bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinico-Radiological assesment of lumbar spinal canal stenosis and evaluation of its surgical treatment
Authors: Dhatt Sarvdeep Singh , Kumar Vishal , Dagar Ashish , Salaria Amit Kumar , Neradi Deepak 
Published: March 2022

Objective:
This study aimed to predict the absolute criteria for surgical intervention and study the outcome of surgical intervention.

Materials and Methods:
A prospective study was conducted from June 2002 to July 2003. A total of 35 patients were included in the study. Pre- and postoperative Oswestry Disability Index (ODI) scores were evaluated for all the patients. All patients underwent magnetic resonance imaging (MRI). The surgical indications were disabling backache with radicular pain, limited walking capacity, and neurological deficits leading to a poor ODI score. Surgical procedures done were discectomy and laminectomy with or without fixation with pedicle screws on a case-to-case basis. Follow-up was done for up to 1 year at three-monthly intervals. The final ODI score was taken at the last follow-up and was compared with preoperative scores.

Results:
A 50 ± 10 years was the average age of patients included in the study. The average walking capacity was 40 m; the average duration of symptoms was 41 months. ODI improved from average score of 71% ± 4% preoperatively to 22% ± 6% postoperatively. L4–L5 was the level most severely narrowed, with a mean cross-sectional area of 75 mm2. The most common surgical interventions done were discectomy and laminectomy, which were performed in 54% of the cases. We had good-to-excellent results in all our cases. None of the cases deteriorated after surgery.

Conclusion:
The findings in this study have important implications in clinical practice. The radiological findings in the MRI correlated well with the clinical signs and symptoms of the patients, i.e., patients with significant findings in the MRI had profound clinical symptoms and neurological deficits.

Clinical Significance:
Lumbar canal stenosis is a clinicoradiological diagnosis. ODI score is related to canal narrowing on MRI. Clinical improvement is related to preoperative disability and canal narrowing on MRI.
PROCAM based myocardial infarction risk in relation to global vascular disease risk: observations from the ARCO cohort study
Authors: Romanens Michel , Adams Ansgar , Warmuth Walter 
Published: March 2022

BACKGROUND: In Switzerland, risk for acute myocardial infarction (AMI) has been considered as equivalent to risk for atherosclerotic cardiovascular disease (ASCVD). This may lead to an underestimation of ASCVD risk and prevent adequate preventive measures.
METHODS: We calculated correction factors for AMI risk to obtain ASCVD risk, tested predicting abilities of PROCAM/AGLA, SCORE, HerzCheck® and carotid plaque imaging (TPA) for ASCVD events in this cohort study and calculated survival curves, calibration and discrimination for ASCVD outcomes derived from PROCAM/AGLA, SCORE and TPA.
RESULTS: In 2842 subjects (age 50 ± 8, 38% women), 154 (5.4%) cardiovascular events occurred (ASCVD: 41 myocardial infarctions, 16 strokes or TIAs, 21 CABG, 41 PTCA, 35 coronary artery disease [CAD]defined by invasive angiography) during a mean follow-up time of 5.9 (1–12) years. AGLA-AMI risk was well calibrated for AMI (15% underreported risk for the risk of AMI), but was poorly calibrated for ASCVD (stroke, CABG, PTCA or CAD, which contributed to the secondary outcome variables) with underreported risk resulting in a correction factor of 3.45. Discrimination was comparable for all risk calculators, but TPA outperformed risk calculators for survival using Cox proportional survival functions. Net reclassification improvement for PROCAM and SCORE using TPA tertiles groups increased significantly between 30% to 48%.

CONCLUSIONS: PROCAM-derived risk calculators are well calibrated for the risk of AMI. PROCAM-AMI should be multiplied by a factor of 4 to obtain ASCVD. PROCAM-AMI does not represent global cardiovascular risk. Corresponding adjustments in the AGLA communication of risk appear necessary.
Routine IgG4 staining in minor salivary gland biopsy in a cohort of Italian Caucasian patients suffering from xerostomia
Authors: Conticini Edoardo , D’Alessandro Roberto , Bardelli Marco , Falsetti Paolo , Gentileschi Stefano , Mancini Virginia , Cantarini Luca , Frediani Bruno 
Published: March 2022

ObjectivesIgG4-related disease is a potentially systemic disease mimicking and overlapping with different autoimmune diseases, such as primary Sjögren’s syndrome (pSS). The involvement of salivary glands, previously called Mikulicz’s disease, has been reclassified as IgG4-related sialadenitis (SA). The aim of this study was to assess the prevalence of IgG4-SA in a cohort of Italian Caucasian patients presenting with xerostomia and to evaluate the eventual overlap between IgG4-SA and pSS.Material and methodsWe included 154 patients – 15 males and 139 females, mean age 54.18 ±14.24 years, who underwent minor salivary gland biopsy between March and December 2019 for xerostomia. Histopathology was evaluated using Chisholm-Mason (CM) and focus score (FS) for pSS and immunohistochemical study with IgG4 staining for IgG4-SA were performed. Serum autoantibodies (anti-SSa/RoAb, anti-SSB/LaAb, antinuclear antibodies, rheumatoid factor) were also assessed.ResultsIn 69 patients (44.8%) FS 0 was found, while FS ≥ 1 was presented in 85 (55.2%). Chisholm-Mason score < 3 and CM ≥ 3 was found in 73 (47.4%) and 81 (52.6%) cases, respectively. IgG4/high-power field level was 20 in 3 pSS patients (1.9%), but none of them had an IgG4/IgG ratio ≥ 40, as well as tissue fibrosis with storiform pattern, obliterative vasculitis, and tissue eosinophilia. The diagnosis of pSS, was confirmed in 92 patients (59.74%). No patient was definitively diagnosed with an IgG4-related disease.ConclusionsIn the case of xerostomia, the evaluation of the histopathological specimen for IgG4 should not be routinely performed, at least in an Italian-based Caucasian population. Moreover, immunohistochemistry should not be requested in the case of a negative result of biopsy for pSS.
SANKSI PIDANA TERHADAP TINDAK PIDANA PENCEMARAN UDARA DITINJAU DARI UNDANG-UNDANG NOMOR 32 TAHUN 2009 TENTANG PERLINDUNGAN DAN PENGELOLAAN LINGKUNGAN HIDUP
Authors: Murlinus  
Published: March 2022

Scientific papers has to know language criminal sanctions against crime air pollution in perspective Constitution Nomber 32 Year 2009. This research a library research with lenguage approach constitution as will as method collection data through study literarature. Based on this research which is conducted results obtained and conclusion that air pollution especially what happened jambi throughout the year 2019 is the crime detrimental wide community, and the action with constitution number 32 year 2009, Protection and management environmend. That matter caused law awarenes publik as well as the absence law enforcement that what happens. Othen than that the act that causes pollution and damaging the environment. Therefore pollution action air normatively juridical on the contrary to constitution ang criminal law.Based on that conclusion as a government 0fficial expected to improve oversight and enforce law applicable so that it doesn’t happen enhancement air pollution, specifically caused by burning forest and land.
School Library Development Plan Application Based on Web
Authors: Hadi Abri , Mukramin Mukramin , Ramdana Ramdana 
Published: March 2022

Libraries are part of learning resources that must be owned by every school and college. Library make studentsseek knowledgeeasily. Vocational High School State (SMK) 2 Luwu is one of the secondary schools that has not implemented a website-based system. This is because the library of SMK Negeri 2 Luwu still uses a manual system. As in lending and returning services, they still use a recording system in the borrowing book. In addition, when there are new books added, the librarian does not record the book data, only gives the ID to the book and immediately stores it on the appropriate shelf in the book category. The method used in this research is the waterfall method. This application is designed using the UML model, and built using the PHP programming language and MySQL database
TURNOVER INTENTION FACTORS AND ITS EFFECT ON EXTENSION OFFICERS JOB PERFORMANCE IN ONDO STATE, NIGERIA
Authors: Olagunju O. O. , Adetarami O , Chete O. B. , Olumoyegun A. T. , Onwubolu P. I. 
Published: March 2022

This study examines the turnover intention factors and its effect on extension officers’ job performance in Ondo State, Nigeria. The study used stratified sampling technique to select 80 extension officers of the Agricultural Development Project in the 4 zones of Ondo State. The data were analyzed using descriptive statistics, correlation, and regression analysis. The results show that extension officers rated level of job performance, emotional intelligence and organizational commitment as high while job satisfaction and leadership member exchange as low. Significant and positive correlation (p<0.01) existed between each variable and work performance. Regression analysis results showed that emotional intelligence, job satisfaction, and leadership member exchange were significant turnover intention factors that affect job performance. The R2 value of 0.731 indicates that the three (3) factors gave 73.1% explanation of the variance in extension officers’ job performance. The results also suggested that emotional intelligence (?=0.734) was the most important turnover intention factor that have effect on job performance, followed by job satisfaction and leadership member exchange. Hence, emotional intelligence, job satisfaction and leadership member exchange should be taken into consideration as turnover intention factors that affect job performance among the extension officers. This study contributes to a better understanding of the relationship of turnover intention factors to job performance and will add to existing body of knowledge in the domain of managing extension officers’ in the agricultural industry, thereby increasing job performance and productivity in the agricultural sector.
Keywords: Extension Officers, Intention, Job Performance, Turnover.
Acidente vascular cerebral: perfil epidemiológico dos pacientes internados nos hospitais públicos do Distrito Federal (DF)
Authors: Ramos Rodrigues Figueirêdo Daniel , Rocha Martins da Cunha Zineide , Bauab Assis Janaína , Vieira Leite Figueiredo Thiago , Carvalho Oliveira Roberto , Gomes Gadelha Ana Paola 
Published: March 2022

Introdução: O acidente vascular cerebral (AVC) pode ser definido por uma patologia de início agudo com um déficit neurológico que se mantém por pelo menos 24 horas e é resultado de uma injúria local, no sistema cerebrovascular. Métodos: Foram levantadas as informações de número de autorizações de internação por CID 10, número de autorização de internações por ano, frequência acumulada por mês de 2009-2019 (Sazonalidade), distribuição por idade, número de autorizações de internação por CID 10 por sexo e número de diárias por tipo de leito. Foram calculados também a média anual de casos entre 2009 e 2019, a incidência média por 100.000 habitantes do DF, o aumento percentual relativo por faixa etário (distribuídos por década a fim de manter o padrão da literatura), a distribuição percentual da doença por gênero, os custos totais em procedimentos para pacientes internados com CID principal I64, o padrão de distribuição de atendimentos por hospital no DF. Resultados: Foram registradas 19.000 internações para o CID I64, com uma média anual de 1.727 casos nos últimos 11 anos, nos hospitais públicos da Secretaria de Estado de Saúde do Distrito Federal, no período entre 2009 e 2019. Considerando uma projeção populacional em 2019 de 3.012.718, temos uma incidência de 53,6 novas internações a cada 100 mil habitantes¹³. O número de internações foi mais frequente nos anos de 2010, 2011 e 2012, em ordem decrescente, sendo no ano de 2010 de 2082 pacientes. Através de uma adaptação dos dados de internação por mês, por ano, foi observado uma frequência acumulada maior nos meses de agosto (1.740), assim como menores em dezembro (1.347). Em termos de faixa etária, as maiores frequências estão entre os maiores de 80 anos (3.653). O custo total dos últimos 11 anos foi de R$ 21.069.554,17, totalizando um média anual de R$ 1.915.414,01. O Hospital que mais interna pacientes com este CID é o Hospital de Base do Distrito Federal (4067 pacientes). O tempo médio de permanência no hospital é 11,02 dias no período. Conclusões: Segundo o estudo, podemos traçar, através de dados secundários, um perfil epidemiológico de internação para pacientes internados com a AVC condizente com a literatura consolidada.
Palavras-chave: Acidente vascular cerebral, AVC, hospitais públicos
Prevalência de intercorrências clínicas em pacientes com uso de terapia nutricional enteral sob cuidados paliativos
Authors: Martins Corrêa Monique Eugênie , Barbosa Freire Patricia 
Published: March 2022

CORRÊA, Monique Eugênie Martins. Prevalência de intercorrências clínicas em pacientes com uso de terapia nutricional enteral sob cuidados paliativos. Trabalho de Conclusão de Curso apresentado como requisito parcial para obtenção do título de Especialista, ao Programa de Pós-Graduação, modalidade Residência Multiprofissional em Cuidados Paliativos – Escola Superior de Ciências da Saúde, Brasília, 2020. Introdução: A introdução da nutrição enteral deve levar sempre em consideração a atuação do profissional a fim de que não se aplique ao paciente um tratamento fútil, levando-o consequentemente ao desconforto. Objetivo: Foi analisar a prevalência acerca das intercorrências clínicas causadas em pacientes sob cuidados paliativos em uso de terapia nutricional enteral. Materiais e métodos: A metodologia de investigação foi baseada no paradigma da observação e foi um estudo descritivo e observacional, em que o investigador mede, mas não intervém. Os dados serão coletados diretamente através dos prontuários eletrônicos dos pacientes que chegam no Hospital de Apoio nas unidades de cuidados paliativos e que estejam em uso de terapia nutricional enteral. Há vantagens para o uso deste método, além de ser barato, o investigador poderá realizá-lo de acordo com as informações pretendida e sem esquecer de manter o anonimato e confidencialidade dos indivíduos. Resultados e discussões: A maior parte dos participantes estavam fazendo uso de sonda nasoentérica (69,4%), haviam passado por mudança na conduta nutricional (67,7%), principalmente de redução do volume da dieta (83,3%), devido a complicações como distensão abdominal (40,5%), refluxo (26,2%) e dispneia (21,4%).
Mucormicose associada à COVID-19: análise com base em revisão sistemática da literatura
Authors: Maria Nascimento Silva Juliana , Almeida Correa Carlos Augusto 
Published: March 2022

Introdução: Com a pandemia da COVID-19 surgiu a associação de algumas doenças oportunistas como a mucormicose, uma infecção fúngica que acomete os sistemas rinocerebral e gástrico. Apesar da maior prevalência de casos na Índia, o Brasil também apresentou relatos de casos. O objetivo desta revisão foi trazer um levantamento atualizado dos casos descritos. Métodos: Trata-se de uma revisão integrativa, de estudos disponibilizados nas bases de dados Scielo, Pubmed e Medline. Resultados: A partir dos estudos avaliados foram observadas características predominantes nos pacientes COVID-19 positivo associados à mucormicose: homens, diabéticos e hipertensos, em tratamento com corticosteroides. O possível mecanismo de associação nesses pacientes deve-se a hiperglicemia que aumenta a tempestade de citocinas, já presente devido a infecção por Sars-Cov-2, levando a destruição endotelial e comprometimento dos órgãos, além de alterações no metabolismo do íon ferro, resultando em alta taxa de mortalidade desses indivíduos. Conclusões: Considerando a complexidade desses pacientes, é importante o acompanhamento e monitoramento dos mesmo para melhor compreensão dos mecanismos e impactos dessa associação.
Alterações hematológicas, bioquimícas e funcionais entre adultos e idosos internados com Covid-19 em Brasília-DF
Authors: Neves Reis Kimberly , Martins de Oliveira Filho João , Da Silva Borges Flávio 
Published: March 2022

Objetivo: traçar perfis demográfico, epidemiológico, clínico e funcional entre adultos e idosos internados com Covid-19 Brasília-DF. Métodos: Estudo de caráter longitudinal retrospectivo de cunho descritivo, foram avaliados 11.031 prontuários e classificados para compor as análises, 93 destes. Analisou-se gênero, idade, comorbidades subadjacentes, histórico de tabagismo, sinais e sintomas presentes, quantos dias desde o início dos sintomas, dias de internação na enfermaria, análise do hemograma, exames bioquímicos, nível de comprometimento pulmonar e função motora através da escala ICU Mobility Scale (IMS). Resultados: Os idosos foram mais afetados assim como o sexo masculino, os pacientes procuraram auxílio médico em média no sétimo dia e permaneceram internados em média 14 dias. As comorbidades relatadas foram a HAS, DM, obesidade e DPOC e os sinais e sintomas notificados foram em sua maioria, dispneia, tosse, febre e mialgia. Entre adultos e idosos, hematócrito, a ureia e a relação ureia/creatinina demonstraram estarem melhores nos adultos, não havendo diferença significativa entre os grupos em relação à funcionalidade. Conclusão: Vale ressaltar que o elevado nível de ureia e a relação ureia/ creatinina sugerem tempo de internações prolongadas, o que poderia influenciar na evolução de casos graves.
Effect of forage combinations, cutting age and season on biomass of Panicum maximum intercropped with Stylosanthes guianensis and Stylosanthes hamata in the derived savanna of Nigeria
Authors: Oyewole S. T. , Aderinola O. A. 
Published: March 2022

Fluctuations in forage quantity especially in dry season necessitate a strategic fodder production. Therefore, this study was carried out to investigate the effect of five forage combinations, three harvest ages (5, 10 and 15 weeks) post planting (PP) and seasons (early and late rain). The forage combinations were Panicum maximum (Pm), Stylosanthes guianensis (Sg), Stylosanthes hamata (Sh), Pm and Sg (PmSg) and Pm and Sh (PmSh) using Split-Plot design. Data were collected on total biomass yield (TBY) and land equivalent ratio (LER). The highest (p<0.05) TBY was recorded from PmSg and PmSh (0.96 and 1.02tDMha-1, respectively) while the higher LER was observed for PmSh. Highest TBY (0.84tDMha-1 ) and LER (1.79) were recorded at 10 and 15 weeks PP respectively while early rain had significantly (p<0.05) higher TBY (0.91tDMha ) but similar LER between the seasons. In conclusion, Panicum maximum with Stylosanthes guianensis or Stylosanthes hamata, harvested at 10 weeks post planting in early or late rainy season improved biomass yield and maximize land equivalent ratio. Thus, these can serve as fodders for ruminant production in dry season.

Les fluctuations de la quantité de fourrage, en particulier en saison sèche, nécessitent une production fourragère stratégique. Par conséquent, cette étude a été réalisée pour étudier l'effet de cinq combinaisons fourragères, trois âges de récolte (5, 10 et 15 semaines) après la plantation (PP) et les saisons (pluies précoces et tardives). Les combinaisons fourragères étaient Panicum maximum (Pm), Stylosanthes guianensis (Sg), Stylosanthes hamata (Sh), Pm et Sg (PmSg) et Pm et Sh (PmSh) en utilisant la conception Split-Plot. Des données ont été recueillies sur le rendement total de la biomasse (RTB) et le rapport équivalent-terre (RET). Le RTB le plus élevé (p <0, 05) a été enregistré pour PmSg et PmSh (0, 96 et 1, 02 tDMha-1, respectivement) tandis que le RETle plus élevé a été observé pour PmSh. Le RTB le plus élevé (0,84 tDMha-1) et le RET (1,79) ont été enregistrés respectivement à 10 et 15 semaines PP, tandis que les pluies précoces avaient un RTB significativement (p<0,05) plus élevé (0,91 tDMha-1) mais un RET similaire entre les saisons. En conclusion, Panicum maximum avec Stylosanthes guianensis ou Stylosanthes hamata, récolté 10 semaines après la plantation au début ou à la fin de la saison des pluies, a amélioré le rendement de la biomasse et maximisé le rapport équivalent-terre. Ainsi, ceux-ci peuvent servir de fourrages pour la production de ruminants en saison sèche.
Peran Guru dalam Pelaksanaan Pembelajaran di Masa Pandemi Covid-19
Authors: Setiowati  , Kurnia Budi , Christine Sri Erwini 
Published: March 2022

Pendidikan adalah bidang pengabdian terhadap Tuhan Yang Maha Esa, bangsa, dan negara untu membentuk manusia Indonesia seutuhnya yang berjiwa pancasila. Permasalahan terbesar bangsa Indonesia saat ini adalah di masa pandemi covid-19 di tengah-tengah masyarakat, sebagai akibat dari terjadinya perubahan lingkungan global yang melanda hampir seluruh bangsa di Dunia. Penelitian ini bertujuan untuk mengetahui dan mendeskripsikan: pelaksanaan pembelajaran secara daring di SDN Cikundul. Penelitian ini merupakan penelitian deskriptif kualitatif. Pengumpulan data dilakukan dengan teknik observasi, dan wawancara. Pemeriksaan keabsahan data dilakukan dengan teknik triangulasi yaitu melalui pengecekan terhadap informasi hasil wawancara dengan dokumentasi dan observasi agar hasil penelitian dapat dipertanggungjawabkan. Hasil penelitian menunjukkan bahwa pelaksanaan pembelajaran secara daring di SDN Cikundul dilaksanakan melalui: (1) persiapan sebelum belajar secara daring, (2) proses pembelajaran secara daring, (3) setelah selesai pembelajaran secara daring, (4) Laporan tugas mandiri, (5) pembelajaran rutin mingguan, (6) pembelajaran rutin mingguan yang dilaksanakan di SDN Cikundul mampu mewujudkannya kerja sama antara orang tua, guru dan masyarakat dalam mengimplementasikan pembelajaran secara daring sebagai berikut: (1) waktu pembelajaran - seminggu enam hari, (2) pembelajaran tematik - hari senin s.d jumat, sedangkan hari sabtu untuk kegiatan ekstrakulikuler, (3) jadwal pelajaran masa pandemi kelas satu sampai dengan kelas enam, pelaksanaan pada jam pertama dengan penanaman karakter dan dilanjutkan materi tematik, (4) kegiatan mulok yaitu pencak silat, dan (5) ekstrakulikuler pramuka, dan dukter kecil, (6) tenaga pendidik - guru kelas dan guru bidang styudi, (6) Guru bidang Studi – penjas, agama, pencak silat.
Endometriosis: a global health issue
Authors: Abid Maimoona , Fatima Mahin , Amir Muniba 
Published: March 2022

An often neglected or overlooked issue, endometriosis affects a large segment of the global female population, resulting not only in morbidity of varying extent, but also contributing to infertility. This editorial raises awareness about the issue and emphasizes the roles of public awareness campaigns supported by modern medical and gynaecological aids to diagnosis and treatment.
The authors declared no conflict of interest. All authors contributed substantially to the selection of topic, literature search, and write-up of the editorial, and agreed to be accountable for all aspects of the work.