bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neurological Disorders in Literary Fiction
Authors: Marquez-Romero Juan M 
Published: August 2023

Background:
Across literary fiction, allusions to medical ailments are common. However, in the bibliography of Stephen King, neurological disorders appear to be present disproportionately.

Objective:
The objective of this study is to describe the epidemiology of neurologic disorders depicted in the writings of Stephen King.

Methods:
This study presents data from Stephen King's 60 published novels. The frequency, prevalence, lethality, and mortality of each neurological diagnosis found in the characters that appear in the novels are reported.

Results:
Forty-eight novels portrayed at least one character with a neurological diagnosis, and in total, 150 characters exhibited a neurological condition. The overall prevalence was 111.2 per 1,000 characters. Their median age was 20 years (range 76), and 61.7% were males. Headache was the most common symptom (35.3%), followed by stroke symptoms in 28.7%. Prevalence was 24.5, 17.8 for headache and epilepsy, respectively. Lethality was 28.7%. The overall mortality rate was 31.9.

Conclusions:
The epidemiology described in Stephen King's novels parallels that of the real world. The depiction of neurological disorders found in his novels showcases the elevated contribution of neurological disorders to the global burden of the disease, an important message for the readers of his fiction and interest to all neurologists.
Susceptibility-Weighted MRI as an Imaging Marker for Reperfusion Injury in Acute Ischemic Stroke Following Mechanical Thrombectomy
Authors: Gandhi Jenny M , Cherian P Mathew , Mehta Pankaj , Vardhraj Shriram , Santosh P , Elango S 
Published: August 2023

Background/Purpose:
Following endovascular intervention for stroke, hyperattenuated areas are common in brain parenchyma and it is difficult to differentiate on non-contrast CT whether it is contrast staining or reperfusion hemorrhage. Differentiation between contrast staining from reperfusion hemorrhage is of paramount importance for early initiation of antiplatelets and/or anticoagulants to prevent reocclusion of vessel. This study demonstrates signal characteristics of contrast-staining and reperfusion hemorrhage on susceptibility weighted MRI and its role to differentiate between two.

Materials/Methods:
Between July 2017 to March 2019, 36 patients who presented with acute ischemic stroke due to large vessel occlusion underwent mechanical thrombectomy. Low-osmolar non-ionic (Iopromide 300 mg/L) iodinated contrast was used in all patients who underwent endovascular intervention. All patients underwent noncontrast CT brain and SWI on 3T MRI within 30 minutes of endovascular intervention. MRI was evaluated by two neuroradiologists. Reperfusion hemorrhage was defined as ECASS criteria II. Symptomatic ICH was defined as hemorrhagic transformation temporally related to a negative shift in NIHSS score >/=4.

Results:
Out of 36 patients, 15 had hyperattenuated areas in brain on NCCT. Out of 15, 13 patients had blooming on SWI, suggestive of bleed. Two patients had no blooming on SWI, suggestive of contrast staining. Two patients didnot show any hyperdensity on NCCT but blooming on SWI, suggestive of bleed.

Conclusion:
All patients with hyperdensity on NCCT secondary to bleed showed blooming on SWI whereas those with contrast staining didnot show any signal changes on SWI. Thus, it is possible to differentiate reperfusion hemorrhage from contrast staining using SWI MRI. The significance of SWI in normal CT may be low where a small bleed maynot have any clinical significance.
Is Air Pollution Associated with Increased Risk of Dementia? A Meta-Analysis of Epidemiological Research
Authors: Dhiman Vikas , Trushna Tanwi , Raj Dharma , Tiwari Rajnarayan R. 
Published: August 2023

Background:
There are prevailing inconsistencies in epidemiological research about air pollution being a risk factor for dementia.

Objective:
We performed meta-analyses to calculate the pooled estimates of the risk of developing dementia due to air pollution exposure.

Methods and Materials:
We performed a systematic search in PubMed, Google Scholar, The Cochrane Library, and J-GATEPLUS databases for peer-reviewed epidemiological studies reporting the risk of developing all-cause dementia, cognitive decline, Alzheimer's disease (AD), and vascular dementia (VaD) due to exposure to particulate matter with an aerodynamic diameter less than 2.5 μm (PM2.5) and less than 10 μm (PM10), ozone (O3), carbon monoxide (CO), nitrogen dioxide (NO2), nitrogen oxides (NOX) and sulfur dioxide (SO2) from the beginning until December 2020. Meta-analysis was performed by adopting the random-effects model using Meta-XL.

Results:
In all-cause dementia, the pooled hazard ratio (HR) for PM2.5 and NO2 exposure was 1.03 [(95%CI: 1.01–1.06; I2 = 99% (P < 0.001)] and 1.00 [(95%CI: 1.00–1.01; I2 = 96% (P < 0.001)], respectively. The pooled HR for NOX was 1.00 [(95%CI: 1.00–1.01; I2 = 61% (P = 0.05)]. In AD, the pooled HRs for PM2.5 and O3 was 1.08 (95%CI: 1.01–1.15; I2 = 99% (P < 0.001)]) and 1.02 (95%CI: 0.96–1.08; I2 = 100% (P < 0.001)], respectively. In VaD, the pooled HR for PM2.5 exposure was 1.03 (95%CI: 1.01–1.06; I2 = 91% (P < 0.001)]. In NO2/NOX, the results were found to be equivocal. Meta-analysis could not be performed in cognitive decline because of wide variations in assessments methods.

Conclusions:
The present study showed exposure to PM2.5 as a risk factor for all-cause dementia, AD, and VaD and exposure to O3 as a possible risk factor for AD. These findings can be used for policy measures and further research.
Silver Needle Thermal Therapy Relieves Pain, Repairs the Damaged Myofascial Fiber, and Reduces the Expression of 5-HT3 Receptors in the Spinal Cord of Rats with Myofascial Pain Syndrome
Authors: Lv Xianglong , Wo Chunxin , Yao Jing , Lu Wei , Yu Zilong , Qin Yue , Wang Yue , Zhang Zhongjie , Wu Yu , Huang Yuanxin , Wang Lin 
Published: August 2023

Background:
There is an urgent clinical need to provide a theoretical basis for silver needle thermal therapy to Myofacial pain syndrome (MPS).

Objective:
This study was conducted to explore the effect of silver needle thermal therapy on myofascial pain syndrome in rats.

Methods:
MPS rat models were duplicated, and the rats were subsequently divided into model and treatment groups. A normal control group was synchronously set up. No treatment was given to the model group, whereas silver needle thermal therapy was administered to the treatment group. The thermal and mechanical pain threshold, the morphological structure as well as the expression of 5-HT3 receptors in the spinal cord were observed.

Results:
Rats from the treatment group presented with a significantly higher pain threshold compared to the untreated model group. The myofascial arrangement of the affected part of the model group was disordered, and some muscle fibers were atrophied and deformed. Meanwhile, the myofascial arrangement of the treatment group became more regular than that of the model group. The expression levels of 5-HT3 receptor in the spinal cord of the untreated model group were significantly increased, while being markedly decreased in the treatment group.

Conclusions:
Silver needle thermal therapy can augment the pain threshold of rats with MPS, repair the damaged myofascial membrane in the rats, and further reduce the expression of 5-HT3 receptors in the spinal cord of the MPS rats.
Introduction of Spring-Assisted Cranioplasty for Bicoronal Synotosis in India
Authors: Chattopadhyay Debarati , Vathulya Madhubari , Kapoor Akshay , Arora Rajnish 
Published: August 2023

Background:
Various surgical techniques for cranial reconstruction of patients with bicoronal synostosis have been suggested. The outcome is, however, still often suboptimal.

Methods:
In a 5-month-old child with apert syndrome, following a craniotomy incision, lambdoid suturotomy was done bilaterally. Two springs were implanted bilaterally over the lambdoid sutures. Cephalic index was obtained from three-dimensional computed tomography scans, and photographs were analyzed for aesthetic evaluation.

Result:
The preoperative calvarial shape was hyperbrachycephalic. The CI improved from 92 to 83 units. Duration of surgery was 1 h 45 min, blood loss was 30 mL, and total hospital stay was 3 days. No major complications were observed. Spring removal was done at 6 months postoperatively and frontoorbital advancement performed.

Conclusion:
Spring-assisted cranioplasty for bicoronal synostosis is a safe and elegant technique, is less invasive than many other cranioplasties, and results in marked improvement in the calvarial shape.
Relation of polycystic ovarian syndrome phenotypes with cutaneous and biochemical hyperandrogenism
Authors: Abouzeid Samy A. , Abou Khadr Nouran A. , Gaafar Sherif S. , Eldeeb Marwa E. 
Published: August 2023

Background
Understanding of polycystic ovarian syndrome (PCOS) and its phenotypes with the heterogeneous manifestations and hormonal armamentarium has been not fulfilled.

Objective
To elucidate dermatologic manifestations in Egyptian PCOS cohort, association of each manifestation with hormonal change, and relation of these findings with different phenotypes of PCOS.

Patients and methods
In this case–control study, 95 women who met the criteria of diagnosis of PCOS based on Rotterdam Consensus criteria 2003 and 50 age-matched controls underwent skin examination, anthropometric measurements (height, weight, BMI, and waist circumference), hormonal assays (total and free testosterone, dehydroepiandrosterone sulfate, prolactin, and thyroid-stimulating hormone), and homeostatic model of insulin resistance.

Results
Women with PCOS showed significantly higher BMI (30.71±5.94 kg/m2), waist circumference (99.94±13.01 cm), prevalence of cutaneous manifestations of hyperandrogenism (HA), total and free testosterone, dehydroepiandrosterone sulfate, and homeostatic model of insulin resistance than controls. Hirsutism was the most prevalent skin finding (45.3%) and was the only one significantly associated with elevated serum androgens. Cutaneous HA overwhelming occurred in 82%, whereas biochemical HA was detected in 55.7 % of patients with PCOS. The prevalence of PCOS phenotypes was A (55.8%), B (8.4%), C (25.3%), and D (10.5%). Cutaneous HA and biochemical HA were the most common in phenotype A and least in phenotype D and intermediate in phenotypes B and C.

Conclusion
The effect of PCOS on skin seems to be greater than on serum androgen levels. Hirsutism was the most prevalent cutaneous feature and the only major indicator of HA, followed by acne. A small percentage of patients with PCOS can show neither clinical nor biochemical HA. Phenotype A was the most severe, whereas phenotype D was the least severe, and B and C were intermediate forms.
A dermoscopic study in the diagnosis of plaque psoriasis as compared with contact dermatitis, lichen planus, and pityriasis rosea in Indian patients
Authors: Abdul-Azeez Faizy J. , Raj Aswathi , Pinto Malcolm , Vishal Bejai , Hegde Spandana P. , Ibal Amina Asfiya M. , Manjunath Shenoy M. 
Published: August 2023

Background
Dermoscopy is a noninvasive diagnostic tool to visualize clinical patterns of various pigmented skin lesions. Dermoscopy improves the accuracy of the clinical diagnosis of papulosquamous disorders like psoriasis as an additional measure. This in turn avoids the need for invasive diagnostic techniques like skin biopsy.

Objective
To record the dermoscopic findings in plaque psoriasis (PP), chronic dermatitis (CD), lichen planus (LP), and pityriasis rosea (PR).

Patients and methods
A case–control study was conducted on 130 patients: 65 patients diagnosed with PP as cases and 65 patients with a diagnosis of CD, LP, and PR as controls. Patients of any age and sex, irrespective of duration of the disease, were included in the study. The single most recently developed lesion of each patient was evaluated with a Heine delta 20 plus dermoscope.

Results
A combination of regularly distributed dotted vessels over a light-red background associated with diffuse white scales was highly predictive of PP. CD showed similar proportion of patients with patchy and peripheral distribution of scales with a network-like pattern. All the cases of LP revealed Wickham’s striae with a reticulate pattern. White-colored collarette of scaling on a yellow background was characteristic of PR.

Conclusion
Dermoscopy is emerging as an essential supplement to clinical examination in general dermatology. Visualization of specific dermoscopic features enhances the diagnostic utility of nonpigmented skin disorders. Knowledge of specific dermoscopic patterns can enable a clinician solve diagnostic dilemmas in various papulosquamous diseases.
Stigma Experienced by Persons Infected with COVID-19
Authors: Nirmala Berigai Parthasarathy , Sharma Manoj Kumar , Cherian Anish V. , Srikanth Pallerla , Mallesh S. , Raju Kanmani T. 
Published: August 2023

Background:
The COVID-19 pandemic had spread throughout the world very quickly and had impacted all spheres of human life. Person infected with COVID-19 (PIwC-19) faces issues not only with physical health but also with their psychological health and the mental health needs were found to be significant. The stigma and discrimination toward the disease were also extended to the near and dear ones of PIwC-19. The current study is an attempt to explore the stigma experienced by the PIwC-19.

Materials and Methods:
The study used an exploratory research method to assess the stigma experienced by the PIwC-19. The list of PIwC-19 was obtained from the Department of Health and Family Welfare, Karnataka. The study was conducted in South Bangalore after segregating the list. PIwC-19 between ages of 18 and 60 years was included in the study. The Explanatory Model Interview Catalogue Scale was used to assess the stigma and an interview guide developed by researchers was used to assess the manifestations of stigma.

Results:
One-third of the subjects were male (n = 105), studied up to higher secondary (n = 101), married (n = 127), and employed (n = 126), and the mean age of the participants in the study is 39.21 ± 11.04 (years). Many of the participants (62%), (n = 93) have reported severe levels of the stigma.

Conclusion:
It is evident from the current study findings that PIwC-19 experienced moderate-to-severe levels of stigma. The current study has explored the various causes, forms, and consequences of stigma in a small population. Stigma was manifested in family, community, and at workplace, recreational places, and peer groups.
Pengaruh Media Sosial dan Event Pariwisata terhadap Minat Kunjung Wisatawan Objek Wisata Danau Situ Tunggilis Desa Situsari Kecamatan Cileungsi Kabupaten Bogor
Authors: Slamet Turah , Juvoni Maudy Alisia 
Published: August 2023

This study aims to determine the effect of Social Media, Tourism Events on Interest in Visiting Tourists at the Situ Tunggilis Lake Tourism Object, Siteari Village, Cileungsi District, Bogor Regency. The research was conducted on visitors to the Situ Tunggilis Lake Tourism area, Siteari Village, Cileungsi District, Bogor Regency. The sample used in this study amounted to 100 respondents. This study used a purposive sampling technique and data analysis with multiple linear regression. Hypothesis testing uses the T test and F test with the help of the SPSS version 16.0 application program. The results of multiple linear regression indicate that social media has a positive and significant effect on intention to return. Tourism Events have a positive and significant effect on the intention to visit again. Based on the results of the F test, it shows that Social Media and Tourism Events simultaneously have a significant effect on the intention to return. And the coefficient of determination of influence is 70.2%.
Keywords: intention to visit, social media, tourism events
Analisis Pengawasan dan Kedisiplinan Terhadap Kinerja Karyawan Indo Suhar Jaya (Narma Toserba Narogong)
Authors: Rahmawati Elsa , Wijayanti Rini 
Published: August 2023

This study aims to determine the effect of supervision and discipline on the performance of employees of PT. Indo Suhar Jaya (Narma Narogong Department Store). This study used descriptive qualitative method. The techniques used in collecting data in this study included observation, interviews and direct documentation of PT. Indo Suhar Jaya (Narma Narogong Department Store). The results of the study show that supervision and discipline in this study do not have a significant effect on employee performance. Based on the results of observations and interviews with 15 informants, supervision and discipline have been carried out well, however, employee performance is still very low, seen from the average attendance rate per month, which only reaches 66%.
Keywords: Supervision, Discipline, Performance
Sustainability Strategies and Organizational Performance of Selected Family-Led Businesses in Kenya
Authors: Mwaura Charity , Mathenge Paul , Mungai Caroline 
Published: August 2023

Purpose: The study sought to establish the effect of entrepreneurial sustainability strategies on organizational performance of family-led businesses in Kenya.
Methodology: The descriptive research technique was used for this study and target population was the owners/ managers of the 277 family-led businesses in Kenya. The technique of stratified random sampling was applied to derive the 83 respondents. Questionnaires were used to obtain primary data and close-ended questions were used that were in the form of likert scales questions. Data collected was analyzed by use of descriptive and inferential statistics using SPSS Version 22. The descriptive statistics included frequency percentages, mean and standard deviations. A multiple regression model, correlation analysis and ANOVA was further carried out. Tables, pie charts and graphs were used for data presentation.
Findings: There was a strong positive correlation of 0.764 between talent management and the performance of selected family-led businesses in Kenya. There was a moderate positive correlation of 0.469 between succession planning and the performance of selected family-led businesses in Kenya. There was a moderate positive correlation of 0.755 between innovation strategies and the performance of selected family-led businesses in Kenya. There was a moderate positive correlation of 0.362 between professionalization and performance of selected family-led businesses in Kenya.
Unique Contribution to Theory, Practice and Policy: The study was guided by Family Systems theory and theory of Performance. The theories may be used to anchor future studies in the business sector The study recommends that family-led businesses should recruit competent employees, adopt and implement performance appraisals, conduct training sessions to improve employee skills and ensure they retain the employees through employee motivation. The study recommends that to improve on the performance of the businesses, the organizations should identify critical roles, build succession benches, and develop high-potential candidates for promotion. The study recommends that management of family led business should invest resources in innovations such as big data analytics and artificial intelligence to increase their competitiveness. The study recommends that the family lead business should ensure that they hire professionals and also conduct the recruitment exercise in a competitive and professional manner.
SOSIALISASI TINGKAT PENCABULAN TERHADAP ANAK DITINJAU DARI SEGI YURIDIS DI DESA SENA KABUPATEN DELI SERDANG
Authors: Ridwan Lubis Muhammad , Subchan Mohammad 
Published: August 2023

Pengabdian ini dilaksanakan di Desa Sena Kabupaten Deli Serdang. Metode pelaksanaan yang digunakan adalah melalui kegiatan ceramah, diskusi dan tanya jawab tentang sosialisasi tingkat pencabulan di tinjau dari segi yuridis. Acara sosialisasi ini melibatkan seluruh masyarakat di Desa Sena Kabupaten Deli Serdang untuk lebih memahamkan pentingnya tingkat pencabulana anak di Desa Sena Kabupaten Deli Serdang.
Adapun hasil diskusi dalam kegiatan sosialisasi tingkat pencabulan di tinjau dari segi yuridis di Desa Sena Kabupaten Deli Serdang dapat berjalan dengan lancar. Semua peserta terlihat antusias dan merasakan manfaatnya. Keberhasilan ini ditunjukkan antara lain: (1) Masyarakat di Desa Sena Kabupaten Deliserdang yang menjadi peserta kegiatan pengabdian masyarakat ini memiliki pemahaman yang sama tentang Ímplementasi Tingkat Pencabulan Terhadap Anak Ditinjau dari Segi Yurudis. (2) Kegiatan pengabdian masyarakat di Desa Sena Kabupaten Deliserdang ini dapat berjalan dengan baik dan sesuai dengan perencanaan. (3) Akan dilakukan tahapan lanjutan setelah selesainya kegiatan pengabdian masyarakat ini dilakukan dalam rangka konsistensi berkontribusi memajukan kabupaten setempat.
PEMBERDAYAAN GURU MELALUI PENYULUHAN PROFESIONALISME KERJA DI DINAS PENDIDIKAN KABUPATEN ASAHAN
Authors: Elazhari Elazhari , Johari Ma'mun 
Published: August 2023

Pengabdian ini dilaksanakan di Dinas Pendidikan Kabupaten Asahan. Metode pelaksanaan yang digunakan adalah melalui kegiatan ceramah, diskusi dan tanya jawab tentang sosialisasi pemberdayaan guru melalui penyuluhan profesionalisme kerja. Acara sosialisasi ini melibatkan seluruh guru yang berada di Dinas Pendidikan Kabupaten Asahan untuk lebih memahamkan pentingnya profesionalisme guru dalam meningkatkan kinerja Guru di lingkungan Dinas Pendidikan Kabupaten Asahan.
Adapun hasil diskusi dalam kegiatan Sosialisasi pemberdayaan guru melalui penyuluhan profesionalisme kerja di lingkungan Dinas Pendidikan Kabupaten Asahan dapat berjalan dengan lancar. Semua peserta terlihat antusias dan merasakan manfaatnya. Keberhasilan ini ditunjukkan antara lain: (1) Para guru di Dinas Pariwisata Kota Medan yang menjadi peserta kegiatan pengabdian masyarakat ini memiliki pemahaman yang sama tentang Ímplementasi pemberdayaan guru melalui penyuluhan profesionalisme kerja. (2) Kegiatan pengabdian masyarakat di Dinas Pendidikan Kabupaten Asahan ini dapat berjalan dengan baik dan sesuai dengan perencanaan. (3) Akan dilakukan tahapan lanjutan setelah selesainya kegiatan pengabdian masyarakat ini dilakukan dalam rangka konsistensi berkontribusi memajukan kabupaten setempat.
SOSIALISASI KEKERASAN SEKSUAL PADA ANAK SERTA PERLINDUNGAN BERDASARKAN UU NOMOR 12 TAHUN 2022 TENTANG TINDAK PIDANA KEKERASAN SEKSUAL (TPKS) DI DESA SENA KECAMATAN BATANG KUIS, KABUPATEN DELI SERDANG
Authors: Lubis Muhammad Ridwan , Siregar Gomgom TP , Nurita Cut , Lubis Diana , Novita Rini 
Published: August 2023

Pengabdian ini dilaksanakan di Desa Sena Kecamatan Batang Kuis, Deli Serang, Sumatera Utara. Adapun langkah-langkah dalam pelaksanaan pengabdian yang dilakukan adalah: 1) diskusi dan tanya jawab seputar kegaiatn pengabdian; 2) Kegiatan dalam penyuluhan dilakukan menggunakan model ceramah atau penyuluhan; 3) Praktek terbimbing selama kegiatan pelatihan dilakukan sekitar 1-4 jam sampai peserta memahami isi materi; 4) Evaluasi tingkat ketercapaian keberhasilan kegiatan pengabdian terhadap seluruh kegiatan dilaksanakan melalui pemberian kuesioner kepada peserta; 5) Tim pengabdian terdiri dari dosen dan mahasiswa. Para peserta dalam mengikuti pengabdian ini sangat antusias dan mendapatkan banyak ilmu terkait dengan kekerasan seskual yang marak terjadi pada saat ini