bluuebunny/crossref_metadata_2025_split huggingface dataset:
Training Load and Injury Part 1: The Devil Is in the Detail—Challenges to Applying the Current Research in the Training Load and Injury Field
Authors: Impellizzeri Franco M. , Ward Patrick , Coutts Aaron J. , Bornn Luke , McCall Alan 
Published: August 2020

Background This article sets the scene for a critique of the research underpinning 2 common clinical assumptions: (1) training workload is a key factor influencing sports injury risk, and (2) training workload can be manipulated to reduce injury risk. In this clinical commentary, we address why it is important for clinicians to critically evaluate the evidence behind research conclusions. Clinical Question Has research been designed and conducted well enough to help clinicians answer the questions, “What is the relationship between training workload and sports injury risk?” and “Can the metrics based on training workload be used to decrease injury risk?” Key Results In the past decade, many sports injury researchers have developed new measures of exposure, based on internal and external training workload, to study the relationship between training load and injury. Some of these metrics may have been embraced by researchers and clinicians because (1) they are apparently supported by the scientific literature, (2) they are simple to calculate and use (averages and their ratio), and (3) there is an apparent reasonable rationale/narrative to support using workload metrics. However, intentional or unintentional questionable research practices and overinterpretation of research results undermine the trustworthiness of research in the training load and sports injury field. Clinical Application Clinicians should always aim to critically examine the credibility of the evidence behind a research conclusion before implementing research findings in practice. Something that initially looks promising and inviting might not be as revolutionary or useful as one first anticipated. J Orthop Sports Phys Ther 2020;50(10):574–576. Epub 1 Aug 2020. doi:10.2519/jospt.2020.9675
Sticking to It: A Scoping Review of Adherence to Exercise Therapy Interventions in Children and Adolescents With Musculoskeletal Conditions
Authors: Holt Christopher J. , McKay Carly D. , Truong Linda K. , Le Christina Y. , Gross Douglas P. , Whittaker Jackie L. 
Published: August 2020

Objective To identify and categorize barriers, facilitators, and strategies to boost exercise therapy adherence in youth with musculoskeletal conditions to inform research and clinical practice. Study Design Scoping review. Literature Search We searched MEDLINE, CINAHL, SPORTDiscus, Scopus, PEDro, and ProQuest from inception to October 1, 2019. Study Selection Criteria Studies written in English, with original data featuring an adherence barrier, facilitator, or boosting strategy for exercise therapy in youth (age, 19 years or younger) with musculoskeletal conditions, were included. Data Synthesis Arksey and O'Malley's framework and the PRISMA Extension for Scoping Reviews guided data synthesis. Study quality was assessed with the Mixed Methods Appraisal Tool. Descriptive consolidation included study and sample characteristics, exercise therapy details, and adherence measurement specifics. Inductive thematic analysis of adherence barriers, facilitators, and boosting strategies followed Braun and Clarke's 6-step guide. Results Of 5705 potentially relevant records, 41 studies, representing 2020 participants (64% girls; age range, 2–19 years) with 12 different musculoskeletal conditions and multiple exercise therapy interventions, were included. Despite poor reporting of adherence concepts, time constraints, physical environment (eg, location), and negative exercise experiences were commonly identified barriers. Social support and positive exercise experiences were frequently identified facilitators. Reinforcement, exercise program modification, and education were recurring boosting strategies, despite being infrequent barriers or facilitators. Conclusion A diversity of barriers to and facilitators of exercise therapy for youth with musculoskeletal conditions were identified. Efforts to link adherence-boosting strategies to an individual's needs should be considered. Making exercise enjoyable, social, and convenient may be important to maximizing adherence in this population. J Orthop Sports Phys Ther 2020;50(9):503–515. Epub 1 Aug 2020. doi:10.2519/jospt.2020.9715
Clinical Presentation, Cardiac Magnetic Resonance Findings, and Prognosis of Patients with Arrhythmogenic Right Ventricular Cardiomyopathy – An Experience from Pakistan
Authors: Ahmed Intisar , Tipoo Fateh Ali 
Published: August 2020

Objectives:
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is an inherited heart-muscle disease, characterized by fibro-fatty replacement and ventricular arrhythmias, that primarily affects the right ventricle (RV). We aimed to look at the clinical presentation, cardiac magnetic resonance (CMR) imaging findings and prognosis of patients with ARVC in Pakistan.

Material and Methods:
It is a retrospective observational study, 17 consecutive patients with CMR and other findings consistent with ARVC, were enrolled from 2010 to 2019 at a single center.

Results:
Out of 17 patients, 12 (70.6%) were male with a mean age of 33.5 ± 17.5 years. Family history of sudden cardiac death was present in 3 (17.7%) patients while one (5.9%) patient had family history of ARVC. Syncope was the first presenting symptom in eight (47.1%) patients. On 12 leads ECG, T wave inversion in precordial leads was found in 6 (35.4%) patients, and epsilon wave was present in only 3 (17.7%) patients. On echocardiogram, 13 (76.5%) patients had dilated RV with reduced systolic function. On CMR, majority of patients (n = 14, 82.4%) were found to have RV dilatation with regional dyskinesia and fatty infiltration, 9 (52.9%) of them had left ventricular involvement also. Follow-up was available for 14 patients (82.4%) with a mean follow-up period of 35.5 ± 19.7 months. Three (21.4%) of them died and 10 (71.4%) got admissions for heart failure during follow-up period.

Conclusion:
Arrhythmia related events are the main presenting symptoms of ARVC in this region, and left ventricular involvement in ARVC is not rare in this population. The mortality is relatively high, probably due to advanced disease at the time of presentation and less medical facilities available.
Slit-like hypertensive hydrocephalus: Report of a late, complex, and multifactorial complication in an oncologic patient
Authors: Umana Giuseppe Emmanuele , Raudino Giuseppe , Alberio Nicola , Inserra Francesco , Giovinazzo Giuseppe , Fricia Marco , Chiriatti Stefano , Nicoletti Giovanni Federico , Cicero Salvatore , Scalia Gianluca 
Published: August 2020

Background:Several sophisticated techniques and many chemotherapy drugs have improved life expectancy of oncologic patients allowing us to observe late complications which present many years after the initial treatment.Case Description:We present a unique case of a patient affected by acute lymphoblastic leukemia at the age of 6 years, treated with whole brain radiotherapy and intrathecal chemotherapy, developing meningiomatosis and leptomeningeal alterations as late complications and the interaction of these two entities caused a peculiar form of hydrocephalus without ventricular dilation. The diagnosis of pseudotumor cerebri was excluded due the postradio/chemotherapy development of meningiomatosis, not present in a previously head magnetic resonance imaging, that exerted compression to the Sylvian aqueduct causing intracranial hypertension with papillary stasis without ventricles enlargement due to brain stiffness. Moreover, a peculiar intraoperative rubbery consistency of brain parenchyma was detected strengthening this complex diagnosis.Conclusion:At the best of our knowledge, this is the first report of obstructive hydrocephalus without ventricles dilation caused by brain stiffness related to late alterations of oncologic treatments. This report could be a guide for further complex patients diagnoses and for improving treatments efficacy.
Unilateral absence of the internal carotid artery associated with anterior communicating artery aneurysms: Systematic review and a proposed management algorithm
Authors: Al-Khafaji Aktham O. , Al-Sharshahi Zahraa F. , Lee Ryan P. , Alsubaihawi1 Zahraa A. , Dolachee Ali A. , Hoz Samer S. 
Published: August 2020

Background:Absence or hypoplasia of the internal carotid artery (ICA) is a rare congenital anomaly that is mostly unilateral and highly associated with other intracranial vascular anomalies, of which saccular aneurysm is the most common. Blood flow to the circulation of the affected side is maintained by collateral pathways, some of which include the anterior communicating artery (Acom) as part of their anatomy. Therefore, temporary clipping during microsurgery on Acom aneurysms in patients with unilateral ICA anomalies could jeopardize these collaterals and place the patient at risk of ischemic damage. In this paper, we review the literature on cases with a unilaterally absent ICA associated with Acom aneurysms and provide an illustrative case.Methods:We combined our experience of one case of a unilaterally absent ICA associated with an Acom aneurysm with the 33 existing publications on the same subject in the literature, for a total of 40 cases. We provide a detailed systematic literature review of this association of vascular anomalies, exploring different aspects regarding the collateral pathways and how they impact management strategies and propose a management algorithm to deal with such association.Results:The mean age was 48.2 ± 16.5 years. The aneurysmal rupture was the most common presentation (75%). Agenesis was observed in 70% of patients, followed by hypoplasia (20%) and, finally, aplasia (10%). Lie Type A was the most common pattern of collaterals (50%), with Types B and D being of almost equal proportions. Most aneurysms were located at the A1-Acom junction contralateral to the anomalous side (Fisher’s Exact test;P= 0.03). One case of temporary clipping was reported in the literature.Conclusion:Acom aneurysms in patients with unilateral ICA anomalies, given they are more commonly present contralaterally, could be of acquired etiology, warranting periodic screening in asymptomatic patients. Temporary clipping might be safe in patients with Type D collateral pattern, while those with Types A or B may require intraoperative rupture risk assessment and a tailored management plan to avoid disrupting collateral flow and causing ischemia.
Three tesla magnetic resonance angiography with ultrashort echo time describes the arteries near the cerebral aneurysm with clip and the peripheral cerebral arteries
Authors: Katsuki Masahito , Narita Norio , Ozaki Dan , Sato Yoshimichi , Iwata Saki , Tominaga Teiji 
Published: August 2020

Background:
The assessment of the clipped cerebral aneurysm and the cerebral arteries after the treatment of subarachnoid hemorrhage (SAH) is important to find aneurysm regrowth or postoperative cerebral vasospasm. Usually, contrast-enhanced computed tomography angiography is performed for the evaluation of the arteries, but it has side effects of contrast medium. Time-of-flight magnetic resonance angiography (MRA) is a fast and non-invasive method, but clip-induced artifact limits assessment of the artery in the vicinity of the clip. 1.5T MRA with ultrashort echo time (UTE) reduces metal artifact, but the obtained image is too rough to evaluate the aneurysm remnant, and the description range is too narrow to assess the cerebral vasospasm. We routinely use SIGNA Pioneer 3.0T (GE Healthcare Life Sciences, Buckinghamshire, England) and perform SILENT SCAN with UTE-MRA for the postoperative assessment of the clipped aneurysm and cerebral arteries for SAH patients treated by clipping. It has better image quality and describes arteries with a wide description range, so it possesses the potential to overcome the disadvantages of 1.5T UTE-MRA.

Case Description:
We presented a representative SAH patient who postoperatively underwent 3.0T UTE- MRA after clipping. The artery near the clipped aneurysm was evaluated in detail, and the cerebral arteries were described from the main trunk to the peripheral parts with a wide description range, which enabled the assessment of cerebral vasospasm.

Conclusion:
3.0T UTE-MRA may be helpful for the usual assessment of the arteries after clipping and cerebral vasospasm in the future.
Das modas às tintas: representações do feminino nas publicidades da revista Anuário das Senhoras (1940-1950)
Authors: Lindsey Rodrigues Mendonça Ramona , Fabiano de Freitas Mendes Francisco 
Published: August 2020

Análise sobre representações do feminino a partir dos anúncios publicitários da revista Anuário das Senhoras (1934 a 1958). O recorte temporal deste artigo compreende os anúncios a partir dos anos de 1940. O texto é guiado pelos conceitos de moda e publi-cidade, e dialoga com as discussões com os autores: Svendsen, Habermas, Lipovetsky and Wicliams. Entendendo-se moda como conceito que abrange múltiplos significados, a análi-se dos anúncios no periódico procurou discutir sua contribuição na construção e manuten-ção dos papéis sociais pensados para a mulher na realidade urbana brasileira da época. Ve-rificou-se o esforço da publicidade em equilibrar tradição e modernidade, num movimento que abria para as mulheres as portas do consumo e do trabalho ao mesmo tempo em que reafirmava seu papel central no ambiente doméstico.
THE EFFICACY OF DASHMOOLADI CHURNA IN ESSENTIAL HYPERTENSION: A CASE STUDY
Authors: Bhange Dr. Pravin Suresh , Borakhade Dr. Vasundhara Ramdas 
Published: August 2020

Ayurveda is one of the most ancient medical sciences of the world. It describes the basic and applied aspects of life process, health, disease and its management with the sound base of principles and approaches.
21st century is a world of industrialization & fast life which has created various life style disorders. Hypertension is one of life threatening gift of today’s life, which is psychosomatic, hereditary and occurring as a result of aging. It is also called as a silent or hidden killer because most of sufferers (85%) are asymptomatic and as per available reports, in more than 94% cases of hypertension under lying cause is not found. Such patients are said to have Essential Hypertension (EHT). Hypertension is one of the leading causes of the Global burden of disease.
60 Years male patient suffering from Anidra, Shirashoola, Bhrama, Daurbalya, Klama, Krodhaprachurya since last two months. He came to our hospital for Ayurvedic treatment. With our unique herbal combination of drug, his all symptoms got controlled.
This is one single study on Dashmooladi churna to evaluate the efficiency on Essential hypertension.
THEORIES OF CHANGE IN THE PROCESS OF RURAL TRANSFORMATION: A REFINED WAY FORWARD
Authors: Rengarajan V. , Sivasubramaniyan K. 
Published: August 2020

Theory of change has been a useful evaluation tool for social science research. The interest in its use has been notable in recent years amongst international aid organisations and public authorities who make huge investment in social oriented intervention with more focus on the challenges related to gender empowerment and poverty cure in rural area. Logically, the achievement of intended change (impact) matters. In this context, the emerging question is: 'How are we getting a candid profile of change after the project implementation? The sources of data for analysis are taken from evaluation reports of Programme Evaluation Organisation, Planning Commission, Government of India.
Among the convolutions, found in the theory of change the important one is that the monitoring system does not extend beyond output level in the causal path revealing only impaired impact confining to the physical achievement vs target. This apart, there is no process monitoring of implementation and mid-course corrections. The paper suggests a slew of critical constituents for the refined theory of change which include: (a) process monitoring; (b) result based monitoring and evaluation (c) transparent outcome and the impact; and (d) human behaviour.
PENYULUHAN TENTANG MOTIVASI DAN PENGEMBANGAN USAHA PEMULA PADA JAMAAH SANTREN AL-BADRY KARANG BARU REMPUNG LOMBOK TIMUR
Authors: Hailuddin Hailuddin , Diswandi Diswandi , Suriadi Irwan , Wardah Sofiati 
Published: August 2020

Pengelolaan dan pengembangan usaha pemula dimaksudkan untuk penggalian potensi-potensi kemandirian dan pengembangan ekonomi masyarakat melalui pemberdayaan dan pengembangan ekonomi dalam pengelolaan sumber daya potensial secara berkelanjutan. Terkait dengan hal itu, penyuluhan ini bertujuan untuk memberikan motivasi, pengetahuan dan teknik dalam memulai usaha yang dijalani, baik secara individu maupun berkelompok bagi masyarakat. Dengan berlandaskan pada substansi yang dimaknai bahwa penataan dan pengembangan usaha pemula kecil berlandaskan pada ketersediaan sarana produksi lokal, pengolahan dan penataan output yang dikendalikan oleh masyarakat secara mandiri dan berkesinambungan. Subyek dari kegiatan ini adalah kelompok maupun individu para pelaku usaha dan usaha pemula Jamaah Santren Al-Badry Karang Baru Rempung Lombok Timur. Pelaksanaan kegiatan penyuluhan ini menggunakan metode diskusi, ceramah, dan ramah tamah. Hasil dari kegiatan ini adalah banyaknya hal yang diungkapkan oleh peserta dalam memulai usaha, seperti bagaimana memulai usaha, apa persiapannya, bagaimana dengan permodalan, pemasarannya kemana dan lain-lain. Karena itu tim mengajak mereka untuk membangun kemitraan usaha bersama untuk menampung permasalahan usaha yang mereka tekuni. Selanjutnya dipaparkan tentang bagaimana memulai suatu usaha dan dilanjutkan dengan penjelasan tentang pengetahuan manajemen usaha. Akhirnya harapan tim penyuluh, mereka bisa memulai usaha dengan pemahaman perencanaan usaha serta mereka termotivasi untuk mulai terjun dalam membangun suatu usaha dengan baik dan bisa berkembang.
IKLIM DAN POTENSI TEGAKAN SENGON (Falcataria moluccana) DI HUTAN RAKYAT DESA JATI BALI KABUPATEN KONAWE SELATAN
Authors: Kandari Aminuddin Mane , Kasim Safril , Mando La Ode Agus Salim , Midi La Ode , Palebangan Suhartin Triyani 
Published: August 2020

This study aims to determine the climatic conditions that occur at Sengon cultivation sites and determine the standing potential number of trees, base area, and volume of sengon stands in community plantation forests that follow the people's seed garden program. Data collection is carried out in August to November 2018. The location of this village is at the coordinates of 04° 5'12 '' - 04°3'15'' LS and 122° 24'00'' - 122° 23'00'' BT and at altitude of 108 m above sea level. The population in this study is the sengon stand with an area of 5.8 ha. The sample area is determined with an intensity of 6.2% and the area of 1 plot is 0.04 ha, so the number of plots is 9 units. The results showed that 1) climatic conditions in the study location are classified as type B climate or wet (Schmidth-Ferguson method) including the category of tropical rain forests with an average number of wet months (BB) 9.2 and dry months (BK) 1.5 with a Q value of 0.16. Average annual rainfall is 2 662.6 mm, the monthly average rainfall of the highest in May was 347.4 mm with an average number of rainy days by 22.5 days and the lowest in September was 83.0 mm with an average rainy day of 11 days, while the longest rainy day occurred in April during 22.6 days with rainfall reaching 262.1 mm and the fastest occurred in October for 10.3 days with rainfall reaching 101.7 mm. The average annual temperature is around 230C with an 320C, with the lowest monthly average of 25.3oC (August) - 28.1oC (December). This fact indicates that the climatic conditions in Jati Bali Village South Konawe District are suitable for the development of sengon plants. 2) the potential of sengon stands in the village of Jati Bali South Konawe Regency, namely the number of trees 866 btgha-1, base area of 9.76 m2ha-1, volume of stands of 94.15 m3ha-1.
The Ecotoxicological Effects of Microplastics on Primary Producers in the Marine Environment
Authors: Islam Mahibul , Hasan Mahmudul , Majudmar Bhaskar Chandra , Paul Sulav Indra 
Published: August 2020

Plastic debris is an emerging environmental threat all over the world. But its effect and distribution in the marine ecosystem is barely known. Microplastics abundance in the marine vegetated area is about 2 to 3 times higher than the bare site in the ocean. Although seagrass meadows trap huge amount of microplastics over the ocean floor, a considerable amount of microplastics are also sink incorporating with the marine aggregates from the epipelagic zone of the ocean. Scavenging of microplastics by diatom aggregation decreases the sinking rate of them rather than cryptophyte. As we know, marine snow is the leading carbon source for zoobenthos, but the ubiquitous presence of microplastics damages cell of different microalgae which may alter the food webs of marine ecosystems. Additionally, microplastics releases immense amount of dissolved organic carbons (DOC) in the surrounding seawater that stimulates the growth of heterotrophic microorganisms as well as their functional activity. Plastic debris result in outbreaks of disease in the marine environment and coral reefs are highly affected by it. When coral reef comes in contact with microplastics, the disease infestation rate of the reef increases massively. Three major disease viz., skeletal eroding band, white syndrome and black band of coral reef causes approximately 46% of reef mortality due to microplastics consumption. Due to complex structure and size, the corals accumulates huge amount of microplastics that increases growth of pathogens by hampering the coral immune system. Existing scientific evidence presents that exposure of microplastics in aquatic environments triggers a wide variety of toxic insult from feeding disruption to reproductive performance, disturbances in energy metabolism throughout the ocean. The present review focused on the ecotoxicological effect of microplastics on primary producers of ocean, its uptake, accumulation, and excretion, and its probable toxicity with risk assessment approaches.
Prevalence of Kudoa in Fish Fillets Caught in Para State
Authors: RODRIGUES Marianna Vaz , MIURA Patrícia Tidori , OLIVEIRA Jéssica Fernandes De , Correia Palha Maria das Dores , Araújo JÚNIOR João Pessoa 
Published: August 2020

Kudoa is a myxozoan that causes myoliquefaction in marine fishes. Most of species only affect fish, but a K. septempunctata outbreak was reported in 358 people. Although many species of Kudoa are known, none was described in Brachyplatystoma filamentosum, Brachyplatystoma rousseauxii, Mugil curema, Plagioscion squamosissimus or Oxydoras niger until now. Due to the economic cost of eliminating seafood presenting myxozoan lesions, this study aimed to describe lesions found at necropsy and histopathology, as well as to detect this myxozoan by molecular techniques. For this purpose, were sampled 85 fish of the following species: Brachyplatystoma filamentosum, Brachyplatystoma rousseauxii, Mugil curema, Plagioscion squamosissimus, and Oxydoras niger from Colares and Vigia, Pará, Brazil. Necropsies were carried out to describe lesions and molecular techniques (PCR and sequencing) were applied for identification. Although muscle lesions were not observed at necropsy, histopathology revealed bacterial colonies, coagulative necrosis, dystrophic calcification, eosinophils, hemorrhage, parasitic cysts, protozoan, and vacuolization. After sequencing, K. shiomitsui (GENBANK: LC128646) was identified as the causative agent of fishes infection. Also, high parasitism of this myxozoan was observed in fishes sampled, i.e., 90 % in Colares and 100% in Vigia.