bluuebunny/crossref_metadata_2025_split huggingface dataset:
Torção de Testículo Criptorquídico: Relato de caso
Authors: Condori Leandro Vanessa , Catharino Arthur Pereira da Silva , Silvestre Flávia Medeiros Lima , Lima Eliseu Gabriel Santos , Magalhães Rafael Ruggeri 
Published: February 2025

A torção testicular é uma das principais emergências urológicas em homens. O testículo criptorquídico é aquele que não desceu para a região de bolsa escrotal, permanecendo localizado na cavidade abdominal ou na região inguinal. Nesse relato será abordado o caso de um jovem de 23 anos, portador de criptorquidia em testículo esquerdo em que houve um processo de torção testicular que necessitou de abordagem cirúrgica. Abordaremos a prevalência, características, exames de imagens no auxílio do diagnóstico, possíveis complicações e diagnóstico diferencial.
EXPLORANDO OS MISTÉRIOS DO VAPOR: UMA ANÁLISE ABRANGENTE DO USO DE CIGARRO ELETRÔNICO E O RISCO POTENCIAL DE CÂNCER ORAL
Authors: Silva Ana Vitória Rodrigues , Morais Anne Diollina Araújo , Barbosa Filho José Soares , Paulino Laís Raiane Feitosa Melo , Fernandes Nívia Delamoniky Lima , Fernandes Jefferson Douglas Lima 
Published: February 2025

Conforme ressaltado pela Agência Internacional de Pesquisa em Câncer (IARC), uma em cada cinco pessoas no mundo é acometida por câncer ao longo da vida. Como efeito, a prevenção do câncer é apontada como um dos maiores desafios de saúde pública deste século. Embora a exposição do cigarro convencional (CC), um dos principais fatores etiológicos, tenha regredido, o cigarro eletrônico (CE) está se transfigurando cada vez mais popular, expondo anseios quanto aos seus possíveis malefícios, cujos efeitos ainda não são totalmente documentados. Desse modo, o objetivo desta revisão é investigar os efeitos do cigarro eletrônico na saúde oral, explorando os componentes químicos presentes nestes dispositivos e seu potencial risco de câncer. Para alcançar os objetivos propostos, foi realizado uma revisão de literatura integrativa de caráter qualitativo e exploratório nas bases de dados Scientific Eletronic Library Online (Scielo), Biblioteca Virtual em Saúde (BVS) e U.S. National Library of Medicine (PUBMED) no período de 2014-2024. Os resultados dos estudos trouxeram evidências claras da correlação dos componentes químicos, existentes no e-liquido do CE, com o potencial efeito carcinogênico, além de favorecer uma possibilidade maior da exposição ao CC, cujos efeitos nocivos já são bem fundamentados. Entretanto, apesar de que os resultados atingidos sejam promissores, há uma necessidade tangível de mais estudos para comprovar essas descobertas e entender suas complicações em diferentes circunstâncias.
“Integration of people with disabilities in the United States Armed Forces – on the example of the Air Force”
Authors: Połeć Jolanta Marzena 
Published: February 2025

ObjectivesThe aim of this article is to analyze the integration processes of people with disabilities in the U.S. Air Force, with particular emphasis on changes in equality policy and regulations, such as the Americans with Disabilities Act.

In particular, the aim is to understand how these changes have affected the inclusion of persons with disabilities in the context of everyday life in the Air Force, and what benefits and challenges arise from this integration for both military units and persons with disabilities themselves.MethodsAnalysis of existing documents, legal regulations, policies and initiatives concerning persons with disabilities in the U.S. Armed Forces.

This method allows for the identification of key legal provisions that enable the inclusion of persons with disabilities in military service and the assessment of their impact on military practices.ResultsIdentification of the main legal acts that have a direct impact on the inclusion of persons with disabilities in military service.ConclusionsDespite the progress made in the integration of people with disabilities, the analysis of legal regulations and integration policies in the U.S. Air Force indicates the need for further action to increase the participation of people with disabilities in military service. It will be crucial to adapt infrastructure, training, recruitment procedures, psychological support, as well as continuous monitoring of the effectiveness of integration policies. Increasing awareness and engagement on this issue will help further improve the quality of working life for people with disabilities in the U.S. Air Force.
Ruinas de Quitilipi: un asentamiento Tardío en la Quebrada de las Conchas (Salta, Argentina)
Authors: Cardozo Rodrigo , Ledesma Rossana , Villarroel Jimena 
Published: February 2025

The archaeological site Ruinas de Quitilipi is located in the Quebrada de Las Conchas Provincial Natural Reserve, in the province of Salta. This preliminary communication presents the results of the surveys and architectural recording.
Field tasks consisted of photographic documentation of surface evidence such as architecture, ceramics, lithic material, burials and metal smelting remains. For the elaboration of an initial planimetry, and a delimitation of the extent of the site, UAV flights were carried out, an orthomosaic was designed and the information was processed in QGIS to create a geo-referenced planimetry.
The survey work was carried out in collaboration with the Diaguita Suri Calchaquí community of Santa Barbara, which also allowed us to access other archaeological sites in the ravine that were previously unknown to us.
The Influence of Work Motivation, Competency and Work Environment on Employee Performance at PT. Bukit Palem Singkup District, Ketapang District, West Kalimantan Province
Authors: Putri Yolidya  Agita , Prayekti Prayekti , , Epsilandrisptyarini 
Published: February 2025

This research aims to analyze the influence of work motivation, competence and work environment on employee performance at PT. Bukit Palem, Singkup District, Ketapang Regency, West Kalimantan Province. In the research carried out using a quantitative approach with a survey method and the population used was 320 permanent employees and the sample size was purposive sampling and regression data techniques which the researchers took were 76 working respondents. The results of the analysis show that work motivation and competence have a positive and significant effect on employee performance, besides that the work environment and work motivation also have a positive and significant effect on employee performance. The research was conducted using a quantitative approach with survey methods. Quantitative methods are used in this research because the data obtained in this research is in the form of numbers which have scores from the hypothesis results for the data. The survey method is a method where samples are taken from a population and using a questionnaire as the main data collection tool. In survey research, information is obtained from respondents using a questionnaire (Sugiyono, 2019). In this research, the population used is permanent employees who work in PT. Bukit Palem, Singkup District, Ketapang Regency, West Kalimantan Province, numbering 320 employees. The number of samples taken by researchers were permanent employees who worked, namely 76 respondents. Sample technique, regression data analysis using questionnaire data.
Pertanggungjawaban Hukum terhadap Satwa Liar dilindungi yang Mati Akibat Kelalaian
Authors: Putri Senia Wandalillah , Hutagaol Zefanya Bhenaya Aklesia , Andini Diajeng Woro , Nasir Fitrizki Dwi Nanda Utami , Zidan Achmad Yassin 
Published: February 2025

Satwa yang dilindungi adalah semua jenis satwa liar, baik yang hidup maupun yang mati, atau bagian-bagiannya, yang ditetapkan oleh undang-undang sebagai satwa yang dilindungi. Secara keseluruhan, IUCN mencatat sebanyak 539 spesies flora dan fauna Indonesia yang terancam punah, termasuk 69 spesies dalam kategori kritis (critically endangered), 197 spesies dalam kategori endangered, dan 539 spesies dalam kategori rentan (vulnerable. Kepemilikan satwa liar di Indonesia secara pribadi bukanlah hal yang tidak diperbolehkan, dengan artian bahwa seseorang dapat memelihara satwa liar apabila telah memenuhi syarat dan mendapatkan perizinan dari Balai Besar Konservasi Sumber Daya Alam (BBKSDA). Alshad Ahmad memelihara Harimau Benggala yang termasuk dalam kategori Appendix I menurut CITES yang merupakan kategori endangered species, sehingga melanggar ketentuan Pasal 21 ayat (2) huruf a Undang-Undang No. 5 Tahun 1990 tentang Konservasi Sumber Daya Alam Hayati dan Ekosistem. Sanksi mengenai pemeliharaan satwa yang dilindungi diatur dalam Pasal 40 ayat (2) UU 5/1990. Apabila karena kelalaiannya (culpa) mengakibatkan matinya satwa langka yang dipeliharanya maka Alshad Ahmad seharusnya dapat dimintai pertanggungjawaban.
Entendre l’action politique derrière la chanson satirique : sur quelques couplets du chansonnier de Gaston d’Orléans
Authors: Abiven Karine 
Published: February 2025

Les mazarinades chantées ou chantables permettent-elles de suivre les stratégies des factions pendant la Fronde ? L’étude des couplets attribués au baron de Blot, attaché à la maison de Gaston d’Orléans, pose le problème d’une circulation essentiellement orale et d’un archivage très tardif. Alors que l’historiographie a réduit cette production versifiée au libertinage (de mœurs), en faisant de Blot le membre d’un « groupe » de libertins, il s’agit d’enquêter sur sa portée politique et son rapport au « parti » du Duc d’Orléans.
An Observational Study to Assess the Quality of Life in Patients with Superficial Dermatophytosis at Tertiary Care Center
Authors: Parmar Dharmesh , Polra Rutoo Vipulkumar , Tandel Jinal Jainendrabhai , Mauli Shah , Nair A Pragya 
Published: February 2025

Abstract

Introduction:
Superficial dermatophytosis is a common skin infection, having a recurrent and persisting course. The impact of disease is not only limited to skin but also affects the personal and social lives of these patients. Dermatology Life Quality Index (DLQI) and five-dimensional (5D) pruritus score are often been used to assess their impact on patient’s quality of life (QoL).

Aims:
The present study aims at measuring the impact of the disease on the QoL of the patients by DLQI score and 5D pruritus score and find the association of DLQI and 5D pruritus score with different variables in patients with superficial dermatophytosis.

Methods:
A cross-sectional observational study was conducted over 1 ½ years. The patients with superficial dermatophytosis attending the skin outpatient department were recruited after informed consent and were made to fill up the DLQI and 5D-pruritus scale questionnaires. Independent t-test and ANOVA were used to find statistical associations between mean DLQI scores and 5D-pruritus scores with the study variables. The Pearson’s correlation coefficient was calculated to compare the effect on the QoL as measured from DLQI and 5D-pruritus score.

Results:
A total of 570 patients were recruited, among which 179 and 234 patients had DLQI scores and 5D-pruritus scores, respectively, with moderate effect. A significant correlation was found between age (≤40 years) and DLQI scores (P < 0.006) but not with 5D-pruritus score. The highest mean DLQI score was seen in >6-month duration (9.2 ± 6.7) and >10% body surface area involvement (BSAI) (11.8 ± 5.7). The highest mean 5D-pruritus score was seen in >6-month duration (12.9 ± 4.1) and > 10% BSAI (15.8 ± 2.9). The effect on QoL was estimated on the basis of the duration of the disease and BSAI, which correlated strongly with the DLQI scoring and disability scoring in the 5D-pruritus scale (P < 0.001).

Conclusions:
Although considered previously as a simple fungal infection, now it has emerged as a social, psychological, and economic burden on society.
Follow-up of elderly gastric cancer post-radical surgery: Trauma, complications, and prognosis
Authors: Zhu Li-Ling , Shen Rui-Zhi 
Published: February 2025

BACKGROUND
The incidence of gastric cancer in the elderly is increasing; however, standardized surgical approaches are lacking.
AIM
To investigate the effects of radical surgery on the trauma response, postoperative complications, and long-term prognosis in elderly patients with gastric cancer.
METHODS
Between January 2020 and December 2023, 110 gastric cancer patients admitted to the Department of Oncology Jiangnan University Medical Center were categorized into a control group (40 cases) and an observation group (70 cases) based on surgical method differences. The control and observation group received palliative surgery and radical surgery, respectively, and were further divided into open (25 cases) and laparoscopic (45 cases) surgery. Surgical outcomes, trauma indicators, complication rates, and long-term survival at 6 months, 1-, and 2-years were compared.
RESULTS
Laparoscopic surgery showed superior surgical outcomes compared to the open surgery and control groups (P < 0.05). Trauma indicators were lowest in the laparoscopic group and highest in the control group (P < 0.05). No significant difference was observed in the complication rates between the open and laparoscopic groups (P > 0.05), but both were higher than those in the control group (P < 0.05). No significant differences were found in survival rates at different follow-up periods between the laparoscopic and open groups (P > 0.05); however, both groups showed higher survival rates than the control group (P < 0.05).
CONCLUSION
Radical surgery in elderly patients with gastric cancer reduces surgical trauma response, facilitates postoperative recovery, and improves long-term survival rates, albeit with an increased risk of complications. Laparoscopic radical surgery further minimizes postoperative trauma, with no significant difference in complication rates and survival prognosis compared with open radical surgery.
Enhanced recovery after surgery-based evidence-based care plus ice stimulation for thirst management in convalescent patients following digestive surgery under general anesthesia
Authors: Chen Li , Li Bi-Xi , Gan Qiu-Zhi , Guo Rui-Ge , Chen Xing , Shen Xi , Chen Yan 
Published: February 2025

BACKGROUND
Thirst management in convalescent patients recovering from a digestive surgery performed under general anesthesia requires attention. A simple, practical, and safe method can effectively relieve thirst symptoms in such patients.
AIM
To evaluate the enhanced recovery after surgery (ERAS)-based evidence-based care (EBC) plus ice stimulation therapy for thirst management of convalescent patients following digestive surgery performed under general anesthesia.
METHODS
A total of 191 patients convalescing after digestive surgery performed under general anesthesia between March 2020 and February 2023 and experiencing thirst were selected. In total, 89 patients and 102 patients in the control and research groups received routine care and ERAS-based EBC plus ice stimulation therapy, respectively. The following data were comparatively analyzed: (1) Thirst degree (thirst intensity numerical rating scale) and thirst distress (TD) degree (TD scale); (2) Oral mucosal wetness; (3) Unstimulated whole salivary flow rate (UWSFR); (4) Adverse reactions (palpitation, fatigue, chapped lips, and nausea and vomiting); and (5) Nursing satisfaction.
RESULTS
After nursing, thirst degree and distress were statistically lower in the research group than in the control group. Additionally, compared with the control group, the research group exhibited a lower degree of oral mucosal wetness, higher UWSFR, fewer adverse reactions, and more total nursing satisfaction.
CONCLUSION
ERAS-based EBC plus ice stimulation therapy can effectively alleviate thirst in convalescent patients recovering from a digestive surgery performed under general anesthesia. It can alleviate xerostomia symptoms, reduce adverse reactions, and improve patient comfort.
Endoscopic full-thickness resection vs surgical resection for gastric stromal tumors: Efficacy and safety using propensity score matching
Authors: Zhao Si-Qiao , Wang Si-Yao , Ge Nan , Guo Jin-Tao , Liu Xiang , Wang Guo-Xin , Su Lei , Sun Si-Yu , Wang Sheng 
Published: February 2025

BACKGROUND
Endoscopic full-thickness resection (EFTR) is increasingly used for treating gastrointestinal stromal tumors (GISTs) in the stomach.
AIM
To compare the efficacy, tolerability, and clinical outcomes of EFTR vs surgical resection (SR) for gastric GISTs.
METHODS
We collected clinical data from patients diagnosed with GISTs who underwent either EFTR or SR at our hospital from October 2011 to July 2024. Patients were matched in a 1:1 ratio based on baseline characteristics and tumor clinical-pathological features using propensity score matching. We analyzed perioperative outcomes and follow-up data. The primary outcome measure was progression-free survival (PFS).
RESULTS
Out of 912 patients, 573 met the inclusion criteria. After matching, each group included 95 patients. The EFTR group demonstrated statistically significant advantages over the SR group in average operative time (P < 0.001), length of hospital stay (P < 0.001), time to resume liquid diet (P < 0.001), incidence of adverse events (P = 0.031), and hospitalization costs (P < 0.001). The en bloc resection rate was significantly different, with SR group at 100% and EFTR group at 93.7% (P = 0.038). The median follow-up was 2451.50 days. Recurrence occurred in 3 patients in the EFTR group and 4 patients in the SR group, with no statistically significant difference (P = 1.000). Factors associated with PFS included age, tumor size, high-risk category in the modified National Institutes of Health (NIH) risk score, and resection status. Resection status was identified as an independent prognostic factor for PFS (P = 0.0173, hazard ratios = 0.0179, 95%CI: 0.000655-0.491). Notably, there was no statistically significant difference in PFS between the two groups.
CONCLUSION
This study is a non-inferiority design. The EFTR group significantly outperformed the SR group in terms of operative time, length of hospital stay, time to resume a liquid diet, incidence of adverse events, and hospitalization costs, demonstrating its higher economic efficiency and better tolerability. Additionally, although the en bloc resection rate was lower in the EFTR group compared to the SR group, there were no significant differences in tumor recurrence rates and progression-free survival between the two groups. This study found no statistical difference in the primary endpoint of postoperative recurrence rates between the two groups. However, due to sample size limitations, this result requires further validation in larger-scale studies. The current results should be viewed as exploratory evidence.
Risk factors influencing sphincter preservation in laparoscopic radical rectal cancer surgery
Authors: Liu Jia-Rui , Zhang Jin , Duan Xiang-Long 
Published: February 2025

BACKGROUND
The surgical management of rectal cancer is continuously advancing, with a current emphasis on minimising the need for a permanent stoma. Understanding the risk factors influencing sphincter preservation is crucial for guiding clinical decision-making and optimising preoperative patient evaluation.
AIM
To examine the risk factors influencing sphincter preservation in laparoscopic radical rectal cancer surgery.
METHODS
A retrospective analysis of the demographics, preoperative and intraoperative data, and pathological findings of 179 patients with rectal cancer who underwent laparoscopic radical rectal cancer surgery at our hospital between January 2022 and December 2023 was conducted. These clinical data were compared between two groups: Patients with sphincter preservation and those without, categorised as the sphincter-preserved and sphincter-unpreserved groups, respectively.
RESULTS
Of the 179 patients analysed, 150 were in the sphincter-preserved group and 29 were in the sphincter-unpreserved group. Tumour height was significantly greater in the sphincter-preserved group compared to the sphincter-unpreserved group. Conversely, elevated levels of carcinoembryonic antigen, carbohydrate antigen 19-9, and plasma D-dimer were significantly higher in the sphincter-unpreserved group. Significant differences were also observed between the two groups in terms of place of residence, presence of colonic polyps, neoadjuvant chemotherapy, preoperative radiotherapy, mucinous adenocarcinoma, nerve invasion, and tumour height. No significant differences were observed for other parameters. Logistic regression analysis identified colonic polyps, mucinous adenocarcinoma, nerve invasion, and tumour height as independent risk factors for sphincter preservation.
CONCLUSION
Several risk factors influencing sphincter preservation in laparoscopic radical rectal cancer surgery were identified. These factors could be valuable tools for guiding clinical decision-making and optimising preoperative patient evaluations.
Analysis of risk factors for bile leakage after laparoscopic exploration and primary suture of common bile duct
Authors: Yang Qing-Song , Zhang Meng , Ma Chang-Song , Teng Da , Li Ao , Dong Ji-Dong , Wang Xi-Fei , Liu Fu-Bao 
Published: February 2025

BACKGROUND
Bile leakage is a common complication following laparoscopic common bile duct exploration (LCBDE) with primary duct closure (PDC). Identifying and analyzing the risk factors associated with bile leakage is crucial for improving surgical outcomes.
AIM
To explore the value analysis of common risk factors for bile leakage after LCBDE and PDC, with a focus on strict adherence to indications.
METHODS
Clinical data of 106 cases undergoing LCBDE + PDC in the Hepatobiliary and Pancreatic Surgery Department (Division 1) of Chuzhou First People’s Hospital from April 2019 to March 2024 were collected. Retrospective and multiple factor regression analysis were conducted on common risk factors for bile leakage. The change in surgical time was analyzed using the cumulative summation (CUSUM) method, and the minimum number of cases required to complete the learning curve for PDC was obtained based on the proposed fitting curve by identifying the CUSUM maximum value.
RESULTS
Multifactor logistic regression analysis showed that fibrinous inflammation and direct bilirubin/indirect bilirubin were significant independent high-risk factors for postoperative bile leakage (P < 0.05). The time to drain removal and length of hospital stay in cases without bile leakage were significantly shorter than in cases with bile leakage (P < 0.05), with statistical significance. The CUSUM method indicated that a minimum of 51 cases were required for the surgeon to complete the learning curve (P = 0.023).
CONCLUSION
With a good assessment of duodenal papilla sphincter function, unobstructed bile-pancreatic duct convergence, exact stone clearance, and sufficient surgical experience to complete the learning curve, PDC remains the preferred method for bile duct closure and is worthy of clinical promotion.