bluuebunny/crossref_metadata_2025_split huggingface dataset:
PATTERN OF CORONARY ARTERY DISEASES IN PATIENTS UNDER 40 YEARS OF AGE WITH ACUTE CORONARY SYNDROME
Authors: Balouch Iram Jehan , Ahmed Iftikhar , Farooq Faiza , Raza Syed Ahsan , Soomro Najia Aslam , Khan Muhammd Nauman , Sial Jawaid Akbar , Karim Musa 
Published: June 2021

Objectives: To determine the pattern of coronary artery diseases (CAD) in patients under 40 years of age with acute coronary syndrome (ACS) presenting at Hyderabad Satellite Center of National Institute of Cardiovascular Disease (NICVD), Pakistan.
Methodology: This cross-sectional study was conducted at cardiology department of the NICVD, Hyderabad Satellite Center. Both male and female patients, between 18 to 40 years of age, diagnosed with acute coronary syndrome (ACS), and undergone coronary angiography were included in this study. Angiographic patterns in terms of extent of the disease (number of diseased vessels and localization of lesion) were assessed.
Results: Total of 220 young patients included. Patients were predominantly male (91.8%) with the mean age of 35.3 ± 5 years. Smoking was observed 30.5% followed by hypertension (24.5%) and positive family history of CAD (19.1%). A majority of the patients (79.1%) were diagnosed as with ST-elevation myocardial infarction (STEMI) with anterior wall myocardial infarction (MI) as the most common (57.3%) type of MI. Most of the patients (70%) had single vessel diseases (SVD) with left anterior descending artery (LAD) as the most commonly diseases vessel (53.6%). Nine (4.1%) patients had significant left main disease and 6.4% had non-obstructive CAD.
Conclusion: The common clinical presentation of ACS in younger patients is STEMI. Smoking is the commonest risk factor followed by hypertension and family history of CAD. More than 2/3rd of the young patients are expected to have single vessel diseases with LAD as the most commonly diseased vessel.
CLINICAL FINDINGS AND MATERNAL OUTCOME OF PREGNANT PATIENTS WITH VALVULAR HEART DISEASE
Authors: Sachdewani Rajkumar , Soomro Shoaibunisa , Rathi Nand Lal , Abro Kousar , Bhutto Abdul Qadir , Shaukat Faizan 
Published: June 2021

Objectives: Pregnancy is associated with significant hemodynamic changes that may aggravate valvular heart disease and increase the risk of thrombo-embolic events. Valvular heart disease accounts for approximately a quarter of the cardiac diseases complicating pregnancy and is an important cause of maternal mortality, posing many challenges in management. In this study, we have evaluated the risk factors, clinical presentation, ECG, and X-ray findings in pregnant women with valvular disorder.
Methodology: This study was conducted in cardiology unit of Ghulam Muhammad Mahar Medical College (GMMMC), Sukkur in close association with gynecology department from January 2019 to December 2019. Thirty (30) pregnant women who were diagnoses with valvular disorder based on clinical presentation were enrolled in study after informed consent.
Results: In our study the most common valvular disorder identified was mitral regurgitation in 17 (56.6%), followed by mitral stenosis in 14 (46.6%) participants. Fourteen (46.6%) pregnant women had multiple valvular disorder. The most common clinical symptom was shortness of breath (93.6%), followed by palpitation (30%). In Chest X-ray, the most common finding was cardiomegaly in 20 (66.6%) pregnant women. In ECG, the most common finding was left ventricular enlargement (36.6%), Left Axis Deviation in 11 (36.6%) followed by left atrial enlargement (30%).
Conclusion: Valvular disorders are not uncommon in pregnant women in Pakistan. Women with risk factors should be identified and should have periodically screening of symptoms to diagnosis valvular heart disease during pregnancy at early stage. Cardiologists should be involved in the management of these patients.
IN-HOSPITAL AND SHORT-TERM OUTCOMES OF ENDOVASCULAR TREATMENT IN PATIENTS WITH ACUTE THROMBOEMBOLIC OCCLUSION OF THE SUPERİOR MESENTERİC ARTERY
Authors: Can Yusuf , Kocayiğit Ibrahim , Aksoy Muhammed Necati Murat , Akın Emrah , Kamburoglu Muhammed Burak , Kılıc Harun , Akdemir Ramazan 
Published: June 2021

Objectives: To investigate the outcome of endovascular treatment in acute thromboembolic occlusion of the superior mesenteric artery.
Methodology: Eighteen consecutive patients who underwent endovascular treatment in acute thromboembolic occlusion of the superior mesenteric artery from January 2013 to September 2019 were included in the study. Thirty-day mortality, avoidance of laparotomy, angiographic success, length of hospital stay and complication rates were assessed.
Results: The patients were 46 to 87 (70.5 ± 13.0) year-old, and 9 (50%) were male. In our study, 30-day mortality rate was 33.3%. The remaining patients were discharged uneventfully. Our complete and partial success rates was 61.1% and 38.9% respectively on angiographic assessment. The mean length of hospital stay was 7.8 ± 5.0 days in the remaining patients. Short bowel syndrome, respiratory failure requiring mechanical ventilation support or renal failure requiring dialysis were not observed in remaining patients. Laparotomy was needed for eight patients after endovascular treatment.
Conclusion: The data showed that endovascular treatment is a technically feasible, effective and reliable alternative treatment method in a selected group of patients with acute thromboembolic occlusion of the superior mesenteric artery.
PULMONARY ARTERY ANEURYSM- IDIOPATHIC
Authors: Hameed Imran 
Published: June 2021

SUMMARY
A 28-years old female presented with complaints of palpitations and mild retrosternal chest pain. CXR showed a prominent Pulmonary artery. A TTE study revealed a huge main pulmonary artery whereas the branches were of normal size. CT angio revealed aneurysmal main Pulmonary artery and normal sized branches. No concomitant etiology was noted, hence labelled as “idiopathic pulmonary artery aneurysm”.
CASE DESCRIPTION
A 28-year-old female presented with retrosternal chest pain and palpitations for the last six months. Multiple systolic clicks and murmur III/VI heard in the pulmonary area. ECG was unremarkable. Chest X-Ray showed no cardiomegaly and a prominent pulmonary artery. Transthoracic echocardiography showed aneurysmally dilated main pulmonary artery (size: 5.7cm). Pulmonary valve was thickened with mild regurgitation. CT angiogram demonstrated dilated main pulmonary artery (axial dimension: 5.8cm) with normal-sized branches (Figure1). Immunological workup was negative. She was advised surgical intervention which she agreed to pursue soon at a tertiary care hospital near her hometown.
LEARNING POINTS

Pulmonary artery aneurysm has an incidence of 1 in 14,000, (based on 109,571 autopsies).1
The maximum normal diameter of MPA is 29mm in males and 27 mm in females. For interlobar branches the maximum size it 17 mm.2 If the size exceeds 4 cm it is “aneurysmal” which may be true of false.
PAA could be congenital due to Eisenmenger’ syndrome, Pulmonary valve stenosis and absent pulmonary valve syndrome. Connective tissue disorders (Marfan’s syndrome, alpha-1 antitrypsin deficiency and Ehlers-Danlos syndrome) and autoimmune disorders (Behcet’s disease and Hughes-Stovin syndrome).3
Acquired causes include PAH, auto-immune disease (vasculitis), trauma infections, malignancy and idiopathic.
For intervention no consensus of opinion is available. However expert opinion recommends it when the patient becomes symptomatic or pulmonary artery diameter exceeds 5 cm to 6 cm.

QUESTIONS WITH ANSWERS

Question 1: Is there any difference in the measurement of PA size by echocardiography and CT?
Question 2: What is the usual site of dissection in PAA?
Question 3: In Pulmonary arterial tree what is the most frequent site of aneurysm?
Question 4: Some cases of pulmonary artery aneurysms can be managed medically- Y/N?
Question 5: The technique of choice for diagnosing PA aneurysm is pulmonary angiography or CT angiogram?

Answers

Question 1: Yes
Question 2: Main PA
Question 3: Right lobar artery
Question 4: Yes
Question 5: CT angiogram

References

Deterling RA Jr and Clagett OT. Aneurysm of the pulmonary artery; review of the literature and report of a case. Am Heart J. 1947;34:471-99.
Truong QA, Massaro JM, Rogers IS, Mahabadi AA, Kriegel MF, Fox CS. Reference values for normal pulmonary artery dimensions by noncontrast cardiac computed tomography: The Framingham Heart Study. Circ Cardiovasc Imaging 2012;5:147-54.
Agarwal S, Chowdhury UK, Saxena A, Ray R, Sharma S, Airan B. Isolated idiopathic pulmonary artery aneurysm. Asian Cardiovasc Thorac Ann. 2002;10(2):167-9.
Fatores associados a complicações respiratórias e não respiratórias em pacientes obesos candidatos à cirurgia bariátrica
Authors: Aparecida Silveira Almeida Edna , de Souza Santos Bozi Larissa , Miranda de Paula Ferreira Raissa , Lizardo Juliana Hott de Fúcio , Lourenço Wittmer Verônica 
Published: June 2021

Introdução: A cirurgia bariátrica é uma opção eficaz de tratamento amplamente utilizada para graus avançados de obesidade. É essencial conhecer o perfil e características clínicas dos pacientes e identificar fatores associados a complicações pós-operatórias. Objetivos: Descrever o perfil dos pacientes submetidos à cirurgia bariátrica em um Hospital Escola no Município de Vitória-ES/Brasil, caracterizar a amostra, descrever as principais complicações no período pós-operatório e os fatores associados a elas. Métodos: Estudo descritivo transversal, com indivíduos submetidos à cirurgia bariátrica. Dados sociodemográficos e clínicos relacionados ao pré e pós-cirúrgico foram coletados dos prontuários físicos. Resultados e conclusão: Foram analisados 181 prontuários de pacientes submetidos à cirurgia bariátrica entre janeiro de 2014 a janeiro de 2016. Houve predomínio do sexo feminino (91,2%), pardos (53,6%), com uma média de idade de 42,4±10,7 anos. A comorbidade prevalente foi a hipertensão arterial sistêmica (67,4%) seguida de gastrite (66,3%). A via de acesso aberta (não laparoscópica) e a presença de maior número de comorbidades pré-operatórias apresentou uma associação positiva com a incidência de complicações no pós-operatório. Não foram encontradas associações entre via de acesso e as variáveis: tempo de internação e frequência de uso de cateter de O2 no pós-operatório. A realização de fisioterapia pré-operatória e o valor do IMC não apresentaram associação com: número de complicações respiratórias e não respiratórias, tempo de internação e uso de cateter O2. A identificação de fatores associados com a maior incidência de complicações pós-operatórias é de suma importância para a busca de estratégias que minimizem o risco de pacientes cirúrgicos.
Frequency of occurrence of genetic polymorphisms associated with sports success in elite athletes in team sports
Authors: Sorokina E. Yu. , Denisova N. N. , Keshabyants E. E. 
Published: June 2021

Objective: to evaluate the frequency of occurrence of polymorphisms rs1815739 (ACTN3 gene), rs2016520 (PPARD gene), rs1042713 (ADRB2 gene), rs1799945 (HFE gene) in athletes of high­performance sports.Materials and methods: genotyping was performed using allele­specific amplification with real­time detection of the results and using TaqMan probes.Results: a higher frequency of alleles associated with endurance was found: the t allele of the rs1815739 polymorphism (ACTN3 gene), the g allele of the rs2016520 polymorphism (PPARD gene), the g allele of the rs1042713 polymorphism (ADRB2 gene), and the g allele of the rs1799945 polymorphism (HFE gene) in athletes of game sports.Conclusion: the results of genotyping of polymorphisms associated with endurance in the examined athletes showed a higher frequency of occurrence than in the population as a whole.
Frequency and structure of endocrine diseases in young elite athletes
Authors: Okorokov P. L. , Aksenova N. V. , Babaeva E. V. , Zyabkin I. V. , Afanasyev A. N. 
Published: June 2021

There is no data on the prevalence of endocrine disorders in young elite athletes in Russia.Objective: to assess the prevalence of endocrine pathologies and their structure in children and adolescents involved in elite sport.Materials and methods: the study included data from outpatient records of members of national sports teams, who underwent special medical examination. The data of a random sample of 1081 outpatient cards of young athletes, for 26 sports, were analyzed.Results: we found a high prevalence of endocrine pathology (18.6 %) in children and adolescents involved in high-performance sports. Thyroid diseases are most the most frequent in young athletes (in 57.3 % of cases). On second place is obesity (12.3 %). The frequency of weight deficiency and short stature is 8.4 % each. Autoimmune thyroiditis occupies a leading place in the structure of thyroid pathology in young elite athletes. Subclinical hypothyroidism takes the second place, and nodular goiter — the third place.Conclusion: young elite athletes are characterized by a high frequency of endocrine pathology, the leading place in which is occupied by thyroid diseases. It is necessary to further studies aimed at assessing the mechanisms of hormonal adaptation in elite young athletes to assess their impact on the development of the child and the correct interpretation of the hormonal profile obtained during a special medical examination.
The Islamic Moderation And The Prevention Of Radicalism And Religious Extremism In Indonesia
Authors: Dodego Subhan Hi. Ali , Witro Doli 
Published: June 2021

Radical and extremist groups’ actions are totally opposite to the Islamic teachings. In warding off the radical movements and terrorism, an open concept of inclusive religious understandings are needed. This concept is known as religious moderation. This study aims to explore efforts in reducing the massive movement of radicalism and intolerance in the frame of basic religious practices. This qualitative study relies upon the literature research where data reduction, data presentation, and concluding are employed. The results showed that Islamic moderation is reflected in the moderate attitudes. Religious moderation stems from tolerance, peace, and harmony within a multi-religious society.
Kelompok radikalisme dan ektrimisme telah melakukan tindakan yang sangat bertentangan dengan ajaran Islam. Oleh karena itu, untuk menangkal gerakan radikal dan terorisme diperlukan sebuah konsep beragama yang bersifat terbuka (inklusif). Konsep beragama yang inklusif ini disebut dengan moderasi beragama. Penelitian ini bertujuan untuk meredam dan meminimalisir masifnya gerakan radikalisme dan intoleransi maka dibutuhkan konsep beragama yang sederhana, tidak kaku dan mudah dipahami oleh masyarakat umum. Penelitian ini merupakan penelitian kualitatif yang bersifat penelitian pustaka. Penulis menggunakan metode analisis data yaitu reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan moderasi Islam atau moderasi beragama merupakan sikap hidup yang berada di tengah, tidak condong ke kiri, kanan, ke depan dan ke belakang, tetapi berada di tengah dalam melihat dan menyelesaikan sebuah persoalan. Akhirnya, muara dari moderasi beragama yaitu menciptakan suasana yang toleran, damai dan harmonis di tengah kehidupan yang serba multiagama dan multikultural.
Islamic Acculturation In The Ancestors’ Legacy Of Nanga Suhaid Village, West Kalimantan
Authors: Suprianto Bibi 
Published: June 2021

This paper attemps to describe how Islamic acculturation was formed in the tradition of Nanga Suhaid Village, West Kalimantan. This paper shed light on community activities in relation to religious interactions, especially in the inner part of the West Kalimantan region, namely Suhaid Sub-district Nanga Suhaid village, Kapuas Hulu district. This study utilized observation, interview, and documentation for data collection through the lens of an anthropological perspective. The results of the study showed: 1) practice of the tradition in the Suhaid village that has long been carried out is a means to maintain the existing traditions. 2) the expression of Islamic Da’wah values could be seen from "buang-buang", plain flour, circumcision, customary law, fruit and da’wah values. 3) The tradition of maintained tolerance within the community to create peace and harmony in the community.
Makalah ini berupaya mendeskripsikan akulturasi Islam pada tradisi nenek moyang di desa Nanga Suhaid, Kalimantan Barat. Makalah ini berfokus pada kegiatan-kegiatan masyarakat dan interaksi agama yang saling mendukung khususnya daerah pendalaman kepulauan Kalimantan Barat kecematan Suhaid, desa Nanga Suhaid kabupaten Kapuas Hulu. Penelitian ini menggunakan metode wawancara, observasi dan dokumentasi serta pendekatan antropologis pada masyarakat. Hasil penelitian 1) penerapan tentang tradisi-tradisi desa Suhaid yang telah dilaksanakan sebagai gambaran budaya setempat untuk mempertahankan tradisi yang telah ada. 2) mengambil nilai-nilai dakwah Islam yang ada pada tradisi seperti buang-buang, tepung tawar, sunatan/ khitanan, hukum adat, beruah dan nilai-nilai dakwah. 3) Akulturasi Islam pada tradisi nenek moyang yang selalu menjaga toleransi sesama agar terciptanya kedamaian dan ketentraman pada masyarakat.
Brief Motivational Interviewing Training for Outreach in School Health Programming
Authors: DeShaw Kathryn J. , Ellingson Laura D. , Liechty Laura , McLoughlin Gabriella M. , Welk Gregory J. 
Published: June 2021

This study assessed a brief 6-week motivational interviewing (MI) training program for extension field specialists (EFS) involved in supporting a statewide school wellness initiative called SWITCH. A total of 16EFS were instructed in MI principles to support the programming and half (n = 8) volunteered to participate in the hybrid (online and in-person) MI training program. Phone calls between EFS and school staff involved in SWITCH were recorded and coded using the Motivational Interviewing Treatment Integrity (MITI) system to capture data on utilization of MI principles. Differences in MI utilization between the trained (n=8) and untrained (n=8) EFS were evaluated using Cohen’s d effect sizes. Results revealed large differences for technical global scores (d=1.5) and moderate effect sizes for relational global components (d=0.76) between the two groups. This naturalistic, quasi-experimental study indicates a brief MI training protocol is effective for teaching the spirit and relational components of MI to EFS.
Geografia e direitos humanos: uma reflexão em tempo de pandemia Covid-19
Authors: Santos Alberto Pereira dos 
Published: June 2021

Como a Geografia contribuiu, contribui e/ou pode contribuir para os avanços (e/ou para os recuos) do processo histórico de construção de uma cultura de respeito à dignidade humana? O objetivo deste sucinto artigo é responder a essa questão, como parte da proposta deste dossiê que almeja a reflexão acerca de como cada ciência, neste caso a Geografia, dialoga com os direitos humanos, no contexto deste tempo de pandemia da Covid-19. Nosso caminho ou método principal é o diálogo teórico com alguns geógrafos/as brasileiros e internacionais, que suscitam a aproximação com aspectos da temática deste escrito. As preocupações com os direitos humanos estão dispersas na Geografia, ou em obras de diversos geógrafos. O ensino de Geografia é um dos instrumentos para a democratização dos direitos humanos em todos os níveis de escolaridade, especialmente na Educação Básica.

Geography and human rights: a reflection in time of the pandemic Covid-19
How did Geography contribute, contribute and / or can contribute to the advances (and / or setbacks) of the historical process of building a culture of respect for human dignity? The purpose of this succinct article is to answer this question, as part of the proposal of this Dossier that aims to reflect on how each science, in this case Geography, dialogues with Human Rights, in the context of this time of the Covid-19 pandemic. Our main path or method is the theoretical dialogue with some Brazilian and international geographers, who bring us closer to aspects of the theme of this writing. Concerns about Human Rights are dispersed in Geography, or in the works of several geographers. The teaching of Geography is one of the instruments for the democratization of Human Rights at all levels of education, especially in Basic Education.
Keywords: Geography. Human Rights. Teaching Geography. Geoethics.
Reescrever a história para a dignidade humana
Authors: Vieira Rosângela de Lima 
Published: June 2021

A proposta do artigo consiste inicialmente em refletir sobre as transformações pelas quais passou a história enquanto área do conhecimento e como seu processo de ampliação do objeto de estudo, do conceito de sujeito histórico e das múltiplas temporalidades transformou nossa percepção de ação pedagógica. Em seguida utilizamos essas novas posturas da Nova História, e nela o legado de Fernand Braudel, para pensar a contribuição da área de história na construção da dignidade humana. Ilustramos nossa argumentação com duas estruturas históricas de longa duração: o machismo e o racismo. Assim, foi possível apontar, para a dignidade humana, a condição de sujeito histórico individual e coletivamente consciente das possibilidades de mudanças e permanências históricas.

Rewriting history for the human dignity
The proposed article consists initially in reflecting on the transformations in which history, as an area of knowledge, went through and how its object of study ampliation process, from concept of historical subject and the multiple temporalities transformed our perception in pedagogic action. Next we utilize these new postures of New History, and in it the legacy of Fernand Braudel, to think the contribution of the area of history in the construction of human dignity. We illustrate our argument with two historic structures of long duration: sexism and racism. This way, was possible to point, for human dignity, the condition of individual historic subject and collectively conscient of the possibilities of historic changes and permanences.
Keywords: New History. Historic structures. Historical subject. Sexism. Racism.
REBOISASI HUTAN MANGROVE WILAYAH PESISIR PENGABDIAN MASYARAKAT DI KELURAHAN TAMBAKAN KOTA PASURUAN
Authors: Mufidah Eva , Hastari Sri , Pudyaningsih Ratna 
Published: June 2021

Pengabdian masyarakat merupakan suatu kegiatan yang bertujuan membantu masyarakat tertentu dalam beberapa aktivitas tanpa mengharapkan imbalan dalam bentuk apapun. Secara umum program ini dirancang oleh berbagai universitas atau institut yang ada di Indonesia untuk memberikan kontribusi nyata bagi bangsa Indonesia, khususnya dalam mengembangkan kesejahteraan dan kemajuan bangsa Indonesia. Kegiatan Pengabdian Masyarakat merupakan salah satu bagian dari Tri Dharma Perguruan Tinggi. Kegiatan reboisasi ini merupakan tindakan pengabdian masyarakat yang termasuk di dalam bakti sosial. Kegiatan ini dilaksanakan dengan beberapa tahapan metode, antara lain: (1) Observasi; (2) Analisis Kebutuhan dan Permasalahan pada Objek; (3) Briefing; (4) Pelaksanaan Kegiatan; (5) Evaluasi Kegiatan.Dari kegiatan diatas, diharapkan civitas akademika yaitu dosen dan mahasiswa sebagai pelaksana kegiatan reboisasi hutan mangrove di Keluraha Tambakan mendapatkan banyak pelajaran tentang bagaimana cara menanam bibit mangrove dan melakukan penghijauan hutan dari hal kecil terlebih dahulu. Penanaman ini bertujuan untuk meningkatkan tingkat penutupan lahan yang optimal sekaligus memberikan manfaat bagi masyarakat setempat, sehingga tercipta keharmonisan antara fungsi hutan dan pemenuhan kebutuhan masyarakat sekitar hutan mangrove Kelurahan Tambakan.Keywords: pengabdian masyarakat, bakti sosial, hutan mangrove