bluuebunny/crossref_metadata_2025_split huggingface dataset:
Surgical strategies for the treatment of deformity-associated cervical spondylotic stretch myelopathy: a case series with technically nuanced illustrative operative videos
Authors: Fisher Wilson A. M. , Gilbert Olivia E. , Upadhyaya Cheerag , Galgano Michael 
Published: September 2023

OBJECTIVE
The aim of this study was to elucidate the vital role of anterior-only osteotomies for rigid cervical kyphosis causing stretch myelopathy by using illustrative cases and high-definition intraoperative videos.

METHODS
The authors describe 4 select patients who underwent anterior-only osteotomies within a 2-year time frame and demonstrate the nuances of each case with unique operative videos.

RESULTS
Outcomes for each of the cases demonstrated marked improvement in cervical spine alignment relative to preoperative conditions. Postoperative CT scans and upright radiographs for case 1 at 8 months demonstrated complete reduction of the kyphotic deformity and restoration of the C2 slope. In case 2, the 2-year postoperative radiographs showed significant realignment of the cervical spine, and the patient made significant neurological improvement since the operation, specifically in hand dexterity, balance, neck pain, and the ability to comfortably achieve and maintain a horizontal gaze. For case 3, postoperative upright radiographs revealed marked improvement in the patient’s cervical sagittal alignment. The 4-month follow-up was also notable for substantial improvement in postural neck pain, bilateral upper extremity strength, and continued improvements in dexterity. Case 4 also demonstrated an excellent outcome with unkinking of the patient’s spinal cord and correction of her sagittal plane deformity, as shown on her 5-month postoperative upright radiographs.

CONCLUSIONS
Deformity-associated cervical spondylotic stretch myelopathy often leads to devastating neurological decline and can significantly decrease quality of life. Carefully selected cases of circumferentially rigid cervical kyphosis can be successfully corrected with anterior-only osteotomies followed by posterior fixation while avoiding back-front-back operations.
Does the presence of cervical deformity in patients with baseline mild myelopathy increase operative urgency in adult cervical spinal surgery? A retrospective analysis
Authors: Tretiakov Peter S. , Budis Emmanuel , Dave Pooja , Mir Jamshaid , Galetta Matthew , Lorentz Nathan , Janjua M. Burhan , Jankowski Pawel P. , Passias Peter G. 
Published: September 2023

OBJECTIVE
The objective of this study was to assess whether delaying surgical management of cervical deformity (CD) in patients with concomitant mild myelopathy increases the risk of suboptimal outcomes.

METHODS
Patients aged ≥ 18 years who had a baseline diagnosis of mild myelopathy with baseline and up to 2 years of postoperative data were assessed. Patients were categorized as having CD (CD+) or not (CD−) at baseline. Patients with symptoms of myelopathy for more than 1 year after the initial visit prior to surgery were considered delayed. Clinical and radiographic data were assessed using means comparison analyses. Multivariate regression analysis assessed correlations between increasing time to surgery and peri- and postoperative outcomes adjusted for baseline age and frailty score. Backstep logistic regression analysis assessed the risk of complications or reoperation, while controlling for baseline T1 slope minus cervical lordosis (TS-CL).

RESULTS
One hundred six patients were included (mean age 58.11 ± 11.97 years, 48% female, mean BMI 29.13 ± 6.89). Of the patients with baseline mild myelopathy, 22 (20.8%) were CD− while 84 (79.2%) were CD+. Overall, 9.5% of patients were considered to have delayed surgery. Linear regression revealed that both CD− and CD+ patients were more likely to require reoperation when there was more time between the initial visit and surgical admission (p < 0.001). Additionally, an adjusted logistic regression indicated that CD+ patients who had a greater length of time to surgery had a higher likelihood for major complications (p < 0.001). Conversely, CD+ patients who were operated on within 30 days of the initial visit had a significantly lower risk for a major complication (OR 0.901, 95% CI 0.889–1.105, p = 0.043), and a lower risk for reoperation (OR 0.954, 95% CI 0.877–1.090, p = 0.043), while controlling for the severity of deformity based on baseline TS-CL.

CONCLUSIONS
The findings of this study demonstrate that a delay in surgery after the initial visit significantly increases the risk for major complications and reoperation in patients with CD with associated mild baseline myelopathy. Early operative treatment in this patient population may lower the risk of postoperative complications.
Existence of quasilinear elliptic equations with prescribed limiting behavior
Authors: Ibrahim H. , Younes R. 
Published: September 2023

We consider quasilinear elliptic equations [Formula: see text] in the quarter-plane Ω, with zero Dirichlet data. For some general nonlinearities f, we prove the existence of a positive solution with a prescribed limiting profile. The question is motivated by the result in ( Adv. Nonlinear Stud. 13(1) (2013) 115–136), where the authors establish that for solutions [Formula: see text] of the preceding Dirichlet problem, [Formula: see text], where V is a solution of the corresponding one-dimensional problem with [Formula: see text] and z is a root of f. Starting with such a profile V and a carefully selected z, the authors of this paper apply Perron’s method in order to prove the existence of a solution u with limiting profile V. The work in this paper is similar in spirit to that in ( Math. Methods Appl. Sci. 39(14) (2016) 4129–4138), where the authors compare the sub and the super solutions by using arguments based on the strong maximum principle for semilinear equations. However, for the quasilinear case, such a maximum principle is lacking. This difficulty is overcome by employing a less classical weak sweeping principle that requires a careful boundary analysis.
Earthquakes in Turkey and Syria in 2023 and geodynamics of the Caucasus-Anatolian region
Authors: Svalova V. B. 
Published: September 2023

Background. The intensification of natural disasters all over the world requires the development of new approaches to the study of geological processes. This particularly concerns the areas at the boundaries of lithospheric plates, which are characterized by earthquakes, increased seismicity, volcanism, intensive heat flows, geothermal manifestations, landslide processes, tsunamis, and other dangerous natural processes and hazards. The Caucasus-Anatolian-Arabian region is a complex highly-stressed geodynamic structure, characterized by an increased heat flow, seismicity, magmatism, and volcanism. The geodynamics of this region is determined by the collision of the Eurasian and Arabian lithosphere plates, as well as by the evolution of the Alpine-Himalayan belt and surrounding areas. A 7.8 magnitude earthquake hit the South-East Turkey and North-West Syria on February 6, 2023. This was the largest earthquake in Turkey since the 1939 Erzincan earthquake, and the second-strongest since the 1668 North Anatolia earthquake. More than 52,800 deaths were confirmed, with about 46,100 in Turkey and 6,700 in Syria. It is the deadliest natural disaster in Turkey’s modern history with the estimated damage of over $100 billion. Aim. To construct geodynamic models for the deep structure of natural hazard regions, which can contribute to the study of active continental margins. This information is necessary for earthquake forecasting and prognosis, as well as for assessing geoecological risks and preparing the population in the event of natural disasters and catastrophes. Materials and methods. The formation and evolution processes of geological structures in complex geodynamic settings, as well as the forecasting and prognosis of natural hazards, required an analysis of all available geological and geophysical data. The methods of mechanical and mathematical modeling were used to formulate and solve the research problems. Results. Geodynamic models of the regions of hazardous natural processes were constructed with the purpose of forecasting and preventing natural disasters and catastrophes. An algorithm for creating monitoring systems was proposed. Conclusion. In several years (1–10 years), another earthquake near Istanbul can be expected. In the case that no large earthquake occurs in the East Anatolian fault in 1–2 years, this event is likely to occur in 100 years only.
Analisis Pengendalian Kualitas Produk Reinforcement Suspension Member Menggunakan Metode Six Sigma
Authors: Purnama Dewin , Mutaqin Zulfikar 
Published: September 2023

Kepuasan pelanggan merupakan syarat utama yang harus diberikan oleh perusahaan dengan produk yang dihasilkan sesuai dengan spesifikasi yang sudah ditetapkan, dan juga kualitas menjadi faktor yang sangat mendukung terhadap kepuasan pelanggan. Permasalahan yang ditemukan pada penelitian ini adalah adanya cacat yang terjadi pada produk reinforcement suspension member yang melebihi batas toleransi cacat perusahaan sebesar 0,1%. Tujuan penelitian ini adalah untuk menganalisis penyebab terjadinya cacat menggunakan metode six sigma dengan tahapan DMAIC (define, measure, analyze, improve, ,dan control), dan memberikan usulan perbaikan untuk untuk menanggulangi jumlah cacat yang terjadi. Beberapa tool yang digunakan pada peneilitan ini adalah fishbone diagram dan peta kontrol P. Hasil penelitian ini adalah bahwa faktor yang menjadi penyebab kegagalan adalah faktor methode dan faktor environoment. Sementara hasil pengolahan data diperoleh DPMO sebesar 2745,21 dengan level sigma 4,28 serta perolehan nilai kapabilitas proses (Cp) 1,43, serta rata-rata produk cacat sebesar 0,28% dengan jumlah cacat 392 pcs sementara batas toleransi cacat perusahaan adalah 0,1%. Sehingga perusahaan perlu melakukan pengendalian kualitas dengan melakukan perbaikan pada faktor methode dan faktor environment.
Alimentos, prácticas alimentarias y experiencia de la inmigración
Authors: Koc Mustafa , Welsh Jennifer 
Published: September 2023

<p>La comida es más que una fuente básica de nutrientes; es también un componente clave de nuestra cultura, central en nuestro sentido de identidad. Las identidades, sin embargo, no son construcciones sociales fijas, sino que se construyen y reconstruyen dentro de ciertas formaciones sociales reflejando los constreñimientos estructurales reales e imaginados y las experiencias de vida de los sujetos. Este artículo examina las relaciones dinámicas entre la comida, la identidad social y la experiencia de los/as1 inmigrantes. Como un período espacial y culturalmente transicional, el proceso inmigratorio introduce posibilidades de cambio así como de resistencia a los nuevos hábitos, nuevos comportamientos y nuevas experiencias culturales. Estos cambios, a la vez, afectan nuestra salud física y mental, nuestras auto-percepciones, y nuestras relaciones con los otros. Este artículo ofrece algunas apreciaciones analíticas sobre esta transición cultural, y su impacto sobre los constreñimientos sociales de la seguridad alimentaria entre un grupo de inmigrantes en Toronto, de modo tal de poder evaluar la compleja dinámica de la reconstrucción identitaria. Se plantea que tanto la política de igualdad como la política de reconocimiento son relevantes en la seguridad alimentaria de los/as inmigrantes. </p>
Hubungan Personal Hygiene Menstruasi Dengan Kejadian Keputihan Pada Remaja Di MAN 2 Barru
Authors: Darniaty Nur Suci Permata , Arman  , Ulfa Sulaeman  
Published: August 2023

Keputihan di definisikan sebagai cairan dari kelamin perempuan (vagina) yang berlebihan selain air kencing atau darah. Sifatnya bisa normal atau tidak normal. Menstruasi merupakan perdarahan yang teratur dari uterus sebagai tanda bahwa organ kandungan telah berfungsi matang dan keputihan adalah keluarnya cairan selain darah dari liang vagina di luar kebiasaan, baik berbau atau tidak, serta disertai rasa gatal setempat. Perilaku personal hygiene merupakan faktor yang sangat penting dalam pencegahan masalah keputihan. Penelitian ini bertujuan untuk mengetahui bagaimana hubungan personal hygiene menstruasi dengan kejadian keputihan pada remaja di MAN 2 Barru. Jenis penelitian ini kuantitatif dengan pendekatan Cross Sectional. Teknik pengambilan sampel yaitu menggunakan metode sistem random sampling dengan jumlah sampel 117 responden. Metode analisis menggunakan Univariat dan Bivariat dengan uji Chi-square. Hasil dari penelitian ini terdiri dari Hubungan personal hygiene dengan kejadian keputihan memiliki P value 0,004, hubungan penggantian pakaian dalam dengan kejadian keputihan memiliki P value 0,001, hubungan pemakaian sabun dengan kejadian keputihan memiliki P value 0,366, hubungan penggantian pembalut dan pantyliner dengan kejadian keputihan memiliki P value 0,000 dan hubungan penggunaan air bersih dengan kejadian keputihan memiliki P value 0,025. Kesimpulan penelitian diperoleh bahwa ada hubungan personal hygiene dengan kejadian keputihan pada remaja di MAN 2 Barru.
Faktor Yang Berhubungan Dengan Perilaku Seksual Remaja Di SMAN 2 Kabupaten Bone
Authors: Andi Fitri Farwati  , Muhammad Ikhtiar  , Nur Ulmy Mahmud  
Published: August 2023

Masa remaja adalah masa transisi antara masa kecil dan masa kanak-kanak. Kehidupan dewasa dicirikan oleh pertumbuhan biologis dan psikologis. Ciri-ciri biologisnya adalah pertumbuhan dan perkembangan primer seks, psikologis ditandai dengan sikap dan perasaan, keinginan dan emosi yang tidak stabil atau berubah-ubah. Masa peralihan perkembangan dan pertumbuhan yang dihadapi oleh remaja akibat berbagai perubahan fisik, sosial, emosional yang semuanya itu akan menimbulkan rasa cemas dan ketidaknyamanan. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan perilaku seksual remaja di SMAN 2 Bone Tahun 2021. Jenis penelitian ini merupakan penelitian observasional analitik dengan rancangan cross sectional study. Teknik pengambilan sampel dengan simple random sampling yaitu 185 siswa/siswi. Data diperoleh dengan menggunakan kuesioner. Data dianalisis dengan uji chi-square pada tingkat kepercayaan 95% (alpha=0.05). Dari hasil penelitian diperoleh bahwa tidak ada hubungan yang bermakna antara pengetahuan dengan perilaku seksual pada remaja diperoleh bahwa nilai p value = 0,723>0,005. Tidak ada hubungan yang bermakna antara sikap dengan perilaku seksual pada remaja (p value = 0,707>0,005). Ada hubungan yang bermakna antara peran teman sebaya dengan perilaku seksual remaja (p value =0,000<0,005). Ada hubungan antara peran media massa dengan perilaku seksual remaja (p value =0,000<0,005). Penelitian ini menyarankan agar para remaja dapat meningkatkan pengetahuan seks, sikap yang positif, memilih teman dengan selektif dan mencari informasi yang baik dan akurat agar tidak terpengaruh terhadap perilaku seksual pada remaja. Dan diharapkan penelitian ini dapat menjadi bahan pertimbangan untuk memasukkan kurikulum kesehatan reproduksi yang akan diberikan kepada siswa-siswi melalui bimbingan konseling yang tepat dan terarah.
Alternative Credibility, Phenomenological Empathy, and the Plandemic: Trust in Consipiracy Theories During the COVID-19 Pandemic
Authors: Kattumana Tarun 
Published: September 2023

Plandemic: The Hidden Agenda behind COVID-19 is a twenty-six-minute film that went viral during the spring of 2020. The film invited controversy for sowing doubt in the official account of the COVID-19 pandemic by presenting an alternate perspective on several key issues such as masking, vaccines, and COVID-19 control measures. The film also vilified public health institutions and officials like Antony Fauci, among others. This paper aims to evaluate how conspiracy theories like the Plandemic find fertile ground during moments of crisis like the COVID-19 pandemic. To accomplish this the paper has two aims: (i) highlight the crucial role played by ‘alternative credibility’ and ‘empathy’ in garnering trust; (ii) identify how both concepts operate in the opening segment of the Plandemic, when the film’s protagonist Judy Mikovits is introduced in a manner that commentators claim played a crucial role in gaining the audience’s trust.
“Dağı Yerinden Oynatmak”: Necmettin Erbakan’ın Dış Politika Perspektifinde Türkiye Merkezli İslam Birliği’nin İmkânı
Authors: BİLGENOĞLU Ali , GÜRSOY Barış 
Published: September 2023

Necmettin Erbakan modern Türk siyasetinin ve yüz yıla yaklaşan Cumhuriyet tarihinin en önemli siyasal aktörlerinden bir tanesidir. Erbakan aktif siyasette bulunduğu süre boyunca Millî Görüş geleneğinin dış politika perspektifini gün ışığına çıkarmaya dönük kavram ve teklifler üretmiştir. Söz konusu dış politika yaklaşımı içerisinde “İslam Birleşmiş Milletler Teşkilatı”, “İslam Ülkeleri Ortak Pazarı ve Ortak Para Birimi”, “Müslüman Ülkeler Arası Askeri İş Birliği” ile “Müslüman Ülkeler Kültür İş Birliği Teşkilatı” gibi uluslararası kurumların birer proje olarak teklifi dikkat çekmektedir.
Erbakan’ın muhayyilesinde sözü edilen projelerin merkezinde sahip olduğu tarihsel ve kültürel derinliği ile Türkiye’nin liderliği ön kabulü olmazsa olmaz bir figür olarak kurgulanmaktadır. Türkiye’nin liderliği hem tahayyül edilen İslam Birliği için bir gereklilik hem de bizzat Erbakan tarafından varlığı iddia edilen “Batı-merkezli siyasal ve ekonomik sömürü düzenine karşı” “dağı yerinden oynatmaya dönük” topyekûn bir mücadele verebilmek adına bir zorunluluktur.
Bu çalışmada Necmettin Erbakan liderliğindeki Milli Görüş hareketinin dış politika yaklaşımının temelini oluşturan İslam Birliği’nin teşekkülü meselesinin felsefi kodları ve gelecek projeksiyonu bağlamında Türkiye ile Müslüman toplumlara atfedilen roller bizzat Erbakan tarafından kaleme alınmış olan kitaplar, kendisi ile yapılan röportajlar ile yine kendisi tarafından muhalefette ve iktidarda bulunduğu dönemlerde yapılmış konuşmalar analiz edilerek Türkiye merkezli İslam Birliği idealinin imkânı sorgulanmaya çalışılacaktır.
Optical Properties of Newly Developed Monolithic CAD/CAM Materials After Aging
Authors: UYSAL ÖZEL Hatice Banu , ASLAN Yılmaz Umut , SANCAKLI Erkan 
Published: September 2023

Objective: With the widespread use of CAD/CAM (computer aided design and manufacture) systems in dentistry, many restorative materials have been produced. In our study, we aimed to evaluate the change in optical properties of newly developed translucent monolithic zirconia (TMZ) (Cercon HT Dentsply, Sirona, USA), zirconia-reinforced lithium silicate (ZLS) (Celtra Duo, Dentsply, Germany) and lithium disilicate (LS2) (IPS e.max CAD, Ivoclar Vivadent, Liechtenstein) materials with aging.
Methods:10 discs of 12mm diameter and 1.2 mm thickness were produced from high translucent A2 color of each material. The aging process was applied in an autoclave under 134ºC, 0.2MPa pressure. For optical evaluation, L*, a*, b* values of the samples were measured by spectrophotometry before aging, after 3 hours and 6 hours aging. ΔE00 values and translucency parameters (TP) were calculated. The data were evaluated statistically.
Results: In the present study, all the materials had undergone color change as a result of aging, but this change was within acceptable limits (ΔE00 0.8). There was a decrease in the translucency of all materials used in the study, but this decrease was not statistically significant.
Conclusion: In the light of the findings obtained from this in vitro study, aging did not cause color and translucency changes in TMZ, ZLS, LS2 monolithic CAD/CAM materials.
Metagenomic next-generation sequencing assistance in identifying non-tuberculous mycobacterial infections
Authors: Wang Shilei , Xing Lihua 
Published: August 2023

IntroductionThe advent of metagenomics next-generation sequencing (mNGS) has garnered attention as a novel method for detecting pathogenic infections, including Non-Tuberculous Mycobacterial (NTM) and tuberculosis (TB).However, the robustness and specificity of mNGS in NTM diagnostics have not been fully explored.MethodsIn this retrospective study, we enrolled 27 patients with NTM genomic sequences via mNGS and conducted a comprehensive clinical evaluation.ResultsPulmonary NTM disease was the most commonly observed presentation, with a subset of patients also presenting with extrapulmonary NTM infections.mNGS analysis identified six distinct NTM species, primarily Mycobacteriumavium complex (MAC), followed by Mycobacterium intracellulare andMycobacterium abscessus. Conventional routine culture methods encountered challenges, resulting in negative results for all available 22 samples. Among the 10 patients who underwent quantitative polymerase chain reaction (qPCR) testing, five tested positive for NTM.DiscussionIt is important to note that further species typing is necessary to determine the specific NTM type, as traditional pathogen detection methods serve as an initial step. In contrast, when supplemented with pathogen data, enables the identification of specific species, facilitating precise treatment decisions. In conclusion, mNGS demonstrates significant potential in aidingthe diagnosis of NTMdisease by rapidly detecting NTM pathogens and guiding treatment strategies. Its enhanced performance, faster turnaround time (TAT), and species identification capabilities make mNGS a promising tool for managing NTM infections.