bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gender Differences in Chronic Musculoskeletal Pain – Role of Kinesiophobia, Acceptance Behaviors, Pain Catastrophizing, and Quality of Life
Authors: Panhale Vrushali P. , Walankar Prachita Pravin , Sayed Mahvish A. 
Published: August 2023

Background:
Chronic pain not only has an impact on the daily functioning but also affects the society, family, professional, and social environment, thus disrupting the quality of life. Pain-related characteristics vary between the genders and have an influence on the physical and mental well-being of patients having chronic musculoskeletal pain.

Aim and Objective of the Study:
The aim of study was to assess the gender differences in kinesiophobia, pain catastrophizing, acceptance behaviors, and quality of life in patients with chronic musculoskeletal pain.

Methodology:
A cross-sectional study was conducted in 219 (males = 103 and females = 116) chronic musculoskeletal pain patients. The following parameters were measured: Kinesiophobia using Tampa scale of kinesiophobia; pain catastrophizing using the pain catastrophizing scale; pain acceptance using chronic pain acceptance questionnaire; and quality of life using 36-Item Short Form Health Survey questionnaire.

Results:
No significant differences were observed between genders in kinesiophobia (P = 0.495), pain acceptance (P = 0.539); and pain catastrophizing (P = 0.422). However, a significant difference between genders was observed in quality of life, both physical (P = 0.000) and mental component summary (P = 0.01).

Conclusions:
Kinesiophobia, pain acceptance, and pain catastrophizing showed no difference between the genders in chronic musculoskeletal pain patients. However, women reported lower quality of life as compared to men. Pain-related characteristics and quality of life are important aspects to be evaluated and targeted rehabilitation programs addressing them in chronic musculoskeletal pain.
Association between Clinical and Ultrasound Diagnoses of Aetiologies of vaginal Bleeding in the First Trimester
Authors: Samuel Nkengfua , Saidu Yauba , Abigail Ngalame , Gaetan Kwasseu , Ben-Lawrence Kemah , Edie Halle-Ekane Gregory 
Published: August 2023

Introduction:
The prevalence of first-trimester vaginal bleeding (FTVB) ranges worldwide from 4% to 24%. In resource-limited settings, there is a heavy reliance on clinical presentation to establish the cause of bleeding due to the limited availability of ultrasounds (US) imaging modalities.

Objectives:
The objective is to determine the association between clinical and US diagnoses in FTVB at the Buea and Limbe regional hospitals (BRH and LRH).

Subjects and Methods:
We recruited 144 participants, with <14 weeks of gestational age at the BRH and LRH. Data on sociodemographic, clinical, and US diagnoses were obtained from patients. Statistical significance was considered at P < 0.05.

Results:
From 144 participants enrolled, 55 (38.2%) were from BRH and 89 (61.8%) were from LRH. The main causes of FTVB were threatened abortions (42.36%), incomplete abortion (27.8%), complete abortion (3.5%), missed abortion (1.4%), ectopic pregnancy (22.91%), molar pregnancy (0.91%), and pregnancy with fibroids (1.4%). Cohen's kappa analysis revealed a good degree of agreement between clinical and US diagnoses for elective consultations (κ = 0.634, P < 0.001) and an average degree of agreement for those consulting as referrals (κ = 0.520, P < 0.001). Our study revealed a significant statistical association between clinical and US diagnoses for the following pathologies: threatened abortion (P < 0.001), incomplete abortion (P = 0.004), complete abortion (P < 0.019), and ectopic pregnancy (P < 0.001).

Conclusion:
This study reveals an overall average consistency between clinical and US diagnoses, especially for common etiologies of bleeding in early pregnancy. Hence, the need for US to confirm clinical diagnoses.
A Prospective Randomised Study Comparing Transabdominal Pre-Peritoneal Versus Totally Extra-Peritoneal Laparoscopic Approaches for Inguinal Hernia Repair
Authors: Manda Satish Reddy , Philip Sujith , Rajesh C. N. , Sam Sruthy Merry , Varma Deepak 
Published: August 2023

Background:
Inguinal hernia repair is one of the most common surgical procedures undertaken in routine surgical practice worldwide. Laparoscopic inguinal hernia repair has now become accepted as a standard method of treatment There are two widely accepted methods of laparoscopic inguinal hernia repair, transabdominal pre-peritoneal (TAPP) and totally extra-peritoneal (TEP).

Materials and Methods:
Our study was a prospective randomised study to compare the outcome of both TAPP and TEP for inguinal hernia repair and included a total of 120 patients who were diagnosed to have inguinal hernia and underwent surgical management electively for the same. They were randomised into both TAPP and TEP groups and the results were compared.

Results:
Amongst the two groups, laparoscopic TAPP repair required more time compared to laparoscopic TEP repair. However, post-operative pain, duration of hospital stays, complication rate and return to normal work did not show any significant difference between the two groups.

Conclusion:
Both laparoscopic TAPP and laparoscopic TEP repair are acceptable and equally efficacious treatment choices for inguinal hernia repair.
An Observational Study to Evaluate the Efficacy of Micronised Purified Flavonoid Fraction in Improving Venous Clinical Severity Score
Authors: Adhip G. , Gopi E. V. 
Published: August 2023

Background:
Medical care of chronic venous disease (CVD) entails different strategies that can be used either alone or in combination. Micronised purified flavonoid fractions (MPFFs) are venomodulator drugs used for CVD.

Aim:
In the present study, the efficacy of MPFF in lowering Venous Clinical Severity Scoring (VCSS) for CVD [Clinical, Etiological, Anatomical and Pathological (CEAP) C3 disease] is assessed and identified a subgroup who will benefit from the therapy.

Materials and Methods:
This was an observational study based on 35 cases of CVD CEAP Class C3 attending a tertiary hospital. Their initial VCSS was assessed and the same was reassessed after 6 months of MPFF therapy. The data were statistically analysed.

Results:
The mean age among the study participants was 45.9 ± 9.4 years. Almost half of the study participants, 16 (45.7%), belonged to 41–50 years. More than half of the study participants were female. The median pain score was statistically significantly lower after flavonoid administration compared to baseline (P < 0.001). Similarly, statistically significant lower median oedema and VCSS scores were obtained after flavonoid administration (P < 0.001). However, no significant decrease was observed in the VCSS after flavonoid administration. The median VCSS was statistically significantly lower in females aged 41–50 years after flavonoid administration compared to baseline (P < 0.001).

Conclusion:
MPFFs are efficient in lowering VCSS in CEAP Class C3 cases of CVD in all age groups. The best efficiency was noted in 41–50 years' age group females. Patients with venous pain and venous oedema had the best response. The least response was noted in clinically demonstrable varices.
AR-GE PROJESİ SEÇİM PROBLEMİ: CAM SEKTÖRÜNDE BİR UYGULAMA
Authors: DUZDAR ARGUN İrem , ACAR Elif 
Published: August 2023

Günümüzde Araştırma Geliştirme projelerinin seçimi, bir şirketin başarısı için en önemli yatırım kararlarından biri haline gelmiştir. Bu çalışmada bir cam üretim firması için en uygun AR-GE proje seçimi, Çok Kriterli Karar Verme yöntemleriyle yapılarak değerlendirme sonucunda fabrika için en ideal alternatif sıralaması yapılması amaçlanmıştır.
AR-GE projelerinin seçim problemi fazla sayıda kriter ve alternatif içrdiğinden karmaşık bir problem olarak değerlendirilmiş ve bu nedenle ÇKKV Yöntemleriyle çözümü ele alınmıştır. Çalışmada kriterlerin ağırlıklarını belirlemek için AHP yöntemi kullanılmıştır. Bulunan değerler alternatiflerin sıralamasında kullanılmış ve sıralamaları yapmak için literatürde sıklıkla rastlanan TOPSIS ve literatür incelendiğinde AR-GE proje seçim çalışmalarında daha önce çözümüne rastlanmamış olan MOORA yöntemi kullanılmıştır. Yöntem sonunda çıkan alternatif sıralamalarını tek bir noktada toplamak ve genel nihai bir sıralamaya ulaşmak için BORDA Sıralama yöntemi kullanılmıştır.
Yapılan çözümler sonucunda 7. alternatif firma için en uygun alternatif olarak görülmüş ve bu aşamadan sonra firmanın ihtiyaç durumuna göre tercih firmaya bırakılmıştır.
Literatür incelendiğinde AHP ve TOPSIS yöntemleri AR-GE proje seçimlerinde sıklıkla kullanılmış fakat cam sektöründe böyle bir çalışmaya rastlanmamıştır. Bu çalışmanın sonucunda Firma çalışmayı devam ettirip bundan sonraki süreçlerde farklı alternatif projeler ile de aynı çözümleme yolunu kullanabilir.
FARKLI BÖLÜMLERDE ÇALIŞANLARIN FİZİKSEL ZORLANMALARINA BAĞLI KAS İSKELET SİSTEMİ RAHATSIZLIKLARININ DEĞERLENDİRİLMESİ
Authors: KAHYA Emin 
Published: August 2023

Uygunsuz çalışma duruşları sırt, kol, boyun, bilek vb. kas iskelet sistemi rahatsızlıklarına neden olmaktadır. Bu rahatsızlıklar, yapılan işin zorlayıcı özelliklerinin farklı olması nedeniyle bölümler arasında farklılıklar göstermektedir. Bu çalışmada, otomotiv sektörüne parça üreten büyük ölçekli bir işletmede, parçaların kaldırılması, işlenmesi, montajı, kontrolü, taşınması gibi faaliyetler nedeniyle işçilerin vücut bölgelerine farklı fiziksel zorlanmalar sonucu kas iskelet sistemi rahatsızlarına değişiminin tespiti amaçlanmıştır.
Rahatsızlıkların analizi için bir anket tasarlanmıştır. Anket iş ve işçi hakkında genel bilgiler, yük kaldırma ile işlem esnasında 6 vücut bölgesinde zorlanmaların düzeyleri ile kas iskelet sistemi rahatsızlıklarının tespiti için Cornell anketinde oluşmaktadır. Anket, üretim ile destek bölümlerinde çalışan 413 işçiye uygulanmıştır. Çalışanların %56,66’sı ayakta ve %17,68’i ise zaman zaman veya çoğunlukla yürüyerek, %11,38’i 10 kg üstü ve %30,75’i her 1 dk.da bir ağırlık kaldırarak çalışmaktadırlar.
Cornell anketi sonuçlarına göre, 20 vücut bölgesinden, son bir hafta içinde ağrı, sızı ve rahatsızlık hissedilen bölgeler; bel (%57,25), ayak (%54,11) sırt (%52,42) ve boyun (%51,93) elde edilmiştir. En yoğun ağrı hissedilen bel bölgesi ağrıları; Üretim bölümünde %57,61, Kalite bölümünde %62,26 , Kalıphane bölümünde %55,32, Bakım bölümünde %45,00 ve Malzeme ve Lojistik bölümünde %56,86 elde edilmiştir.
Efeitos da fisioterapia de imersão no ofurô sobre a dor e o desconforto respiratório leve em prematuros
Authors: Dias Luiza Scheffer , Souza Érica Alves , Vieira Luana dos Passos , Prestes Cecília Vieira , Weber Manuela da Silva , Martin Elisabete Antunes San , Da Silva Andréa Lúcia Gonçalves 
Published: August 2023

Introdução: A fisioterapia aquática em ofurô (FAO) promove sensações do bebê no útero materno, diminuindo dores e desconfortos. Objetivo: Avaliar o efeito agudo da fisioterapia em ofurô sobre a dor, desconforto respiratório e sinais vitais em prematuros com síndrome do desconforto respiratório neonatal leve. Métodos: Quase-experimento, com amostragem de conveniência, a FAO foi realizada em uma UTI neonatal. Variáveis analisadas pré e pós intervenção: dor (Escala Neonatal Infant Pain Scale-NIPS); desconforto respiratório (Boletim de Silverman-Andersen-BSA); sinais vitais (FC, FR e SpO2). Resultados: 14 prematuros (11 meninos), idade gestacional de 32,5 semanas, peso 1976,0 gramas e apgar-1minuto=6,5/ 5minuto=9,0. Pré vs pós FAO: NIPS=0 vs 0; BSA sinais leves=5 vs 4, p=0,005; FC 164,5(122,0–179,0) vs 147,5(124,0–200,0) bpm, p=0.198; FR 40,0(30,0–46,0) vs 38,0(29,0–46,0) rpm, p=0,939; SpO2 97,0% (53,0–99,0) vs 97,5%(95,0–100,0), p=0,132. Conclusão: Fisioterapia em ofurô diminui o desconforto respiratório em prematuros com síndrome do desconforto respiratório neonatal leve.
SIMULASI DISTRIBUTED BINARY POWER ALLOCATION PADA SISTEM RADIO KOGNITIF
Authors: Darmawan Erwan , Fernando Iqbal 
Published: August 2023

Cognitive radio is a technology for wireless communication networks that employ the upcoming Dynamic Spectrum Access ( DSA ) . DSA technology allows users who do not have a license called the secondary spectrum users to use the licensed spectrum that primary users while not in use. Application of DSA by secondary users to improve the spectrum utilization efficiency without disrupting or causing interference to the primary user. Later developed into a multi - user cognitive radio or cognitive radio networks use frequency spectrum together with a primary user ( PU ).
Methods switch 'off' the user who gives the biggest interference to PU is the best method with the greatest increase in performance, both the capacity and the number of active SU while the combination of methods switch 'off' the user who raised the largest overall interference with the method switches 'off' user given biggest interference to the PU is an alternative method that shows the consistency of performance improvement in the number of potential users over 10 and able to dominate the entire method over another is begun saturation and decreased capacity.
Abstracts are made in two languages, English and Bahasa Indonesia. Abstract more about background, purpose, up to, the results of research, and manai research. Abstract contains up to 250 words, single write spaces with italics (Italics) for English abstracts. Below the abstract are listed keywords consisting of six words, where the first word is again the forward. Abstract in Indonesian can be a translation of an English translation. Tiff editor for abstract syncing for reasons of abstract content
The Relationship between Excessive Worrying and Social Maladjustment among Internally Displaced Students in Bamenda Municipality: Implication for Clinical Counselling
Authors: Fokum Sigala 
Published: August 2023

Purpose: The goal of this study was to investigate the relationship between excessive worrying social maladjustment among internally displaced students in Bamenda municipality.
Methodology: The study employed a mixed methods correlational survey research design. The target population of the study consisted of 635 internally displaced students. The purposive and the disproportionate stratified sampling techniques was used to select the sample for the study. Quantitative data was collected through a questionnaire while a semi-structured interview guide was used to collect qualitative data from a sample of 160 participants. Questionnaires were completed by 150 internally displaced while 10 other respondents comprising school administrators, Counsellors and teachers were interviewed. Data was analyzed with the aid of the Statistical Package for Social Sciences (SPSS) version 26.0 for Windows. Descriptive statistics such as simple percentages mean scores and standard deviation, and inferential statistics such as the Pearson Product Moment Correlation test were used to analyze quantitative data while qualitative data were analyzed using content analysis with the support of ATLAS.ti software version 8.0.
Findings: The findings revealed that excessive worrying (r=.872, df= 148, p=.000, far < 0.05) have a positive correlation with social maladjustment among internally displaced students in Bamenda municipality.
Recommendations: Based on the findings, it was recommended that school Counsellors, teachers and school administrators in the Bamenda municipality should develop and enhance their knowledge and competencies on mechanisms to detect and systematically manage and rehabilitate internally displaced students suffering from Generalized Anxiety Disorder (GAD) in their schools in order to improve the motivation, attention and performance of the learners.
Peningkatan Hasil Belajar pada Materi Siklus Air Melalui Model Pembelajaran TGT Siswa Kelas V SDN IV Ploso
Authors: Prasetya Dadang Surya , Wahyuni  , Mursidik Ellys Mersina 
Published: August 2023

Penelitian ini adalah penelitian tindakan (action research), karena penelitian ini dilakukan untuk memecahkan masalah pembelajaran di kelas. Penelitian ini juga termasuk penelitian diskriptif sebab, mengambarkan bagaimana suatu teknik pembelajaran diterapkan dan seperti apa hasilnya. Penelitian ini bertujuan untuk mengetahui hasil belajar peserta didik kelas V di SD Negeri 4 Ploso setelah penerapan model TGT (Teams Games Tournament). Berdasarkan data hasil penerapan model pembelajaran TGT di kelas V SD Negeri 4 Ploso pada materi tematik tema 8 ‘siklus air’ disimpulkan bahwa penerapan model pembelajaran TGT dapat meningkatkan hasil belajar peserta didik. Hasil ini terbukti dari peningkatan rata – rata hasil pembelajaran pada siklus I sebesar 74,72 dan pada siklus II sebesar 80,54. Ketuntasan pada siklus I sebesar 45,46 % meningkat pada siklus II sebesar 81,81 %.
The KNMI Large Ensemble Time Slice (KNMI–LENTIS)
Authors: Muntjewerf Laura , Bintanja Richard , Reerink Thomas , van der Wiel Karin 
Published: August 2023

Abstract. Large-ensemble modelling has become an increasingly popular approach to studying the mean climate and the climate system’s internal variability in response to external forcing.
Here we present the Royal Netherlands Meteorological Institute (KNMI) Large Ensemble Time Slice (KNMI–LENTIS): a new large ensemble produced with the re-tuned version of the global climate model EC-Earth3.
The ensemble consists of two distinct time slices of 10 years each: a present-day time slice and a +2 K warmer future time slice relative to the present day. The initial conditions for the ensemble members are generated with a combination of micro- and macro-perturbations.
The 10-year length of a single time slice is assumed to be too short to show a significant forced climate change signal, and the ensemble size of 1600 years (160 × 10 years) is assumed to be sufficient to sample the full distribution of climate variability.
The time slice approach makes it possible to study extreme events on sub-daily timescales as well as events that span multiple years such as multi-year droughts and preconditioned compound events. KNMI–LENTIS is therefore uniquely suited to study internal variability and extreme events both at a given climate state and resulting from forced changes due to external radiative forcing. A unique feature of this ensemble is the high temporal output frequency of the surface water balance and surface energy balance variables, which are stored in 3-hourly intervals, allowing for detailed studies into extreme events. The large ensemble is particularly geared towards research in the land–atmosphere domain. EC-Earth3 has a considerable warm bias in the Southern Ocean and over Antarctica. Hence, users of KNMI–LENTIS are advised to make in-depth comparisons with observational or reanalysis data, especially if their studies focus on ocean processes, on locations in the Southern Hemisphere, or on teleconnections involving both hemispheres. In this paper, we will give some examples to demonstrate the added value of KNMI–LENTIS for extreme- and compound-event research and for climate-impact modelling.
Milton’s Second Marriage, the Burials of a Wife and Daughter, and Records from Two Parish Chests
Authors: Jones Edward 
Published: August 2023

ABSTRACT
Unreported parish records from Saint Margaret’s, Westminster, and Saint Mary the Virgin, Aldermanbury, provide new information about Milton’s second marriage and the burials of Katherine Woodcock and the couple’s daughter. These details invite us, in turn, to reconsider Milton’s own views regarding church ceremonies and parish affiliations in the 1650s and Restoration. In particular, the Saint Margaret’s Churchwarden Accounts reveal that Milton’s second wife and fourth daughter were buried at the “new Chappell” in Tothill Fields rather than at the mother church. Benevolences given at each burial suggest the likelihood that Milton attended both services.
CORTICOSTEROID THERAPY FOR PATIENTS HOSPITALIZED WITH COMMUNITY-ACQUIRED PNEUMONIA : A SYSTEMATIC REVIEW
Authors: Andreria Hatulely Chrysman 
Published: August 2023

Introduction: Pneumonia is an inflammation of the lung parenchyma in the distal terminal bronchioles, which includes the respiratory bronchioles and alveoli. Corticosteroids are routinely used for severe pneumonia symptoms. Numerous studies on adjuvant corticosteroids for community-acquired pneumonia (CAP) have yielded equivocal results. Several systematic reviews and meta-analyses have studied the efficacy of corticosteroids in treating CAP.
The aim: This article showed about corticosteroid therapy for patients hospitalized with community-acquired pneumonia (CAP).
Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2013 and 2023 were taken into account. Several different online reference sources, like Pubmed and SagePub, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done.
Result: The PubMed database yielded a total of 423 articles in response to our search query, while the search conducted on SagePub retrieved 491 articles. The search run for the last year of 2013 generated a total of 223 articles from PubMed and 212 articles from SagePub. Ultimately, a cumulative sum of 21 scholarly articles was assembled, with 15 originating from the PubMed database and the other six sourced from SagePub. We have incorporated four studies that satisfied the specified criteria.
Conclusion: Administration of steroids as early as possible in patients with severe CAP who are treated to benefit, where they do not experience therapy failure. Slower administration and inadequate doses do not provide any benefit.
Measures of civil law enforcement: signs, types and features of application to convicts sentenced to deprivation of liberty
Authors: Шепель Т.В. , Брылякова Е.С. 
Published: August 2023

В статье рассмотрены специфические признаки принуждения в гражданском праве. Исследована система мер гражданско-правового принуждения, выявлены критерии разграничения отдельных видов: мер ответственности, мер защиты, мер оперативного воздействия и мер самозащиты. Особенности применения названных мер к осужденным к лишению свободы не были предметом самостоятельного исследования ни в цивилистической науке, ни в науке уголовно-исполнительного права. Анализ гражданского и уголовно-исполнительного законодательства, доктрины позволил определить особенности и виды мер гражданско-правового принуждения, которые могут быть применены к осужденным к лишению свободы в исправительных учреждениях.
The article considers specific signs of coercion in civil law. The system of measures of civil law coercion was investigated, criteria for distinguishing certain types were identified: liability measures, protection measures, operational measures and self-protection measures. The peculiarities of the application of these measures to those sentenced to imprisonment were not the subject of independent research either in civilistic science or in the science of penal law. Analysis of civil and penal law, doctrine made it possible to determine the features and types of civil enforcement measures that can be applied to convicts for imprisonment in correctional institutions.