bluuebunny/crossref_metadata_2025_split huggingface dataset:
Post-mortem detection of a calcifying fibrous pseudotumor at a rare site—A case report
Authors: Mylapalli Jhansi L. , Jangir Hemlata , Sharma Meenakshi , Prabhakar Vidhu , Sandhu Piyush R. , Subramanian Arulselvi , Barwad Adarsh , Lalwani Sanjeev 
Published: July 2023

ABSTRACT
We report the case of a 48 year old man brought-in-dead to the trauma unit following an alleged accidental fall from a multi-storied building. Autopsy findings were consistent with traumatic injuries to the head, chest and spine. Incidentally, a bit of the diaphragm with a pearly white lobulated mass over the pleural surface was observed. Histopathological examination detected a calcifying fibrous pseudotumour (CFPT), confirmed by positive immunostaining for cluster of differentiation protein-34 (CD34) and vimentin (focally). CFPTs are slow-growing pseudotumours that are clinically benign with extremely low rate of recurrence and this might just be the first reported case of CFPT on the diaphragm. This shall further aid clinicians to diagnose these rare yet significant soft tissue tumors in uncommon sites.
Assessment of endometrial carcinoma on biopsy as a predictor of final surgical pathology: Are we doing it right? A completed audit cycle and recommendations
Authors: Jassar Aneeta , Hemali Nour , Bhatnagar Anjali 
Published: July 2023

ABSTRACT

Background:
Typing and grading of endometrial carcinomas (ECs) on small biopsy specimens is crucial to determine the need for full surgical staging. Histological subtype and grade are key factors available for risk stratification before surgery. However, this can be diagnostically challenging on small biopsy specimens, especially when morphologic features are subtle or overlapping.

Aims:
The aims of this audit were to assess concordance of endometrial carcinomas on biopsy specimens with hysterectomy specimens and to determine if the immunohistochemistry (IHC) panel being used in our practice was adequately subtyping ECs.

Settings and Design:
The audit was approved by the Clinical Effectiveness Team of the Royal College of Pathologists (UK) as meeting all the criteria and standards set out by the College.

Materials and Methods:
Biopsies from 67 cases of EC were compared for histological subtype and grade of endometrioid carcinoma with resection specimens. A re-audit was carried out on 59 cases after implementation of changes recommended by the initial audit.

Results:
Two of 35 (6%) tumours defined as G1 on biopsy were upgraded (to G2) on final pathology, as was one of 7 (14%) G2 tumours (to G3). One of these cases had solid areas just amounting to more than 6% on resection. In the second case, a comment was made that assessment had been difficult as the specimen was suboptimally fixed, but nuclei appeared atypical. Of seven G2 biopsies, one case was upgraded to grade 3 on final pathology based on proportion of solid areas. Our data show lower rates of discordance as compared to previous studies and on re-audit, the concordance between endometrioid and nonendometrioid serous carcinoma improved with the addition of immunohistochemistry (IHC) for Phosphatase and tensin homolog (PTEN) to biopsies.

Conclusions:
PTEN IHC can complement other stains and aid in the distinction of grade 3 endometrioid carcinoma from serous carcinoma on endometrial biopsies.
Endocardial fibroelastosis causing sudden death in an infant: Autopsy case report of an unusual lesion
Authors: Mohan Bhavya P. , Rajendraprasad V. K. , Parthasarathy K. S. , Zacharia Togy Thomas 
Published: July 2023

ABSTRACT
Endocardial fibroelastosis is characterized by proliferation of both elastic and collagenous fibers within the endocardium, causing diffuse or localized thickening. A four-and-a-half-month-old baby was admitted to a local hospital, with a history of seizures for one day. Baby developed features of heart failure and died within one week after admission. At the post-mortem examination, heart was found to be enlarged with dilated ventricles. The endocardium of left ventricle was markedly thickened with a whitish appearance. Histopathology showed a thick layer of collagenous fibrous tissue in the endocardium, which was confirmed by Masson trichrome stain. The cause of death was offered as dilated cardiomyopathy due to endocardial fibroelastosis. The underlying mechanisms of myocardial fibrosis remain unclear. It is hypothesized that genetic, infectious, inflammatory, and nutritional processes are involved in this condition. This case highlights the importance of gross specimen examination and special staining methods to support histopathology after postmortem examination, for ascertaining the cause of death.
Functional outcome of limited contact dynamic compression plating and interlocking nailing for fracture shaft of humerus in adults
Authors: D’Almeida Vivian Roshan , Kamath Ashwin , Joseph Akhil Xavier , Lobo Alfred Manoj , Pinto Tilak Rommel 
Published: July 2023

ABSTRACT

Background:
Fractures of shaft of humerus are common, accounting 3% of all fractures. They have historically been managed conservatively with hanging casts or a functional brace. However, a lack of fracture reduction with these conservative measures resulted in malunion. Two surgical techniques under study include intramedullary nailing and limited contact dynamic compression plating. This study aims to analyze the functional outcome between the two surgical techniques.

Materials and Methods:
In this prospective randomized study, 38 patients were treated surgically for shaft of humerus fracture from August 2016 to August 2018 at a tertiary care center. Twenty patients underwent limited contact dynamic compression plate (LCDCP) plating and 18 underwent intramedullary nailing. All were assessed for radiological union, complications, and functional outcome at 6 weeks, 12 weeks, and 1 year using disabilities of arm, shoulder, and hand (DASH) questionnaire.

Results:
Thirty-eight patients completed the study of which 18 cases (47.5%) with fractures that were treated with interlocking nail and 20 cases that were treated with LCDCP plating. The mean duration to complete radiological healing was 15.06 weeks. The healing rate was relatively faster in the interlocking group as compared to the LCDCP group (P = 0.144). Complications such as shoulder impingement 8 (44.4%), shoulder pain 3 (16.7%), nonunion 1 (5.6%), and shoulder stiffness 1 (5.6%) were found to be more common in interlocking group as compared to LCDCP group, respectively. Whereas, complications such as superficial infection - 1(5%) and radial nerve deficits - 2(10%) were less common in the interlocking group compared to LCDCP group, respectively. The mean follow-up was 11.556 weeks, and the overall DASH score analysis showed better results in LCDCP group.

Conclusion:
In our study, LCDCP plating showed lower incidence of complications, particularly periarticular complications around the shoulder joint such as shoulder pain, stiffness, and impingement but carried a higher risk of radial nerve injury. Fracture union rates were found to be almost similar between both groups. DASH score analysis showed better functional outcome among the LCDCP plating group. The overall outcome of LCDCP plating over interlocking nailing was found to be better.
Correlation of serum ferritin with severity of liver disease
Authors: Blah Garyll Ryan Tariang , Tonk R. S. 
Published: July 2023

ABSTRACT

Background and Aim:
Serum ferritin is a marker of hepatic inflammation and has been studied to predict mortality in decompensated cirrhotics. No study has been done to evaluate ferritin as an independent marker of liver disease severity. We investigated whether serum ferritin levels can be correlated with Child–Pugh and Model for End-stage Liver Disease (MELD) scores.

Materials and Methods:
Seventy-five patients fulfilling the criteria were included and a cross-sectional observational study was done.

Results:
Seventy-five patients (68 males and 7 females) were evaluated. Serum ferritin levels were found to be significantly elevated in patients having higher Child–Pugh and MELD scores and showed a significant correlation with Child–Pugh score (P = 0.001) and MELD score (P = 0.027). On univariate analysis, serum ferritin, bilirubin, international normalized ratio, ascites, and sodium were found to be significantly associated with severity of liver disease. On multivariate analysis, however, serum ferritin was not found to have a significant association with severity of liver disease. AUROC was also determined which showed that serum ferritin had relatively poor discriminative ability.

Conclusion:
Elevation of serum ferritin is prevalent in chronic liver disease (CLD). In patients of CLD, severity is associated with a higher serum ferritin level. In future, a study may be designed, to obtain a prognostic model in incorporating serum ferritin into MELD similar to MELD-Na scoring system.
Human papilloma virus-related oral and oropharyngeal squamous cell carcinoma: An assessment of histomorphological features
Authors: Lenka Anasuya , Ghosh Urvashi , Mohapatra Debahuti , Tripathy Rajashree 
Published: July 2023

ABSTRACT

Background:
Human papillomavirus (HPV) has emerged as an important cause of oral and oropharyngeal squamous cell carcinomas (OSCC and OPSCC). Cancers with HPV as a causative agent are seen to exhibit certain specific histomorphological features.

Aim:
This study aims to describe the histomorphology of oral and oropharyngeal cancers and discuss their association with HPV.

Material and Methods:
Hospital-based prospective study done over 31 months (December 2018–April 2021), including a total of 90 cases of OSCC and OPSCC. They were subjected to detailed histopathological evaluation, DNA polymerase chain reaction testing for testing of HPV association, followed by the analysis of data by statistical methods.

Results:
Out of a total of 90, 73 cases were OSCC and 17, OPSCC. A total of 15 cases were HPV positive. HPV status was found to be significantly associated with purely nonkeratinizing tumors and hybrid/mixed squamous cell carcinomas, pushing the pattern of invasion, absence of perineural invasion, presence of tumor infiltrating lymphocytes, moderate-to-dense host lymphocyte response, loose stromal response, absence of tumor budding, and high mitotic rate (>20/10 hpf).

Conclusion:
HPV-positive OSCC and OPSCC have distinct histomorphological features and careful analysis of the same can assist in identifying these types of cancers better and thus help in prognostication and treatment.
The use of music in therapy through the ages
Authors: Gandolfo Gabriel , Hugues Marina 
Published: July 2023

If we define music therapy as the use of music to promote, maintain or restore health on a physical, mental, emotional or even spiritual level, we are highlighting the multiplicity of music's effects on the organism and the variety of its uses over the centuries and in different civilizations. Let's not forget that many physicians, from Hippocrates, considered the "father" of medicine, and Empedocles to Rabelais, were also musicians. Let's take a look at the history of the relationship between music and medicine, and how it has evolved from its original curative purpose to its modern preventive use to ensure a form of well-being.
Si on définit la musicothérapie comme l’usage de la musique afin de promouvoir, maintenir, restaurer la santé sur le plan physique, mental, émotionnel voire spirituel, on souligne ainsi la multiplicité des effets de la musique sur l’organisme et la variété de son utilisation au cours des siècles et dans les différentes civilisations. N’oublions pas que bon nombre de médecins, depuis Hippocrate, considéré comme le « père » de la médecine, et Empédocle jusqu’à Rabelais, étaient aussi des musiciens. Dressons donc un panorama historique des rapports qui ont existé entre musique et médecine et leur évolution d’un objectif originellement curatif à un usage moderne également préventif afin d’assurer une forme de bien-être.
Faktor yang Mempengaruhi Prestasi Belajar Siswa pada Pembelajaran PKN di MIS Fajar Shiddiq Kota Medan Marelan
Authors: Nasution Abdulgani Jamora , Br Siregar Nurazmi , Anandia Syakira , Nisa Khoirun , Handoyo Wiryo Sastro 
Published: July 2023

This study aims to: describe the factors that influence student achievement, determine student learning outcomes. This type of research is qualitative, namely to determine how to find, collect, process and analyze data from the research. The sample of this research was fourth grade students at MIS FAJAR SHIDDIQ, totaling 32 people. Data collection methods used are observation, interviews and documentation studies. Data on factors that influence learning outcomes are collected using observation sheets and interview guidelines. The results of this study at MIS FAJAR SHIDDIQ show that the factors that influence student achievement in grade IV students are influenced by internal (inside) and external (external) factors. Internal factors include physical factors and psychological factors. Physical factors such as state of health, state of the body. And psychological factors such as attention, interest, talent, and readiness. While external factors, namely school factors such as curriculum, teaching methods, interaction between students, discipline at school, learning tools, the condition of the building, and the library. However, in this study centered on internal factors or within the student.
Keywords: PPKN, Learning Achievement, Factors
Analisis Faktor-Faktor yang Menyebabkan Ketidakdisiplinan Siswa di SD 058101 Sumber Jaya
Authors: Lestari Wahyu Adinda Wardani , Nabillah Putri , Widyati Nazmi Ayunestia , Tricahayu Bella , Amna Nahdatul 
Published: July 2023

Discipline is something that is integrated within a person and even discipline is something that is integrated into human life that appears in daily behavior patterns both in the family, school and community. This study aims to describe the factors that cause low student discipline and the obstacles experienced in disciplining students of SDN 058101 Sumber Jaya, research using a descriptive qualitative approach. The research subjects were students of SDN 058101 Sumber Jaya. The object of research is the factors that cause low student discipline. Collecting data by observation, interviews, documentation. It can be concluded that the various forms are diverse. The most frequent violations committed by students are regarding the indiscipline of students who arrive late, do not complete assignments on time, do not pay attention to lessons, take out the trash on time and are not dressed neatly. Then there are several factors that cause student indiscipline, namely internal factors where internal factors are factors that come from within the student himself and external factors, which are factors that come from outside the student's self, for example the influence of the surroundingenvironment.
Keywords: discipline, factors causing, student, SDN 058101 Sumber jaya
Efektivitas Komunikasi Verbal Dalam Meningkatkan Kegiatan Menghafal Juz Amma pada Taman Pendidikan Anak Usia Dini di Kecamatan Tanjungpura, Kabupaten Langkat
Authors: Winanti Rindy , Kamalia Kamalia 
Published: July 2023

Verbal communication is a form of communication that uses various spoken and written words that are often used by many individuals. Verbal communication can be defined as the process by which speakers communicate verbally with listeners and influence the behavior of recipients. The purpose of this study is how is the application of Verbal Communication in the process of memorizing Juz Amma at TPA in Tanjungpura District?, and how is the effectiveness of Verbal Communication in the process of memorizing Juz Amma at TPA in Tanjungpura District?. A qualitative study method with a descriptive approach is used to identify and implement these goals. Data collection was carried out through direct observation, documentation and interviews. Data analysis was carried out qualitatively which included 3 series of activities together, namely data reduction, and presentation and inference or verification, as well as data validity through source triangulation.
Keywords: effectiveness, verbal communication, memorization, Al-Qur'an, Juz Amma
Minimasi Biaya Distribusi Es Balok Dan Es Kristal Menggunakan Metode Capacitated Vehicle Routing Problem Di Pt Agronesia Es Saripetojo Bandung
Authors: Purnomo Agus , Ismail Hariadi , Dinata Ramadhan Surya 
Published: July 2023

Companies can minimize distribution costs by determining the best distribution route from the company (depot) to customers spread across various locations. PT Agronesia Es Saripetojo Bandung Division has a problem determining the best distribution route because the distribution route changes every day depending on the customer's communication with the driver who asks to be served first. Thus the company cannot measure the performance of distribution costs and cannot evaluate the optimal number of vehicles to support distribution cost efficiency.
This problem can be solved using the Capacitated Vehicle Routing Problem (CVRP) method which takes into account the number and capacity of vehicles, the demand for each replacement, and the distance from the depot to the customer so that a minimum total distribution cost is obtained.
The results of the research provide a solution for the distribution of ice blocks and crystal ice using the Capacitated Vehicle Routing Problem (CVRP) method with the help of LOGWARE software, it has succeeded in determining the best route and at the same time minimizing distribution costs. Distribution cost efficiency can still be done by reducing 1 Mitsubishi Colt Diesel Engkel FE 71 vehicle, so there is an efficiency of = Rp. 267,000,-/day = 8.04%/day. Meanwhile, by reducing 1 Colt Diesel Engkel FE 71 vehicle, an efficiency of = Rp. 267,000,-/day = 7.92%/day. Meanwhile, vehicles that are not used can be rented or sold, thereby reducing the burden of fixed costs and variable costs.
Türk Sinemasında Bürokrasinin Temsili ve Memur İmgesi
Authors: BOĞA Uğur 
Published: July 2023

Bürokrasi, memurluk, taşra memurluğu, rüşvet, yolsuzluk, iş kapısı olarak devlet gibi bazı kavramlar, insanların bilinçaltlarında yerleşmiş bulunmakta, bu ve benzeri fikirler sinema filmleri aracılığıyla geniş kitlelere yayılmaktadır. Bir taraftan bu sinema filmleri toplumun bürokrasi ve memur kavramlarına bakışını imgelerken, bir taraftan da bir propaganda aracı olarak bu kavramların topluma nasıl gösterilmek istendiği gerçeği ortaya çıkmaktadır.
Bu çalışmada bürokrasi ve memuriyet kavramları hakkında genel bilgiler verildikten sonra, toplumun aynası konumundaki sinemanın, bürokrasi ve memur kavramlarını ele alma biçimlerine dair film çözümlemesi yapılmış, toplumda bürokrasi ve memur kavramlarının nasıl algılandığı irdelenmiştir. Sinemanın, dolayısıyla toplumun bürokrasiyi algılama şekli, bürokrasinin özellikle toplumla temas ettiği noktalarda baş gösteren sıkıntıların ortaya koyulmasında önemli bir faktör olmaktadır. Dışardan bakan göz olarak sinema, kamu hizmeti amacıyla oluşturulan sistemin kamu tarafından nasıl algılandığını gözler önüne sermektedir.
İncelenecek filmler seçilirken, bürokrasi veya memur kavramlarının filmlerde ne denli geniş ele alındığından yola çıkılmış, bürokratik süreçlerin ve memur karakterlerin anlatının merkezinde konumlandığı filmler tercih edilmiştir. Çoğu sinema filmlerinin belli bir kısımlarında bürokrasi veya memur imgesi bulunsa da, çalışma için seçilen filmlerde bu kavramların filmin geneline nüfuz etmiş olmasına dikkat edilmiştir. Çalışmada öncelikle bürokrasi ve memur kavramı ülkemizdeki gelişimiyle birlikte değerlendirilmiştir. Akabinde Ertem Eğilmez’in yönettiği Namuslu filmi ve Nuri Bilge Ceylan’ın yönettiği Bir Zamanlar Anadolu’da filmi, benzerlikleri ve farklılıkları betimsel olarak ele alınarak bürokrasi ve memur temsili bağlamında incelenmiştir.
Modal Sosial dalam Hari Raya Kurban: Pengembangan Kepercayaan Mudhohiterhadap Lasznas PPPA Daarul Qur’an Jakarta
Authors: Fadillah Zulfan Arief , Amanulloh Naeni 
Published: July 2023

This study aims to find out how Laznas PPPA Daarul Qur’an builds trust in mudhohi, namely people who carry out sacrifices on Eid al-Adha. This research is focused on the pattern and process of forming mudhohi trust through social capital. This research is a qualitative research, with a qualitative descriptive approach. The theory used in this research is Robert D. Putnam’s theory of social capital which provides a summary of social capital. Putnam argues that social capital is part of social life which includes networks, norms, and beliefs. Data collection techniques used in this study were interviews, observation, and literature studies. The results of the interviews show that in general PPPA Daarul Qur’an has utilized social capital in the process of implementing the qurbani program through strengthening the Al-Qur’an glorification program. In the aspect of norms, three things are guaranteed by PPPA, namely animal health, implementation according to Shari’a, and reports given to mudhohi. In terms of trust, PPPA absorbs the focus of the Qur’an-based qurbani program, ordering sacrificial animals is easy, and reports are received in a timely manner. In terms of the network aspect, in building social networks in the PPPA Daarul Qur’an qurban program, it divides into two networks, namely internal (bonding social capital) and external (bridging social capital and linking social capital). The social capital norms built by PPPA are able to provide trust. In addition, PPPA Daarul Qur’an’s internal and external strategy in building a network of cooperation has succeeded in building the information flow of PPPA Daarul Qur’an sacrifices and making it easy for mudhohi to sacrifice.
Meningkatkan Nilai-Nilai Religius Terhadap Anak Usia Sekolah Dasar Dengan Menerapkan Pengajian Qur’an Rutinan Di Desa Jampang
Authors: Assegaf Redja 
Published: July 2023

Penelitian ini Dalam Program mengabdi kemasyrakatan mengaji rutinan di desa jampang Merupakan agenda salah satu program yang di terapkan untuk membiasakan mengaji iqro dan membaca Al-Quran. Namun di samping itu ada nilai-nilai karakter tersendiri. Melalui program tersebut, tujuan penelitian mengetahui nilai-nilai pendidikan terkandung dalam ngaji rutinan di desa jampang. Penelitian dan Metode ini menggunakan pendekatan wawancara dan dokumentasi.
Nilai Religius di tunjukan berdoa sebelum dan setelah kegiatan mengaji Kreatif hafalan surat pendek adanya punya masing-masing dalam menghafal yakni pengajaran ngaji untuk anak-anak usia dini di tempat balai peneliti samping rumah pak Rw yang dijadikan sebagai salah satu tmpat pengajian quran bagi anak-anak di kawasan rt 03 dan rw 01, Kampung Jampang Masjid, Desa Jampang, Kecamatan Gunung Sindur, Kabupaten Bogor. pengajian tersebut dilaksanakan setiap selesai sholat magrib dimulainya dan berakhir sampai waktu sholat isya, pada hari kerja atau pada hari senin-sabtu. Jumlah anak-anak dalam pengajian tersebut cukup banyak sekitar 20-35 anak.
Kata Kunci: nilai-nilai religius, etika, anak, pendidikan islam.