bluuebunny/crossref_metadata_2025_split huggingface dataset:
Awake Spinal Fusion - Endoscopic Facet Sparing Transforaminal Lumbar Interbody Fusion under Caudal Epidural
Authors: Ahluwalia Rahul 
Published: December 2022

Background:
Trans-Kambin fusion offers the advantage of providing reduced morbidity and awake surgery allowing for patient's own neuromonitoring during the procedure, along with reduced hospital stay, early mobilization, reduced blood loss, and reduced operative time, while maintaining the standard of fusion that can be achieved with open/MISS transforaminal lumbar interbody fusion.

Objective:
Spinal fusions done under GA have restrictions when it comes to patients with OSA/COPD/Cardiac dysfunction, etc. Awake Endoscopic Spinal fusion surgeries can provide a novel solution to such patients.

Material and Methods:
EKLIF was performed in total of 19 patients with 17 single-level and 02 patients with multilevel lumbar discopathy and/or degenerative spondylolisthesis resulting in axial back pain and claudication, pseudoradicular, or radicular symptoms. Endoscopic discectomy and interbody cage insertion were performed through a 1 cm lateral incision used for transforaminal access, followed by percutaneous pedicle screw-rod fixation. Clinical outcome was assessed by early postoperative pain scores (visual analog score [VAS]). Fusion rates were assessed by X-rays at 6 months. Clinical outcome, time in the operating room, intraoperative blood loss, VAS at preoperative, immediate postoperative, and after 6 months were determined.

Results:
Excellent and good clinical results were obtained in 16 (84%) out of 19 patients at 6 months. The mean time spent in the operating room 71 min and no patient required a blood transfusion. The mean hospital stay was 2.8 days, with one patient having a prolonged stay of 8 days due to an intraoperative dural tear that was managed conservatively. There was no morbidity related to instrumentation. Postoperative stay was reduced with all patients mobilized on the next day of surgery. Fusion was visible in all patients on follow-up imaging at 6 months. The mean VAS of the study group before surgery was 6.63 with a significant change to 2.94 in the immediate postoperative period. At 6-month follow-up, the mean VAS was 1.3.

Conclusions:
EKLIF allows for safe and efficient minimally invasive treatment of single and multilevel degenerative lumbar instability with good clinical results. Further prospective studies investigating long-term functional results are required to assess the definitive merits of trans-Kambin fusion of the lumbar spine.
Interlaminar Full-Endoscopic Discectomy for L5-S1 Disc Herniations
Authors: Srikantha Umesh , Lokanath Yadhu K , Hari Akshay , Deepak BS 
Published: December 2022

Background:
Interlaminar full endoscopic discectomy has been the least invasive and preferred route to treat disc herniations at L5-S1 and are being increasingly accepted and adopted in many centres. Compared to transforaminal approach, it offers the advantage of a familiar posterior approach with presumably easier transition for surgeons who have been doing another form of minimally invasive spine surgery.

Objective:
The article describes the surgical steps and early outcomes along the initial learning curve of Interlaminar Endoscopic discectomy for herniated disc at L5-S1 level.

Material and Methods:
This retrospective study included the first 20 patients who underwent Interlaminar Endoscopic Lumbar Discectomy (IELD) at our center. Patients with unilateral symptoms, failed conservative treatment, and good interlaminar window were selected for IELD. Visual Analog Scale (VAS) score s and McNab criteria were used to assess the outcome. Postoperative magnetic resonance imaging (MRI) was done in the majority of patients to assess and correlate the adequacy of root decompression and extent of discectomy.

Results:
The mean age of the 20 patients was 41 years (17 to 60 yr) with a male: female ratio of 3:2. The median surgical time was 80 min (40 to 150 min). The mean VAS scores for leg pain reduced from 8.2 preoperatively to 2.1 in the postoperative period. All patients had a minimum follow-up for 6 months. Postoperative MRI was done in 14 patients, which showed complete fragment removal with the good decompression of the nerve root in 12 patients. There was no early recurrence of radicular symptoms in any patient. According to Modified McNab criteria, 8 patients had excellent outcome, 9 patients had good outcome, and 3 patients did fairly well.

Conclusion:
IELD offers an excellent alternative to tubular surgeries for treating disc pathologies at L5-S1. This series represents the early reports from the first 20 cases at the author's center who have been performing tubular surgeries for more than a decade. With the learning curve been overcome, the technique could be used in a wider array of lumbar spine pathologies henceforth.
Analysis of high risk factors for chronic atrophic gastritis
Authors: Lin Xian-Ke , Wang Wei-Lin 
Published: December 2022

Background:
Screening for chronic atrophic gastritis (CAG) is crucial for the prevention and early detection of gastric cancer. Endoscopy is the main method of CAG diagnosis, with high training requirements and limited accuracy, making it difficult to popularize. The study attempts to improve the positive rate and accuracy of CAG screening through non-invasive testing.

Methods:
A total of 2564 patients who underwent gastroscopy were included in this study. The results of gastroscopic evaluation, histological biopsy results (including H. pylori biopsy), urea breath test (UBT) results, serum pepsinogen, and testosterone were statistically analyzed.

Results:
We found significant differences in the diagnosis of CAG between endoscopy and histological biopsy. Pepsinogen II and pepsinogen I/II ratio were more useful for the diagnosis of CAG compared with pepsinogen I. The risk of CAG was increased when pepsinogen II exceeded 11.05 mg/L, and the pepsinogen I/II ratio was less than 3.75. CAG positivity was higher in patients with positive H. pylori infection on UBT screening. In addition, higher levels of testosterone, SHBG and HSD17B2, and lower level of GNRH1 were found in CAG mucosa. Patients with high serum testosterone had a higher risk of CAG.

Conclusion:
CAG screening should be combined with endoscopic evaluation, biopsy, and other non-invasive tests. Non-invasive tests include the combination of serum pepsinogen II protein and pepsinogen I/II ratio and high level of serum testosterone. UBT combined with serum pepsinogen testing may improve the positive rate of CAG and reduce gastric mucosal damage from multiple biopsies.
Effects of Combination Therapy in Reduction of Tinnitus Functional Index Score for Tinnitus Patients in a Tertiary Hospital in Malaysia
Authors: Kamarudin Nur Asyiqin , Ishak Wan Syaira , Nazri Mohd Arif , Tamil Azmi Mohd , Abdullah Asma 
Published: December 2022

Background:
This trial aimed to study the effect of combination therapy and compare it with tinnitus counseling alone in the reduction of tinnitus functional index (TFI) score.

Materials and Methods:
This work is a two-arm pilot-controlled trial where Muslims aged more than 18 years and with primary chronic bothersome tinnitus and a TFI score of more than 24 were recruited. The exclusion criteria were subjects with pulsatile or objective tinnitus or those with poor cognitive functions and Meniere's disease. They were randomized into two groups by using block randomization. The first treatment group received a combination of Al Quran sound therapy and tinnitus counseling, and the second treatment group received tinnitus counseling only. The results of the TFI score before intervention and 1-month postintervention were recorded and analyzed.

Results:
A total of 25 patients were recruited and randomized. Among them, 10 received combination therapy and 15 received counseling treatment. Overall, 68% of the patients (17/25) had reduced global TFI scores. The mean decline in total TFI score in the combination group was higher (12.4, standard deviation [SD]: 18.5) than that in the counseling group (4.9, SD: 18.8). Clinically relevant improvement was also higher in the combination group (40%) than in the counseling group (26.7%). Both comparisons were not statistically significant. Among the TFI subscales, the mean scores of intrusiveness, sense of control, and emotion decreased significantly after the intervention within the combination group, with values of P = 0.036, 0.026, and 0.036, respectively.

Conclusion:
This study was unable to determine if combination therapy is better than counseling due to the small sample size. However, combination therapy improved the emotion, sense of control, and degree of intrusiveness of tinnitus.
VYUŽITÍ KAPACITY DRÁHY NA TRAŤOVÉM ÚSEKU BRNO-MALOMĚŘICE – TIŠNOV PŘED A PO ZAVEDENÍ ODKLONOVÝCH TRAS Z I. TRANZITNÍHO KORIDORU
Authors: Zeman Vladimír , Drdla Pavel 
Published: December 2022

Tento článek hodnotí využití kapacity dopravní infrastruktury na traťovém úseku Brno-Maloměřice – Tišnov s využitím metodiky Správy železnic dle SM 124. Nejprve je prováděno zjišťování plánovaného a skutečného provozu z hlediska jeho intenzity a druhového složení vlaků před a po zavedení odklonových tras z I. tranzitního koridoru. Následně je vyhodnocena kapacita obou traťových kolejí v jednotlivých mezistanicích úsecích. Dále je diskutována otázka nedostatečného počtu nástupištních hran ve stanici Tišnov a představeno řešení dle autorů a dle plánovaného projektu rekonstrukce. Rovněž jsou prezentovány výsledky separátní simulace provozu na zhlaví v obvodu St. 3 stanice Brno- Maloměřice a na kuřimském zhlaví v Tišnově.
COVID AUTOMAT A JEHO VPLYV NA VÝKONY VO VEREJNOM ZÁUJME V ŽELEZNIČNEJ OSOBNEJ DOPRAVE NA SLOVENSKU
Authors: Bulková Zdenka , Černá Lenka 
Published: December 2022

Rozšírenie krízy COVID-19 malo vážny vplyv na železničných dopravcov z dôvodu výrazného zníženia dopytu po službách železničnej dopravy. Niektorí dopravcovia čelili značným problémom s likviditou, veľkým stratám a v krajnom prípade riziku úpadku. V tomto období bola koronakrízou postihnutá najmä železničná osobná doprava. V prvej vlne pandémie, keby bol zavedený zákaz vychádzania sa tak zrušilo veľké množstvo vlakových spojov na sieti ŽSR a prevádzka železničnej osobnej dopravy sa obmedzila na sobotňajší režim prevádzky podľa vtedy platného GVD. Vo veľkej miere sa znížili všetky dopravné výkony, najmä tie, ktoré sú poskytované ako výkony vo verejnom záujme. Pozastavená bola taktiež aj bezplatná preprava v dôsledku zatvorenia všetkých škôl. V dôsledku týchto nepriaznivých zmien boli zavádzané protipandemické opatrenia, znižujúce riziko nákazy počas prepravy. Príspevok sa zaoberá vplyvom pandémie COVID-19 na výkony vo verejnom záujme v železničnej osobnej doprave na Slovensku. Príspevok popisuje navrhnutý systém hodnotenia protipandemických opatrení, vplývajúcich na mobilitu v železničnej osobnej doprave. Implementácia preventívnych opatrení pre ďalšie obdobie je navrhnutá na podporu prevádzky železničnej osobnej dopravy.
VLIV SLOVA „ZDARMA“ NA NÁKUPNÍ CHOVÁNÍ RŮZNÝCH GENERACÍ
Authors: Pojkarová Kateřina , Anchutkina Yaroslava , Baťová Klára 
Published: December 2022

V dopravě, spojích nebo jakékoli jiné oblasti lidé často činí rozhodnutí, která nejsou racionální. Jedním z vlivů, který to způsobuje, je nabídka něčeho zdarma. Tento článek se zaměřil na zkoumání tohoto vlivu mezi různými generacemi. Snahou bylo zjistit, jestli mladší generace reagují odlišným způsobem než generace starší. Významný rozdíl se neprokázal, při zkoumání tohoto problému se však ukázal (a potvrdil) jiný jev, a to vliv formulace nabídky se slovem „zdarma“ na rozhodování spotřebitelů.
Comparative and Health Risk Assessment of Heavy Metals in Mangrove Forest and Farm - Bred African Giant Snails (Archachatina Marginata)
Authors: Hassan Isiaka Adio 
Published: December 2022

Snails are good source of protein for different classes of people. The aim of this work is to compare and assess the health risk of the heavy metals in mangrove forest and farm - bred snails, as sources of protein. Twelve snails (six mangrove forest and six farm - bred) of two sizes (big and small) were sourced from Bayeku mangrove forest and Snail Farm at Second gate of Lagos State University of Science and Technology (LASUSTECH) respectively. The, Fe, Cd, Cr, Ni, Cu, Pb, and Zn concentration of the snails were evaluated using standard analytical methods. The data obtained were subject to differential and inferential statistics using a statistical package (SPSS 22.0 version) and compare with Food and Agriculture Organization (FAO) limit. Fe (732.32 - 734.24 mg/kg), Cu (145.17 - 145.19 mg/kg), Zn (62.38 - 62.51 mg/kg) of big snail from mangrove forest were the highest compared with Fe, Cu, and Zn in mangrove forest (small), farm bred (big and small) snail. Cr (77.20 - 77.46), Ni (21.14 – 21.28), and Pb (1.20 - 1.22) mg/kg in small snail (mangrove forest) were the highest. Cadmium (6.83 - 6.84 mg/kg) of the farm bred (big snail) was the highest. Mangrove forest bred snail; Fe (733.26±0.96), Cr (38.01±0.78), Ni (50.32±0.37), Cu (145.18±0.01), and Zn (62.43±0.07) mg/kg were significantly higher than their corresponding FAO Limits. Farm - bred snail Cr (38.99±0.21), and Zn (36.80±0.01) mg/kg were significantly higher than their corresponding FAO permissible limits. However, farm bred has lower heavy metal concentrations than mangrove forest bred. Hence, farm bred are better product.
APLIKASI SIG BERBASISA WEB PEMETAAN LOKASI TOKO OLEH-OLEH DI KOTA BATAM
Authors: Kuncoro Danang Adi , Andhika Andhika , Mukhtar Mukhtar 
Published: December 2022

The development of technology today is very undoubted so that information is easy to access anytime and anywhere. The ease of accessing information gives new enthusiasm for humans in developing information technology or commonly referred to as Geographic Information System (GIS). The definition of GIS itself is a special information system that manages data that has special information, or it can also be interpreted as information about the place or location where the geographical location is located. Batam city is one of the cities in the Riau archipelego province. Batam is famous as a location visited by foreign and domestic tourists. Tourists that visit Batam city have a habit of bringing food as souvenirs from Batam. However, tourists and local people sometimes have difficulty in finding the location of stores that sell food souvenirs. This study aims to develop a Geographic Information System application that maps the location of gift shops in Batam. The result of this study is web-based GIS applications, which uses Google Maps API to display maps and retrieve store location coordinates. Through the application, the tourist can be helped in finding the location of souvenir shops in the city of Batam.
İSTANBUL’DA CUMHURİYET DÖNEMİNDE PLANLAMA ÇALIŞMALARI: HENRİ PROST VE LUİGİ PİCCİNATO’NUN PLANLARININ SONRAKİ DÖNEMLERE ETKİLERİ AÇISINDAN MUKAYESELİ ANALİZİ
Authors: ERKEN Erhan 
Published: December 2022

Dünyanın en önemli şehirlerinden biri olan İstanbul'un tarihinin, Yenikapı’da Marmaray için yapılan kazılar ve burada elde edilen bulgulara göre, 8500 yıl evveline kadar gittiği düşünülmektedir. Tarihi süreçte birçok büyük devlete başkentlik yapan İstanbul bu süreçlerde birçok değişim yaşamıştır. Osmanlı’nın son dönemlerinde ve özellikle Tanzimat ile başlayan süreçte batılılaşma tesirinde çeşitli şehir planlama çalışmaları yapılmıştır. Bu çalışmalar Cumhuriyet’in ilanı sonrasında da devam etmiştir.

Amaç: Bu çalışmada Türkiye Cumhuriyeti’nin ilanı sonrasında İstanbul’da etkili olan iki adet şehir planlama yaklaşımının mukayeseli olarak incelemesi yapılmaktadır. Her iki planlamanın İstanbul’a etkileri, birbirleriyle farklılıkları ve sonraki dönemlerde İstanbul’da ne tür iz bıraktıkları üzerinde durulmuştur..
Yöntem: Bu çalışma nitel araştırma yöntemi ile gerçekleştirilmiştir. Çalışmada öncelikle literatür taraması yapılmış, farklı kaynaklardan elde edilen bilgiler belli bir kurgu içinde derlenerek bir sonuca gidilmeye çalışılmıştır
Bulgular: Cumhuriyet döneminde İstanbul’daki iki planlama çalışmasına geçmeden önce Osmanlı’nın son döneminde İstanbul’da hangi saiklerle ne tür planlama çalışmaları yapıldığına bakılmıştır. Burada batıya ilginin arttığı ve Tanzimatla birlikte hızlandığı bir dönemde şehir planlaması noktasında da bu ilginin varlığı görülmüş ve özellikle bu dönemde İstanbul’da vuku bulan seri yangınların şehir planlaması çalışmalarını etkilediği fark edilmiştir.
1937 Sonrası İstanbul’da başlayan ve 1950’ye kadar süren Henri Prost dönemi hem planlamanın yapıldığı ve hem de uygulandığı bir dönemdir. Bu dönemde İstanbul’un daha çok iç kesimlerinde bir yoğunlaşma ortaya çıkmıştır. Oysa 1958’den sonra devreye giren Piccinato’nun planlaması şehrin doğru batı ekseninde genişlemesini hedefleyen bir planlamadır. Ayrıca şehri geniş bir bölgenin içinde onunla birlikte planlayan bir yaklaşıma sahiptir. Piccinato’nun planlaması özellikle kendisinden çok daha sonraki dönemlerde etkili olan bir çalışma olarak dikkat çekmektedir
Özgünlük: Bu çalışmanın en ilginç yanı bir yönü ile Prost ve Piccinato planlamaları arasındaki temel ayrılığı ve zıtlığı ortaya çıkarması diğer yönü ile de Piccinato’nun fikirlerinin 1980 sonrası iktidara gelen ANAP’lı İstanbul Belediye Başkanı Bedrettin Dalan’ın icraatları ile çok benzeşmesidir. Bedrettin Dalan sonrası İstanbul Büyükşehir Belediyesinde yönetime gelen farklı başkanlar zamanında da Piccinato’nun düşünceleri bir çok yönü ile uygulamaya konmuştur.
Bu konu çerçevesinde araştırılan kaynaklarda bu tarz bir tespite rastlanmamıştır. Piccinato’nun İstanbul’da şehrin yönetimiyle ilgili bir noktada bulunmamasına rağmen fikirlerinin önemli bir bölümünün yıllar sonra tatbik mevkiine konulduğunu tespit etmek ve bunu ortaya koymak, bu çalışmanın en özgün noktalarından birisidir
Análise das informações sobre medicamentos veiculadas na rede social de drogarias
Authors: Santana Pedral Lara , Dias de Castro Luz Ana Alice 
Published: December 2022

A automedicação no Brasil, por vezes, é vista como uma saída imediata para cessar alguns sintomas. Esta ação ocorre entre jovens e adultos, principalmente daqueles que têm um maior acesso à internet. O acesso a páginas da internet ou redes sociais voltadas para a área da saúde é, por muitas vezes, a escolha inicial daqueles que não têm condições de pagar uma consulta médica, tempo disponível para se consultar ou têm dificuldade de acesso aos serviços de saúde. As drogarias têm apostado em redes sociais para se manter mais próximas dos seus consumidores e atualmente, o Instagram é amplamente utilizado. O Instagram é uma ferramenta fundamental para a comercialização de medicamentos e outros produtos. Deste modo, este trabalho teve como objetivo analisar as informações disponibilizadas nas redes sociais para a população sobre medicamentos e cumprimento das normas da RDC nº 96/2008. No Instagram foram selecionadas páginas de cinco drogarias e analisados quais assuntos são publicados e se existem irregularidades nessas publicações relacionadas a medicamentos. Duzentos e dezesseis publicações foram encontradas, onde 69 (31,8%) são de produtos cosméticos e de higiene, 86 (39,8%) são informações de saúde e apenas 05 (2,4%) específicas de medicamentos. Das 05 publicações sobre medicamentos, 03 irregularidades foram encontradas em 03 publicações analisadas, sendo uma em cada. De acordo com os dados encontrados existem orientações que estimulam os hábitos saudáveis, mas também há um estímulo ao uso indiscriminado de medicamentos nas redes sociais, pelas drogarias. Estas drogarias têm muita influência sobre seus consumidores e, para diminuir o risco da automedicação, é muito importante que o farmacêutico atue, tanto no balcão como nas redes sociais. Desse modo, é fundamental a atuação do farmacêutico, pois com a atenção necessária há esclarecimento de dúvidas da farmacoterapia, contribuição na persistência e adesão de tratamentos, diminuição de reações adversas e toxicidades, melhorando assim a qualidade de vida da sociedade e a não propagação de informações errôneas.
Sesbilgisel Farkındalık Becerilerini Destekleme Müdahale Programının Okuma Güçlüğü Yaşayan Öğrencilerin Sesbilgisel Farkındalık Becerilerine Etkisi
Authors: BOZDAĞ Türkan , ŞAHİN Ayfer 
Published: December 2022

Bu araştırmada sesbilgisel farkındalık becerilerini destekleme müdahale programının (SESFAR) okuma güçlüğü yaşayan öğrencilerin sesbilgisel farkındalık becerilerine etkisinin incelenmesi amaçlanmıştır.
Araştırma ön test-son test tek grup deneysel modelde planlanmıştır. Okuma performanslarının “endişe düzeyinde” olduğu belirlenen 12 öğrenciyle çalışma yürütülmüştür. Öğrencilere SESFAR müdahale programı öncesi “Ses Bilgisi Farkındalık Ölçeği” ön-test olarak uygulanmıştır. Uygulama sonrasında son-test olarak tekrar aynı ölçek uygulanmıştır. Aynı zamanda deney grubundaki öğrencilerin sınıf öğretmenlerine programın geçerliliği ile ilgili “Öğretmen Sosyal Geçerlik Soru Formu” doldurtulmuştur.
Araştırma sonucunda; SESFAR müdahale programının uygulandığı okuma güçlüğü yaşayan öğrencilerin sesbilgisel farkındalık, kelime farkındalığı, hece farkındalığı, uyak farkındalığı ve sesbirim farkındalığı becerilerinin ön-test ve son-test puanları arasında son-test lehine bir fark oluştuğu ancak bu farkın istatistiksel olarak anlamlı düzeyde olmadığı belirlenmiştir. Öğretmenlerden alınan görüşler (sosyal geçerlik) doğrultusunda ise bu programın sosyal geçerliliğinin yüksek olduğu sonucuna ulaşılmıştır.
PENGARUH KOMITMEN ORGANISASI DAN BUDAYA ORGANISASI TERHADAP KINERJA PEGAWAI PADA BADAN KEPEGAWAIAN DAN SUMBER DAYA MANUSIA (BKPSDM) KABUPATEN PIDIE
Authors: Abdullah Husaini , Chairil Muhammad 
Published: December 2022

Penelitian ini bertujuan untuk mengetahui pengaruh komitmen organisasi dan budaya kerja terhadap kinerja pegawai pada Badan Kepegawaian dan Sumber Daya Manusia (BKPSDM) Kabupaten Pidie. Jumlah sampel dalam penelitian ini diambil sebanyak 64 orang pegawai setempat. Setelah dilakukan serangkaian pengujian, hasil perhitungan regresi pada bagian output SPSS 21 dapat dirumuskan persamaan regresi sebagai berikut : Y = 3,862+ 0.396 X1+ 0.397X2 Dari hasil uji hipotesis secara simultan atau keseluruhan, diketahui nilai Fhitung 53,469 lebih besar dari Ftabel 3,15. Dengan demikian dapat disimpulkan bahwa komitmen organisasi dan budaya organisasi memiliki pengaruh secara simultan atau bersama-sama terhadap kinerja pegawai pada Badan Kepegawaian dan Sumber Daya Manusia (BKPSDM) Kabupaten Pidie. Hasil penelitian terhadap pengaruh komitmen organisasi diperoleh nilai thitung 5,072 lebih besar dari ttabel 1.670 dengan probabilitasnya sebesar 0.00 lebih kecil dari 0,05, maka dapat diartikan komitmen organisasi memiliki pengaruh secara parsial dan signifikan terhadap kinerja pegawai pada Badan Kepegawaian dan Sumber Daya Manusia (BKPSDM) Kabupaten Pidie. Selanjutnya hasil penelitian terhadap pengaruh budaya organisasi diperoleh nilai thitung 5,210 lebih besar dari ttabel 1.670 dengan probabilitasnya sebesar 0.010 lebih kecil dari 0,05, maka dapat diartikan budaya organisasi memiliki pengaruh secara parsial dan signifikan terhadap kinerja pegawai. Kata Kunci: Komitmen Organisasi, Budaya Organisasi dan Kinerja Pegawai