bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cephalalgia heterotopica: a case series of lower half face migraine
Authors: Bordini Carlos Alberto , Silva Junior Hilton Mariano da 
Published: November 2022

Introduction
Migraine is a common and very disabling neurological disease. It typically causes severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. According to the definition of headache, the pain should be located in the head or in the face above the orbitomeatal line. Beyond this classical view, recent evidence has shown that it could be an arbitrary boundary, and other clinical features can prevail during the diagnosis process.
Objective
This consecutive case series study aimed to report clinical features, treatment, and outcome of 5 patients with a lower-half facial presentation of migraine.
Materials and Methods
Case series of our Headache Clinic. Data disclosure was authorized by the patients through an informed consent form.
Results
Of the 5 patients, 3 were women and 2 were men. Mean age was 34, 6 (13-56 years). The mean age of symptoms onset was 15,2 (11-29 years).
All patients described a throbbing, moderate to severe pain in the malar area.
Four patients reported frequent phonophobia and photophobia accompanying pain attacks. One patient reported great relief of pain with rizatriptan and another with sumatriptan. Preventive treatment with pizotifen, propranolol, flunarizine, amitriptyline, divalproex sodium, and pregabalin was useful. All patients underwent extensive dental and otolaryngological evaluation and treatment, which were worthless.
Conclusion
Migraine orofacial presentation is a diagnostic challenge. Proper recognition of these cases not only prevents unnecessary examination and treatment trials but directly benefits the patients since effective treatment is already available.
A proper case definition of this rare clinical presentation may provide new insight into our understanding of the migraine mechanisms.

Keywords: Facial pain, Migraine, Lower half-face migraine.
Cephalalgia heterotopica: a case series of extratrigeminal cluster headache
Authors: Bordini Carlos Alberto , Silva Junior Hilton Mariano da 
Published: November 2022

Introduction
Cluster headache is a very disabling neurological disorder that usually presents with unilateral severe headache associated with ipsilateral cranial autonomic symptoms. Even among the typical cases, there is a considerable diagnostic delay and most patients will have seen three general practitioners before being referred to neurology services, some having been to colleagues in dentistry or otorhinolaryngology. The extratrigeminal presentation of this condition poses a great obstacle to a proper diagnostic workup.
Objective
This consecutive case series study aimed to report clinical features, treatment, and outcome of 3 patients with extratrigeminal Cluster Headache.
Materials and Methods
Case series of our Headache Clinic. Data disclosure was authorized by the patients through an informed consent form.
Results
Two males and one female were evaluated. The ages were 53, 64, and 71 years. The mean age of symptoms onset was 50, 60, and 66 years, respectively. Two patients described excruciating shoulder pain and one presents severe pain in the malar area. All patients reported prominent autonomic ipsilateral symptoms such as lacrimation, conjunctival injection, nasal symptoms, and restlessness accompanying pain attacks. Preventive treatment with verapamil and occipital nerve block was useful.
Conclusion
Extratrigeminal cluster presentation is a diagnostic challenge. Proper recognition of these cases prevents unnecessary examination and treatment trials and directly benefits the patients since effective treatment is already available.
A proper case definition of this rare clinical presentation may provide new insight into our understanding of the cluster headache mechanisms.
Keywords: Cluster headache, Extratrigeminal headache, Shoulder pain.
Spontaneous bleeding of an arachnoid cyst: a rare cause of thunderclap headache
Authors: Domingues Renan , Ribeiro Saulo Ramos , Mello Ana Lucia de Carvalho , Miranda Carolina Franciely Vitor , Pacheco Evelyn de Paula , Carvalho Joao José Freitas de 
Published: November 2022

Introduction
A thunderclap headache is a severe headache that starts suddenly and may be a sign of a condition that can be life threatening.
Objective
To present a case of a rare cause of thunderclap headache.
Case presentation
A 37-year-old female patient was admitted in the neurological emergence service of a private hospital in the city of São Paulo. She had sudden, explosive, and pulsatile headache, with photophobia and phonophobia. The neurological examination had no focal signs. She had deep vein thrombosis in 2014 in the past and since then she has been irregularly using Warfarin.
She underwent CT and MRI of the skull that showed enlargement of the bilateral retrovermian and retrocerebellar cerebrospinal fluid space, with thin membranes/septations inside, and heterogeneous content, with deposition of hemoglobin degradation products. Such findings are consistent with a retrovermian arachnoid cyst with hemorrhagic content. The INR was 1.
Conservative and symptomatic treatment was started, and control CT was performed on the second day of hospitalization, demonstrating almost complete reabsorption of hematic material.
The patient was discharged after 2 days of hospitalization with complete headache improvement.
Conclusion
Arachnoid cysts are collections of fluid located between the meningeal membranes. They are congenital and are formed due to a valve defect in the arachnoid membranes leading to a collection of cerebrospinal fluid (CSF) in its interior.
Most arachnoid cysts are an incidental finding. About 1 to 2% of the population has an arachnoid cyst and symptoms appear when the cyst increases in size or bleeds.
Our patient had a are complication of and arachnoid cyst not related with the use of anticoagulant.
Keywords:
Thunderclap headache, Arachnoid Cyst Bleeding, Arachnoid Cyst.
"Not otherwise specified headache" in emergency department: an analysis of 149,603 visits to nine Upa's 24h in Fortaleza
Authors: Carvalho João José de , Alves Jamille , Severino Fernanda , Reis Virginia , Deulefeu Flavio 
Published: November 2022

Introduction
Headache is one of the most common neurological symptoms and is almost a universal experience that requires medical attention on many occasions. Patients often seek medical advice for headaches in primary or secondary health care systems. In these scenarios, establishing the correct diagnosis of headache and referring further treatment to a specialist is essential. Hundreds of low-complexity Emergency Care Units (called UPAs 24h) were opened throughout the country in the last decade. Working 24/7, many UPA 24 h are one of the preferred places by patients to treat acute headaches.
Objectives
This study aims to evaluate the frequency of the "Not otherwise specified headache diagnoses" in patients who seek UPA's 24-h for headache.
Methods
We evaluated the ED charts of 149,603 visits motivated by headache to nine UPAs 24h in Fortaleza, Ceará, from January 2017 to April 2022. In addition to the demographic data, the care flow chart, the MTS classification, the times of each step of care (from risk classification to discharge or death), and the final diagnosis coded by the attendant physician using the International Classification of Diseases (ICD-10). Data were analyzed using statistical software, and a p <0.05 was considered for significance.
Results
The 149,603 consultations, which represented 3,5% of the total, were made by men and women (72 and 28% respectively) with 38.2 (± 14.6) years of age, on average. Regarding the diagnosis, only 25,121 (16.8%) patients received the diagnosis of migraine, and 4,671 (3.1%) were diagnosed with “other cephalic algic syndromes”. The remaining 119,811 (80.1%) had the not otherwise specified headache discharge diagnosis in their charts.
(To see the complet abstract, please, check out the PDF.)
Intracranial hypertension associated with treatment of acute promyelocytic leukemia with all-trans retinoic acid (ATRA): a case report
Authors: Alvarenga Tarcísio N , Sousa-Santos Patrick Emanuell , Pozzobon Pedro Machry , Santos Itamar Meireles , Baston Ana Beatriz , Teixeira Igor de Lima e 
Published: November 2022

Case presentation
Female, 18 years-old, without relevant family history, referred to Neurology by Hematology for headache. 3 years ago, she was diagnosed with Acute Promyelocytic Leukemia (APL) currently on maintenance therapy with All-Trans Retinoic Acid (ATRA). The patient reports that in all previous cycles presented headache with the following characters: one-side temporal location, pulsating quality, moderate intensity, with nausea and vomiting, photophobia and phonophobia, uncertain duration, with simple analgesics response. In the current cycle, she relates continuous pain, severe intensity and unresponsive to medication. On examination, there were no focal neurological findings and on funduscopic examination there was no papilledema. MRI and laboratorial tests were normal. Cerebrospinal fluid (CSF) opening pressure was 35 cmH2O, no other alterations. 15 milliliters of CSF were removed, with a closing pressure of 25 cmH2O. A hypothesis of Intracranial Hypertension associated with use of ATRA was made. Afterwards, there was important improvement of the headache, with residual pain of mild intensity. Therefore, Acetazolamide was started at a dose of 250 milligrams every 12 hours with complete resolution of symptoms.

Discussion
Acute myeloid leukemia (AML) comprises a heterogeneous group of aggressive blood cell cancers that arise from clonal expansion of malignant hematopoietic precursor cells in the bone marrow. Acute promyelocytic leukemia (APL) is a biologically and clinically distinct variant of AML. APL is classified as acute promyelocytic leukemia with PML-RARA. The cytogenetic hallmark of APL is a translocation involving RARA, the retinoic acid receptor alpha locus on chromosome 17. Without treatment, APL is the most malignant form of AML, with a median survival of less than one month.
(To see the complete abstract, please, check out the PDF).
Neurological adverse events after vaccination against sars-cov-2 in the municipality of Parnaíba, Piauí
Authors: Júnior Edmar José Fortes , Freitas Francisco Ricardo Nascimento , Martins Francisco Lukas Rodrigues , Barbosa Ane Kássia de Carvalho , Abreu Thyago Layron Sampaio de , Silva Hildnel Rodrigues Leal , Fé Rodrigo Campelo de Moura 
Published: November 2022

Introduction
At the end of 2019, a new disease that would come to be known as COVID-19 emerged in Wuhan, Hubei province, China, caused by a virus called novel coronavirus or SARS-CoV-2. The infection has spread worldwide, causing many deaths, however, at the end of 2020, the first vaccines against this new virus appeared, approved by regulatory bodies as being effective and safe. However, since the beginning of immunization, there has been much speculation within the general population both about the supposed low efficacy and the correlation with serious post-vaccination adverse events (APVE), including deaths. Furthermore, it is highlighted in the literature that neurological manifestations are one of the main sources of AEFI. Objective: Therefore, the objective of this study is post-vaccination adverse events against covid-19 in the municipality of Parnaíba, Piauí.
Objectives
1) Investigate the occurrence of post-vaccination adverse events of a neurological nature of vaccination against Sars-CoV-2 in the municipality of Parnaíba, Piauí.
Methods
This is a cross-sectional, observational, descriptive and epidemiological quantitative study. Data were collected from the Information Sistema de Informação de Eventos Adversos Pós-Vacinação (SI-EAPV) of Secretaria de Estado da Saúde do Piauí, in the period from January 2021 (date of the beginning of vaccination against COVID-19 in Brazil) to September 2021. The study population was concentrated in the municipality of Parnaíba, located in the state of Piauí, Brazil. According to the Instituto Brasileiro de Geografia e Estatística (IBGE), the estimated population for the municipality in question is 153,863 people. The dependent variable is the presence of neurological manifestation as an outcome: yes/no. The other variables analyzed were color/race, sex and the description of the vaccine used.

(Too see the complete abstract, please, check out the PDF).
A retrospective study of overview of patients visited at Kayachikitsa department’s OPD at TUACTH
Authors: Bhatta Pramod , Shrestha Sirjana 
Published: November 2022

Background: Kayachikitsa is one of the most important specialized departments in an Ayurvedic hospital. A number of patients get effective, affordable and safe Ayurvedic services from Out Patient Department (OPD). Objective: the major objective of this study was to find out the treated disease pattern, frequency of patients who got benefits from treatments and services provided in the OPD of Kayachikitsa department. Methods: The study was analytical retrospective in nature where analysis of registered patients’ case record of Kaya Chikitsa OPD during the period of May 15 to November 15 of year 2018 AD. Results: Despite of good number of patients visiting in the OPD of Kayachikitsa department, patients of different diseases visited and treated with Ayurvedic medications, due to lack of good publicity and awareness in general population about wide range of treatments available for various diseases in Kayachikitsa department. The follow up cases were also good. Conclusions: The study showed the Kayachikitsa department provided services to various diseases, health services to senior citizens. The follow up cases were also better suggestive of good quality services. Hence improving the services and conducting awareness program can provide better Ayurvedic health services to many needy people.
IMPACTO NA QUALIDADE DE VIDA DO PACIENTE IDOSO EDÊNTULO POR MEIO DA REABILITAÇÃO PROTÉTICA: RELATO DE CASO
Authors: Cardoso Maria Clara Lima Barbosa , De Castro Isadora Bezerra Girão , Lócio Neto Aridson Bezerra , Ribeiro Renata Roque , Da Silva Bruno Rocha 
Published: November 2022

Devido a redução da taxa de mortalidade, da queda da fecundidade e do aumento da expectativa de vida, a quantidade de idosos no Brasil está cada vez maior. Em grande parte, estes idosos possuem condições de saúde bucal precárias, levando a perda múltiplas de dentes e, consequentemente, ao edentulismo. Estes pacientes, apresentam colapso oclusal, culminando no desequilíbrio do sistema estomatognático e afetando negativamente na sua qualidade de vida. O tratamento reabilitador com próteses totais têm por objetivo principal restabelecer a estética, fonação e mastigação. Objetivo: Relatar o caso de uma paciente idosa reabilitada com próteses totais bimaxilares. Relato de caso: Paciente M.J.G.S, sexo feminino, cor de pele parda e desdentada total, compareceu à clínica odontológica da Universidade de Fortaleza, queixando-se de problemas na fonação, estética e mastigação. A paciente apresentava grande dificuldade de fala, constatando a necessidade do tratamento interdisciplinar da odontologia juntamente com a fonoaudiologia. O tratamento consistiu na realização de próteses totais bimaxilares em conjunto com o tratamento fonoaudiológico. As consultas eram realizadas de acordo com cada etapa de confecção das próteses, desde o momento da anamnese, avaliação até a execução de exercícios com intuito de tonificar e equilibrar a musculatura, bem como o sistema estomatognático. Conclusão: as próteses totais devolveram funções significativas para a paciente, permitindo restaurar o equilíbrio do sistema estomatognático.
Analisis Kualitas Pelayanan dan Lokasi Terhadap Loyalitas Peserta Didik Ypltbi Di Lotte Shopping Avenue Kuningan Jakarta
Authors: Jonatan Jonatan 
Published: November 2022

The purpose of this study was to determine how much influence the quality of service, location and learners' satisfaction to loyalty learners against two English language institutions in Jakarta. Respondents involved in this study were 78 learners, the method used is non-probability sampling, the sampling pursposive. Data was collected by multiple linear regression using SPSS 23 software. Results of regression showed that the variables of service quality and significant positive effect on loyalty learners towards English language institutions, YPLTBI Lotte Shopping Avenue Kuningan Jakarta, quality of service and location together / simultaneous correlated with loyalty learners. This study shows that the loyalty of the students in the institutions of English in Jakarta, YPLTBI Lotte Shopping Avenue Kuningan Jakarta can be influenced by factors of service quality and location of the Loyalty earners.
Kepuasan Siswa Atas Layanan Bimbingan dan Konseling Ditinjau dari Gaya Kepemimpinan Konselor
Authors: Fransisca Mudjijanti  
Published: November 2022

Tujuan penelitian ini adalah untuk mengetahui: 1) Gaya kepemimpinan konselor di SMAN 6 Kota Madiun, 2) Tingkat kepuasan siswa atas layanan Bimbingan dan Konseling di SMAN 6 Kota Madiun.3) Besarnya pengaruh gaya kepemimpinan konselor terhadap kepuasan siswa atas layanan bimbingan dan konseling di SMAN 6 Kota Madiun. Populasi penelitian adalah siswa kelas X dan XI SMA Negeri 6 Kota Madiun Tahun Pelajaran 2018/2019. Sampel penelitian dengan teknik cluster random sampling diperoleh sampel sebanyak 144 orang. Teknik pengumpulan data dengan skala psikologi. Analisis data menggunakan teknik statistik deskriptif dan regresi linear sederhana. Dari hasil analisis menunjukkan bahwa: 1) Gaya kepemimpinan konselor di SMA Negeri 6 Kota Madiun cenderung partisipasi (participating); 2) Tingkat kepuasan siswa atas layanan BK di SMA Negeri 6 Kota Madiun adalah tinggi (memuaskan); 3) Besarnya pengaruh gaya kepemimpinan konselor terhadap kepuasan siswa atas layanan BK di SMA Negeri 6 Kota Madiun sebesar 52.5%. Uji hipotesis membuktikan bahwa Gaya kepemimpinan konselor berpengaruh signifikan terhadap kepuasan siswa atas layanan Bimbingan dan Konseling di SMA Negeri 6 Kota Madiun (p value < 0.05).
Evaluasi Penerapan Sistem Informasi Rekapitulasi Menggunakan Metode Pieces Framework
Authors: Randi Fajar 
Published: November 2022

Proses rekapitulasi hasil penghitungan suara pada Pemilihan Kepala Daerah dan Wakil Kepala Daerah (PILKADA) Serentak Tahun 2020, menggunakan Sistem Informasi Rekapitulasi (SIREKAP) yaitu perangkat aplikasi berbasis teknologi informasi yang berfungsi sebagai sarana publikasi hasil Penghitungan Suara dan Rekapitulasi Hasil Penghitungan Suara serta alat bantu dalam pelaksanaan Rekapitulasi Hasil Penghitungan Suara Pemilihan. Mengingat penggunaan SIREKAP merupakan hal baru pada pelaksanaan PILKADA serentak, maka diperlukan analisa untuk mengukur tingkat efektif dan efesiensi dari penggunaan sistem tersebut dengan menggunakan metode analisa Pieces Fremwork yang berfokus pada 6 analisis (Performance, Information and Data, Economy, Control and Security, Efficiency and Service), Pengumpulan data dilakukan melalui kuesioner dan menggunakan pendekatan deskriptif kuantitatif. Jumlah sampel sebanyak 238 dengan uji validitas menghasilkan r-hitung lebih besar dari r-tabel (0,113) dengan signifikansi 5%. Hasil Penelitian menunjukan nilai rata-rata sebagai berikut performance (2,6), information (3,8), Economy (3,7), Control and Security (4,2), Efficiency (3,2), Service (3,3). Berdasarkan penelitian yang dilakukan dapat disimpulkan bahwa penerapan Sistem Informasi dan Rekapitulasi pada pelaksanaan PILKADA Serentak Tahun 2020 jika mengacu pada Analisa Pieces dinyatakan efektif dan efisien mengacu nilai rata-rata indikator masuk kategori puas.
Kata Kunci: SIREKAP, Teknologi Informasi, Pieces Framework
First record of Red-billed Tropicbird (<em>Phaethon aethereus</em>) for Aruba
Authors: Mlodinow Steven G. , Norton Robert L. 
Published: November 2022

Abstract: Robert L. Norton encountered a Red-billed Tropicbird (Phaethon aethereus) approximately 60 km NNW of Aruba, providing Aruba’s first record of this species. Given the pelagic distribution of this species during the non-breeding season, and nine antecedent records from Bonaire and Curaçao, additional records seem likely for Aruba, especially given an increase in reports of seabirds from cruise ships off Aruba.
Keywords: Aruba, first record, non-breeding range, Phaethon aethereus, Red-billed Tropicbird
Resumen: Primer registro de Phaethon aethereus para Aruba—Robert L. Norton encontró un individuo de Phaethon aethereus aproximadamente a 60 km NNO de Aruba, lo que constituye el primer registro de esta especie para la isla. Dada la distribución pelágica de esta especie durante la época no reproductiva y los nueve registros anteriores en Bonaire y Curazao, es probable que Aruba tenga registros adicionales, especialmente dado el aumento de avistamientos de aves marinas desde cruceros en la isla.
Palabras clave: Aruba, Phaethon aethereus, primer registro, rango no reproductivo
Résumé: Première mention du Phaéton à bec rouge (Phaethon aethereus) à Aruba—Robert L. Norton a observé un Phaéton à bec rouge (Phaethon aethereus) environ 60 km au nord-nord-ouest d’Aruba, ce qui constitue la première mention de cette espèce pour Aruba. Compte tenu de la répartition pélagique de l’espèce en dehors de la saison de reproduction et des neuf observations antérieures à Bonaire et Curaçao, des mentions supplémentaires semblent probables pour Aruba, en particulier en raison de l’augmentation des signalements d’oiseaux marins depuis des navires de croisière au large d’Aruba.
Mots clés: Aruba, Phaethon aethereus, Phaéton à bec rouge, première mention, zone fréquentée en dehors de la période de reproduction
Erratum: First record of Red-billed Tropicbird (Phaethon aethereus) for Aruba
Authors: Steven G. Mlodinow  
Published: November 2022

Erratum The observation in Mlodinow and Norton (2017) does not represent the first record of Red-billed Tropicbird for Aruba.

Wells, J.V., E. Albers, M. Oversteegen, S. Oversteegen, H. de Vries, and R. Wellens. 2022. Status of the Red-billed Tropicbird (Phaethon aethereus) on and around the islands of Aruba, Curaçao, and Bonaire. Journal of Caribbean Ornithology 35:83–88. https://doi.org/10.55431/jco.2022.35.83-88

Errata Primer registro de Phaethon aethereus para Aruba • La observación en Mlodinow y Norton (2017) no representa el primer registro de Phaethon aethereus para Aruba.

Wells, J.V., E. Albers, M. Oversteegen, S. Oversteegen, H. de Vries, and R. Wellens. 2022. Status of the Red-billed Tropicbird (Phaethon aethereus) on and around the islands of Aruba, Curaçao, and Bonaire. Journal of Caribbean Ornithology 35:83–88. https://doi.org/10.55431/jco.2022.35.83-88

Erratum Première mention de Phaéton à bec rouge (Phaethon aethereus) à Aruba • L'observation de Mlodinow et Norton (2017) ne représente pas la première mention de Phaéton à bec rouge à Aruba.

Wells, J.V., E. Albers, M. Oversteegen, S. Oversteegen, H. de Vries, and R. Wellens. 2022. Status of the Red-billed Tropicbird (Phaethon aethereus) on and around the islands of Aruba, Curaçao, and Bonaire. Journal of Caribbean Ornithology 35:83–88. https://doi.org/10.55431/jco.2022.35.83-88