bluuebunny/crossref_metadata_2025_split huggingface dataset:
The impact of cerebrospinal fluid shunting on quality of life in idiopathic normal pressure hydrocephalus: a long-term analysis
Authors: Grasso Giovanni , Torregrossa Fabio 
Published: April 2023

OBJECTIVE
Idiopathic normal pressure hydrocephalus (iNPH) represents an insidious type of dementia considered reversible after shunt placement. Although the clinical outcome has been widely studied, few studies have reported on quality of life (QOL) after surgery. This study evaluated the long-term clinical and QOL outcomes of iNPH patients after ventriculoperitoneal shunt (VPS) implantation. Factors influencing QOL in iNPH were also investigated.

METHODS
From 2009 to 2020, a single-institution retrospective study was conducted to compare shunted iNPH patients with a homogeneous control group. QOL was analyzed using the SF-36 questionnaire with yearly follow-up for as long as 11 years. Severity of symptoms, comorbidities, and clinical data were also recorded.

RESULTS
Among 187 treated patients, 15 had died at the time of the authors’ evaluation, and 45 did not match the inclusion criteria. The mean ± SD (range) follow-up was 118.5 ± 4.2 (18–132) months. QOL improved in 103/130 (79%) patients through 5 years after shunt surgery, although it remained lower than that of the control group (p < 0.0001). The SF-36 score reduced progressively, reaching baseline at 5–7 years of follow-up and decreased to below baseline at 7–11 years of follow-up (p < 0.0001). Predictors of improved QOL were younger age (p < 0.001), lower body mass index (BMI) (p < 0.001), and better Mini-Mental State Examination (MMSE) performance (p < 0.001) before surgery. Decreased postoperative QOL was associated with cerebrovascular disease, diabetes, and severity of symptoms (gait and cognition) at presentation (p < 0.001).

CONCLUSIONS
VPS implantation, along with a strict and comprehensive follow-up, has been shown to improve QOL in iNPH patients for as long as 5 years after surgery. Younger age, lower BMI, and better MMSE score are positive predictors of improved QOL after shunt placement.
Intracanalicular vestibular schwannomas: facial and hearing outcomes according to the location of the tumor in relation to the nerves of the internal auditory canal
Authors: Ramina Ricardo , Jung Gustavo S. , Constanzo Felipe , da Silva Erasmo Barros , Coelho Neto Mauricio 
Published: April 2023

OBJECTIVE
The objective was to evaluate whether the position of the nerves within the internal auditory canal (IAC) has any effect on preoperative and postoperative cochlear and facial nerve function in patients with intracanalicular vestibular schwannoma (VS) resected through the retrosigmoid transmeatal approach.

METHODS
Forty-four patients with sporadic intracanalicular VS, from a series of 710 patients with VS who underwent operations from January 1993 to April 2022, were retrospectively reviewed. The pattern of displacement of the cranial nerves and tumor within the IAC was recorded. Tumors were divided into 2 types: type T1A lesions had only anteriorly displaced nerves, and type T1B had posteriorly displaced vestibular nerves and anteriorly displaced facial and cochlear nerves. Differences in surgical outcomes between groups in terms of facial nerve function and hearing preservation were evaluated.

RESULTS
Thirty-five cases (79.5%) were T1A tumors and 9 were T1B (20.5%). Gross-total resection and anatomical preservation of the facial and cochlear nerves were achieved in all patients. Postoperatively, all patients with T1A VS maintained normal facial nerve function; however, among T1B VS patients, 6 (67%) retained House-Brackmann grade I, 2 worsened to grade II, and 1 worsened to grade III at 6 months (p = 0.006). The 27 T1A VS patients with serviceable hearing maintained this status, and an additional patient with nonserviceable hearing improved to serviceable hearing; among T1B VS patients, only 2 of the 5 patients with serviceable hearing remained as such, 2 evolved to nonserviceable hearing, and 1 lost hearing after surgery (p = 0.0022). T1B VS patients had a 24-fold risk of facial nerve deterioration (relative risk [RR] 25.2, 95% CI 1.42–448.57, p = 0.028) and a 32-fold risk of hearing deterioration (RR 32.7, 95% CI 1.93–553, p = 0.016) after surgery.

CONCLUSIONS
In intracanalicular VS, postoperative cochlear and facial nerve function are directly related to the location of the tumor in relation to the nerves, with worse outcomes in cases where the tumor is located between the vestibular and facial-cochlear nerves.
Impacto de doenças foliars no rendimento e seus componentes em sorgão grão (Sorghum bicolor l. Moench)
Authors: Giambastiani Gustavo , Cordes Guillermo , Laurella Eduardo 
Published: April 2023

El objetivo del trabajo fue determinar el impacto de las enfermedades foliares de origen fúngico sobre la sanidad del área foliar, el rendimiento y sus componentes en el cultivo de sorgo granífero en la región central de la Provincia de Córdoba, Argentina.
Se evaluaron dos niveles sanitarios: con aplicación de fungicida (CF) y sin aplicación de fungicida (SF), y tres genotipos: Advanta 1200 (ADV), Tobín 1825 (TOB) y Tecnosorgo (TEC).
Se hicieron determinaciones cuantitativas de área foliar afectada por enfermedades. Se midió el rendimiento en grano y sus componentes: número de granos y peso medio de granos. Los experimentos realizados fueron bajo condiciones climáticas diferentes ya que en el ensayo del ciclo 16/17 las precipitaciones fueron superiores a las históricas en tanto en el ciclo 17/18 ocurrió lo contrario.
En el año más húmedo el rendimiento, el número de granos, la severidad y diversidad de las enfermedades y el área foliar dañada fueron mayores. Bajo estas condiciones el efecto de la aplicación de fungicida se manifestó claramente lo que permitió aumentar el rendimiento un 6.7% debido a un mayor peso medio de granos (13%). La aplicación de fungicida redujo la severidad un 22.4% y el área foliar dañada en un 10,8%. En el ciclo de menores precipitaciones no se observaron efectos de la aplicación de fungicida ni en rendimiento y componentes, ni en severidad pero si en área foliar dañada con un 2.3% menos.
Los cultivares TEC y ADV tuvieron un mayor rendimiento asociado al logro de un mayor número de granos en el ciclo más húmedo. En el ciclo con restricciones climáticas no se observaron diferencias en el comportamiento de los diferentes cultivares.
Los datos obtenidos permiten sugerir que desde el punto de vista productivo una buena decisión técnica seria considerar la aplicación de fungicida en el cultivo de sorgo en momentos próximos a floración y cuando las precipitaciones hayan sido superiores a la media, quedando esta decisión condicionada a un análisis de tipo económico
JUVENILE DELINQUENCY: FEATURES, CAUSAL COMPLEX
Authors: Демидова-Петрова Е. В. 
Published: April 2023

Введение: в статье освещается комплекс основных причин преступности несовершеннолетних. Особое внимание уделяется семье как институту социализации личности. Также рассматривается глобальный информационный фактор, или онлайн-фактор, как один из современных факторов, оказывающих значительное влияние на преступность несовершеннолетних. Материалы и методы: всеобщий диалектический метод познания явился методологической основой статьи. Также автором применены общенаучные и частнонаучные методы познания: историко-правовой метод, системно-структурный анализ, аналогия, обобщение, сравнение, дифференциация, моделирование, наблюдение, аналитическое обследование. Результаты исследования: рассмотрена семья как один из основных этапов социализации несовершеннолетнего, а также проанализировано семейное неблагополучие, которое является одним из основных факторов, лежащих в основе исследуемого вида преступности. Предложены результаты авторского исследования, направленного на установление особенностей формирования личности современного несовершеннолетнего преступника, а также выявление основных причин преступности несовершеннолетних. Обсуждение и заключение: автор указывает на взаимосвязь семейного неблагополучия и значительного времяпрепровождения несовершеннолетних в интернет-пространстве, онлайн социальных сетях, что является одним из детерминирующих факторов преступности несовершеннолетних.
Introduction: the article highlights the complex of the main causes underlying juvenile delinquency. The author pays special attention to family as the institution of personal socialization. The global information factor, or online factor, is also considered as one of the modern factors that have a significant impact on juvenile delinquency. Materials and Methods: the universal dialectical method of cognition was the methodological basis for the article. The author also applied general scientific and specific scientific methods of cognition: historical and legal method, system-structural analysis, analogy, generalization, comparison, differentiation, modeling, observation, analytical examination. Results: the family is considered as one of the main stages of socialization of a person of juvenile age, as well as family problems are analyzed, which is one of the main factors underlying the type of crime under study. The results of the author's research are proposed, which is aimed at establishing the features of the formation of the personality of a modern juvenile delinquent, as well as identifying the main causes of juvenile delinquency. Discussion and Conclusions: the author points out the relationship between family problems and significant pastime of juveniles in the Internet space, social networks, which begins to form one of the factors of juvenile delinquency.
Renal Histopathology Associated With Kidney Failure and Mortality in Patients With Lupus Nephritis: A Long-Term Real-World Data Study
Authors: Liao Yu-Wan , Chen Yi-Ming , Hsieh Tsu-Yi , Hung Wei-Ting , Hsu Chiann-Yi , Wen Mei-Chin , Chen Yi-Hsing , Huang Wen-Nan 
Published: April 2023

ObjectiveLupus nephritis (LN), a common manifestation of systemic lupus erythematosus, is associated with a higher risk of kidney failure and death. The renal pathology of LN helps elucidate the severity of inflammation and the extent of irreversible damage. We aimed to identify histologic variables that correlate with risks of kidney failure and mortality.MethodsBetween 2006 and 2019, a total of 526 patients with LN were enrolled. Renal pathology was classified according to the International Society of Nephrology/Renal Pathology Society classification. Components of activity and chronicity indices were analyzed to determine which variables correlated with an increased risk of kidney failure and death, with the adjustment of potential confounders.ResultsDuring the follow-up period (median 7.5, IQR 3.5-10.7 years), 58 patients progressed to kidney failure and 64 died. In the multivariate Cox regression analysis, tubular atrophy (hazard ratio [HR] 2.28, 95% CI 1.66-3.14) and tubulointerstitial inflammation (HR 3.13, 95% CI 1.34-7.33) predicted kidney failure. The renal outcome was even worse if tubular atrophy and tubulointerstitial inflammation coexisted (10-year kidney survival rate: 63.22%). The presence of cellular crescents was associated with an increased risk of death in male patients with LN (HR 1.91, 95% CI 1.02-3.57), whereas the presence of fibrous crescents predicted death in female patients with LN (HR 5.70, 95% CI 1.61-20.25).ConclusionHistologic variables of renal biopsy in LN could be regarded as prognostic indicators for kidney failure and mortality.
Preliminary Clinical and Laser Speckle Contrast Analysis Data on Selexipag Efficacy for the Treatment of Digital Vasculopathy in Systemic Sclerosis
Authors: Di Battista Marco , Della Rossa Alessandra , Da Rio Mattia , De Mattia Giammarco , Morganti Riccardo , Mosca Marta 
Published: April 2023

ObjectiveSystemic sclerosis (SSc) is burdened by Raynaud phenomenon (RP) and digital ulcers (DUs), and sometimes standard vasoactive therapies are ineffective or contraindicated. Selexipag is an oral selective IP prostacyclin receptor agonist approved for the treatment of SSc-related pulmonary arterial hypertension. We aimed to evaluate the clinical and instrumental efficacy of selexipag in SSc digital vasculopathy.MethodsPatients with SSc with severe digital vasculopathy refractory or with contraindication to all other vasoactive therapies were administered selexipag. RP- and DU-related clinical outcomes were evaluated, and digital perfusion was assessed by laser speckle contrast analysis (LASCA), all at baseline and after 3 months.ResultsSelexipag was administered to 9 patients with SSc (66.6% female, mean age 52.3 [SD 16.6] yrs). One patient had to stop the drug because of adverse effects. After 3 months of selexipag administration, there was a significant reduction in RP daily episodes (P= 0.01) and RP mean duration (P= 0.04). The number of DUs decreased from 10 to 4 without reaching statistical significance. A significant improvement in mean perfusion of the fingers (P= 0.02) was observed with LASCA.ConclusionSelexipag showed good potential for the treatment of SSc digital vasculopathy. Our results are certainly preliminary, yet quite encouraging. New trials for the evaluation of selexipag efficacy in SSc digital vasculopathy are needed.
Ensemble, on va plus loin ? Différences d’appréciation du travail à plusieurs chez des élèves de primaire
Authors: Legavre Amélia 
Published: April 2023

L’article s’intéresse à l’appréciation des modalités de travail à plusieurs par des élèves de trois classes de cycle 3, sur la base d’observations dans ces classes et d’entretiens avec leurs 67 élèves. Il s’interroge sur le rôle de ces interactions dans l’expérience des élèves, de leur propre point de vue : les élèves apprécient-ils le travail à plusieurs et si oui, l’apprécient-ils pour les mêmes raisons ? Les résultats montrent que les interactions entre élèves en classe sont dans l’ensemble appréciées, mais que certains élèves de niveau scolaire élevé valorisent plusieurs modalités de travail à plusieurs, là où les élèves de niveau scolaire plus faible valorisent surtout ce qui s’oppose aux activités les plus formelles de la classe. Une seconde partie s’intéresse à l’expérience des élèves peu sûrs d’eux, qui trouvent dans le travail à plusieurs une source de réconfort qui les protège de situations déplaisantes, pour faire face à leurs difficultés académiques ou relationnelles. Enfin, les élèves niveau élevé et plutôt sûrs de leur statut au sein de la classe défendent l’intérêt des interactions sur le plan intellectuel. Ainsi, il est possible de conclure que les interactions entre élèves en classe améliorent leur expérience, mais pour des raisons différentes en fonction de leurs profils.
Haviltex voor drafters
Authors: Brons M.J.R. 
Published: April 2023

Haviltex voor drafters
De auteur geeft een overzicht van enkele praktische lessen die getrokken kunnen worden uit de jurisprudentie van de Hoge Raad over uitleg van overeenkomsten, bedoeld om contractenmakers in staat te stellen om bij het opstellen van contracten beter te anticiperen op uitleg van die contracten in juridische procedures.
Influência da competência tributária e da capacidade de arrecadação na qualidade de vida da população de Santa Catarina
Authors: Trombetta Bruna Dambroski , Lunardi Flavia Cristina , Scheren Gilvane , Oro Ieda Margarete 
Published: April 2023

O estudo objetivou analisar a influência da arrecadação tributária própria na qualidade de vida da população dos municípios de Santa Catarina nos períodos de 2016 e 2018. A pesquisa descritiva e abordagem quantitativa. A população compreende os municípios do Estado de Santa Catarina, Brasil, e a amostra foi composta por 221 municípios. Os resultados do estudo demonstram que a capacidade de arrecadação dos impostos de competência municipal (IPTU, ISS e ITBI) depende diretamente do número de habitantes que o município possui, ou seja, quanto maior a população, maior é o valor arrecadado por habitante. Constata-se, ainda, que um grande montante de receita arrecadada não é sinônimo de indicadores sociais elevados. Os municípios que apresentam um número menor de população conseguem administrar e distribuir de maneira justa e eficaz os recursos obtidos, proporcionando melhor qualidade de vida para seus habitantes.
Using Electronic Medical Record To Identify Changes In Inpatient Learner Experience
Authors: Zhao Tingrui , Pasha Nadia , Sharma Poonam 
Published: April 2023

Background COVID-19 has been disruptive to inpatient medical care. While changes in prevalence of inpatient diagnoses have been published, little has been published about the impact on learner exposure to various diagnoses. Such changes are likely impacted by national and global trends, as well as local disease prevalence and policies. We hypothesized that the electronic medical record (EMR) may offer a tool to track learner experiences as they evolve in a time of rapid change. Methods The top 20 most common diagnoses between April-July 2019 vs April-July 2020 on the resident inpatient internal medicine service were extracted from the Epic EMR and compared. This data was analyzed using a chi squared test and Bonferroni correction to identify statistically significant changes in case distribution in this time frame. Changes over this period were also compared for the nonteaching service. Results The resident teaching service saw a statistically significant decrease in pulmonary cases (13% vs 2%, p < 0.005) from 2019 to 2020. Acute exacerbation of chronic obstructive pulmonary disease (COPD) and pneumonia, previously the 5th and 7th most common diagnoses in the 2019 period, dropped off the top twenty list for the teaching service. These 2 diagnoses remained on the non-teaching common encounter list, suggesting that COVID-19-related service/team assignments rather than disease prevalence may be a factor. There was also a statistically significant increase from 2019 to 2020 in cases pertaining to substance use intoxication on both teaching and non-teaching teams (0 vs 0.05 and 0 vs 0.02, respectively), mirroring trends in national data. Conclusion Use of the EMR was able to rapidly identify changes in the most common diagnoses on the teaching service. This may be a tool to monitor the inpatient experience of learners over time, particularly in times of rapid local, regional, or global change.
Sick Leave Determinants in the Healthcare Sector (Part II): A Review of Organizational-Level Factors.
Authors: Brady Hugh D , McGrath Deirdre , Dunne Colum P. 
Published: April 2023

Background Organizational level factors may influence and contribute to sick leave in healthcare, and particularly hospital, settings. We utilize relevant publications from recent literature to provide a useful, comprehensive and evidence-based resource for readers interested in effective human resource management and healthcare or hospital workforce planning. Methods To ensure that pertinent papers (2004 – 2022) were identified, a systematic literature review was performed searching Google Scholar, Econ Lit, PubMed, ResearchGate, ScienceDirect, Emerald Insight, Scopus, Medline, PsychInfo, and Web of Science databases. All abstracts were screened to identify papers that empirically investigated organizational level factors relevant to sickness absence in a healthcare population. A total of 452 papers were initially identified. These were reduced to 133 papers using pre-determined inclusion and exclusion criteria. Results Key factors associated with sickness absence in healthcare staff were long hours worked, work overload, working conditions and stress, and the effects of these on personal lives; job control including lack of participation in decision making; poor social support. Other organizational-level factors such as size and type of organization reflected strong association with absence levels. Shorter distance from work and seniority of position are reported to have a strong negative association with absenteeism. Management leadership style and workload were not found to be determinants. Conclusions Interventions that improved psychological health and levels of sickness absence used training and organizational approaches to increase participation in decision making and problem solving, increase support and feedback, and improve communication. Many of the work-related variables associated with high levels of psychosocial factors are potentially amenable to change. This is Part II of a series describing factors influencing absenteeism in the healthcare sector.
İÇEL MİLLETVEKİLLERİ VE SİYASİ FAALİYETLERİ 1961-1970
Authors: ERDOĞAN Yafes , BİÇİCİ Mehmet 
Published: April 2023

Yeni Türk Devleti’nde, 29 Ekim 1923’te Cumhuriyet’in ilan edilmesi ile köklü bir rejim değişikliği olmuştur. Bu rejimde gücü milletin adına kullanacak, milletin yetkilendireceği kişilerden oluşacak bir meclise ihtiyaç vardır. Bu meclis Türkiye Büyük Millet Meclisi olmuştur.Bu süreci siyasi partiler üstlenecek, yöntem olarak seçim sistemi uygulanacaktır. Siyasal parti olarak CHF(CHP)’yi, seçim sistemi olarak İntihabı Mebusan’ın değiştirilmiş halini kullanmaya başlamıştır.1945 yılına kadar CHP ile tek parti iktidarına dayalı olarak devam eden yönetim, bu tarihten sonra yeni siyasi partilerin kurulmasıyla devam etmiştir. 1950 seçimlerinde ülke yönetimini DP devralmıştır. 27 Mayıs 1960’da gerçekleşen darbe DP yönetimine son verirken yeni bir anayasa hazırlanmasına ve meclis yapısının da değişmesine neden olmuştur.
Bu çalışmada; 1961-1970 yılları arasında TBMMXII, XIII, XIV.(MM I., MM II., MM III.) dönemleri İçel’den milletvekili seçilerek, TBMM’ye giden 15 vekilin siyasi kimlikleri ve mecliste ki çalışmaları incelenerek, genelde ülkeye yerelde de İçel’e olan katkılarına bakılmıştır.Milletvekillerinin biyografileri incelenmiş olup yaşları, meslekleri, eğitim durumları gibi kişisel bilgileri değerlendirilmeye çalışılmıştır.Milletvekillerinin siyasi parti tercihleri, halkın kendilerine olan teveccühleri, kaç dönem görev yaptıkları, mecliste bulundukları süreç içerisinde ki siyasi faaliyetleri tek tek incelenmiş ve tasnif edilmiştir. Yapılan tasnifler sonucunda meclisteki yapmış oldukları çalışmaları, bu çalışmaların hangi konularda yoğunlaştığı ve çalışmalarının İçel’e yansımaları değerlendirilmiştir.
Job Burnout in Women and the Need to Use Psychological Services and Counselling in Workplaces
Authors: Mafishiraz Maryam 
Published: April 2023

Aims: According to various reports, there are significant inequalities between men and women in terms of the incidence of occupational complications, including job burnout, and women suffer from this complication more than men.
Study Design: Comprehensive reviews in this field present the conflict between work and family roles as a prominent factor in creating more burnout problems in working women.
Place and Duration of Study: The present study was a descriptive research by reviewing documents and library resources.
Methodology: The purpose of this stage was to comprehensively review the studies related to job burnout as well as a deeper and broader understanding of the role of organizational psychology in reducing job burnout among employees.
Results: Comprehensive reviews in this field present the conflict between work and family roles as a prominent factor in creating more burnout problems in working women. Considering the physical, psychological and professional consequences of job burnout in women, this study is trying to provide a comprehensive review and review of existing studies in the field of problems caused by job burnout in employees and also the role of psychological methods in work issues and problems.
Conclusion: To explain the importance of using psychological services and consultations, including online consultations, in reducing the burnout of women in service organizations.