bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Pengaruh Belanja Daerah Bidang Pendidikan, Bidang Kesehatan dan Bidang Infrastruktur terhadap Indeks Pembangunan Manusia di Kabupaten Hulu Sungai Utara Tahun 2003-2015
Authors: Fahrianti Sippa , Saleh Muhammad 
Published: March 2022

In general, the Human Development Index (HDI) can be interpreted as a method used to measure the success or failure of a country or region in the field of human development. Then to increase progress and reduce gaps in regional development, regional development programs must be well planned and use principles in enhancing human development. The purpose of this study was to determine the effect of regional spending in education, in health and in infrastructure in the human development index in Hulu Sungai Utara Regency. The research method used in this study is a multiple linear regression model that has more than one estimating variable, namely X1, up to X3 with the classic assumption test including normality test, heteroscedasticity test and hypothesis testing. From the results of the study indicate that there is a significant positive influence of regional expenditure on education in the Human Development Index of 20.8%. This positive effect means that if regional expenditure in the field of education gets better then the Human Development Index will also increase, and so will the regional expenditure in the health sector towards the Human Development Index significantly influence by 34%. And regional spending in the infrastructure sector also significantly influences the Human Development Index, which is 27.2%. This influence means that if regional spending in education, health and infrastructure is getting better, the Human Development Index (HDI) will also increase.
Faktor – Faktor Yang Mempengaruhi Pendapatan Nelayan Tangkap Di Desa Pagatan Besar Kecamatan Takisung Kabupaten Tanah Laut
Authors: Perdian P , Suherty Lina 
Published: March 2022

Fishermen’s income is influenced by various factors, both internal and external factors. In this study, internal factors such as length of time at sea, operational costs, experience and total wages of crew members variable (free). In this study to determine the effect of variable length of time at sea, operational costs, experience, and the total wages of crew members on the income of fishermen in Pagatan Besar Village, Takisung District, Tanah Laut Regency. The data source used in this research is primary data in the form of interviews with a sample of 42 respondents. The analytical tool used is multiple linier regressionwith income as the dependent variable and four independent variables, namely length of fishing (days) and operational costs (Rp). Experience (years), and the total wages of the crew (Rp). Multiple linier regression will test the effect simultaneously (f test) and partially (t test) through eviews 10 software. The results of this study indicate that the length of time fishing, operational costs, and total wages of crew members individually (partially) have a significant effect on income. While the experience variable does not have a significant effect. The variables of length of time at sea, operational costs, experience, total wages of crew members together (simultaneously) have a positive effect on the income of fishermen in Pagatan Besar village, Takisung District, Tanah Laut Regency. Based on the conslusions that can be applied in order to increase fishemen’s income, where all the variables in this study can increase the income of catch fishermen in Pagatan Besar Village.
Calf Strain in Athletes
Authors: Meek Wendy M. , Kucharik Michael P. , Eberlin Christopher T. , Naessig Sara A. , Rudisill Samuel S. , Martin Scott D. 
Published: March 2022

» Calf strain is a common condition. In high-performance athletes, calf strain contributes to a substantial absence from competition.» Player age and history of a calf strain or other leg injury are the strongest risk factors for calf strain injury and reinjury.» Although the diagnosis is often clinical, magnetic resonance imaging and ultrasound are valuable to confirm the location of the strain and the grade of injury.» Nonoperative treatment is effective for most calf strain injuries. Operative management, although rarely indicated, may be appropriate for severe cases with grade-III rupture or complications.» Further investigation is necessary to elucidate the benefits of blood flow restriction therapy, deep water running, lower-body positive pressure therapy, platelet-rich plasma, and stem cell therapy for calf strain rehabilitation.
Antibacterial efficacy of sodium hypochlorite at different temperatures against E.faecalis in Single Rooted Teeth.
Authors: Elsawaf Gehad Hossam Mamdouh Ibrahim , Gawdat shaimaa , Dwedar Reham Ali , Emara Radwa Sameeh 
Published: March 2022

Abstract
Enterococcus faecalis is the most common bacterial species in resistant or recurrent infections due to its penetration in deep dentinal layers which is difficult to clean leading to endodontic treatment failures . It compromises 6% of total flora in root canal and seen in 22_77% root canal retreatment cases as it has many virulence factors .intracanal heating has better antimicrobial efficacy in comparison to extra-canal heating of sodium hypochlorite and at room temperature .Storage of sodium hypochlorite in refrigerated environment is proved to be the best option to avoid the marked loss of active chlorine in sodium hypochlorite of concentration at 6%.The more the content of free chlorine means the more the antibacterial activity.so intra canal heated sodium by system B at 180°C ,cryotreated sodium hypochlorite at 2_4 °C will be compared by sodium hypochlorite at room temp for thier antimicrobila efficacy againest E.faecalis
Projected changes in field workability of agricultural machinery operations for upland crop production in +4 K Hokkaido, Japan
Authors: Murakami Keach , Inoue Satoshi , Nemoto Manabu , Inatsu Masaru , Hirota Tomoyoshi 
Published: March 2022

Abstract

The use of agricultural machines for field operations is often restricted by soil status determined by meteorological conditions several days before the operation. While a projected increase in air temperature caused by climate change may promote evapotranspiration and have positive impacts on the use of agricultural machines, intensified rainfall may have negative effects at the same time. This study aimed to provide probabilistic estimates of climate change impacts the meteorological constraints on field workability of agricultural machines in Hokkaido, Japan. Analyses based on historical meteorological data and machinery operation logs recorded at two agricultural research stations revealed that operations concentrated on days with smaller antecedent precipitation index (API). A simple derivative of API that reflects a practically maximum API value to carry out a certain field operation, termed threshold API, was proposed to evaluate the meteorological constraints on field operations. Because threshold API values for operations that are vulnerable to soil conditions (e.g., sowing and soil preparation) and/or at fields with poor drainage soil were small, this threshold should be a reasonable and quantitative measure of the meteorological constraint on field workability. Using 1-km gridded API values under historical and future climates calculated from a large ensemble dataset of daily mean air temperature and precipitation, we separated workable and unworkable days from June to October based on a threshold value of 5 mm and calculated projected changes in monthly numbers of the total workable day and consecutive unworkable day. While there were slight negative effects in several regions in the Southern and Central regions under future climate with a 4-K higher global mean temperature, preferable changes prevailed in both metrics in the other regions and months. The present results facilitate probabilistic discussion of changes in agricultural calendars and suggest that climate change may extend the agricultural season in Hokkaido.
Effectiveness of Proximal Femoral Nail Anti-rotation Blade Combined With Plate Versus InterTAN Intramedullary Nail Fixation in Treatment of AO/OTA Type 31-A3.3 Intertrochanteric Fracture
Authors: Zhang Cong , Chen Zhangxin , Wang Mengyuan , Chen Huiyu , Zhu Lingqi , Yang Wenqing , Ding Zhenqi , Huang Guofeng 
Published: March 2022

Abstract
Background: To compare the operative effect of proximal femoral nail anti-rotation blade (PFNA) combined with reconstructive locking plate and InterTAN intramedullary nail fixation with the closed reduction in treating type AO/Orthopaedic Trauma Association (AO/OTA) A3.3 intertrochanteric fracture with incomplete lateral walls.Methods: The clinical data of 76 patients with AO/OTA type 31-A3.3 intertrochanteric fracture who met the selection criteria and were admitted from January 2012 to January 2021 were retrospectively analyzed. There were 36 males and 40 females, aged60–84 years [(70.9 ± 6.2) years]. According to different surgical methods, the patients were divided into PFNA combined with plate group (the locking plate reconstruction of the lateral wall combined with the PFNA fixation group) and InterTAN group (the closed reduction InterTAN intramedullary nail fixation group). There was no significant difference between the two groups (P>0.05) in terms of gender, age, side of injury, cause of injury, and combined medical diseases. The differences in operation time, intraoperative blood loss, time to weight-bearing, fracture healing time, the tip apex distance (TAD), Harris scores and Postoperative complications including pulmonary infection, migration of implant, implant cut-off, breakage of the internal fixation and nonunion were analyzed. Results: PFNA combined with plate group were followed up for 9-21 months [(15.12±3.88) months], InterTAN group lasted 9-20 months [(13. 69±2.64) months]. The operation time was (101.62±16.73) min and (89.29±12.57) min in PFNA combined with plate group and InterTAN group, respectively (P < 0.05); intraoperative bleeding was(123.24±18.38) mL and (112.14±21.81) mL, respectively (P < 0.05); the start time of postoperative weight-bearing exercise was (5.76±0.96) weeks and (11.85±1.37) weeks ,respectively (P < 0.05); the time of fracture healing was (6.64±1.25) weeks and(12.69±0.92) weeks, respectively (P<0.05); the Harris scores after 1 year were (91.71±7.37) points and (84.33±8.63) points, respectively (P＜0.05); and the Tip-apex distance (TAD) values at 2 days, and after operation was (21.11±2.26) and (20.51±2.38), respectively (P>0.05); the TAD at 2 months was(21.21±2.44) and (20.32±2.18) ,respectively (P>0.05); the TAD at 12 months was (20.81±2.43) and (20.18±2.29) ,respectively (P>0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05).Conclusion: PFNA combined with plate and InterTAN are safe and effective treatments for type A3.3 intertrochanteric fractures with the incomplete lateral wall. Nonetheless, PFNA combined with plate allows a lower incidence of implant failure; faster mobilization and recovery.
Lung cancer as a risk factor for abdominal aortic aneurysm
Authors: Gwon Hyeran , Kang Du–Young , Park Seong Yong , Kwon Jun Seong , Lee Sang Hoon 
Published: March 2022

Abstract
Background
Lung cancer and abdominal aortic aneurysm (AAA) have several common risk factors. Considering that AAA is fatal, precise diagnosis and management of AAA would result in long-term survival benefit in patients with early lung cancer with good prognosis. We aimed to assess the prevalence and characteristics of AAA in patients with resectable non-small cell lung cancer (NSCLC).
Methods
Between January 2019 and November 2020, 1,019 patients with primary NSCLC treated surgically in Severance and Kangbuk Samsung Hospitals were reviewed retrospectively. We re-read abdominal-pelvic computed tomography (APCT) and positron emission tomography (PET) images and evaluated the presence of AAA. The control group comprised 2,899 cancer-free people who had a health check-up CT scan in Severance between January 2018 and December 2019. The Institutional Review Board and Ethics Committee of Severance Hospital approved this study (IRB number: 4–2021–1430).
Results
Among patients with resectable primary NSCLC patients, 39/1,019 (3.8%; odds ratio [OR], 19.19; 95% confidence interval [CI], 8.10–46.46) had AAA compared with 6/2,899 (0.2%) in the control (P < 0.001). Smokers were more likely to have AAA than non-smokers (7.0% vs 0.8%; OR, 9.57; 95% CI, 3.38–27.14; P < 0.001). In multivariable regression analysis, male sex (OR, 13.24; 95% CI, 1.50–117.48; P = 0.020), older age (OR, 1.10; 95% CI, 1.04–1.15; P < 0.001), current smoker status (OR, 4.20; 95% CI, 1.20–14.62; P = 0.024), and coronary artery obstructive disease (OR, 3.13; 95% CI, 1.48–6.62; P = 0.003) were independent risk factors for AAA development in lung cancer.
Conclusions
In our real-world study, patients with early lung cancer has a significantly higher prevalence of AAA than cancer-free controls, indicating they are a high-risk group for AAA. Therefore, we suggest patients with early NSCLC, especially smokers older than 60 years, undergo regular AAA surveillance with long term post-op follow-up for not only lung cancer but also AAA.
Predictors of Mortality in Hospitalized African American Covid-19 Cancer Patients
Authors: Challa Suryanarayana Reddy , Oskrochi Gholamreza , Chirumamilla Lakshmi G , Shayegh Nader , Brim Hassan , Ashktorab Hassan 
Published: March 2022

Abstract
Background: Coronavirus disease 2019 (COVID-19) and associated outcomes manifest differently depending on patients’ background and pre-existing conditions. It remains unclear how African Americans with and without cancer have been affected.Aim: To determine epidemiological, clinical comorbidities, and laboratory test results to identify markers associated with mortality in COVID-19 cancer patients.Methods: We reviewed all Covid-19 hospitalized patients records from Dec. 2019 to Oct. 2021 at Howard University Hospital. Patients having a history of, or active cancer status were reviewed. All the clinical, treatment, lab values, and pathological data were extracted. Statical analysis of the Covid-19 cancer patients and comparison with non-cancer Covid-19 patients was performed using univariate and multivariate analyses.Results: Out of 512 COVID-19 infected patients, a total of 49 patients were identified with different types of cancer, with both active and previous history. Females consisted of 26 cancer patients (53%). African American race was predominant in both cases and controls, 83.6% and 66.7% respectively. Cancer patients were older than non-cancer patients (Mean Age-70.6 vs. 56.3 years) and had an increased length of hospital stay (Mean 13.9 vs 9.4 days). Among cancer patients, breast cancer was more prevalent in females and prostate cancer in males, (54% and 52% respectively). Comparison of patients with active vs. previous cancer showed no significant difference in the clinical outcome, death vs. discharge (P=0.34). A higher reduction in albumin level in cancer cases, from the time of admission to day five, was significantly associated with death during the same hospital stay compared to those discharged (n=24, 48.9%, p<0.001). In controls, Lymphopenia (n=436, 94.1%, p=0.05), AST (n=59, 12%, p=0.008) and Albumin (n=40, 10.7%, p=0.02) have shown an association with increased mortality. Conclusion: Albumin level has shown to have an inverse relationship with clinical outcomes among all COVID infected African American patients. Reduction in Albumin level during the hospital stay, particularly in COVID-19 cancer patients should be considered as a predictor of mortality. No significant difference was noticed in the clinical outcome in patients with previous versus active cancer. Further research with a large cohort size is needed to verify and identify other predictors of outcome in Covid-19 cancer patients and develop appropriate treatment modalities.
Changes in body composition of patients with acute leukemia during induction and consolidation chemotherapies
Authors: Zou Jing-Ying , Li Yan-Yan , Gu Ying , Ling Chen-Jie 
Published: March 2022

Abstract
Purpose: Malnutrition is detrimental to the treatment and prognosis of patients with acute leukemia (AL). Body composition analysis is a reliable method to monitor and assess the nutritional status of patients. However, there are few studies focusing on body composition changes of patients with AL undergoing chemotherapy.Methods: Patients who were newly-diagnosed with AL were enrolled in this study. The body composition was measured before and after induction and consolidation chemotherapies. Paired-samples T test and multiple linear regression analysis were used to compare body composition changes and explore the influencing factors.Results: After induction chemotherapy, weight, body mass index (BMI), total body water, fat free mass (FFM), skeletal muscle mass (SMM) and basal metabolic rate were significantly decreased, but fat mass (FM), percentage of body fat (PBF) and visceral fat area (VFA) were significantly increased. There were no significant changes in body composition during consolidation chemotherapy. Multivariate analysis showed that age was negatively related to declines in weight, BMI, FFM and SMM during induction chemotherapy and acute myelocytic leukemia patients dropped less in FFM and SMM and increased less in PBF and VFA, compared with acute lymphocytic leukemia (ALL).Conclusion: Decreased FFM and increased FM were seen in AL patients after induction chemotherapy. Conventional nutritional monitoring and timely support are very important for patients with AL during chemotherapy, especially for ALL patients.
Anxiety and Depressive Symptoms on Social Avoidance and Distress among Young adult patients with Cancer: The Mediating Role of Perceived Social Support
Authors: Qiao Shiman , Wang Rui , Liu Fuyan , Liu Yuqi , Liu Limin , Lu Yu , Xu Haiyan , Su Yonggang 
Published: March 2022

Abstract
Purpose: This study aimed to explore the relationship between anxiety and depressive symptoms, perceived social support, and social avoidance and distress among young adult cancer patients.
Methods: A cross-sectional survey was conducted and 330 participants completed the questionnaires, including the Hospital Anxiety and Depression Scale (HADS), the Multi-Dimensional Scale of Perceived Social Support (MSPSS), the Social Avoidance and Distress Scale (SADS), as well as social-demographic and clinical variables from June 2020 to March 2021 in Jinan City, China. Dummy variable regression analysis was performed to examine the effects of anxiety and/or depressive symptoms on social avoidance and distress. Structural equation modeling (SEM) was used to test the mediating role of social support between them.
Results: The main results indicated that anxiety and/or depressive symptoms could positively predict the level of young adults' s social avoidance and distress. Social support could partially mediate the relationship between comorbid anxiety and depressive symptoms and social avoidance and distress and could completely mediate the impact of depressive symptoms only on social avoidance and distress. However, social support could not mediate the relationship between anxiety only and social avoidance and distress.
Conclusions: Strategies and interventions on psychological distress reduction and social support enhancement should take the group differences into consideration, especially for those depressive symptoms only patients to decrease the level of social avoidance and distress, in consequence, promote the health outcomes among them.
How to measure barriers in accessing mental healthcare? Psychometric evaluation of a screening tool in parents of children with intellectual and developmental disabilities
Authors: Xiong Ting , Kaltenbach Elisa , Yakovenko Igor , Lebsack Jeanine , McGrath Patrick J 
Published: March 2022

Abstract
Caring for children with special needs can cause an enormous physical and emotional burden, and therefore these parents have an elevated risk to experience mental health problems. The characteristics of current healthcare systems and parents’ responsibilities to care for their children seem to impede their access to mental healthcare. There is so far a lack of instruments to screen for such obstacles. The aim of this study was to develop and validate a scale for measuring barriers to accessing mental healthcare. The Parental Healthcare Barriers Scale (PHBS) was developed on the basis of an extensive literature research, input and discussion from experts and parents with lived experience. A cross-sectional survey was used to collect data from 456 parents of children with intellectual and developmental disabilities (IDD). Physical health, mental health, social support, and parenting were measured for convergent and discriminant validity of the PHBS. The PHBS scale revealed acceptable to good reliability and validity. It consists of four subscales (i.e., support accessibility, personal belief, emotional readiness, and resource availability). The PHBS found parents prioritized their children’s treatments over their own mental health challenges (93.4%), did not have enough time (90.4%), and had financial concerns (85.8%). Parents in rural and remote areas had more limited resources. Findings from our study suggest increasing the public literacy on mental health challenges, introducing evidence-based treatments, increasing the availability of healthcare services for parents, and adjusting current services to their needs.
Barriers in Medical Education: A Scoping Review of Common Themes for Medical Students With Disabilities
Authors: Nash Ranna , Conner Brandon , Fellows Katelyn , Clemmensen Brooke , Gullickson Robert , Goldrup Sharon 
Published: March 2022

Abstract
Many leaders in medical education have called for the inclusion of students with disabilities. Yet, a small number of review articles have been written summarizing the key literature addressing this topic. This review focuses on literature published between 2000-2021 that discusses medical education disability-specific barriers, student disability prevalence, and available institutional disability resources. Barriers include lack of procedure for students with disabilities to access services, delays in education to address disability needs, identified institutional disability resource professional (DRP), structural and physical barriers, outdated policies, and lack of understanding of accommodations needed in all educational settings, especially clinical. Medical school stakeholders must clearly understand the published literature on this topic to promote the full inclusion of students with disabilities.