bluuebunny/crossref_metadata_2025_split huggingface dataset:
Upaya Mendukung Keberhasilan Implementasi Rekam Medis Elektronik Melalui Digitalisasi Rekam Medis
Authors: Ningsih Kori Puspita , Purwanti Endang , Markus Suryo Nugroho , Santoso Sugeng , Husin Husin , Zaini Muhammad 
Published: October 2022

Background: The development of the digital era makes routine and quality data integration an essential component in realizing digital transformation. One data that must be maintained is the Electronic Medical Record (RME). Wates Hospital is currently testing the implementation of RME and requires technical assistance in digitizing medical records in paper to electronic form. Digitization is necessary to ensure the patient's medical history information continuity. The digitization of medical records is expected to support the successful implementation of RME in Wates Hospital. Methods: Solutions are carried out in solving partner problems through training and science and technology substitution. Training activities are carried out by providing counseling, demonstrations, and training to operate scanner equipment. The substitution of science and technology in this PKM is by offering new science and technology to digitize medical records to replace the old science and technology mastery. Results: The activity is divided into 3 stages, starting with providing training related to the procedure for digitizing medical records, then assisting officers during the digitization process of medical records, and ending with accompanying the reflection process to evaluate the success of digitizing medical records. Pre-test and post-test showed an increase in the "Good" category by 58.3% Conclusion: To ensure the success of digitizing medical records, demonstrations were carried out starting from sorting medical record forms that need to be scanned (functional), simulating how to scan, saving files so that they are easy to identify, to importing image files over media on RME.
Kepler and the Behemoth: Three Mini-Neptunes in a 40 Million Year Old Association
Authors: Bouma L. G. , Kerr R. , Curtis J. L. , Isaacson H. , Hillenbrand L. A. , Howard A. W. , Kraus A. L. , Bieryla A. , Latham D. W. , Petigura E. A. , Huber D. 
Published: October 2022

Abstract
Stellar positions and velocities from Gaia are yielding a new view of open cluster dispersal. Here we present an analysis of a group of stars spanning Cepheus (l = 100°) to Hercules (l = 40°), hereafter the Cep-Her complex. The group includes four Kepler objects of interest: Kepler-1643 b (R
p = 2.32 ± 0.13 R
⊕, P = 5.3 days), KOI-7368 b (R
p = 2.22 ± 0.12 R
⊕, P = 6.8 days), KOI-7913 Ab (R
p = 2.34 ± 0.18 R
⊕, P = 24.2 days), and Kepler-1627 Ab (R
p = 3.85 ± 0.11 R
⊕, P = 7.2 days). The latter Neptune-sized planet is in part of the Cep-Her complex called the δ Lyr cluster. Here we focus on the former three systems, which are in other regions of the association. Based on kinematic evidence from Gaia, stellar rotation periods from TESS, and spectroscopy, these three objects are also ≈40 million years (Myr) old. More specifically, we find that Kepler-1643 is

46

−
7

+
9

Myr old, based on its membership in a dense subcluster of the complex called RSG-5. KOI-7368 and KOI-7913 are

36

−
8

+
10

Myr old, and are in a diffuse region that we call CH-2. Based on the transit shapes and high-resolution imaging, all three objects are most likely planets, with false-positive probabilities of 6 × 10−9, 4 × 10−3, and 1 × 10−4 for Kepler-1643, KOI-7368, and KOI-7913, respectively. These planets demonstrate that mini-Neptunes with sizes of ≈2 Earth radii exist at ages of 40 Myr.
Red Spiral Galaxies at Cosmic Noon Unveiled in the First JWST Image
Authors: Fudamoto Yoshinobu , Inoue Akio K. , Sugahara Yuma 
Published: October 2022

Abstract
In the first image of the James Webb Space Telescope (JWST) of SMACS J0723.3-7327, one of the most outstanding features is the emergence of a large number of red spiral galaxies, because such red spiral galaxies are only a few percent in the number fraction among nearby spiral galaxies. While these apparently red galaxies were already detected with the Spitzer Space Telescope at ∼3–4 μm, the revolutionized view from the JWST’s unprecedented spatial resolution has unveiled their hidden spiral morphology for the first time. Within the red spiral galaxies, we focus on the two reddest galaxies that are very faint in the <0.9 μ
m bands and show red colors in the 2–4 μm bands. Our study finds that the two extremely red spiral galaxies are likely to be in the cosmic noon (1 < z < 3). One of the extremely red spiral galaxies is more likely to be a passive galaxy having moderate dust reddening (i.e., ∼zero star formation rate with AV ~ 1 mag). The other is consistent with both passive and dusty starburst solutions (i.e., star formation rate > 100 M⊙ yr−1 with AV ∼ 3 mag). These “red spiral” galaxies would be an interesting, potentially new population of galaxies, as we start to see their detailed morphology using the JWST, for the first time.
Using Rover-analogous Methodology to Discriminate between Volcanic and Sedimentary Origins in Successions Dominated by Igneous Composition
Authors: Yingst R. Aileen , Bartley Julie K. , Cohen Barbara A. , Hynek Brian M. , Kah Linda C. , Archer Richard , Lotto Michael , Tuggle Mooney Jennifer , Wang Justin L. , Wogsland Brittan , Coker Robert F. 
Published: October 2022

Abstract
We tested rover science operations strategies to determine best practices for interrogating geologic sections where the bulk composition is igneous but depositional/emplacement processes range from sedimentary to volcanic. This scenario may mirror locations on Mars interrogated by mobile vehicles (e.g., Perseverance rover in Jezero crater). Two field teams studied a 60 m vertical outcrop on Iceland’s Tjörnes peninsula as an analog for a Martian site containing interleaved layers of sedimentary and volcanic units. A Rover team commanded a human rover to execute observations based on common Mars rover sequences; the resulting data were used to characterize the geologic history of the location. Results were compared to that of a Tiger team using traditional terrestrial field methods to interrogate the same site. The goal was to understand which instruments, at what resolution, are required to assess the provenance of volcanic or sedimentary layers of similar chemical composition. Results suggest that, in a succession dominated by rocks having basaltic composition, current rover-driven decision-making protocols are sufficient to support a first-order interpretation of a sequence of sedimentary and volcanic layers. Two crucial data sets in maximizing science return in this scenario are (1) handlens-scale images revealing grain morphology and relationships and (2) data sets that allow comparison between surface and bulk geochemistry. Certain sedimentary features can be difficult to confidently identify if not viewed at a specific angle and resolution, and confident interpretations appear to require lateral scanning of beds at meter scales. This work illuminates the need for strategic planning, particularly of resource-intensive observations.
Predição da carga acústica de foguete durante o lançamento
Authors: Neto João Martins Gomes , Reis Marcello , Wehmann Claus Franz 
Published: October 2022

Durante o lançamento, um foguete se submete a elevados níveis de ruído sonoro em decorrência da queima de seu propelente. Tais cargas acústicas são capazes de afetar os elementos internos do veículo, provocando excitações vibracionais que são a causa de diversas falhas, principalmente em seus componentes eletrônicos e instrumentos localizados na carga paga. Com o intuito de prever a carga acústica incidindo sobre as regiões de interesse do foguete Hermes, em desenvolvimento pelo Grupo de Desenvolvimento Aeroespacial (GDAe) da UFC, o programa liftoff foi utilizado para calcular o nível de pressão sonora em diferentes pontos. Para verificar a confiabilidade dos cálculos do software, que usa como base uma técnica analítica de alocação de fontes ao longo do fluxo de exaustão do foguete, foi feita uma simulação usando os parâmetros de um motor Estes B6-5. Os resultados foram comparados com os dados obtidos durante o teste de bancada do motor, através da utilização de sensores de som ligados a um Arduino. A manipulação dos dados foi feita com o auxílio dos programas Microsoft Excel e PLX-DAQ. A simulação utilizando os parâmetros do foguete Hermes apresentou resultados de níveis de pressão sonora gerais superiores aos obtidos para o motor de classe B. O emprego do programa liftoff se mostrou oportuno na predição das cargas acústicas decorrentes do lançamento ou teste estático de um foguete de pequeno porte, atingindo resultados condizentes com os medidos em campo durante o teste dos motores Estes B6-5.
Une fiction objective : John Rewald et l’invention de la fin de l’impressionnisme
Authors: Schuwer Olivier 
Published: October 2022

Revenir sur l’invention de la « fin » de l’impressionnisme pose la question de l’écriture de l’histoire et de son substrat fictionnel. L’Histoire de l’impressionnisme (1946) de John Rewald est particulièrement représentative de ce paradoxe du discours historique qui, parce qu’il est conçu sous la forme d’une narration, emprunte ses procédés à la littérature. C’est en puisant dans des modèles non-scientifiques – les romans russes ou français du xixe siècle – que l’historien introduit une rupture décisive, qui permet à la fois de définir l’impressionnisme, de l’instituer en tant qu’objet d’étude et de le situer dans le récit global de l’histoire de l’art moderne. En s’appuyant sur les apports de la narratologie, cet article enquête sur l’impensé fictionnel qui se niche sous la « poétique du savoir » de l’histoire-science, dans les profondeurs d’un « inconscient académique ».
Prêter l’œil et l’oreille. Les vite de l’art brut, ou la parole confisquée
Authors: Brun Baptiste 
Published: October 2022

Cet article interroge la part biographique à l’œuvre dans la mise en récit de l’histoire de l’art brut, à supposer que celle-ci existe. La situation de marginalité sociale et psychiatrique vécue par de nombreuses femmes et hommes enrégimentés dans les rangs de l’art brut ou de l’Outsider Art s’accompagne souvent d’une privation ou d’une confiscation de la parole, et de son corollaire : la pleine licence de l’exégète qui fictionnalise littéralement autour du « cas » qu’il aborde. Un recours à de véritables fictions d’art brut permet de faire saillir ce qui relève d’une approche psycho-biographique peu rigoureuse de l’historicité, et renforce sa dimension mythographique. Les poncifs des relations entre art et folie hérités du romantisme ont été reconduits, jusqu’à ce qu’on assiste plus récemment à la mise en œuvre d’un discours marchand néo-primitiviste. Mais comme le montrent de récents travaux situés à la croisée des approches des écritures ordinaires et de la microstoria, il est possible d’appliquer une méthode rigoureuse pour travailler à une histoire des productions et des producteurs apparentés à l’art brut.
A Study of Clinical Profile, Etiology, and Echocardiographic Parameters in Atrial Fibrillation at a Tertiary Care Hospital
Authors: Athar Abdul Mateen , Suleman Kothi Zuber , Davis Deepak , Begum G. Ayesha Siddiqua 
Published: October 2022

Background:
Atrial fibrillation (AF) being the most common arrhythmia encountered clinically is associated with increased mortality and morbidity. Hence, this study was conducted to find the clinical profile, etiology, and echocardiographic factors of AF for the secondary prevention of known complications.

Materials and Methods:
This was an observational hospital-based study done on 60 patients with AF in the Department of Medicine, St. John's Medical College Hospital, Bengaluru, India.

Results
Out of 60 patients with AF, the mean age was found to be 63 years in our study. Female sex (61.67%) had more preponderance to AF than male sex (38.33%). The most common presenting complaint was breathlessness (50%), followed by asymptomatic (25%) and palpitations (21.6%). Surprisingly, a significant number of patients were asymptomatic (25%) during the episode of AF. Hypertension (58.3%) was found to be more prevalent than rheumatic heart disease (RHD) (31.6%) in our patients, the most common complications were noted as heart failure (45%) rather than cerebrovascular accident (CVA) (15%). Nonvalvular AF (68.33%) exceeded the number of patients with valvular AF (31.66%). Ten percent of our subjects had dilated left atrium and 30% of our subjects had ejection fraction of <50%. The most common valvular lesion was found to be mitral regurgitation (45%) followed by mitral stenosis (28.3%).

Conclusion
This study has provided insight into the changes in trends pertaining to the clinical profile of AF. The most common predisposing condition is hypertension rather than RHD. Although the most common presenting complaint was breathlessness, there was a significant subset of individuals who were asymptomatic during the AF episode. A significant number of individuals had heart failure and CVA as complications of AF.
An Observational Study of the Endothelial Dysfunction in Type 2 Diabetes Mellitus and its Association with Risk Factors
Authors: Prajapati Kesar Vinodbhai , Gandhi Archana U. , Rathod Malay Mukeshbhai , Patel Mihir Hareshkumar , Patel Savan , Patel Tapan 
Published: October 2022

Background:
Cardiovascular diseases (CVDs) are the major culprit to cause morbidity in type 2 diabetes mellitus (T2DM) patients. Endothelial dysfunction (ED) precedes the progressed stage of CVD presentation. This study aimed to study the risk factors for ED and identify the modifiable factors for risk reduction and provide caution measures.

Materials and Methods
This cross-sectional observational study included 100 adult patients with T2DM on oral hypoglycemic drugs or insulin therapy. Based on glycemic control, type 2 diabetic patients were divided into four groups: Group 1 (poor glycemic control and hemoglobin A1C (HbA1c) >9%), Group 2 (fair glycemic control and HbA1c 8%–8.9%), Group 3 (good glycemic control and HbA1C 7–7.9%), and Group 4 (excellent glycemic control, HbA1C <7%). P < 0.05 was considered statistically significant.

Results
Overall, significantly higher glycemic levels (fasting blood glucose, postprandial blood glucose, and HbA1c) and lipid derangements (cholesterol, low-density lipoprotein, and triglyceride) were found in patients with ED as compared to those without ED (P < 0.05). Baseline brachial artery diameter (D1) was into three groups, one group with D1 (≤3.6 mm) with mean flow-mediated dilatation (FMD) of 9.07%, Another group of D1 (3.61 mm to ≤4.30 mm) with mean FMD of 5.26%, and the third group with D1 (>4.41 mm) with mean FMD of 4.58%. There was a statistically significant association seen between baseline brachial artery diameter and FMD (P < 0.05). Multivariate linear regression showed that HbA1c and treatment of both Oral hypoglycemic agents (OHA) and insulin were the significant independent factors affecting the ED with OR of 7.566 (P = 0.0003) and 0.013 (P = 0.011), respectively.

Conclusion
In diabetics, the risk of ED is increased with worsening levels of lipid profile and glycemia irrespective of the age and duration of the disease.
A Study on Noninvasive Ventilation in Type-II Respiratory Failure in a Tertiary Care Center
Authors: Suresh Roopa , Reddy Sanjay , Naidu Y. R. , Reddy Y. J. , Dhananjaya P. E. , Jaganath A. 
Published: October 2022

Background:
Type II respiratory failure is a common complication with considerable morbidity and mortality. Noninvasive ventilation (NIV) has been used preferentially with better results. The objective of this study was to assess the outcome and complications of NIV in type II respiratory failure patients.

Methods
A clinical observational study of 67 consecutive adult patients with Type II respiratory failure who were assigned NIV, fulfilling inclusion and exclusion criteria were recruited in the study. NIV Bi level positive airway Pressure (Bi PAP) (spontaneous mode) was used in all patients with settings of 12/6 initially. Based on arterial blood gas values and clinical status, settings were adjusted and followed up as per British Thoracic Society guidelines (2016). In case of worsening of mental status, deterioration of potential of hydrogen (PH), increased partial pressure of carbon dioxide, and intolerance to NIV, patients were subjected to invasive ventilation within the first 4 h of NIV initiation.

Results
Patients diagnosed with acute exacerbation of chronic obstructive pulmonary disease (–92.5%), and cases of obstructive sleep apnea (7.5%), showed significant improvement in NIV trial over 24 h in 91.7% and 100%, respectively, by the way of reduction of PCO2 levels and improvement in partial pressure of oxygen, oxygen saturation, which was statistically significant in 89.5% of patients. Clinical improvement noted by the decrease in heart rate, respiratory rate was also statistically significant with a P < 001. However, PH did not show significant changes in our study.

Conclusions
A trial of NIV is a useful alternative to mechanical ventilation in many different situations with Type II respiratory failure. Advantages of cost-effectiveness, minimal utilization of intensive care unit resources, low morbidity and mortality rates with patient-friendly equipment features contribute to its preference over invasive ventilation.
Retrospective Analysis of Follow-up and Results of Patients with High D-Dimer Value and Discharged without Emergency Pathology
Authors: KAVAL Fulya Büşra , ÇIKRIKLAR Halil İbrahim , DURAK Vahide Aslıhan , OMAR Issa , KURTOĞLU Burak , ARMAGAN Erol 
Published: October 2022

Background This study aimed to retrospectively examine the morbidity and mortality rates after discharge of patients who applied to the emergency department with high D-dimer values but had no pathology upon evaluation.
Material and Methods Patients over the age of 18 who applied to Bursa Uludağ University Faculty of Medicine Emergency Department with preliminary diagnosis of pulmonary embolism in a two-year period between January 2018 and December 2019 were included in the study. The patient group consisted of cases with high D-dimer levels while the control group inluded patients with negative D-dimer and no pathology on discharge.
Results A total of 594 cases; 297 D-dimer positive (+) and 297 D-dimer negative (-), were included in the study. A significant difference existed between the percentage of patients developing illness post-discharge in the D-dimer (+) 18.86% (n=56) and D-dimer (-) 1.68% (n=5) groups, respectively. The most common illness identified in the dimer (+) group after discharge up was pneumonia (n=11), followed by Coronary Artery Disease (n=5). Death rate was 1.68% (n=5) in the D-dimer (-) group and 11.78% (n=35) in the D-dimer (+) group; a statistically significant difference (p=0.001).
Conclusions In conclusion, both morbidity and mortality rates were found to be significantly higher in the D-dimer positive group.
Derin Öğrenme Metodu ve Ayrık Dalgacık Dönüşümü Kullanarak BT Görüntülerinden Akciğer Kanseri Teşhisi
Authors: CİFCİ Mehmet Akif 
Published: October 2022

Derin Öğrenmenin (DÖ) teknikleriyle erken kanser tanısı son dönemlerde araştırmacılar arasında en çok üzerinde durulan konu olmuştur. Ayrıca pek çok araştırmada görüldüğü üzere DÖ’nın tıp alanında kullanımı günümüzde daha da önem kazanmaktadır. Araştırmacılar sağlık alanında çoğunlukla kanser ve kanser türleri teşhis ederken DÖ tekniklerinden yararlanmaktadır. Bunun başlıca nedeni akciğer kanserinden ölüm riskinin yüksek olmasıdır. Bu tür hastalıkların tanısında BT görüntülerinin net olmamasından dolayı, doğru karar vermede uzmanlar görüş ayrılıkları yaşamaktadır. Bu ve benzeri hastalıkları erken ve doğru tanılayabilen ve daha güvenilir sonuçlar verebilen DÖ karar verme mekanizmaları bir seçenek haline gelmiştir. Yapılan araştırmalara göre akciğer kanseri, dünya çapında ölümlerin en önde gelen nedenleri arasındadır. Akciğer kanseri sadece 2019 yılında tahmini 1,76 milyon insanın ölümden sorumludur. Sebepleri artıkça (ortalama aile öyküsü, sigara, yüksek tansiyon ve diğer popüler tıbbi nedenler) ölüm oranı ortalaması %80'in üzerinde arttığı gözlemlenmiştir. Olgular erken tanı konup, tedavi edilirse kanser kaynaklı ölümlerin oranının azalmakta olduğu görülmüştür. Hastalığın doğru saptanması tedavi edilmesinde önemli rol oynamaktadır.
Bu çalışmada Ayrık Dalgacık Dönüşümü (ADD) yaklaşımı ile DÖ tekniği birleştirilerek, 6053 akciğer tomografi veri seti (veri kaynağı, yaş grubu, coğrafi bölge vb. kısa bilgi) üzerinde işlem yapılmıştır. Hastanın kanser olup olmadığı, kanser olduğu takdirde ise bunun iyi huylu (benign) ya da kötü huylu (malign) olduğuna karar verilmesine çalışılmaktadır. Bilgisayarlı Tomografi (BT), görüntülerde öncelikle görüntü işleme aşamalarının yanı sıra ADD ile öznitelik çıkarımı yapılıp elde edilen veriler DÖ ’ya girdi verisi olarak kullanılır. Bu çalışmada iki metot önerilmiştir. Birinci yöntemde VGG-16, Inception v4, MobileNet v3 kullanılırken ikinci yöntemde AlexNet yöntemi uygulanmaktadır. Bu yöntem hem ADD kullanımı hem de iki aşamalı olması yönüyle yaygın kullanılan diğer tekniklerden farklıdır. Deneysel sonuçların yüksek performans gösterdiğini ve AlexNet’in %99, 86, MobileNet v3’ün %98,00, VGG-16 %95,50, Inception v4’ün ise %96,03 doğrulukta sonuç verdiği belirlenmiştir. Böylece akciğer hastalıklarının BT görüntülerinde kanser olup olmadığı, kanser ise hangi aşamada olduğu konusunda ön bilgi elde edilebilmektedir.
Effective management of cardiothoracic surgical wounds: a scoping review
Authors: Monedero Alba Mínguez , Molina Paula Posadas , Klyčmuradov Murad , Kielė Viktorija 
Published: October 2022

Cardiac surgery is included among the seven surgical procedures with the highest surgical site infection rate. Surgical wounds have been a major topic worldwide, having the healthcare team to face a big challenge on their management, giving a multidisciplinary approach to the patient. The following scoping review aims to capture the most effective management of the cardiothoracic surgical wound, comparing conventional and more advanced techniques.
Methods. A scoping review completed of seven full text free of charge publications corresponding to the research topic. Selection criteria for publi cations were determined by researchers. A scoping review and analysis of the scientific literature was performed.
Results. There is no consensus between which of the two therapies is the best for cardiac wound management. While some of the authors consider negative pressure wound therapy a better choice due to healing time, cost-effectivity and the number of complications, yet others claim that there are no differences. Despite of whether this therapy is considered a superior or equal method to wound dressings, each particular case must be individually evaluated and all methods are taken for consideration.
Conclusions. Two principal methods were found for wound management - conventional wound dressings and negative pressure wound therapy. By reviewing the publications hardly any differences were found in the use of one or the other therapy.