bluuebunny/crossref_metadata_2025_split huggingface dataset:
Siringocele simple en un adulto: un caso raro. Papel de la uretronosonografía retrograda.
Authors: Martínez-García Diego , Escudero-Fontano Eva , Belmonte-Alcaráz Maria Teresa , García-Ligero Julián , Castillo-Soria Nuria , Bañon-Pérez Vicente José , Tello-Royloa Carlos 
Published: June 2023

Resumen:
Descripción del caso clínico: Varón de 47 años con sintomatología inespecífica del tracto urinario inferior. Se le practica una uretroscopia en la que se aprecia un pequeño orificio en la porción inferior de la uretra bulbar por el que no se puede progresar. En la uretrografía retrograda se observa una pequeña cavidad de 8 mm bajo la uretra, compatible con siringocele. Se completa estudio mediante uretrosonografía retrograda donde se aprecia una cavidad de 22x4 mm (APxL) sin apreciar el orificio. Finalmente, mediante uretrosonografía retrograda con contraste ecográfico se aprecio el orificio y un tamaño del siringocele de 35x5 mm (APxL).

Relevancia: El caso pone de manifiesto como las nuevas técnicas de imagen pueden contribuir en el estudio de la patología uretral.

Implicaciones clínicas: El hecho de que el siringocele sea muy poco frecuente en adultos y en muchas ocasiones asintomático puede provocar que su estudio mediante los protocolos habituales no sea optimo produciéndose falsos negativos, infraestimaciones de su tamaño, errores en su clasificación o errores diagnósticos.

Conclusiones: La uretrosonografía retrograda simple y la uretrosonografía retrograda con contraste ecográfico son técnicas de utilidad en el estudio del siringocele.
Analisis Permintaan Transportasi Umum Modern Saat Kenaikan Harga BBM Perspektif Permintaan Islam
Authors: Ahmad Agus Hidayat  , Lilik Rahmawati  , Agustin Mila Arlina  
Published: June 2023

Transportasi umum berperan penting dalam mendukung perekonomian di suatu negara. Sedangkan Bahan Bakar Minyak (BBM) merupakan urat nadi transportasi, besaran tarif transportasi ditentukan oleh naik dan turunnya harga BBM, Akibat naiknya harga BBM mengakibatkan jasa transportasi bis antar provinsi dan ojek online menaikkan tarifnya. Secara alamiah masyarakat akan berusaha mencari solusi atas kenaikkan tersebut, pemerintah memberikan solusi berupa angkutan gratis atau pun berbayar murah guna memberi kemudahan bagi masyarakat melaui transjakarta dan MRT. Sehingga maksud dari tulisan ini adalah untuk menganalisa permintaan jasa transportasi umum modern saat kenaikkan harga BBM perspektif permintaan Islam. Metode penelitian ini menggunakan metode kualitatif deskriptif. Hasil dari penelitian ini menganalisis meningkatnya permintaan transportasi umum modern saat kenaikan harga BBM dalam perspektif permintaan Islam.
Kata kunci : Transportasi umum modern, permintaan, kenaikan harga BBM
While Fuel Oil (BBM) is the lifeblood of transportation, the number of transportation tariffs are determined by the rise and fall of fuel prices, due to the increase in fuel prices, it has resulted in inter-provincial bus transportation services and online motorcycle taxis increasing their fares. Naturally, the community will try to find a solution to the increase, the government provides solutions in the form of free or cheap paid transportation to provide convenience for the community through Transjakarta and MRT. So the purpose of this paper is to analyze the demand for modern public transportation services when fuel prices increase from an Islamic demand perspective. This research method uses descriptive qualitative methods. The results of this study analyze the increasing demand for modern public transportation during the increase in fuel prices from the perspective of Islamic demand.
Keywords: Modern public transport, Demand, Increase infuel.
Axicabtagene Ciloleucel (Yescarta)
Authors: CADTH  
Published: June 2023

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.
The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.
This review assesses axicabtagene ciloleucel (axi-cel; Yescarta), cell suspension in patient-specific single-infusion bag, target dose of 2 × 106 CAR-positive viable T cells/kg body weight to a maximum of 2 × 108 CAR-positive viable T cells, for IV infusion.
Indication: Treatment of adult patients with diffuse large B-cell lymphoma or high-grade B-cell lymphoma that is refractory to first-line chemoimmunotherapy or that relapses within 12 months of first-line chemoimmunotherapy.
Brexucabtagene Autoleucel (Tecartus)
Authors: CADTH  
Published: June 2023

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.
The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada’s federal, provincial, and territorial governments, with the exception of Quebec.
This review assesses brexucabtagene autoleucel (Tecartus) cell suspension in a patient-specific single-infusion bag for IV use at a target dose of 1 × 106 chimeric antigen receptor T-cells per kilogram.
Indication: For the treatment of adult patients with relapsed or refractory B-cell precursor acute lymphoblastic leukemia.
الدقةُ في انتقاءِ الألفاظِ القرآنيةِ المتقاربةِ التي وردت في سياقٍ واحدٍ
Authors: مراد عبد حسن أحمد  
Published: June 2023

الحمد لله الذي علَّم القرآن خلق الإنسان علَّمه البيان، والصلاة والسلام على أكرم مبعوث وأعرب من نطق بالبيان سيدنا محمدٍ، وعلى آله وأصحابه نجوم العرفان، ومن تبعهم إلى يوم الدين بإحسان. لقد دعا القرآن الكريم إلى عدم استخدام لفظة مكان لفظة وإن كانتا متقاربتين في المعنى؛ مراعاة للسياق الذي وردت فيه إذ يقول سبحانه وتعالى: (وَإِذْ أَسَرَّ ٱلنَّبِىُّ إِلَىٰ بَعْضِ أَزْوَٰجِهِۦ حَدِيثًا فَلَمَّا نَبَّأَتْ بِهِۦ وَأَظْهَرَهُ ٱللَّهُ عَلَيْهِ عَرَّفَ بَعْضَهُۥ وَأَعْرَضَ عَنۢ بَعْضٍۢ ۖ فَلَمَّا نَبَّأَهَا بِهِۦ قَالَتْ مَنْ أَنۢبَأَكَ هَٰذَا ۖ قَالَ نَبَّأَنِىَ ٱلْعَلِيمُ ٱلْخَبِيرُ) (التحريم: ٣)، فغاير بين (نبأ) و(أنبأ) وذلك أن الفعل نبأ يقتضي التنبيء أكثر من أنبأ، ومثل ذلك قوله تعالى: (قَالَتِ ٱلْأَعْرَابُ ءَامَنَّا ۖ قُل لَّمْ تُؤْمِنُواْ وَلَٰكِن قُولُوٓاْ أَسْلَمْنَا وَلَمَّا يَدْخُلِ ٱلْإِيمَٰنُ فِى قُلُوبِكُمْ) (الحجرات: ١٤)، فالإسلام انقياد ظاهري، في حين أن الإيمان تصديق بالقلب. ومن هنا أثبت البيان القرآني علو شأنه بصفة الربط بين المتلقّي والنص بوشائج متينة تؤكد سمة القصدية في انتقاء الالفاظ ومناسبتها المقام الذي ترد فيه، وترُد القولَ بالترادف في القرآن الكريم وتدحض فكرته من الأساس، وكيف لا يكون ذلك وهو (كِتَٰبٌ أُحْكِمَتْ ءَايَٰتُهُۥ ثُمَّ فُصِّلَتْ مِن لَّدُنْ حَكِيمٍ خَبِيرٍ) (هود: من الآية 1). وقد وقفنا من خلال هذا البحث على ألفاظ متقاربة وقعت في سياق واحد فَـ ظُنُّ ترادفها، وبعد الدراسة تبين أن كل لفظة جاءت مناسبة لمقامها ولو وضعت أختها مكانها لنشزت في مقامها، ومن حيث هيكلية البحث فقد قُسِّم على مبحثين اثنين، المبحث الأول: (الدقة في انتقاء الأبنية الصرفية)، وقد اندرجت تحته ألفاظ اختلفت من حيث وزنها الصرفي بيد أنها تتحد في جذرها اللغوي، وكان لتلك الأوزان دور في بيان الفرق اللغوي، في حين أن المبحث الثاني انعقد لـ (الدقة في انتقاء الألفاظ) التي تقاربت في معانيها غير أنها جاءت لتعبر عن فروق دقيقة تنماز بها كل لفظة عن اختها.
Bulleh Shah’s Anti-Orthodox Views on Self-Purification and Their Implications for Social Reforms in Punjabi Society
Authors: Abbas Qamar 
Published: June 2023

Bulleh Shah is regarded as a social critic and reformer, though he was not a conventional preacher, but he was a true critic of his contemporary society. Sufis aimed at ethical character reformation of the society. This article discusses the moral and ethical situation in Punjabi society of Bulleh Shah’s time and his Sufi philosophy for social reforms. Bulleh Shah reflected on the social situation of his time in his poetry. This article relates Bulleh Shah’s views regarding social reforms to the concurrent social issues in Punjabi society. Bulleh Shah focused on the real character and criticized hypocrisy and duality in pursuit of social, political, and religious aims. Punjab remained a gateway for the invading forces in India. So, the social structure in Punjab remained complex with a clear distinction between the privileged and underprivileged classes. The exploitative social order inspired pride and hollow show among the upper elite and inferiority sentiments among the least privileged classes. Bulleh Shah’s philosophy for self-purification and salvation focuses on the negation of self-pride to achieve harmony with nature and humanity in general. Punjab was not a land of homogeneous class structure, race, and religion. Here was a merger of various cultures, and people belonged to different religions. These differences were so obvious that it was difficult to extract the uniform principle on which the Punjabi identity could be constructed. Religion, caste structure, sect, and biradari all played important roles in constructing Punjabi identity. These were the critical issues of concern for the intelligentsia of that time.
Ecoworship and Federal Environmental Law
Authors: Hester Tracy 
Published: June 2023

As the growing land stewardship movement has joined with rising evangelical environmentalism, religious worship has intersected with ecological protection to spark the rise of a new variety of ecoworship. Given the U.S. Supreme Court’s recent willingness to expand constitu- tional protections for religious exercise and trim bulwarks against Establishment Clause challenges, religious claimants now have bolstered powers to assert exemptions from governmental mandates based on their free exercise of faith. The growing role of faith-based environmentalism and institutional religions in private environmental protection will likely lead to similar claims for religious exemptions for pro-environmental activism based on faith. Most legal scholarship so far has squarely focused on the general foundational question of how federal and state constitutional laws apply to protect religiously motivated actions both within and outside environmental law.
This Article takes a different tack. Federal environmental law is over- whelmingly statutory, and state environmental laws rely on a similar base. It is time to re-read these statutes through the newly expanded constitutional lens. This path yields two notable results. First, the increased accommodation for Free Exercise claims and revamped Establishment Clause parameters will inevitably shape the way that courts will interpret environmental statutes that impinge on religious activities. This interpretive tendency has a deep historical provenance in federal and state courts, although it is difficult to extract from the outsized historical shadow of Holy Trinity Church v. United States. Second, an altered interpretation of federal statutory terms through the new religious exercise lens could grant special status to proactive environmental initiatives impelled by religious beliefs, as essentially protected environmental worship. This reinterpreted statutory language could expand standing for certain claimants raising federal statutory claims, force the federal government to reassess the way it selects clean-up remedies or environmental permit limits in certain contexts, redefine the scope of environmental justice policies, and alter the degree of regulatory limitations on environmentally protective uses of land by religious actors.
Investigation of Changes in Female Sexual Function in COVID-19 Pandemic with Male Partners
Authors: SAHIN Orhan , ÇULHA Mehmet Gökhan 
Published: June 2023

Aim: This study aimed to assess the effects of coronavirus disease 2019 (COVID-19) pandemic on sexual behaviors of females in Turkey by also evaluating their male partners.
Method: This study included females (>18 years of age) who were married or had a regular sexual life in the last 6 months and had documented sexual functional status based on the Female Sexual Function Index FSFI) before the COVID-19 pandemic. The study was performed on May-July 2020. The participants were interviewed via telephone call or e-mail. The sexual functions of the females were evaluated using the FSFI and erectile functions of their male partners were evaluated using the International Index of Erectile Function-5 (IIEF-5). The scores obtained before and during the COVID-19 pandemic were compared.
Results: The study included 116 females with a mean age of 39.83±9.38 years. The total FSFI score of the females during the pandemic was 20.98±7.53. A significant improvement was observed in all subscale scores and in the total score of FSFI as compared with the pre-pandemic period (p
wound that doesn't heal
Authors: Daley Sean 
Published: June 2023

Even though people know that children die, often they do not know how to respond to the death of a child. More specifically, people do not know how to respond to a bereaved parent after his or her child has died. This is especially true in the United States where the death of an infant or child death is relatively uncommon. This essay addresses the complex and often contradictory feelings that bereaved parents can feel particularly in response to the actions of those around them – family, friends and colleagues – who actually mean well. Unfortunately, for a bereaved parent, even with the support and well wishes of others, things do not always get better with time; things can actually get worse. For some bereaved parents, the loss of a child is too much; it is similar to a sore or wound that cannot heal and eats away at a person until nothing is left.
Dietary Supplementation Practices Among Undergraduate Students in Greece During the COVID-19 Pandemic and Their Association with COVID-19-related Anxiety
Authors: Kontopoulou Lamprini , Vasara Eleni , Paraskevadaki Eva , Karpetas Georgios , Papathanasiou Ioanna , Gourgoulianis Konstantinos 
Published: June 2023

Background: Despite the lack of evidence-based guidance on supplement use for the prevention and treatment of COVID-19, consumption of dietary supplements has been shown to increase in many countries. Objective: This study aimed to explore the use of dietary supplements among undergraduate students. Methods: An online cross-sectional survey was conducted between May and June 2021, involving a total of 536 participants (57.8% female) aged between 18-30 years in two university towns in central and northern Greece. Two validated questionnaires were used regarding dietary supplements and stress during COVID-19. Results: The prevalence of dietary supplement use was 67.5%. The three most popular supplements consumed were vitamin C (65.2%), followed by vitamin D (58.3%), and multivitamin and mineral supplements (56.9%). The use of CAS-5 indicated that 13.1% of students were classified as having dysfunctional anxiety due to COVID-19 (CAS-5 score ≥5). Logistic regression analysis showed that those who exhibited CAS-5 ≥5 were over two times more likely to consume supplements compared to no-stress participants (OR 2.29, 95%CI: 1.09-4.82). Particularly vitamin D use was associated with CAS score ≥5 (OR 2.18, 95%CI 1.22-3.89) a finding that was not observed with other types of dietary supplements. Conclusion: Women, passive smokers, and those who believe that DS are necessary during the COVID-19 pandemic were also more likely to consume dietary supplements. The use of dietary supplements is widespread among Greek students. Future studies should be conducted to monitor whether these increases in DS use are maintained.
“KEYCHAIN- SOLUÇÃO NO CICLO DA CADEIA DE SUPRIMENTOS”
Authors: Sciammarelli Jessica Araujo 
Published: June 2023

El proyecto se llama KeyChain, el cual fue propuesto como presentación final del Master de Blockchain y Fintech ofrecido por la Universidad IEBS, ubicada en Barcelona - España. KeyChain es una solución que utiliza la tecnología blockchain para resolver algunos de los principales problemas del sector de la cadena de suministro. El proyecto ha sido desarrollado por la plataforma Hyperledger, creada por IBM para resolver problemas especialmente centrados en el entorno de la cadena de suministro. KeyChain pretende ofrecer soluciones en:
- Registro de artículos del almacén y sus clientes.
-Organización y reposición de artículos facilitando la logística en el entorno de la cadena de suministro
-IoT embebido con tecnología blockchain para ser instalado en transportes como camiones, aviones y envíos para controlar la localización en tiempo real.
Se puede utilizar en aplicaciones de escritorio y móviles, ofreciendo así comodidad a sus usuarios y se puede acceder desde cualquier lugar y en cualquier momento.El primer token de la tecnología se puso a disposición en la red Ethereum.
PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN DAN LOYALITAS PASIEN RAWAT JALAN DI RSUD ARIFIN ACHMAD PROVINSI RIAU
Authors: Giovaningrum Putri , Firdaus Muhammad 
Published: June 2023

Kualitas pelayanan sebagai konsep yang secara tepat mewakili inti dari kinerja suatu pelayanan, yaitu perbandingan terhadap excellence dan sales counter yang dilakukan oleh konsumen. Terciptanya kepuasan dapat membuat hubungan pelanggan dengan Institusi menjadi baik. Pelanggan akan melakukan pembelian ulang dan akan membuat pasien loyal terhadap Institusi tersebut. Tujuan dari penelitian ini untuk mengetahui pengaruh kualitas pelayanan terhadap kepuasan dan loyalitas pasien rawat jalan RSUD Arifin Achmad Provinsi Riau.
Penelitian ini menggunakan metode penelitian Kuantatif dengan pendekatan Deskriptif, dilaksanakan di RSUD Arifin Achmad Provinsi Riau dengan jumlah responden sebanyak 67 sampel. Penelitian ini dilaksanakan dengan teknik pengumpulan data observasi dan kuesioner. Analisis data menggunakan univariat, bivariat, uji normalitas.
Hasil penelitian dari uji bivariat Koefesian P-Value dengan jumlah nilai 0,016 maka dapat dikatakan bahwa kualitas pelayanan memiliki pengaruh terhadap kepuasan dan loyalitas pasien. Pasien merasa puas dengan kualitas pelayanan yang diberikan oleh RSUD Arifin Achmad Provinsi Riau.
Implementasi Konsep Pemrograman Berorientasi Objek Dalam Aplikasi Pembukuan Keuangan Penjual Jus Buah Menggunakan Bahasa Pemrograman Java
Authors: Sugandi Zain Arif Wildan , Nugraha Yoga Adi , Anam Syaiful Nurul , Darmayanti Irma 
Published: June 2023

<p>Pemrograman Berorientasi Objek (PBO) merupakan paradigma pemrograman yang menggunakan “objek”. PBO dapat mencakup fitur seperti Encapsulation, Inheritance, Polymorphism . Banyak bahasa pemrograman modern sekarang mendukung PBO. Implementasi konsep pemrograman berorientasi objek dalam aplikasi pembukuan keuangan penjual jus buah akan dirancang menggunakan bahasa pemrograman Java. Pemrograman Java adalah bahasa pemrograman yang tepat yang digunakan dalam merancang implementasi konsep pemrograman berorientasi objek dalam aplikasi pembukuan keuangan penjual jus buah karena selain mampu menggunakan konsep Berorientasi Objek, Java juga merupakan bahasa pemrograman yang multiplatform. Java masih sangat populer saat ini karena sifatnya yang dinamis sehingga membuatnya menjadi bahasa pemrograman yang mudah untuk dikembangkan sesuai kebutuhan. Struktur kode yang sudah dibuat bisa dengan mudah dilakukan modifikasi dan dikembangkan sesuai kebutuhan user dan menjadi fasilitas yang sangat menguntungkan bagi para developer aplikasi.</p>
Perencanaan Strategis Electronic Social Customer Relationship Management untuk Peningkatan Keterlibatan Pelanggan
Authors: Callista Marlline , Kosasi Sandy , Wingdes Irawan , Syarifudin Gusti , Yuliani I Dewa Ayu Eka 
Published: June 2023

<p><em>Perubahan perilaku pada konsumen menciptakan kebutuhan akan keterlibatan pelanggan. Namun, penggunaan media sosial yang belum maksimal dan akses informasi yang masih terbatas, membuat vihara kesulitan dalam memonitor dan merespon umatnya secara menyeluruh. Penelitian bertujuan merancang strategis e-SCRM dalam rangka meningkatkan keterlibatan umat dalam vihara. Metode penelitian menggunakan Design Science Research (DSR). Metode perencanaan strategis e-SCRM menggunakan Model Strategis SI/TI, serta RAD (Rapid Application Development) untuk perancangan artefak penelitian. Hasil pengujian menunjukkan perencanaan strategis e-SCRM mendapatkan nilai keterlibatan sebesar 112,56% dengan kategori Engagement Rate Value Range yaitu High Engagement Rate untuk akun dibawah 5000 pengikut, yang menunjukkan bahwa perencanaan strategis e-SCRM efektif dan memiliki potensi untuk digunakan meningkatkan keterlibatan umat vihara. </em></p>
Implementasi Memory Game di MIT App Inventor
Authors: Darmayanti Irma , Ikhsan Ali Nur , Utami Dias Ayu Budi , Subarkah Pungkas 
Published: June 2023

<em>Permainan memori, atau yang kadang-kadang disebut konsentrasi, adalah permainan kartu yang cukup populer dimainkan oleh anak-anak dan orang dewasa di seluruh dunia. Memori yang baik adalah salah satu kualitas yang dibutuhkan untuk berhasil di dalamnya.</em> <em>Permainan memori dapat membantu perkembangan kognitif anak secara keseluruhan diantaranya membantu anak berkonsentrasi, melatih memori jangka panjang, melatih memori visual, membantu anak berpikir kritis. Dengan pesatnya perkembangan teknologi, yang mana permainan tradisional sudah tidak cukup menarik lagi untuk dimainkan, oleh karena itu pada penelitian ini dibuatlah permainan memory yang dapat dimainkan pada smarthphone dengan sistem operasi android. Model atau metode penelitian yang digunakan adalah metode Prototyping. Model desain prototipe dibuat lebih cepat sehingga waktu yang dibutuhkan untuk pengembangan game lebih singkat. Karakteristik ini sangat sesuai dengan kebutuhan sistem yang ada yang hanya membutuhkan waktu yang singkat dalam pengembangannya. Tools yang akan digunakan peneliti adalah MIT App Inventor untuk membangun sebuah aplikasi Android.</em> <em>Hasil dari penelitian ini diharapkan dapat membuat game mobile berbasis androidyang dapat mengacak gambar dan kartu sehingga dapat mengoptimalkan permainan di game memory.</em>
Lung Ultrasound and Non-Invasive Ventilation Outcome in Acute Respiratory Failure
Authors: El-shaer Abeer El-sayed , Zoair Hamdy Moamad Hasan , Rizk Ezzat Atwa Ali , Saleh Atef Wahdan 
Published: June 2023

Objective: This study aimed to assess the diaphragmatic dysfunction in critically ill non-intubated patients admitted to respiratory critical care unit with acute respiratory failure.
Methods: This was a prospective study conducted on 200 mechanically ventilated patients. The following data were collected: demographic characteristics, anthropometric measurements. Disease severity and hemodynamics. In addition, ICU length of stay, duration mechanical ventilation, outcome and duration of hospital stay. Besides, parameters of MV like (PaO2 / FiO2 Ratio), and respiratory rate were noticed. The laboratory workup included arterial blood gases, Na+, K+, Mg++, Ca++, PH, PCO2, HCO3-. The ultrasound was performed before and after weaning and included the diaphragmatic excursion and diaphragmatic thickness traction. The patients were split into two categories regarding their reaction to weaning attempts: Category A represented successful weaning. Category B represented unsuccessful weaning followed by reintubation and mechanically ventilated.
Results: The weaning success was reported for 123 patients (61.5%) and mortality reported for 28 patients (14.0%). Weaning success was associated with male gender, younger age and slightly higher BMI. Obstructive airway disease showed significant increase in success than failure (25.2% vs 11.7% respectively). Weaning failure was significantly associated increased septic shock and pneumonia. The muscle thickness in inspiration was significantly increased in success than failure (25.56 vs 24.08 respectively). DE before weaning was the most sensitive indicator at cut-off value > 15 followed by DE after weaning at cutoff value >17; while DTF after weaning was more sensitive than DTF before weaning (93.55% and 80.65% respectively) at cutoff points > 20.4 and > 18.5, respectively.
Conclusion: Assessment of DTF and DE by diaphragm ultrasound is an easy to obtain new weaning index that can be a bedside method in clinical practice with promising predictors of weaning success or failure before and after weaning.