascular events were obtained over the 24-month monitoring period. Study endpoint was a composite cardiovascular event (all-cause mortality, acute myocardial infarction, unstable angina, revascularization surgery, acute heart failure, decompensation of chronic heart failure). Survival analysis by Kaplan — Meier method was performed.Results. 26.0 % of coronary outpatients had low medication adherence (below 6 points by Morisky scale). Groups of patients with satisfactory and low medication adherence were comparable by demography, medical history, and pharmacotherapy. Over the monitoring period composite cardiovascular event was registered in 115 patients (40.9 %). 46.6 % of patients from the low adherence group suffered from the composite event, 38.9 % — from the satisfactory adherence group. Time to the event was lower in the low adherence group — median 24.2 (IQR 7.5-29.2) vs. median 27.9 (IQR 17.4-34.5) months. Cumulative incidence of the composite cardiovascular event over the monitoring period was higher in the low adherence group compared to satisfactory adherence group (p=0.032; log-rank test), also when adjusted for history of cardiovascular events (p=0.033; log-rank test). Satisfactory medication adherence reduced risk of composite cardiovascular event by 37 % (HR 0.63; 95 % CI 0.42-0.94; р=0.025; Cox-regression adjusted for history of cardiovascular events).Conclusion. Coronary outpatients with satisfactory medication adherence had lower risk of cardiovascular events over the 24-month monitoring period.
Psychological support for carriers of mutations in genes associated with hereditary breast cancer
Authors: Firsova L. D. , Ogarev V. V. , Kanatbek kyzy Aydana , Romashkina N. V. , Yanova T. I. , Danishevich A.  M. , Bodunova N. A. 
Published: April 2023

Relevance. Informing patients about the carriage of a pathogenic mutation may result in a psychologically traumatizing situation, characterized by acute stress reactions, post-traumatic stress disorder symptoms, or anxiety-depressive disorder. This highlights the importance of psychological counseling.Objective. To investigate the effectiveness of psychological support in a patient with mutations in genes associated with hereditary breast cancer.Materials and methods. Description of patient's medical history and results of instrumental psychological diagnosis after identifying a pathogenic mutation in the CHEK2 gene, which increases a risk of developing breast cancer to 20–40 % via genetic testing.Results. The nature of emotional response in this case is determined by personal history — identification of ideas about one's possible disease with mother's one. The conducted psychological consultations mitigated acute stress reactions and minimized the perception of received genetic information as a psychologically traumatic event. Furthermore, significant positive shifts were observed in the formation of adaptive stresscoping strategies, awareness of one's own mental resources, and reinforcement of adherence to the dynamic observation plan.Conclusion: Patients in situations involving the identification of mutations in genes associated with hereditary breast cancer require a personalized approach. Development of criteria for psychological support should be aimed at improving patients' quality of life not only in the immediate aftermath of information disclosure but also in the long term.
PENGARUH MOTIVASI TERHADAP KINERJA PEGAWAI DINAS KOPERASI DAN UKM KABUPATEN SAMPANG DENGAN KEMAMPUAN MANAJERIAL SEBAGAI VARIABEL MEDIASI
Authors: Zubaidi Zubaidi , Chamariyah Chamariyah 
Published: April 2023

The type of research is explanatory research using a quantitative approach, the research sample is 35 respondents (the sampling technique uses the saturated sample method), the data analysis uses GeSCA (Generalized Structured Component Analysis) analysis. The objectives of this study are: 1) To examine and analyze the effect of motivation on managerial ability in the Department of Cooperatives and SMEs in Sampang Regency. 2) To test and analyze the effect of managerial ability on the performance of the employees of the Cooperatives and SMEs Office of Sampang Regency. 3) To examine and analyze the effect of motivation on the performance of the employees of the Cooperatives and SMEs Office of Sampang Regency. 4).To examine and analyze the effect of motivation on the performance of the employees of the Cooperatives and SMEs Office of Sampang Regency which is mediated by managerial ability. The results showed that: 1) Motivation had a significant negative effect on managerial ability in the Department of Cooperatives and SMEs in Sampang Regency with a CR value of -0.38; 2) Managerial ability has a significant effect on employee performance at the Cooperatives and SMEs Office of Sampang Regency with a CR value of 2.33; 3) Motivation has a significant effect on employee performance at the Cooperatives and SMEs Service Office of Sampang Regency with a CR value of 4.87; 4) Motivation has a significant effect on employee performance which is mediated by managerial ability with a CR value of 11.40.
Sífilis congénita: Diagnóstico, tratamiento y prevención oportuna, en México.
Authors: Montes Hernandez Karen Itzel , Rangel Almendarez Francisco Javier , Lopez Cejudo Maria Alejandra , Arroyo Pacheco Arturo Javier , Patrón Bosque Ana Lucia 
Published: April 2023

Objetivo: Desarrollo de material de consulta para el diagnóstico, tratamiento y prevención oportuna de la Sífilis tanto gestacional y congénita en México, con el fin de aplicar las recomendaciones y actualizaciones de esta enfermedad de transmisión sexual.
Métodos: En este proyecto se revisaron bibliografías de estudios científicos, artículos, reportes de caso, además de documentos legales nacionales e internacionales, con el fin de recabar la información relevante y actual. Resultados: Sífilis es una enfermedad sistémica causada por la bacteria de tipo espiroqueta Treponema Pallidum de evolución crónica y muchas veces asintomática. Es transmitida por vía sexual o materno fetal, por lo cual se determina como adquirida o congénita. En México la sífilis congénita sigue siendo un problema de salud pública, aunque es una enfermedad prevenible y tratable.
Conclusión: Hoy en día, la sífilis se considera una patología estrechamente controlada. Sin embargo, se ha observado un incremento significativo de casos, a pesar de la disponibilidad generalizada de tratamiento base. Se debe ser objetivo al identificar las fallas en la asistencia prestada a las embarazadas durante su atención prenatal, para así mejorar la calidad de los servicios de salud en favor del bienestar de la madre y el feto, evitando las complicaciones asociadas como: parto pretérmino, bajo peso al nacer, muerte fetal intrauterina y muerte neonatal, entre otros.
Faktor-Faktor yang Mempengaruhi Pendeteksian Fraud: Pengalaman Audit, Kompetensi dan Skeptisme Profesionalis (Literature Review Audit)
Authors: Subekti Heru , Kuntadi Cris 
Published: April 2023

Abstract: This article aims to determine audit experience, competence, and professional skepticism in detecting fraud. This article was carried out by conducting a literature study from various studies that have been done. This article reviews the factors that influence fraud detection: competency, professionalism, and audit experience, a study of audit literature. The results of this literature review article are: 1) audit experience has an effect on fraud detection; 2) dose effect on fraud detection; and 3) professional skepticism has an effect on fraud detection.
Abstrak: Artikel ini bertujuan untuk mengetahui pengalaman audit, kompetensi, dan skeptisme profesional dalam mendeteksi fraud. Artikel ini dilakukan dengan melakukan studi literatur dari berbagai penelitian yag sudah dilakukan. Artikel ini mereview faktor-faktor yang mempengaruhi pendeteksian fraud, yaitu: kompetensi, profesionalisme dan pengalaman audit, suatu studi literatur audit. Hasil artikel literature review ini adalah: 1) pengalaman audit berpengaruh terhadap pendeteksian fraud; 2) kompetensi berpengaruh terhadap pendeteksian fraud; dan 3) skeptismie profesional berpengaruh terhadap pendeteksian fraud.