bluuebunny/crossref_metadata_2025_split huggingface dataset:
Multilevel ossification of the posterior longitudinal ligament causing cervical myelopathy: An observational series of North American patients
Authors: Ledesma Jonathan A. , Issa Tariq Z. , Lambrechts Mark J. , Hiranaka Cannon Greco , Tran Khoa , O’Connor Patrick , Canseco Jose A. , Hilibrand Alan S. , Kepler Christopher K. , Albert Todd J. , Vaccaro Alexander R. , Schroeder Gregory D. , Anderson David Greg 
Published: September 2023

ABSTRACT

Background:
Few studies regarding ossification of the posterior longitudinal ligament (OPLL) outside of Asia currently exist in the literature. A set of patients with multilevel cervical OPLL causing symptomatic myelopathy or radiculopathy from a North American sample is analyzed.

Objective:
The objective of this study was to describe the demographics, radiographic findings, and surgical outcomes of a cohort of North American patients with degenerative spondylosis presenting for operative management of multilevel (>3 segments) cervical OPLL.

Materials and Methods:
Forty-three patients diagnosed with multilevel cervical OPLL and degenerative spondylosis presenting with symptomatic cervical myelopathy or radiculopathy were surgically treated over a 9-year period at a single tertiary care academic medical center. Radiographic measurements were performed on preoperative computed tomography and magnetic resonance imaging images of the cervical spine. Clinical outcomes included pre- and postoperative Nurick scores, 90-day readmission, complication, and revision surgery rates.

Results:
The mean age was 66.1 ± 10.9 years with a mean latest follow-up time of 32.7 ± 16.4 months. Most patients had previous diagnoses of obesity (70.7%) and hypertension (55.8%). At least one-quarter of patients were diagnosed with type 2 diabetes (34.9%), hyperlipidemia (41.9%), cardiovascular disease (25.6%), or chronic kidney disease (25.3%). The most common OPLL subtype was segmental (39.5%) and spanned a mean of 3.54 ± 1.48 segments. Myelopathic symptoms were present in 88.4% of patients. All patients experienced significant neurologic improvement at 3-week and latest follow-up (P < 0.001 for both).

Conclusions:
Obesity, diabetes, and other metabolic derangements in patients with existing cervical spondylosis may be risk factors for a particularly aggressive form of multilevel OPLL. Various operative approaches may be employed to achieve adequate neurologic recovery. Further workup for OPLL in patients with these risk factors may prove beneficial to ensure appropriate operative management.
Construction of an enteral nutrition evaluation system for critically ill patients based on the Delphi method
Authors: Yao Yanrong , Liu Jingli , Xue Hongmei , Wang Xiaoyan , Yao Weijie , Liu Na , Wang Zuozheng , Mi Guangli 
Published: September 2023

Abstract

Background:
This study aimed to construct an enteral nutrition evaluation system for critically ill patients using the Delphi method to direct the formulation of enteral nutrition support strategies and reduce interruption to enteral feeding.

Methods:
We used domestic and foreign databases to obtain and analyze the literature and form “The Whole-Proceeding Enteral Nutrition Evaluation System for Critically Ill Patients.” The Delphi method was used to conduct two rounds of expert opinion consultation, combined with the suggestions from the research group to finalize the nutrition evaluation content of the system.

Results:
After two rounds of expert consultation, a nutrition evaluation system was formed around three dimensions: before the start, during, and after the end of nutritional support. The effective recovery rates of the two rounds of expert consultation were 90.0% (18/20) and 100.0% (18/18), respectively. Authority coefficients were 0.865 and 0.908, while Kendall coordination coefficients were 0.108 (P < 0.05) and 0.115 (P < 0.001), respectively. Finally, the full enteral nutrition evaluation system for critically ill patients was constructed based on the Delphi method, including three primary items and seven secondary and 28 tertiary indicators.

Conclusion:
The established “Whole-Proceeding Enteral Nutrition Evaluation System for Critically Ill Patients” has high consistency from expert opinions and reliability, which can provide a practical evaluation tool for the process of enteral nutrition for severe patients.
From the history of ossetian studies: anniversary of V.F. Miller in Ossetia in 1924
Authors: Гостиева Л.К. 
Published: September 2023

Статья посвящена проведению в 1924 г. в Осетии значимого для наци- ональной культуры события – юбилея в честь 75-летия со дня рождения и 10-летия со дня смерти выдающегося деятеля отечественной науки конца XIX – начала ХХ в., одного из основателей научного кавказоведения академика В.Ф. Миллера. Проанализиро- ван протокол торжественного заседания в честь юбилея из фондов Центрального го- сударственного архива РСО-А, материалы которого впервые вводятся в научный обо- рот. Рассмотрено содержание докладов ведущих ученых Осетии, в которых отражен комплексный, дисциплинарный подход В.Ф. Миллера к осетиноведческим исследовани- ям. Отмечено, что выступления с личными воспоминаниями о В.Ф. Миллере расширили наши знания о плодотворных научных связях ученого с представителями осетинской интеллигенции и о его высоких личностных качествах.
The article is devoted to the holding in 1924 in Ossetia of a significant event for the national culture - the anniversary in honor of the 75th anniversary of the birth and the 10th anniversary of the death of an outstanding figure of Russian science of the late XIX - early XX centuries, one of the founders of scientific Caucasian studies Academician V.F. Miller. The protocol of the solemn meeting in honor of the anniversary from the funds of the Central State Archive of North Ossetia-Alania, the materials of which are introduced into scientific circulation for the first time, is analyzed. The content of the reports of the leading scientists of Ossetia, which reflects the complex, disciplinary approach of V.F. Miller to Ossetian studies. It is noted that speeches with personal memories of V.F. Miller expanded our knowledge about the fruitful scientific relations of the scientist with representatives of the Ossetian intelligentsia and about his high personal qualities.
Everyday Life and Historical Memory of the Inhabitants of the Ossetian Villages of the Sarıkamış District according to the Diaries of Süleyman Kazmaz, 1940–1941
Authors: Чочиев Г.В. 
Published: September 2023

В публикации дневниковых записей турецкого этнографа-краеведа С. Казма- за представлено описание бытовых и социокультурных особенностей жителей четырех осетинских сел Сарыкамышского округа Карсского вилайетаТурецкой Республики в на- чале 1940-х гг. Материал имеет определенную ценность в контексте осетинской исто- рии и этнологии как исходящая из первых рук документальная фиксация характера по- вседневной жизни и состояния коллективной памяти указанного населения на этапе его полностью изолированного от «материнского» этноса существования.
The publication of the diary entries of the Turkish ethnographer and local historian S. Kazmaz describes the socio-cultural characteristics of the inhabitants of four Ossetian villages in the Sarıkamış district of the Kars vilayet of the Republic of Turkey in the early 1940s. The material has a certain value in the context of Ossetian history and ethnology as a first-hand documentary fixation of the nature of everyday life and the state of the collective memory of the specified population at the stage of its completely isolated existence from the “maternal” ethnic group.
PENGARUH MODEL INQUIRY LEARNING BERBANTUAN KINEMASTER PADA PEMAHAMAN KONSEP SISWA PADA MATERI PENGUKURAN KELAS X SEMESTER I SMA NEGERI 1 PARLILITAN TP 2022/2023
Authors: Lubis Lasmida , Malau Bertina , Susanto Irwan , Panjaitan Jelita 
Published: September 2023

Penelitian ini bertujuan untuk mengetahui apakah ada pengeruh yang signifikan penggunaan model pembelajaran inkuiri berbantuan kinemaster pada pemahaman konsep fisika siswa pada materi pokok pengukuran kelas X semester I SMA Negeri 1 Parlilitan T.P 2022/2023. Jenis penelitian ini yakni kuantitatif eksperimen yang dilaksanakan di SMA Negeri 1 Parlilitan dengan populasi 2 kelas yang berjumlah 50 orang meliputi kelas X-1 memakai model pembelajaran langsung dan X-2 memakai model pembelajaran inkuiri berbantuan kinemaster. berlandaskan hasil uji statistika didapat t hitung= 2,91 dan t tabel= 1,676 pada taraf signifikansi α = 0,05. Sebab t hitung> t table hal ini memperlihatkan bahwasanya ada dampak yang signifikan dengan memakai model Inkuiry learning berbantuan kinemaster pada pemahaman konsep siswa SMA.
Pengaruh Konten Kreator Tiktok @Sikibor Halilibor Terhadap Sikap Dan Perilaku Generasi Z
Authors: Nisa Aden , P Sendi Dwi Harya , Adelia P Yuna 
Published: September 2023

Pada zaman sekarang perkembangan teknologi sudah semakin mempelihatkan eksistensinya. Salah satunya yaitu adanya teknologi komunikasi penggunaan internet hingga munculmya media sosial. Namun perlu diketahui, penggunaan media sosial yang dilakukan secara terus-menerus pastinya akan menimbulkan efek positif atau negatif. Penelitian ini bertujuan untuk mengetahui seberapa pengaruh konten creator @sikibor halilibor terhadap sikap dan perilaku generasi z. Penelitian ini menggunakan metode kuantitatif dengan subjek penelitian mahasiswa Universitas Tidar Angkatan 2020. Hasil penelitian ini berdasarkan Uji koefisien determinasi (R²) yaitu terdapat pengaruh konten media terhadap sikap sebesar 11,8% dan pengaruh konten media terhadap perilaku sebesar 24,7.
Idiopathic scrotal calcinosis – a case report
Authors: Khan Muhammad Mehraiz , Mirza Zeeshan Rashid , Cheema Faisal Ehsan , Rafia Shahzad  
Published: September 2023

Idiopathic scrotal calcinosis is formation of calcium deposits in the dermal layers of the scrotum. It results in the formation of single or multiple nodular calcifications that vary in size and number. First reported in 1883, this condition is common in the third decade of life. The presenting complaints range from disfigurement to itching, leading to decreased quality of life. The diagnosis is usually made on a clinical basis and can be confirmed by the histopathology of the excised nodules. Surgical removal of the nodules is the generally recommended treatment. The surgery aims to eradicate the nodules leaving the scrotal skin enough for scrotoplasty.
We present a case of idiopathic scrotal calcinosis in a 37 years old male who came for radiological examination.
Keywords: Calcinosis, scrotum, calcium, pruritus.
Irrigation suction therapy reduces post-hysterectomy surgical site infection in middle-aged and older diabetic women: a randomized prospective study
Authors: Saaqib Shazia , Naheed Munazza 
Published: September 2023

Objective: To determine whether or not closed wound irrigation and suction therapy can reduce post-hysterectomy surgical site infections in middle-aged diabetic women without increasing pain, causing complications or lowering patient satisfaction.
Method: The prospective randomised controlled study was conducted from April 2017 to March 2022 at Lady Willingdon Hospital, Lahore, Pakistan, and comprised women aged >40 years with body mass index >25kg/m2 who were scheduled for hysterectomy. The subjects were randomised into intervention group A and control group B. In the irrigation and suction group A, subcutaneous drains were inserted for daily closed wound saline irrigation followed by full-day suction for 3 days. In control group B, wound closure was done without drains and irrigation and suction. Wounds were assessed daily during hospitalisation and at 4, 8 and 12 weeks postoperatively. Primary outcome was surgical site infection rate, fever, white blood cell count, pain score and length of hospital stay. Secondary outcomes were readmission rate, wound pain during follow-up other complications and patient satisfaction. Data was analysed using SPSS 20.
Results: Of the 334 patients, 300(89.8%) were included; 150(50%) in group A with mean age 56.66±9.264 years, and 150(50%) in group B with mean age 55.77±9.394 years. However, the study was completed by 274(91.3%) subjects; 138(50.4%) in group A and 136(49.6%) in group B. Group A had significantly fewer surgical site infections (p<0.0001), lower white blood cell count (p<0.0001), fever (p<0.001) and pain scores (p<.0001), shorter hospital stay (p<.0001) and higher patient satisfaction (p<.0001) compared to group B. Follow-up pain scores and other complications did not differ significantly between the groups (p>0.05).
Conclusion: Irrigation and suction strategy reduced surgical site infection rates without increasing pain, causing complication or compromising patient satisfaction.
Key Words: Surgical site infection, Elderly, Diabetic women, Abdominal hysterectomy, Suction, Irrigation, Satisfaction.
Proton pump inhibitors for HIV+ patients- a word of caution
Authors: Ahmed Minahel 
Published: September 2023

Madam,
HIV (human immunodeficiency virus) is on the rise in Pakistan. A Lancet global health modeling study reports that patient registration with the National Aids Control Program (NACP) has risen from 4500 in 2013 to 24331 in 2019 [1]. In HIV+ patients, the gastrointestinal tract is a common site of infection, often leading to anorexia, dysphagia, vomiting, weight loss, and diarrhoea. A study conducted in 2016 showed that 80% of HIV-infected adults had moderate-severe GERD (gastro-oesophageal reflux disorder) symptoms [2]. Physicians often prescribe proton pump inhibitors (PPIs) to treat GERD and stomach or duodenal ulcers. This class of drugs is the most potent inhibitor of gastric acid secretion and is ,unfortunately, prescribed excessively and often inappropriately, regardless of if the patient is HIV+. A recent study shows that 66.2% of patients in a tertiary care hospital in Karachi, Pakistan receive PPIs without proper indication [3].
However, PPIs being prescribed inappropriately pose severe health risks to individuals that are HIV+. A recent study in 2019 raised the valid concern that the use of PPIs in patients already receiving anti-retroviral (ARV) therapy in HIV+ patients could very well be related to an increased risk of acute kidney infection (AKI) [4]. This is not the only research to show the adverse effect of PPI use in HIV patients. A 2017 study shows statistically significant increased innate immune activation due to the translocation of microbial products in HIV+ patients taking PPIs [5]. This can carry serious future implications for these patients post-treatment because higher levels of innate immune activation markers are associated with immunological failure in HIV-treated patients [6].
These statistics raise a very critical question- is it safe for PPIs to be prescribed so freely without any attention to patients being HIV+ or on ARV therapy? It is suggested that existing and future ARV therapies be planned carefully if PPIs are prescribed, and close attention be paid to a patient’s virologic response. In the case of acute hospital admission, where PPIs are prescribed for preventing stress-induced or GI ulcers, medication reconciliation algorithms that acknowledge the interaction between protease inhibitors (PIs) and PPIs should be used [7]. It would be prudent to use PPIs strictly when prescribed and for lesser periods of time.
Socio-Economic Background Impacts Academic Goals, Performance, and Achievements among Private University Undergraduates in Chittagong, Bangladesh
Authors: Barua Turjo , Chakma Saju , Uddin Azim 
Published: September 2023

Purpose: The study aims to examine the impact of socioeconomic status the academic performance of undergraduates in private universities in Chittagong, Bangladesh. It aims to understand the impact of family financial background on students'' academic goals, results, and activities, as well as the role of family, social, and institutional issues in students'' choices and decisions. The study also aims to test students'' understanding and identification of social challenges.
Methodology: A mixed-method study in Chittagong City, Bangladesh, examined students'' attitudes on the socioeconomic background’s impact on academic aspirations and performance. The study with mixed method strategy collected data from 206 undergrad students at private universities, focusing on academic performance, engagement, and personal lives.
Findings: The study found that socioeconomic factors impact students'' academic performance at private universities, with middle-class students from Bangladesh enrolling to complete their education. However, tuition costs and family influences can lead to part-time employment, starting businesses, or discontinuing studies. Institutions and students'' personal desires can help improve academic performance. While some students use the financial crisis of family as inspiration, they lack the necessary tools to manage difficulties and participate in university activities Family socioeconomic background significantly impacts students'' academic performance and extra-curricular engagement, especially in private universities. Poor students face financial constraints and struggle to navigate academic environments. Institutional environments, personal life, and part-time jobs can hinder motivation.
Recommendations: The study suggests addressing psychological issues among socioeconomically weak private university students, involving parents, personal lives and studying public-private university challenges. It also recommends interviewing scholarship recipients and training higher education teachers to provide personal guidance and consultancy for students facing mental stress. Soft Hands from families, teachers, peers, and an appropriate institutional environment can improve performance.
KINERJA PERSONIL SATUAN RESERSE KRIMINAL DI POLRES OGAN ILIR DALAM MENEKAN ANGKA KRIMINALITAS TAHUN 2018-2020
Authors: Djakatara Rachmat , Juliartha Edwar , Yuslainiwati Yuslainiwati , Afrizal Herdika , Setiawan Imam 
Published: September 2023

Metode yang digunakan dalam penelitian ini adalah metode penelitian deskriptif dengan pendekatan kualitatif yang bertujuan untuk memperoleh gambaran serta memahami dan menjelaskan kinerja personil Satuan Reserse Kriminal di Polres Ogan Ilir dalam menekan angka kriminalitas tahun 2018-2020. Data hasil penelitian dalam penelitian kualitatif bisa didapatkan melalui tiga metode, yaitu observasi, wawancara dan dokumentasi. Teknik analisis data pada penelitian ini adalah reduksi data, sajian data, dan penarikan kesimpulan. Hasil penelitian yaitu 1)Quantity of work, Jumlah kerja yang dilakukan cukup banyak dan cukup berat, mengingat kasus kriminalitas di tengah pandemi ini memang meningkat, hal ini disebabkan oleh banyak faktor salah satu yang mencolok adalah karena permasalahan menurunnya ekonomi masyarakat, sehingga banyak orang yang terlibat dalam kasus criminal hanya karena alasan kebutuhan hidup, 2)Quality of work, Kualitas kerja personil kepolisian di Sat Reskrim Polres Ogan Ilir dipengaruhi oleh pendidikan internal POLRI melalui diklat, kemudian ditambah juga pendidikan formal yang ditempuh oleh para personil, sebagai upaya peningkatan wawasan dan pengembangan personal. Saat ini para personil Sat Reskrim Polres Ogan Ilir juga sebagian sudah melanjutkan pendidikan strata satu (S1) maupun strata dua (S2), dengan kualitas personil yang seperti itu maka tentu kualitas kerjanya juga akan baik. 3)Faktor pendukung yaitu kualitas sumber daya personil yang sudah berpengalaman, terlatih dan ditunjang oleh pendidikan yang memadai, rata-rata sudah strata satu dan dua. 4)Faktor penghambat dalam yaitu masalah peningakatan kasus kriminal ditengah pandemi covid-19, kemudian kurangnya jumlah personil, sarana dan prasarana.
ĐẶC ĐIỂM HÌNH ẢNH CẮT LỚP VI TÍNH ĐA DÃY CHẤN THƯƠNG GAN TẠI BỆNH VIỆN VIỆT ĐỨC
Authors: Nguyễn Đình Minh , Nguyễn Thu Thảo 
Published: September 2023

Mục tiêu: nghiên cứu đặc điểm hình ảnh cắt lớp vi tính đa dãy (CLVT) chấn thương gan (CTG) tại bệnh viện Việt Đức. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang các bệnh nhân (BN) chấn thương gan được chụp CLVT tại Bệnh viện Việt Đức trong tháng 3 và tháng 4/2023. Kết quả: gồm 95 BN (75 nam). Tuổi trung bình là 36,2 ± 15,95 tuổi (từ 10 tuổi đến 73 tuổi). Nguyên nhân do tai nạn giao thông là hay gặp nhất chiếm 78% (74/95 BN). Trên CLVT, tổn thương hay gặp là đụng dập nhu mô gan với 71,6% (68/95 BN) trong đó ổ đụng dập nhỏ <25% thùy gan là hay gặp nhất, chiếm 54,7%. Đường rách nhu mô gan là 60% (57/95 BN) với đường rách >3cm là hay gặp, chiếm 42,1%. Theo AAST 2018, mức độ CTG hay gặp là độ III và độ II tương ứng là 40% (38 BN) và 35% (33 BN). Chấn thương phối hợp hay gặp trong CTG là chấn thương ngực với 61,1% (58/95 BN), chấn thương sọ não 41,1% (39 BN) và chấn thương thượng thận 32,6% (31 BN). Kết luận: Cắt lớp vi tính đa dãy là thăm khám tin cậy để phát hiện các tổn thương gan và các tổn thương phối hợp trong CTG.
INVESTIGANDO AS CAUSAS DE DELIRIUM: UMA ALTERAÇÃO COMPORTAMENTAL DE ORIGEM ORGÂNICA
Authors: Ramos Daiana de Freitas Ferreira , Souza Thifisson Ribeiro de , Oliveira Laura de , Araújo Anderson Fonseca de , Cardoso Letícia Ribeiro , Mombelli Eduardo Cammerer 
Published: September 2023

O delirium pode ser definido como um transtorno neurocognitivo, uma alteração comportamental de origem orgânica. Possui início agudo e é mais prevalente em idosos, embora não seja exclusivo a esta faixa etária. A clínica desta doença possui quatro características cardinais: alteração de nível de consciência, alguma alteração cognitiva , possui curso limitado e possui uma causa orgânica. Existem ainda três classificações para o curso da doença: hiperativo, hipoativo e misto. Apesar de ser um pouco mais alarmante o diagnóstico do delirium hiperativo, a prevalência dos casos hipoativos é maior entre os indivíduos afetados. A semelhança com outras condições neurocognitivas também exige um nível prático avançado do médico que identifica e trata a doença. Portanto, esta revisão narrativa de literatura reuniu artigos das principais bases de dados no intuito de investigar na literatura selecionada quais são as principais causas de delirium. Concluiu-se que as principais causas são intracranianas. Porém, causas biológicas como pacientes em pós-operatório ou vítimas de infecções possuem alta correlação. Além disso, o uso de drogas com efeito colinérgico, estados de abstinência ou estresse ambiental em pacientes já comprometidos também são fatores causadores com certa relevância.
airGRteaching: an open-source tool for teaching hydrological modeling with R
Authors: Delaigue Olivier , Brigode Pierre , Thirel Guillaume , Coron Laurent 
Published: September 2023

Abstract. Hydrological modeling is at the core of most studies related to water, especially for anticipating disasters, managing water resources, and planning adaptation strategies. Consequently, teaching hydrological modeling is an important, but difficult, matter. Teaching hydrological modeling requires appropriate software and teaching material (exercises, projects); however, although many hydrological modeling tools exist today, only a few are adapted to teaching purposes. In this article, we present the airGRteaching package, which is an open-source R package. The hydrological models that can be used in airGRteaching are the GR rainfall-runoff models, i.e., lumped processed-based models, allowing streamflows to be simulated, including the GR4J model. In this package, thanks to a graphical user interface and a limited number of functions, numerous hydrological modeling exercises representing a wide range of hydrological applications are proposed. To ease its use by students and teachers, the package contains several vignettes describing complete projects that can be proposed to investigate various topics such as streamflow reconstruction, hydrological forecasting, and assessment of climate change impact.