bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sprunggelenk-Instabilität: Wie unterscheide ich mechanisch von funktionell?
Authors: Wenning Markus , Schmal Hagen 
Published: February 2022

ZusammenfassungDie chronische Sprunggelenkinstabilität lässt sich grundlegend in 3 Komponenten unterteilen, die interagieren: die mechanische Instabilität, die funktionelle Instabilität und die
subjektive Instabilität. Die bestmögliche Therapieempfehlung muss die dominierende Ätiologie sowie das Zusammenspiel zwischen mechanischer und funktioneller Komponente berücksichtigen.
Hierzu bedarf es einer adäquaten Diagnostik, auch wenn die quantitative Diagnostik der mechanischen Instabilität weiterhin eine Herausforderung darstellt. Zu den diagnostischen Optionen
zählen für die Mechanik die klinische Untersuchung, die jedoch keine Einteilung in Schweregrade erlaubt. Weiterhin bilden die Stress-Sonografie, das 3-D-Stress-MRT (3SAM), die
Arthrometrie, je nach Fragestellung die markerbasierte Bewegungsanalyse und die diagnostische Sprunggelenkarthroskopie das Portfolio der diagnostischen Möglichkeiten. Letztere ist aktuell
der anerkannte Goldstandard, auch wenn eine rein diagnostische Arthroskopie nicht indiziert ist, es sich um ein invasives Verfahren handelt und diese ebenso wenig wie die klinische
Untersuchung eine Bemessung der Instabilität erlaubt. Zur funktionellen Diagnostik gehören der Star Excursion Balance Test, die Posturografie/Stabilometrie, die Gang-/Laufanalyse, die
EMG-Analyse (EMG: Elektromyografie) in der dynamischen Untersuchung und die isokinetische Kraftmessung.Die Standardtherapie ist die konservative Behandlung mithilfe von sensomotorischem Training, Kräftigung der gelenkumgreifenden Muskulatur sowie der unteren Extremität,
Gleichgewichtstraining mit Gang- und Laufschule auf unterschiedlichen Untergründen. Jedoch wird zunehmend klar, dass ein gewisser Grad mechanischer Insuffizienz nicht durch funktionelles
Training kompensiert werden kann. Es ist das Ziel der differenzierten Diagnostik, diese Patienten/-innen zu identifizieren und für diese die richtige mechanische Therapie zu indizieren
bspw. Tapeverbände, Sprunggelenkorthesen oder operative Bandrekonstruktion.
How We Use Immunohistochemistry to Arrive at a Diagnosis in Breast Lesions
Authors: Sahay Ayushi , Patil Asawari , Desai Sangeeta B. 
Published: February 2022

AbstractImmunohistochemistry (IHC) is an essential tool available to pathologists for facilitating diagnosis and as well as guiding the prognosis of breast lesions. Newer markers are increasingly being added to the pathologists' armamentarium. However, the selection and interpretation of the IHC markers should be judicious. In light of an appropriate morphological assessment, they should complement each other and produce accurate reports. We have briefly outlined here the immunohistochemical approach used in the diagnosis and management of breast cancers at our tertiary care cancer center.
Idiopathic Toe-Walking: A Review from 1967 to 2021
Authors: Sala Debra A. 
Published: February 2022

AbstractIdiopathic toe-walking (ITW) is considered a diagnosis of exclusion for which no underlying neurological, neuromuscular, neurodevelopmental, or orthopedic condition can be identified. The purpose of this review was to examine multiple aspects of ITW: natural history, evaluation, treatment, musculoskeletal manifestations, and developmental issues through the review of studies from the initial description of condition in 1967 to the present. From a PubMed search and review of reference lists of individual articles, 64 articles were selected and reviewed. The studied samples were variably described and often not well-defined. Gait analysis found gait characteristics associated with ITW that varied from normal. Children with ITW can be differentiated from children with cerebral palsy on the basis of several gait pattern features, but findings from electromyographic comparisons were variable. Treatments included orthoses, casting, botulinum toxin type A, and surgery. The evidence to support any specific treatment is limited by the small sample size and short duration of follow-up in the majority of studies. The inadequacy of the current literature suggests the need for a longitudinal multi-center study to more clearly define the population of children with ITW and to determine indications, timing, and effectiveness of the various available treatments.
A Radiologist's Perspective on Treatment-Related Pseudoprogression: Clues and Hues
Authors: Chakrabarty Nivedita , Mahajan Abhishek , Baheti Akshay D. , Choudhari Amit , Patil Vasundhara , Popat Palak , Unde Himangi 
Published: February 2022

AbstractPseudoprogression refers to the initial apparent increase in tumor burden observed on imaging after cancer therapy, with subsequent delayed response to the same treatment, thus giving a false initial appearance of disease progression. It is essential to differentiate pseudoprogression from true progression to prevent the patients from getting deprived of the benefits of their ongoing cancer therapy owing to their early withdrawal. It also affects their recruitment for clinical trials. Pseudoprogression, albeit uncommon, has been observed after various types of cancer therapy; however, this phenomenon has gained momentum of late due to the emergence of immunotherapy for the treatment of various malignancies. Besides immunotherapy, pseudoprogression has predominantly been of concern in a few patients after radiation therapy for brain tumors and metastasis, after molecular targeted therapy for a variety of tumors, and after chemotherapy in metastatic bone lesions. This article reviews the available data on imaging of pseudoprogression from various types of cancer therapies, highlighting ways to suspect or identify it on imaging.
Physiotherapeutic Approaches to Treat Anal Incontinence in Women after Obstetric Trauma
Authors: Freitas Mayanna Machado , Moura Lara Elma Franco , Saquetto Denise , Rodrigues Iane Castro , Carvalho Valéria Conceição Passos de , Uchôa Silvana Maria Macedo 
Published: February 2022

Abstract
Introduction Anal incontinence is defined as the loss of voluntary control of fecal matter or gases with a recurrence period longer than 3 months in individuals aged ≥ 4 years; it has a female predominance. Among the treatment modalities is pelvic physiotherapy, the second line of treatment, which promotes the reeducation, coordination, and strengthening of the muscles of the pelvic floor to enable patients to return to their regular activities of daily living.
Objective To perform a systematic review on the physiotherapeutic treatments used in women between the ages of 18 and 65 years with a diagnosis of anal incontinence.
Material and methods Clinical studies written in Portuguese, Spanish and English were searched on the the following databases: Science Direct, Medical Literature Analysis and Retrieval System Online (Medline) via PubMed, Physiotherapy Evidence Database (PEDro), Scientific Electronic Library Online (SciELO), and Scopus.
Results Of the 998 articles found, only 4 studies met the inclusion criteria of the present systematic review. The physiotherapeutic approaches to treat women with anal incontinence are biofeedback, Kegel exercises, electrostimulation, and training of the pelvic floor muscles. The average score on the PEDro scale was of 6.25, which indicates that the methodological quality was good.
Conclusion Although pelvic physiotherapy is effective to treat anal incontinence, it must be promoted through the performance of evidence-based scientific research.
Ablative Volume of Radiofrequency Ablation Related to Intrahepatic Recurrence-Free Survival of Hepatocellular Carcinoma
Authors: Inmutto Nakarin , Thaimai Siripong , Srisuwan Tanop , Kattipathanapong Thanate , Nimitrungtawee Natthaphong 
Published: February 2022

Abstract
Purpose The aim of this study was to evaluate intrahepatic recurrence-free survival of hepatocellular carcinoma (HCC) after Radiofrequency ablation (RFA)
Methods A retrospective cohort study of single HCC treated by RFA between 2015 and 2017. Fifty patients were enrolled in the study. Tumor volume and ablative volume were measured by using Syngo.via application (Siemen Healthineers, United States). Ablative volume classified into small and large ablative volumes. Ablative margin was evaluated by visual comparison between pre- and post-RFA images and classified into two groups: closed ablative margin (<0.5cm) and large ablative margin (>0.5 cm). The recurrence tumor was classified as local tumor progression (LTP) and intrahepatic distant recurrence (IDR). The recurrence-free survival rate and independent risk for tumor recurrence were analyzed.
Results Recurrence-free survival rate at the first, second, third, and fourth year after RFA was 83, 56, 44, and 44%, respectively. The average recurrence-free survival time in large ablative volume group was significantly longer than small ablative volume group (31.57 vs. 8.50 months, p = 0.003). A significant independent risk factor for tumor recurrence was large ablative volume (hazard ratio = 0.12, 95% confidence interval = 0.02–0.84, p = 0.033). The IDR group had ratio of actual ablative volume by ideal ablative volume (ablative ratio) higher than LTP group and nonrecurrent group.
Conclusion The large ablative volume prevented tumor recurrence and increased recurrence-free survival rate. But aggressive ablation with high ablative volume ratio could increase risk of IDR.
Double Trouble: Stroke in a Child with Down's Syndrome
Authors: Reading Jacob , Bhatt Ree'Thee , Kilbey Laura , Breene Richard , Hall Georgina , Kavirayani Akhila , Joseph Robin , Ramdas Sithara 
Published: February 2022

AbstractDown's syndrome (trisomy 21) is well recognized to be associated with several autoimmune conditions such as hypothyroidism, celiac disease, and diabetes mellitus. Antiphospholipid syndrome (APS), an immune disorder, can cause a stroke due to the prothrombotic state. APS is associated with several autoimmune diseases including systemic lupus erythematosus, rheumatoid arthritis, and systemic vasculitis, as well as Down's syndrome. Down's syndrome is linked to several other risk factors for stroke including congenital heart disease, moyamoya disease, and arterial dissection. We present the case of a 3-year-old girl child patient with Down's syndrome, who presented with an acute arterial ischemic stroke secondary to carotid artery dissection and subsequently was also confirmed to have APS. We review the literature on Down's syndrome and APS, the proposed pathophysiology, and management strategies. We present a case of a 3-year-old girl with Down's syndrome and who presented with stroke, review previously published cases, and discuss the conditions and their management. Autoimmune conditions, such as antiphospholipid syndrome, are more common in individuals with Down's syndrome, and as such should be investigated when these children present with symptoms suggestive of stroke.
A Challenging Case of Postcholecystectomy Pseudoaneurysm at an Uncommon Location
Authors: Choudhary Shayeri Roy , Bhujade Harish , Gupta Pankaj , Singh Harjeet , Kalra Naveen , Kang Mandeep 
Published: February 2022

AbstractHepatic artery pseudoaneurysm in postcholecystectomy choleduodenal fistula is an extremely rare but clinically significant complication. A 52-year-old male presented with hematemesis and melena several weeks after open cholecystectomy for complicated gallstone disease. Upper gastrointestinal endoscopy revealed bleeding from the choledochoduodenal fistula site. On computed tomography angiography, a small right hepatic artery pseudoaneurysm close to fistula site was identified. Endovascular embolization failed due to nonopacification of the proximal right hepatic artery. Endoscopic ultrasound-guided embolization was also unsuccessful due to the small size of the aneurysm and inadequate visualization. Following this, percutaneous n-butyl cyanoacrylate glue was successfully injected into the pseudoaneurysm. The patient recovered and was planned for hepaticojejunostomy to restore biliary continuity.
Gravity models do not explain, and cannot predict, international migration dynamics
Authors: Beyer Robert M. , Schewe Jacob , Lotze-Campen Hermann 
Published: February 2022

AbstractThe major social and economic impacts of international migration have led to a strong interest in better understanding the drivers of cross-border movement. Quantitative models have sought to explain global migration patterns in terms of economic, social, climatic, and other variables, and future projections of these variables are increasingly being used to forecast international migration flows. An important implicit assumption in the most widely used class of these approaches, so-called gravity models, is that their parameterisation based on panel data enables them to describe the effects of predictor variables on migration flows across both space and time, i.e., that they explain flow variation both across country pairs at a given time and across time for a given country pair. Here we show that this assumption does not hold. Whilst gravity models describe spatial patterns of international migration very well, they fail to capture even basic temporal dynamics, indeed, often worse than even the time-invariant average of the historical flows. We show that standard validation techniques have been unable to detect this important limitation of gravity models due to the different orders of magnitude of migration flows across spatial corridors, on the one hand, and over time, on the other hand. Our analysis suggests that gravity-model-based inferences about the effects that certain variables have had, or will have, on international migration over time may in reality represent statistical artefacts rather than true mechanisms. We argue that future predictions based on gravity models lack statistical support and that, in its current form, this class of models is not suited for informing policy makers about migration trajectories in the coming years and decades.
Does the Linguistic Landscape influence happiness?
Authors: Malloy Connor 
Published: February 2022

Abstract
This paper investigates the potential relationship between multilingual landscapes and minority speech community members’ sense of subjective well-being. It focuses on three speech communities located in Germany: Chinese, Japanese, and Turkish. Drawing on interviews with members of these speech communities, it analyzes how individuals perceive their engagement with public displays of their language in terms of happiness and in the context of the host society. Integration, which is prominent in both Happiness studies and Linguistic Landscape research, is identified as a key theme influencing the emotional interaction between signs and sign readers. The paper’s aim is to integrate a subject-focused approach into the study of Linguistic Landscapes that can better address how individuals perceive and interact with language signs in multilingual and multi-ethnic settings.
Intercropping patterns effect of cardamom and cayenne pepper on population and intensity of whitefly pest’s attacks (Bemisia tabaci)
Authors: Erdiansyah I , Eliyatiningsih E , Sari V K , Nurahmanto D , Prayitno A H 
Published: February 2022

Abstract
The study aimed to determine the population and intensity of attacks caused by whitefly pests on intercropping and monoculture cultivation areas. This research was conducted from June to August 2021 in Pace Village, Silo District, Jember Regency. The method used is to compare two intercropping and monoculture cultivation areas of medicinal plants cardamom - cayenne pepper. The first plot was cultivated in monoculture with pest control using an insecticide with the active ingredient Alfametrin 15 EC, while in the second plot, cayenne pepper - cardamom intercropped cultivation with a spacing of 1x2 meters and pest control without pesticides. A systematic random sampling of 50 plants in both cropping patterns on cultivated land. Observation of pest populations using insect nets, pitfall traps, and insect suction in the field. The data were analyzed using SPSS version 15.0. The data were tested for normality using Kosmorogrof Smirnov with non-parametric analysis. The results showed that the whitefly population in monoculture cayenne pepper cultivation had a higher average of 57.58 individuals, while in cayenne-cardamom intercropping cultivation, the population average was 51.00 and showed significantly different results. The intensity of whitefly attack showed significantly different results in monoculture cultivation of 45.58% while intercropping pattern of 50.10%.
The fortification effect of duck eggshell nano-calcium on the physical quality of beef sausage
Authors: Prayitno AH , Rukmi DL , Widiyawati A , Prasetyo B 
Published: February 2022

Abstract
This research was aimed the fortification effect of duck eggshell nano-calcium on the physical quality of beef sausage. The materials include beef, duck eggshell nano-calcium, tapioca, soy protein isolate, palm oil, salt, pepper, garlic, onion, shallot, coriander, nutmeg, sugar, frankfurter, sodium tripolyphosphate, monosodium glutamate, and ice. The treatments for fortification of duck eggshell nano-calcium were 0; 0.15; 0.3; 0.45; and 0.6% of the total dough. The parameters tested were pH value, water holding capacity, tenderness, and water activity. The physical quality data were analyzed by analysis of variance and if there was a significant difference (P<0.05) then further tested with Duncan’s New Multiple Range Test. The results showed that the fortification of duck eggshell nano-calcium had a significant effect (P<0.05) on the pH value, water holding capacity, tenderness, and water activity of beef sausage. Fortification of duck eggshell nano calcium up to 0.6% can increase the value of pH, tenderness, water activity, and decrease water holding capacity.
Early production performance of crossing chickens raised on indoor or with outdoor access
Authors: Hertamawati R T , Prasetyo B , Suryadi U 
Published: February 2022

Abstract
An experiment was conducted to determine the effect of the rearing system and feed on early growth performance of crossing chicken (male local chicken x female Isa Brown final stock laying chicken). One hundred 1-d-old chicks were randomly assigned to 2 factor treatments, the first factor was rearing cages (indoor and outdoor access) and the second factor was feed ration (20% and 17% crude protein). In the indoor treatment, the chickens were housed in floor pens (5 birds/m2). In the outdoor access treatment, the chickens were housed in a similar indoor house; in addition, they also had an outdoor grass paddock (5 birds/m2). All birds were provided ad libitum water and were raised from 14 to 35 days of age. The results showed that early production performance (average daily gain, feed intake and feed conversion ratio) were different among treatment (P>0.05) at 28 and 35 days. The early growth performance of crossing chicken between Bangkok chicken and layer chicken have good performance in the indoor or outdoor cages with nutritional content of 20% crude protein and energy metabolize 2900 kcal/kg
Effect of Low Grade Vegetable Soybean on Performance of Days Old Broiler Chicken
Authors: Nusantoro S , Andriani M , Nurkholis  
Published: February 2022

Abstract
This experiment aimed to examine the effect of low grade vegetable soybean (LGS) via drinking water on performance of days old chicken. Two hundreds day old boiler chicken (unsexed) were randomly assigned into completely randomized design, using 4 treatments (Non=0% LGS, Vit=vitamin, LG5=5% LGS, and LG10=10%LGS solution) and 5 replication. Data were collected from day-1 until day-7. LGS significantly (p<0.05) affected final body weight and weight gain of broiler chicken not feed conversion ratio (p>0.05). The results showed that LGS of 10% can be applied via drinking water to improve performance during initial phase of broiler chicken rearing period.
Early growing performance of local male weaning lambs fed edamame pod-based rations with and without exogenous enzyme additives
Authors: Kustiawan E , Nusantoro S , Andriani M , Syahniar TM 
Published: February 2022

Abstract
This study aimed to evaluate the early growing performance of local male weaning lambs fed edamame pod-based rations with and without exogenous enzyme additives. Nine local male weaning lambs with initial weight about 16.88±2.33 kg/head were randomly assigned into into 3 levels treatment using an experimental completely randomized design (CRD). Every single level treatment was repeated 3 times. The levels treatment was 0% (control), 0.14% (w/w), and 0.28% (w/w) of exogenous enzyme addition into edamame pod-based rations. The lambs were maintained in individual pen which fed and given drinking water ad libitum. The parameters observed were nutrients consumption, liveweight gain, and gain to feed ratio during the first couple week maintenance with 2 weeks adaptation period. Data obtained were analysis using analysis of variance and further tested by DMRT for different result. The result presented that nutrient consumption, daily gain and gain to feed ratio were not affected (P>0.05) by various levels of exogenous enzyme additions. Thereby, it was concluded that the addition of exogenous enzyme up to 0.28% w/w potentially improved the nutrient consumptions and productivity performance of local male weaning lambs.
Raspberry Pi based crop and weed classification using Machine Learning Algorithm
Authors: Joshitha K L , Nishanthini S , Harshini B J , Sadhana T 
Published: February 2022

AbstractFarming with fun has uplifted the agritourism in our country. The technological development and support have made farming a passion nowadays. Farming is not only important to cater the needs of the growing population but also to develop agritourism. The major challenge in crop production like irrigation, de-weeding, etc can be handled with good improvement in quality crops through the implementation of automated systems in monitoring and controlling application. With more Techies joining into the farming wishing to lead a stress-free life, automation. The work presented aims at identifying the weeds from the desired crop using the learning algorithm. The weed location identified can be used as the inputs to the de-weeding Robots. Besides, the work can equally be applicable in intercropping process, irrigation management, quality assurance in crops, etc. The input images of the crop to be classified are taken using the camera interfaced with Raspberry pi. Classification is done using the supervised learning algorithm with a set of target classes. The model is trained to recognize the target class. The accuracy of the classification varies from 75% to 100% as the proportion of the training and test data set varies from 60-40% to 80-20%.
Pulsed electric field application on pasteurization of orange milk from low grade orange: study on nutritional, physical, chemical properties, and total microorganism
Authors: Hariono B , Brilliantina A , Sari E K N , Kurnianto MF , Erawantini F , Supriyono  , Kautsar S 
Published: February 2022

Abstract
Oranges with low grade categories have a low price, so one of the utilization efforts is combine with milk into orange milk products.. Orange milk, extracted from orange of siam cultivar and added with milk, was pasteurized using a pulsed electric field (PEF) method. The aim of this research was to analyze the changes on nutritional, physical and chemical properties and total microbes from orange milk after pasteurization. The research was conducted from July until September 2021 located in Jember. The PEF treatment was carried out using treatment time variation for 5 minutes (1 cycle), 10 minutes (2 cycles) and 15 minutes (3 cycles). Several parameters of Vitamin C, pH, dissolved solid and total microbes were observed. The result showed that PEF treatment did not significantly change nutritional (vitamin C), physical (dissolved solid), and chemical properties (pH), but total microbes very significantly change after pasteurization with PEF in compared with no treatment pasteurization. The best treatment was found in the variation of 15 minutes (3 cycles) with degradation microbial killing effectiveness reached 94.58%.