bluuebunny/crossref_metadata_2025_split huggingface dataset:
Trichoblastoma of lumbar location associated with sebaceous nevus.
Authors: Rodríguez Sanz MB , González de Godos A , de la Cuesta de la Llave C , Pastor Fuente E , López de Cenarruzabeitia I 
Published: February 2023

Resumen

Objetivo: Presentamos un caso clínico infrecuente tanto por la patología como por la localización de la misma, de difícil diagnóstico clínico debido a que habitualmente no se sospecha por su rareza.

Material y método: Paciente que presenta pequeño nódulo en región lumbo-sacra, que le molesta y ha ido aumentando de tamaño. Exploración física: Pequeño nódulo a nivel superior de inicio de línea interglútea, compatible con lipoma con nevus cutáneo en zona de lesión. Tratamiento: exéresis de tumoración subcutánea junto con nevus en región dorso-lumbar izquierda de 1,5cm de diámetro bajo anestesia local.

Resultados: La anatomía Patológica nos describe una tumoración nodular de 1,4x1,4 cm que afecta a dermis superficial, profundo e hipodermis con conexión epidérmica superficial constituida por nidos sólidos de diferentes tamaños, con áreas cribiformes y reticulares y signos de diferenciación folicular, compatible con tricoblastoma.

Conclusiones: El tricoblastoma de localización lumbo-sacra es muy poco frecuente. El diagnóstico definitivo es histológico y se debe hacer diagnóstico diferencial con carcinoma basocelular, tricoepilelioma y el hamartoma folicular basaloide. El tratamiento es quirúrgico.
Influence on the SARS-CoV 2 in management of the acute appendicitis
Authors: Gras-Gómez CM , Moya-Forcén J , Ruiz-Pardo J , Estébanez-Ferrero B , Reina-Duarte AJ 
Published: February 2023

Resumen

Objetivo:Determinar la influencia del SARS-CoV-2 en el tratamiento de la apendicitis aguda.

Introducción: Nuestro hospital tuvo que reorganizarse para poder asumir el aumento de las necesidades asistenciales provocadas por el SARS-CoV-2, esto influyó en el manejo de patologías urgentes como la apendicitis aguda.

Material y método: Estudio retrospectivo donde se incluyeron pacientes intervenidos por apendicitis aguda entre febrero de 2019 y enero de 2021. Los pacientes fueron divididos en dos grupos (pre-SARS-CoV-2 entre febrero de 2019 y enero de 2020 y SARS-CoV-2 entre febrero de 2020 y enero de 2021).

Resultados:432 pacientes intervenidos de apendicitis aguda, se excluyeron del estudio 14 pacientes por no cumplir criterios de inclusión. 221 pacientes se incluyeron en el grupo pre-SARS-CoV-2 y 197 en el SARS-CoV-2. Ambos grupos eran comparables en edad, sexo, riesgo quirúrgico y comorbilidades. La mediana de tiempo hasta consultar en Urgencias y tiempo de espera hasta el diagnóstico y tratamiento definitivo fue mayor en el grupo SARS-CoV-2 (2,01±2,838 días y 15,10±7,543 horas en el primer grupo y 2,61±2,941 y 19,21±6,528 horas en el grupo SARS-CoV-2 con una p de 0.034 y 0.0001 respectivamente), que provocó un mayor porcentaje de apendicitis evolucionas en el segundo grupo (p<0.001) y un aumento de complicaciones postoperatorias (p=0.008), que sin embargo, no se tradujo en una mayor estancia, reintervenciones o reingresos.

Conclusiones: La pandemia por SARS-CoV-2 ha provocado un aumento en el tiempo hasta la consulta, diagnóstico y tratamiento de pacientes con apendicitis aguda en nuestro hospital.
Lichtenstein hernioplasty updates and recommendations. How do we do it?
Authors: García-Córdova CE , Flandes-Aguilar IE , Ramírez-Buensuceso-Conde NA , Farell-Rivas J 
Published: February 2023

Resumen

La hernia inguinal es el tipo de hernia más común en el mundo y es una de las cirugías más frecuentemente realizadas por el cirujano general a nivel mundial. Este tipo de hernias es 8-10 veces más común en hombres que en mujeres.

La técnica de Lichtenstein es la técnica abierta sin tensión más utilizada y recomendada por las guías internacionales, esto debido a que es una técnica sin tensión, con baja tasa de recurrencia, bajo costo, mínimamente invasiva, reproducible y con una curva de aprendizaje menor que los abordajes laparoscópicos. Este artículo describe los aspectos importantes de la técnica y actualizaciones sobre la misma y cómo hemos adaptado lo anterior a nuestra práctica diaria en una institución pública de alta especialidad.
An Hα Impression of Lyα Galaxies at z ≃ 6 with Deep JWST/NIRCam Imaging
Authors: Ning Yuanhang , Cai Zheng , Jiang Linhua , Lin Xiaojing , Fu Shuqi , Spinoso Daniele 
Published: February 2023

Abstract
We present a study of seven spectroscopically confirmed (Lyα-emitting) galaxies at redshift z ≃ 6 using the JWST/NIRCam imaging data. These galaxies, with a wide range of Lyα luminosities, were recently observed in a series of NIRCam broad and medium bands. We constrain the rest-frame UV/optical continua and measure the Hα line emission of the galaxies using the combination of JWST/NIRCam and archival HST/WFC3 infrared photometry. We further estimate the escape fractions of their Lyα photons (

f

esc

Ly
α

) and the production efficiency of ionizing photons (ξ
ion). Among the sample, six out of seven galaxies have Lyα escape fractions of ≲10%, which might be the status for most of the star-forming galaxies at z ≃ 6. One UV-faint Lyα galaxy with an extremely blue UV slope has a large value of

f

esc

Ly
α

reaching ≃50%. These galaxies have a broad range of ξ
ion over log10
ξ
ion,0 (Hz erg−1) ∼ 25.0–26.5. We find that UV-fainter galaxies with bluer UV-continuum slopes likely have higher escape fractions of Lyα photons. We also find that galaxies with higher Lyα line emission tend to produce ionizing photons more efficiently. The most Lyα-luminous galaxy in the sample has a very high ξ
ion,0 of log10
ξ
ion,0 (Hz erg−1) > 26. Our results support the scenario that Lyα galaxies may have served as an important contributor to cosmic reionization. Blue and bright Lyα galaxies are excellent targets for JWST follow-up spectroscopic observations.
Cassius Dion : nouvelles lectures
Authors: Fromentin Valérie , Bertrand Estelle , Coltelloni-Trannoy Michèle , Molin Michel , Urso Gianpaolo 
Published: February 2023

L’Histoire romaine écrite en grec par Cassius Dion (c. 160-235 p.C.), qui compte quatre-vingts livres et couvre dix siècles, est une source d’importance capitale pour les spécialistes du monde gréco-romain. Elle demeure toutefois mal connue et incomplètement étudiée car les aléas de la transmission du texte, parvenu à nous en partie sous forme fragmentaire, ont longtemps freiné la réalisation d'enquêtes transversales menées à l'échelle de l'œuvre entière.
Prevalence of Malaria and Anemia among Children under 10 Years Attending Rural Hospital Doka, Kaduna State between January to December, 2020
Authors: Ajan Brian 
Published: February 2023

Purpose: The study is aimed at determining the prevalence of plasmodiasis and anemia among children under age 10 in selected rural communities that attended Rural hospital, Doka.
Methodology: A total of 255 thick film stained slides using the Giemsa staining technique were observed using the malaria microscopy method. Haematocrit was estimated using the centrifugation method having considered the age and sex of the participants.
Findings: A total of 204 children representing 80% of the study participants were positive for malaria parasites. Malaria prevalence was heterogeneous and no significance was observed with sex. The prevalence in this study was throughout the year and was not dependent on season. The prevalence of anemia was 59.2% among 151 participants with a value of P<0.05 which is a strong indication that malaria is a risk factor for anemia
Unique Contribution to Theory, Practice and Policy: The prevalence of malaria and anemia was very high based on this study. Hence, there is urgent need for massive intervention of insecticide- treated mosquito nets as well as health education in their mother’s tongue so as to identify signs and symptoms of malaria and as well as taking the right measures.
Teaching Methods and Strategies on Learners’ Motivation in English Language Lectures in Higher Education in Kenya
Authors: Gudu Benter Oseno , Jesse Napwora Wekesa 
Published: February 2023

Purpose: This paper sought to determine the teaching methods and strategies increasing learners’ motivation in English language lectures at the university level. The study was based on social cultural theory of learning.
Methodology: The study adopted quantitative design, descriptive statistics method to understand the problem at hand. The target population consisted of 375 Bachelor of Education Arts students. Simple random sampling was used to sample 100 third year Bachelor of Education (Arts) students in a public university. Questionnaires and document analysis of research articles were used to collect raw data from 100 students. The data was analyzed using SPSS computer package.
Findings: The teaching methods that highly motivated students were explanation, discussion, interactive lectures and demonstration, teaching methods that moderately motivated learners were task-based method, case study and communicative language teaching and least motivating was audio lingual method. Highly motivating teaching strategies were group discussion and presentation, CATs and drama and moderately motivating teaching strategies were class assignments, debate, term paper assignments, pair work and dialogues.
Recommendation: Based on the study findings the study recommends that lecturers to strive to determine their learner’s needs and specific learning styles in order to adopt the correct teaching methods and strategies that motivate them to learn English language.
Are Indian ADR Premiums Mispriced?
Authors: Kumar Umesh Kumar 
Published: February 2023

Purpose: Indian ADRs have been observed to trade at premiums to the price of the underlying shares flouting the law of one price theorem. Therefore, it becomes imperative to investigate whether the observed premiums are mispricing or investor demand. This paper examines the Indian ADRs trading at a significant premium for an extended period.
Methodology: The paper studies all ten Indian ADRs traded from 2001 to 2006. It uses NYSE Trade and Quote Database to compute order imbalance for analysis of the mispricing. It employs multivariate regression models to examine the premiums.
Findings: The results suggest that Indian ADR returns are closely associated with the underlying market returns. Premiums are negatively related to the underlying stock returns. The ADR prices only adjust partially to the prices of the underlying stock. The ADR and underlying stock have a separate process for price formation in their respective markets. Using order imbalance of small and total trades of ADRs, this study shows that Indian ADR premiums are significantly and positively related to the buy demand of investors. Overall, the results support the idea that investor demand drives the Indian ADR premiums and is not mispriced.
Unique Contribution to Theory, Policy, and Practice: The study provides valuable information on the same security traded in different trading locations and market segmentations. It offers insight into an emerging market stock listed in the most developed financial markets. It expands the literature on order imbalanced and dual-listed securities, particularly for ADRs. The order imbalance can be decomposed into short- and long-run components, showing how both parts influence ADR returns and premiums/discounts.
Identifying Cognitive Impairment in the Acute Care Hospital Setting: Finding an Appropriate Screening Tool
Authors: Casey Kelly , Sim Erin , Lavezza Annette , Iannuzzi Kristen , Friedman Lisa Aronson , Hoyer Erik H. , Young Daniel L. 
Published: February 2023

Abstract
Importance: Identifying cognitive impairment in adults in acute care is essential so that providers can address functional deficits and plan for safe discharge. Occupational therapy practitioners play an essential role in screening for, evaluating, and treating cognitive impairment.
Objective: To test and compare the psychometrics and feasibility of three cognitive screens and select the ideal screen for use in acute care.
Design: Prospective mixed methods.
Setting: Acute care hospital.
Participants: Fifty adults.
Outcomes and Measures: We examined the interrater reliability, administration time, and usability of the Brief Cognitive Assessment Tool Short Form (BCAT–SF), the Activity Measure for Post-Acute Care “6-Clicks” Applied Cognitive Inpatient Short Form (AM-PAC ACISF), and the Montreal Cognitive Assessment (MoCA). We compared the construct validity, sensitivity, and specificity of the BCAT–SF and AM-PAC ACISF with those of the MoCA.
Results: Interrater reliability was good to excellent; ICCs were .98 for the MoCA, .97 for the BCAT–SF, and .86 for the AM-PAC ACISF. The BCAT–SF and the AM-PAC ACISF both had 100% sensitivity, and specificity was 74% for the BCAT–SF and 98% for the AM-PAC ACISF. The optimal cutoff score for cognitive impairment on the AM-PAC ACISF was &lt;22. Administration time of the AM-PAC ACISF (1.0 min) was significantly less than that of the BCAT–SF (5.0 min) and the MoCA (13.3 min; p &lt; .001).
Conclusions and Relevance: Each screen demonstrated acceptable reliability and construct validity. The AM-PAC ACISF had the optimum mix of performance and feasibility for the fast-paced acute care setting.
What This Article Adds: Early identification of cognitive impairment using the AM-PAC ACISF can allow for timely occupational therapy intervention in acute care settings.
Attentional Engagement During Mobile Application Skill Learning Among Patients With Memory Impairment: A Case Series Exploration
Authors: Vasquez Brandon P. , Lloyd-Kuzik Andrew , Santiago Anna Theresa , Shahaf Goded , Lass Jordan W. 
Published: February 2023

Abstract
Importance: Attentional engagement is essential for successful cognitive rehabilitation, but little is known about longitudinal interactions with skill learning.
Objective: To examine how attentional engagement is associated with mobile application skill learning for memory compensation. We hypothesized that patients with greater functional capacity would demonstrate faster learning and attentional engagement drop with skill acquisition, whereas patients with lesser functional capacity would have to maintain attentional engagement to progress throughout training.
Design: A case series approach was used with longitudinal skill learning and electroencephalographic (EEG) data recorded across multiple trials and sessions of mobile calendar application training.
Setting: The study was run in a hospital-based neuropsychology clinic.
Participants: Seven participants (5 with acquired brain injury, 1 with mild cognitive impairment, and 1 healthy older adult) were recruited.
Intervention: Mobile application operation was trained for the purpose of memory compensation. Skill learning was facilitated through a structured rehabilitation protocol, including large amounts of guided practice with the integration of errorless learning.
Outcomes and Measures: We quantified learning using the proportion of application steps completed independently at each session. We measured attentional engagement using an EEG marker: the Brain Engagement Index.
Results: For fast learners, attentional engagement generally decreased as mobile application learning progressed. In contrast, slow learners exhibited stable engagement over time with consistent, yet much slower, progress in skill learning.
Conclusions and Relevance: The present data indicate that when cognitive impairment is more substantial, skill learning may involve greater attentional engagement.
What This Article Adds: Patients undergoing memory rehabilitation may benefit from methods to enhance attentional engagement during skill learning when executive dysfunction is a considerable element of their cognitive profile. Monitoring attentional engagement during cognitive rehabilitation may be useful in identifying and addressing barriers to learning in real time.
Intervenção e assistência humanitárias à luz do direito internacional. Doi: 10.5020/2317-2150.2009.v14n2p384
Authors: Santos Raquel Magalhães Neiva 
Published: February 2023

As violações maciças aos Direitos Humanos no final do século XX passaram a relacionar-se ao conceito de ameaça à paz e à segurança internacionais, redimensionando assim as funções das Nações Unidas, no Pós-Guerra Fria. A partir do momento em que a proteção internacional dos Direitos Humanos passa a não mais ser tema de domínio reservado dos Estados, o Conselho de Segurança, começa a poder adotar medidas coercitivas nos termos do Capitulo VII da Carta da ONU e nos limites traçados pela doutrina e pelos costumes internacionais. Este artigo mostra como a ONU, por meio das reiteradas resoluções do Conselho de Segurança e da Assembléia Geral, adotadas durante as principais crises humanitárias da década de 90, contribuiu para a formação de um Direito Internacional consuetudinário, o direito de assistência humanitária. O presente trabalho tem como objetivo diferir e caracterizar a intervenção humanitária da assistência humanitária, bem como analisar de
forma concisa o uso da força e o papel do Conselho de Segurança na Carta de São Francisco e nos conflitos humanitários.
Daños en las relaciones familiares. Doi: 10.5020/23172150.2012.p.523-538
Authors: Tesón Inmaculada Vivas 
Published: February 2023

La creciente atención dirigida, en los últimos años, a la tutela efectiva de los valores esenciales inherentes a la persona ha penetrado también en el interior de las relaciones familiares, de modo que la violación de deberes conyugales o de pareja, o bien los paterno-filiales que, por su gravedad, puedan lesionar derechos fundamentales del cónyuge, pareja o hijos (no en cuanto tales, sino como personas humanas), plantea la posibilidad de reclamar, en el ámbito civil (además de lo que pudiera corresponder en otros), la responsabilidad extracontractual o aquiliana prevista en el art. 1902 del Código civil español de 1889 (en armonía con los principios constitucionales contenidos en los arts. 10, 14, 32 y 39 de nuestra Carta Magna), con el fin de resarcir tal daño endofamiliar. Doctrina y jurisprudencia se sitúan ante un nuevo escenario jurídico, años atrás,
inimaginable.
Africa and France – historically and in these times. Doi: 10.5020/2317-2150.2015.v20n3p807
Authors: Ekwe-Ekwe Herbert 
Published: February 2023

For France, the so-called francophonie Africa or the total of 22 countries, mostly in west, northeast, central and southeast Africa (Indian Ocean) that France conquered and occupied in Africa during the course of the pan-European invasion of Africa during the 15th-19th centuries, belong to France in perpetuity. This is in spite of the presumed restoration of independence, since the 1960s, of each of the states concerned. French presidents and top officials of the French republic since the end of World War II, irrespective of ideological or political orientation, attest to this key position in French international politics. Quests for African freedom from this subjugation will be central in charting the salient defining transformative features of African-French relations of this new millennium.
Age Under Five Mortality Rates in Kota Kinabalu
Authors: Dualis Herwati 
Published: February 2023

Background: Age Under Five Mortality Rate is one of the important child mortality indicators that could reflect a childâ€™s population well-being in a society. It is defined as the probability per 1000 live births that a newborn baby will die before reaching the age of five.
Keywords: child mortality indicators, Under Five Mortality Rate, preventable deaths, Sustainable Development Goal.
Risk Factors Associated with Nasopharyngeal Carcinoma in Sabah: Study Protocol of a Case Control Study
Authors: Raja Omar Raja Muhammad 
Published: February 2023

Background: In Malaysia nasopharyngeal carcinoma (NPC) is ranked as number fourth (5.2%) from all cancer and third (8.4%) most common cancer among male population. Nasopharyngeal carcinoma in Malaysia mostly occurs among Chinese (49%), followed by natives of Sabah and Sarawak (28%) and Malay (22%). There were multiple researches done to determine the risk factors for nasopharyngeal carcinoma and most of them from western pacific region. Prevalence of nasopharyngeal carcinoma in Sabah in 2013 is about 106 cases while in 2012 is 75 cases. It shows almost 30% increment from previous year. A total of 53 patients were diagnosed NPC in 2013 from Kota Kinabalu locality and it contributes more than 50% from total prevalence NPC in 2013. NPC is common in local Sabahan, especially in Kadazan and Dusun ethnicity. In 2013, the youngest are 11 years old and the eldest are 84 years old. The upward trend of NPC cases in younger age group is worrisome for us. Thus it is very important to determine the risk factors associated with NPC and this would help the health provider and other stakeholders to do planning in prevention of NPC such as awareness programme or cancer screening for the target high risk group especially for Sabah population.
Keywords: nasopharyngeal carcinoma, lifestyle, occupation, diet
Combination Effect of Rice Husk Ash and Eggshell Ash as Cement Replacements in Concrete: A Review
Authors: Jimmus Melsie Enn , Dullah Salinah 
Published: February 2023

Background: Waste materials from the agricultural and industries can cause problems to human health and the environment when improperly disposed and managed. Due to rapid development in construction, the demand of cement in concrete has increased dramatically. Therefore, wastes such as rice husk, eggshell, glass, fly ash and many more can be used in construction industry to minimize the environmental impact and producingnew material on construction industry. Many studies have been conducted as an effort to find replacement materials to substitute cement in concrete.
Keywords: rice husk ash, eggshell ash, cement replacement, environment
Potential Mixture of Coir Fibre and Palm Kernel Shell in Concrete: A Review
Authors: Roslee Noor Shafini , Dullah Salinah 
Published: February 2023

Background: Globally, 998 million tonnes of agricultural waste is produced per year and in Malaysia, 1.2 million tonnes of agricultural waste is disposed of into landfills annually. Concurrently, increasing demands of concrete leads to vary of research conducted on improving cement production methods and formulating reduction or eliminate CO2 emissions.
Keywords: waste material, coir fibre, palm kernel shell, public health
Practical Learning and Theory-Practice as Perceived by Student Nurses in Universiti Malaysia Sabah
Authors: Aiery Hairie , M. T. Nur Izzati , D. Ivyta , Shafine A. B Farah Ezora , Singh Sukhbeer K. Darsin , Segaran R. 
Published: February 2023

Background: The theory-practice gap is arguably the most important issue in nursing today, given that it challenges the concept of research-based practice, which is the basis of nursing as a profession. Majority of the student nurses shared their views that some of the practical procedures that they learned during their theory sessions were different from what was practised in the wards which caused some worries among the students that it may affect their performance during their Obstructive Structured Clinical Examination.
Keywords: theory-practice gap, practical learning
Percutaneous Balloon Valvuloplasty for Critical Aortic Stenosis in a 3.9-kg Infant in Sabah
Authors: Lily Ng , Siva Rao , Mohd Zain Shazharn , Melvin Ooi 
Published: February 2023

Introduction
Critical aortic stenosis (AS) is very severe narrowing at aortic valve in newborns, causing left ventricular outflow tract obstruction (LVOTO). It is lethal if not treated soon after birth.