bluuebunny/crossref_metadata_2025_split huggingface dataset:
Do Child–Turcotte–Pugh and nutritional assessments predict survival in cirrhosis: A longitudinal study
Authors: Carteri Randhall B , Marroni Claudio A , Ferreira Luis F , Pinto Letícia P , Czermainski Juliana , Tovo Cristiane V , Fernandes Sabrina A 
Published: January 2025

BACKGROUND
Cirrhotic patients face heightened energy demands, leading to rapid glycogen depletion, protein degradation, oxidative stress, and inflammation, which drive disease progression and complications. These disruptions cause cellular damage and parenchymal changes, resulting in vascular alterations, portal hypertension, and liver dysfunction, significantly affecting patient prognosis.
AIM
To analyze the association between Child–Turcotte–Pugh (CTP) scores and different nutritional indicators with survival in a 15-year follow-up cohort.
METHODS
This was a retrospective cohort study with 129 cirrhotic patients of both sexes aged > 18 years. Diagnosis of cirrhosis was made by liver biopsy. The first year of data collection was 2007, and data regarding outcomes were collected in 2023. Data were gathered from medical records, and grouped by different methods, including CTP, handgrip strength, and triceps skinfold cutoffs. The prognostic values for mortality were assessed using Kaplan–Meier curves and multivariate binary logistic regression models.
RESULTS
The coefficient for CTP was the only statistically significant variable (Wald = 5.193, P = 0.023). This suggests that with a negative change in CTP classification score, the odds of survival decrease 52.6%. The other evaluated variables did not significantly predict survival outcomes in the model. Kaplan–Meier survival curves also indicated that CTP classification was the only significant predictor.
CONCLUSION
Although different classifications showed specific differences in stratification, only CTP showed significant predictive potential. CTP score remains a simple and effective predictive tool for cirrhotic patients even after longer follow-up.
Effect of BMI on Endurance In Middle Aged Patients with Type 2 Diabetes: A Cross sectional study
Authors: Kasat Bhakti , Rai Dr. Sana Salahuddin , Toshniwal Dr. Gaurav , Ganvir Dr. Suvarna S. 
Published: January 2025

Background: The prevalence of obesity and diabetes is rising. The aim of this study was to determine the association of endurance performance among normal, overweight and obese middle-aged patients with type 2 diabetes. Objectives: To find out endurance in Normal, Overweight and Obese middle age patient with type 2 diabetes. Methodology: After getting the ethical approval, patients were screened and informed consent form was taken from them. To accomplish the aim, 60 patients with diabetes were taken in which 20 patients were taken in each group of Body Mass Index (BMI) i.e. normal, overweight & obese. The endurance was assessed by 6 min walk test and step test. Results: Distance covered is more in overweight as compared to normal and obese. Steps are decreased in obese followed by overweight and normal population. Conclusion: The study shows that there is no any correlation between the in the endurance test.
Rotura esplénica espontánea posterior a estudios endoscópicos: a propósito de un caso
Authors: Patiño-Franco Sara , Jaramillo-Escobar Sergio Luis , Neira-Rincón Miguel Andrés , Mendoza-Arango María Clara 
Published: January 2025

Los estudios endoscópicos, en la actualidad, se caracterizan por ser métodos diagnósticos y terapéuticos mínimamente invasivos, que permiten el manejo de un amplio número de patologías y que de la mano de un buen operador presentan pocas complicaciones. La rotura esplénica tanto traumática como espontánea es una entidad poco frecuente, asociada principalmente a traumatismos abdominales o esplenomegalia debido a enfermedades hematológicas respectivamente. La rotura esplénica secundaria a estudios endoscópicos es una complicación con una mortalidad cercana al 5%, de la cual se han reportado solo 100 casos hasta la fecha, ninguno de ellos en Colombia. A continuación, se presenta el caso de un paciente que posterior a una endoscopia digestiva superior y colonoscopia presentó una rotura esplénica, en quien fue fallido el manejo no operatorio propuesto inicialmente, requiriendo esplenectomía emergente, con resultados satisfactorios.
Impact of Trenching on Root Loss and Tree Stability
Authors: Miesbauer Jason W. , Koeser Andrew K. , Kane Brian 
Published: January 2025

AbstractBackgroundUrban trees are commonly impacted by construction activities. Often, damage occurs below ground, as trenching, grading, and excavation activities disrupt tree root systems.MethodsIn this study, 30Acer rubrumL. were intentionally damaged by simulated trenching treatments. Treatments were randomly assigned at 1× (n= 10), 3× (n= 10), or 5× (n= 10) stem diameter away from the base of the tree. Root systems and severed roots were excavated, cleaned, and digitized using photogrammetry to assess losses in root volume. This measure, as well as changes in bending stress, were compared among the 3 treatments.ResultsThe 1× and 3× treatments exhibited the highest bending stress loss (%), correlating with the highest observed root loss. A positive relationship was noted between root volume loss and bending stress reduction (r2= 0.5466).ConclusionsThese results support previous studies that utilized similar trenching treatments on different tree species.
Kompetensi Aparatur dan Budaya Organisasi: Kunci Peningkatan Kinerja di Inspektorat Jenderal Kementerian Pertanian
Authors: Hidayat Rahmat 
Published: January 2025

There is a mismatch between expectations and reality in organizational culture that results in low employee and overall organizational performance. An in-depth study is needed to resolve organizational performance issues. This study aims to analyze the impact of apparatus competence and organizational culture on the performance of the Inspectorate General of the Ministry of Agriculture. In a quantitative approach with an associative method, the independent variables are apparatus competence (X1) and organizational culture (X2), while the dependent variable is organizational performance (Y). By understanding the correlation between these aspects, this study is expected to provide strategic contributions to development and management policies at the organizational level.
Large-scale reservoir modeling of the Vendenheim geothermal site (France)
Authors: Abreu-Torres Javier , Hutka Gergő , Blöcher Guido , Cacace Mauro , Magnenet Vincent , Schmittbuhl Jean 
Published: January 2025

Abstract. During the Vendenheim deep geothermal project (Strasbourg Eurometropole, France), large induced seismic events led to the arrest of the project. Two important features of the induced seismicity were unexpected: the large distance to the wells of a cluster of seismic events (4–5 km) and the occurrence of the largest event Mlv3. 9 at the bottom of the wells, six months after shut-in. To better understand the natural hydro-thermal conditions at the Vendenheim site, we develop within the framework of the DT-GEO project (Horizon Europe) a simplified large-scale model (8 km × 8 km × 6 km) of the area. We aim at performing in-silico experimentation to reproduce the natural hydrothermal state of the geothermal reservoir related to the heat flow (conductive/convective) within the model. We first test our methods by solving 2D and 3D benchmarks related to the convective regime in saturated porous media. Our model is based on the MOOSE/GOLEM framework (finite element approach) and integrate the public regional geological model GEORG that includes major lithologies. We present the coarse-grained simulations of the natural fluid circulation.
Peningkatan Pengetahuan Dalam Upaya Pencegahan Penyakit Cacingan pada Anak di Posyandu Balita Kartika
Authors: Syaputri Kharin Hamida , Muthia Okta , Riduan Ahmad , Muslimawati Khoirunnisa 
Published: January 2025

Penyakit cacingan merupakan permasalahan di Indonesia dan menjadi program oleh Pemerintah dalam upaya pencegahan. Penyakit cacingan adalah penyakit menular yang akan berdampak pada penurunan kesehatan, kecerdasan, gizi, serta produktivitas khususnya pada anak. Cacingan ialah penyakit yang dikarenakan infeksi cacing pada tubuh individu dimana tanah menjadi media penularannya dengan berbagai perantara. Oleh karena itu, diperlukan adanya pemberian informasi terkait penyakit cacingan dan cara preventif untuk meminimalisir risiko anak terkena penyakit cacingan dan stunting. Tujuan dari kegiatan penyuluhan yang dilakukan ialah untuk meningkatkan pengetahuan masyarakat di Posyandu Balita Kartika Puskesmas Sungai Ulin terkait pengertian, gejala, penularan, faktor risiko, dan cara pencegahan penyakit cacingan pada anak. Promosi kesehatan dilakukan menggunakan media leaflet dan X-banner yang dibagikan, serta menggunakan metode ceramah. Sebelum dan sesudah penyuluhan dilakukan pengukuran pengetahuan responden. Sebanyak lima belas orang ikut dalam promosi kesehatan. Hasil pengukuran pengetahuan diperoleh sebelum edukasi dan sesudah edukasi terjadi peningkatan dari 74,67% menjadi 97,33%. Dapat disimpulkan bahwa adanya peningkatan pemahaman masyarakat di Posyandu Balita Kartika Puskesmas Sungai Ulin terkait penyakit cacingan. Kata Kunci: Penyuluhan, Preventif, Infeksi, Stunting
The Art of Contemplation of Ramon Llull Through the Metaphor of the Lover and The Beloved
Authors: Vives-Piñas Arnau 
Published: January 2025

ABSTRACT
The metaphor of the lover and the beloved is a literary device extensively cultivated in Ramon Llull’s oeuvre, a fundamental aspect to understand his spiritual project. Moreover, it works as an example to convey to the reader an art of contemplation that brings about inner transformation, based on the Lullian Art. This article describes the basis and mechanism of the art of contemplation through an analysis of the corpus about the lover and the beloved in Llull’s oeuvre.
От созерцания к действию
Authors: Петровская Е. 
Published: January 2025

В работе рассматриваются три основных блока вопросов: 1) единство природного и социального; 2) образы действия; 3) особая семиотика сил. Мысль о единстве природного и социального проводится на основе размышлений П.А. Кропоткина о таком материалистическом методе мышления, который позволяет рассматривать «изучение общественных учреждений как один из отделов естественных наук». Материализм предстает вариантом антиметафизической философии, в том числе и в свете новейших его разработок. В качестве образов действия берутся идеи о революции как способе трансформации социальной материи (тот же Кропоткин) и философия поступка М.М. Бахтина. У Бахтина акцент ставится на «единый план» поступка, не позволяющий разделять мир культуры, где действие всегда объективировано, и мир жизни, где оно совершается. Наконец, проблема семиотики сил относится к тем способам фиксации изменений материи, которые находятся в откровенной оппозиции к традиционным лингвистическим моделям знака. В связи с этим особого внимания заслуживают понятия образа у Спинозы и Делёза и знака, как его интерпретирует Ч.С. Пирс.
The essay deals with three main groups of questions, i.e.: 1) continuity between nature and society; 2) images of action; 3) a special semiotics of forces. The idea of a continuity between nature and society is based on Peter A. Kropotkin’s vision of a material method that has “included the study of social institutions in the sphere of natural-scientific investigations”. Materialist philosophy in general appears as anti-metaphysical, including its most recent versions. An exploration of action brings together the understanding of revolution as a means of transforming social matter (again, the reference is to Kropotkin) and a reading of M.M. Bakhtin’s philosophy of the act. Bakhtin emphasizes the “unitary plane” of an act, which does not allow to split apart two worlds, namely, the world of culture, where an act is always objectified, and the world of life, where it is actually performed. Finally, a semiotics of forces has to do with ways of registering material changes that stand in stark opposition to traditional linguistic models of signs. In this perspective special attention is given to the concept of image according to Spinoza and Deleuze as well as to Charles Sanders Peirce’s semeiotic.
Письма из поля: принципы ленинградской этнографической школы и советская реальность
Authors: Вахтин Н. , Лярская Е. 
Published: January 2025

с 1918 года бывшие политические ссыльные, этнографы-североведы (вначале Л.я. штернберг, затем В.г. Богораз и другие) начали систематически учить молодое поколение этнографов — до 1925 года в географическом институте, затем на географическом факультете Ленинградского университета. Учебная программа была нацелена преимущественно на подготовку полевых исследователей и строилась исходя из нескольких принципов: совмещение научно-исследовательской и административной работы на севере, стационарный метод исследования, обязательное знание языков изучаемых народов, бережное и уважительное отношение к ним и др. эти принципы уходят корнями в народническую идеологию, однако в условиях неопределенности и постоянно меняющейся идеологии новой власти 1920-х — начала 1930-х годов они неизбежно начали входить в противоречие с реальностью. В статье на материале писем учеников Богораза и штернберга своим учителям из поля подробно разбирается процесс адаптации «народнических» принципов ленинградской этнографической школы к новой советской реальности, рассматриваются непростые отношения молодых этнографов и центральной и местной власти.
Since 1918, former political exiles, ethnographers and experts in Siberian indigenous minorities L.Ya. Sternberg, V.G. Bogoraz and others began to systematically train the younger generation of ethnographers, first at the Geographical Institute, then at the Geographical Faculty of Leningrad State University. The curriculum was aimed primarily at training field researchers and was based on several principles: the combination of research and administrative work in the North, the longitudinal fieldwork, mandatory knowledge of the languages of the peoples being studied, careful and respectful attitude towardsthem, etc. These principles were rooted in the Narodnaya Volya ideology; however, in the conditions of uncertainty and the constantly changing ideology of the new government in the 1920s — early 1930s, these principles inevitably began to conflict with reality. The article, based on letters from students of Bogoraz and Sternberg to their teachers “from the field”, examines in detail the process of adaptation of the “populist” principles of the Leningrad ethnographic school to the new Soviet reality, and examines the complicated relationship between younger ethnographers and the central and local authorities.
Caractéristiques Structurales et Résilience Ethnobotanique des bois Sacrés des Communesde Kozah 1 et 2, Région de la Kara au Nord TogoCaractéristiques Structurales et Résilience Ethnobotanique des bois Sacrés des Communesde Kozah 1 et 2, Région de la Kara au Nord Togo
Authors: TCHAO Essohanam Jean , ATATO Abalo , SOUSOU Tatongueba 
Published: January 2025

Les bois sacrés des communes Kozah 1 et 2 dans la préfecture de la Kozah bénéficient ces dernières années desmesures de protection et de gestion au regard de leur importance écologique et environnementale. La présente étudemet l’accent sur les caractéristiques écologiques des bois sacrés, et leur résilience ethnobotanique afin de proposerdes stratégies adéquates de gestion durable des espèces pionnières. Au cours de cette étude, des relevésphytosociologiques portant sur 08 bois sacrés ont été faits dans 45 placeaux de 30 m x 30 m suivi d’une enquêteethnobotanique auprès des chefs coutumiers et prêtres traditionnels. La hauteur moyenne est évaluée à 10,3 m avecune surface terrière moyenne de 23,425 m²/ha et un diamètre moyen de 63,7 cm. La densité totale moyenne desdifférents bois sacrés s’élève à 892,8 pieds/ha. Les pressions météorologiques et les rapports entre l’homme et cesbois sacrés influencent de manière continue, la dynamique de ces derniers.

The sacred groves of the Kozah 1 and 2 communes in the Kozah prefecture have benefited in recent years fromprotection and management measures because of their ecological and environmental importance. This study focuseson the ecological characteristics of sacred woods, and their ethnobotanical resilience in order to propose adequatestrategies for the sustainable management of pioneer species. During this study, phytosociological surveys of 8 sacredgroves were carried out in 45 plots of 30 m x 30 m followed by an ethnobotanical survey of customary chiefs andtraditional priests. The average height is estimated at 10.3 m with an average basal area of 23.425 m²/ha and anaverage diameter of 63.7 cm. The average total density of the different sacred groves amounts to 892.8 plants/ha.Meteorologica
Meningkatkan Kemampuan Siswa SMP YP HKBP 1 Pematangsiantar dalam Menggunakan Aplikasi Padlet untuk Pembelajaran Interatif
Authors: Peniel Sam Putra Sitorus  , Jaya Tata Hardinata  , Reagan Surbakti Saragih  , Dudes Manalu  , Ferri Ojak Immanuel Pardede  
Published: January 2025

SMP YP HKBP 1 Pematangsiantar School is currently conducting face-to-face learning in class. The learning process is carried out by the teacher explaining in front of the class and writing the material given on the board and then the students note it down in a notebook to read again at home. However, not all students want to re-read the notes they have taken at home, but the grades given by the teacher to the students are less than satisfactory. Children now have gone through a health emergency and still like to read using digital information technology. The development of information technology means that information can be conveyed very quickly in all fields, including education. During a global disaster emergency several years ago, information technology was really needed to get the latest information. In the field of education, distance information technology is used to support learning. Education practitioners in Indonesia must learn again to use information technology in applications that are very developed and require the name of the internet. The internet makes it easier for people to get information quickly and affordably. In the field of education, the internet provides global access to information. There are various educational applications in the learning process, one of which is Padlet. The padlet application can be used by SMP YP HKBP 1 Pematangsiantar School to improve the abilities of SMP YP HKBP 1 Pematangsiantar School students in the learning process which interacts between teachers and students over long or near distances. Therefore, this service is carried out to improve the abilities of SMP YP HKBP 1 Pematangsiantar School students by using the Padlet application.
Penguatan Pengetahuan dan Akses Masyarakat terhadap Layanan Keluarga Berencana
Authors: Tria Jessica Tissa Nino  , Emanuel Kosat  
Published: January 2025

This service activity aims to improve knowledge and access to family planning services in Lamabelawa Village, Witihama District, East Adonara. The main target of this activity is the Fertile Age Couple (PUS). The socialization activities covered the importance of family planning and reproductive health. The material presented included the definition of family planning, types of contraceptives, the benefits of family planning, and the importance of maintaining reproductive health. The approach used in this activity is the lecture method and interactive discussion. With this method, participants not only receive information, but also have the opportunity to actively participate, ask questions, and share their experiences related to family planning. The material in this activity was delivered by the Witihama Sub-district Family Planning Extension Agency who has competence in this field. Through this activity, it is expected that PUS in Lamabelawa Village can understand and apply the knowledge gained about family planning in their daily lives. In addition, this activity also aims to increase community awareness of the importance of reproductive health, so as to reduce the unplanned birth rate and improve family welfare. The results of this activity showed high enthusiasm from the participants as well as an increase in their understanding of the importance of family planning programs and reproductive health.

Materi dalam kegiatan ini disampaikan oleh Badan Penyuluhan KB Kecamatan Witihama yang memiliki kompetensi dalam bidang tersebut. Melalui kegiatan ini, diharapkan PUS di Desa Lamabelawa dapat memahami dan mengaplikasikan pengetahuan yang diperoleh tentang KB dalam kehidupan sehari-hari. Selain itu, kegiatan ini juga bertujuan untuk meningkatkan kesadaran masyarakat akan pentingnya kesehatan reproduksi, sehingga dapat menurunkan angka kelahiran yang tidak direncanakan dan meningkatkan kesejahteraan keluarga. Hasil dari kegiatan ini menunjukkan antusiasme yang tinggi dari peserta serta peningkatan pemahaman mereka tentang pentingnya program KB dan kesehatan reproduksi.
After Anterior Cruciate Ligament Surgery, Variables Associated With Returning to the Same Surgeon If a Subsequent Antrior Cruciate Ligament Surgery Is Needed?
Authors: Halperin Scott J. , Dhodapkar Meera M. , McLaughlin William M. , Santos Estevao , Medvecky Michael J. , Grauer Jonathan N. 
Published: January 2025

Introduction:
Anterior cruciate ligament reconstructions (ACLrs) unfortunately can require revision ACLr, or contralateral ACLr may be indicated (together subsequent ACLr). This study aimed to examine the rate of and factors associated with returning to the same surgeon.

Methods:
Patients who underwent ACLr and subsequent ACLr within 3 years were abstracted from the PearlDiver database. Patient factors and surgical factors were examined. Factors independently associated with changing the surgeon were examined.

Results:
Overall, 63,582 ACLr patients were identified with 2,823 (4.4%) having a subsequent ACLr. These subsequent ACLrs were performed by the same surgeon for 1,329 (47.1%) and by a different surgeon for 1,494 (52.9%). Factors independently associated with changing surgeons were 90-day adverse events after index surgery (odds ratio [OR] 1.95), longer time to second surgery (OR 1.61), and second surgery on the ipsilateral knee (OR 1.28). Notably, sex, comorbidity, depression, psychoses, and insurance plan were not correlated with choosing changing surgeons.

Conclusion:
Over half of the patients who required a subsequent ACLr changed surgeons. Changing surgeons was associated with adverse events after index surgery, ipsilateral revisions, longer time to surgery, and patient age. However, there should be confidence that the other assessed factors were not associated with the decision to change surgeons.