bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE EFFECT OF INTERMITENT FASTING DIET ON KIDNEY FUNCTION
Authors: Ayudia Esa Indah , Harahap Huntari , Irfannuddin Irfannuddin 
Published: April 2021

Obesity is a condition in which the ratio of body weight and height exceeds the specified standards. Obesity is an increase in total body fat, that is, if you are found to be overweight> 20% in men and 25% in women because of fat. The intermittent fasting diet is a calorie restriction method that is widely used for health or weight loss reasons. Overall kidney function is based on nephron function and impaired function is caused by decreased nephron action. Several laboratory tests have been developed to evaluate kidney function and identify the disorder early on. This can help clinicians to take early prevention and management in order to prevent the progression of kidney disorders to kidney failure. Renal function tests are carried out by examining the levels of urea and cretinin.
The hero and the shadow: Myths in digital social movements
Authors: Miller Toby , Aladro-Vico Eva , Requeijo-Rey Paula 
Published: April 2021

The general subject of this analysis is the presence of myths on social media, a heritage of the previous century’s mass culture, and in particular, for social movements. Social movements within networked communication are particularly endowed with mythologies, which draw on mass culture and on societies’ archetypal and psychological backgrounds. This fact justifies the hypothesis that the most effective and popular social movements resort to deeper mythological forms. The specific objective is to describe concrete myths in the language of digital social movements and to review the aspects of mythology in the scholarly literature on mythology from four fields. After tracing contents and impact, a qualitative analysis, focused on two examples justified by their digital origin, is performed: the “Anonymous” movement and “Je Suis Charlie” social mobilisation. Results show the persistence of two mythological motives: the profound hero’s monomyth, playing an essential identifying role, channelled through social networks, with hashtags as slogans, and the related myth of the shadow, the dark, “Anonymous” and hybrid identity. Connections and analogies with other recent examples are discussed ?such as the “Me Too” and “Black Lives Matter” cases?. The conclusion is the clear connection between these two myths and the communicative strength of social movements transmitted through social networks.
El tema general de este análisis es la presencia de los mitos en las redes sociales, herencia de la cultura de masas del siglo anterior y en particular, en los movimientos sociales. Los movimientos sociales en las redes digitales se dotan de mitologías, sean retomadas del siglo anterior sean formas del fondo arquetípico y psicológico intemporal. Esta presencia justifica la hipótesis sobre si los movimientos más eficaces y populares recurren a formas mitológicas más profundas. El objetivo específico es describir mitos concretos que aparezcan en el lenguaje de los movimientos sociales específicamente digitales. Se revisan los rasgos de los mitos de acuerdo con los autores más prestigiosos de cuatro ámbitos científicos. Se extraen del rastreo de contenido e impacto dos ejemplos de origen digital: el movimiento «Anonymous» y la movilización social «Je Suis Charlie». Aplicando análisis heurístico, los resultados muestran la persistencia de dos motivos mitológicos muy concretos: el profundo monomito del héroe, que cumple un papel crucial identificativo en las canalizaciones mediante redes como Twitter, a partir del uso específico de los hashtags como eslóganes, y el mito asociado de la sombra, la identidad anónima, híbrida y oscura. Se presentan las funciones y analogías en otros movimientos recientes –como «Me Too» y «Black Lives Matter»–. Se concluye la conexión entre estos mitos y la fuerza comunicativa de los movimientos sociales que se transmiten en las redes.
Myths in visual environmental activism narratives on Instagram
Authors: Ardèvol Elisenda , Martorell Sandra , San-Cornelio Gemma 
Published: April 2021

Images are part of the communication strategies of both the hegemonic powers and political activism. Images have recently been the focus of studies on social movements, highlighting the importance of visual activism in social media. However, the relationship between these visual narratives and mythological structures and how they operate to mobilize social change has not been significantly explored. This study analyses the role of environmental activism memes on social media and how, in anthropological terms, they can be understood as myths or narratives that offer a model for perceiving, understanding, judging and acting in the world. We draw from ongoing research into eco-influencers on Instagram, taking environmental memes characterized by binary oppositions of “before” and “after” as the study subject. This contrast establishes a temporal narrative and future prediction, involving a cause-and-effect relationship and a moral judgement of our actions. We argue that, in the case of the environmental meme, the myth-based approach helps in understanding its role in articulating the cosmic, social and personal orders as it brings human action into harmony with the cosmic order while projecting its images onto the human experience.
Las imágenes forman parte de las estrategias y prácticas comunicativas de los poderes hegemónicos y del activismo político. Recientemente se ha incorporado la imagen al estudio de los movimientos sociales, destacando la importancia del activismo visual en las redes sociales y sus nuevas formas narrativas. Sin embargo, se ha explorado con menor profundidad la relación entre estas narrativas visuales y las estructuras mitológicas y cómo operan para movilizar al cambio social. En este artículo analizaremos el papel de las imágenes meméticas en el activismo medioambiental en las redes sociales y cómo podemos entenderlas desde una perspectiva antropológica como mitos o narraciones que proponen un modelo para percibir, comprender, juzgar y actuar en el mundo. Nos basaremos en una investigación en curso sobre los «eco-influencers» en Instagram, tomando como objeto de análisis memes medioambientales caracterizados por plantear oposiciones binarias entre un «antes» y un «después». Este contraste establece una narrativa temporal y una proyección de futuro, que conlleva una relación de causa y efecto y una valoración moral de nuestra acción en el mundo. Argumentaremos que, en el caso del meme medioambiental, la aproximación desde el mito nos ayuda a comprender su agencia en la articulación del orden cósmico, social y personal en cuanto armoniza las acciones humanas con un orden cósmico a la vez que proyecta imágenes del orden cósmico al plano de la experiencia humana.
Drivers for the development of computational thinking in Costa Rican students
Authors: Picado-Arce Karol , Matarrita-Muñoz Stefani , Núñez-Sosa Olmer , Zúñiga-Céspedes Magaly 
Published: April 2021

This study provides evidence about factors that facilitate the development of computational thinking (CT) in Costa Rican elementary school students, including the description of the contribution of the LIE++ proposal that addresses CT knowledge and practices through programming and physical computing projects. A quasi-experimental design was used to compare a group of students from the LIE++ educational proposal with a group of students from another proposal called LIE-Guides, which emphasizes learning with digital technologies. The study sample comprised 14,795 voluntary students, who answered an online test that was constructed and validated to estimate the scores achieved in CT. The results showed that the students participating in the LIE++ proposal obtained better scores compared to the LIE-Guides group. A multilevel regression model demonstrated that students’ personal and social variables, as well as the proposal’s execution scheme, positively affected student learning in CT. This research is a first approach to the subject in this context. It refers to the importance of providing educational opportunities that focus on more advanced computing knowledge and skills, as well as the relevance of continuing to develop tools and methodologies that help generate evidence about CT in education in order to improve educational interventions.
Este estudio proporciona evidencia sobre factores que facilitan el desarrollo del pensamiento computacional (PC) en estudiantes costarricenses de primaria, incluyendo el aporte de la propuesta de LIE++ que aborda conocimientos y prácticas del PC mediante proyectos de programación y computación física. Se utilizó un diseño cuasiexperimental para comparar un grupo de estudiantes de LIE++ con un grupo de estudiantes de otra propuesta llamada LIE-Guías que enfatiza aprendizajes con tecnologías digitales. En el estudio participaron 14.795 estudiantes, respondiendo voluntariamente una prueba en línea que se construyó y validó para estimar los puntajes alcanzados en PC. Los resultados mostraron que los estudiantes participantes de LIE++ obtuvieron mejores puntajes en comparación con el grupo de LIE-Guías y mediante un modelo de regresión multinivel se identificaron que variables personales y sociales de los estudiantes y de la misma ejecución de la propuesta inciden en el favorecimiento de estos aprendizajes. Esta investigación es un primer acercamiento al tema en este contexto, que se refiere a la importancia de brindar oportunidades educativas que apunten a conocimientos y habilidades más avanzadas de la computación, así como a la relevancia de seguir desarrollando herramientas y metodologías que ayuden a generar evidencias sobre el PC en el ámbito educativo y así mejorar las intervenciones educativas.
L’art d’être grand-mère
Authors: Mignon Pascale 
Published: April 2021

Devenir grand-mère, et la vie en est bouleversée une fois encore. Son regard se modifie non seulement sur une œuvre d’art admirée dans un musée, mais aussi sur le monde qui l’entoure auquel participent activement ses petits-enfants. Y a-t-il pour autant un avant et un après ? Le temps perd ses limites, le corps affirme les siennes. Un espace singulier inscrit par celui d’une génération de différence se dessine entre elle et chacun d’eux, la parole y garde toute sa part. Deux écueils sont possibles quand les limites chancellent, mais n’offrent-elles pas aussi une prise de risque : celui de s’aventurer sur le chemin de nouvelles trouvailles pour exprimer le plaisir qui dure et la fragilité de la vie ? De la transmission à l’œuvre.
Transient Ischemic Attack (TIA) Incidence with Geographic Information Systems (GIS) Mapping for Stroke Prevention Interventions
Authors: Felix Cynthia , Kaur Paramdeep , Sebastian Ivy A. , Singh Gagandeep , Singla Monika , Singh Shavinder , Samuel Clarence J. , Verma Shweta J. , Pandian Jeyaraj D. 
Published: April 2021

Objectives:
GIS mapping as a public health tool has been increasingly applied to chronic disease control. While evaluating TIA incidence from an existing regional stroke registry in Ludhiana city, India, we aim to apply the innovative concept of regional TIA GIS mapping for planning targeted stroke prevention interventions.

Methods:
TIA patient data was obtained from hospitals, scan centers and general practitioners from March 2010 to March 2013 using WHO-Stroke STEPS based surveillance as part of establishing a population-based stroke registry in Ludhiana city. From this registry, patients with TIA (diagnosed by MRI image-based stroke rule-out, or clinically) were chosen and data analyzed.

Results:
A total of 138 TIA patients were included in the final analysis. The annual TIA incidence rate for Ludhiana city was 7.13/100,000 (95% confidence interval: 5.52 to 8.74) for 2012-2013. Mean age was 58.5 ± 13.9 years (range: 22-88 years) and 87 (63%) were men. Majority of the TIA cases had anterior circulation TIAs. Hypertension (87.4%) was the most common risk factor. Using Geographic Information System (GIS) mapping, high TIA incidence was seen in central, western, and southern parts and clustering of TIA cumulative incidence was seen in the central part of Ludhiana city.

Conclusion:
Incidence rate of TIA was lower than that expected from a low- and middle-income country (LMIC). TIA GIS mapping, looking at regional localization, can be a novel option for developing targeted, cost-effective stroke prevention programs.
Effect of transcutaneous electrical nerve stimulation on quality of recovery and pain after abdominal hysterectomy
Authors: Karaman Serkan , Karaman Tuğba , Deveci Hulya , Ozsoy Asker Z. , Delibas Ilhan B. 
Published: April 2021

Background and Aims:
Transcutaneous electrical nerve stimulation (TENS) is a noninvasive complementary therapy for postoperative pain management. The effect of TENS on quality of recovery (QoR) and pain treatment in the early postoperative period is not well documented. The aim of this study was to evaluate the effect of TENS on postoperative QoR and pain in patients who had undergone a total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAH + BSO).

Material and Methods:
Fifty-two patients were randomized into two groups: control (sham TENS treatment) and TENS (TENS treatment). QoR, dynamic pain, and static pain were evaluated after surgery.

Results:
The QoR score was significantly higher in the TENS group as compared with that in the control group (P = 0.029). Pain scores during coughing (dynamic pain) were significantly less in TENS group compared to control group (P <0.001). However, there was no between-group difference in pain scores at rest (static pain) or total analgesic consumption (P = 0.63 or P = 0.83, respectively).

Conclusion:
TENS may be a valuable tool to improve patients' QoR and dynamic pain scores after TAH + BSO.
Evaluation of the accuracy of vibration sense with VibraTip™ as a tool to determine the level of anesthesia following subarachnoid block and its correlation with the pinprick sensation
Authors: Dhana Lakshmi Sangineni Kalyani Surya , Ramakrishna C Kasavanesi , SatyaSree Dasari , Prakash P Vangala 
Published: April 2021

Background and Aims:
Assessment of level of anesthesia after subarachnoid block (SAB) is essential. We aimed to evaluate the efficacy of vibration sense as a criteria to determine the level of surgical anesthesia.

Method and Materials:
The study included patients, scheduled for various surgeries under SAB. The baseline values of vibration sense perception using VibraTip™, motor power using the modified Bromage scale, and sensory block by pinprick method were recorded preoperatively and at 5 and 7 min after administration of SAB. The correlation between vibration sense, loss of pinprick sensation, and level of anesthesia were assessed.

Results:
The concordance correlation coefficient between the pinprick and vibration sense at 5 min and 7 min showed poor strength of agreement with Pearson ρ (precision) being 0.4192 at 5 min and 0.4701 at 7 min.

Conclusion:
Vibration sense serves as a reliable indicator to assess the level of surgical anesthesia following SAB. Vibration sense testing with VibraTip™along with motor power assessment can be used as a tool for assessment of level of block. There is a poor correlation between level of vibration sense and pinprick.
Effect of intracuff dexamethasone on incidence and severity of post operative sore -Prospective randomized study
Authors: Rajan Sunil , Narayani Naina , Paul Jerry , Kumar Lakshmi 
Published: April 2021

Background and Aims:
Postoperative sore throat (POST) continues to be a common concern following endotracheal intubation. Objectives of the present study were to compare the effects of intracuff dexamethasone on the incidence and severity of POST, postoperative hoarseness of voice (POHV) and cough (POC).

Material and Methods:
This prospective, randomized, double blinded study was conducted in 60 patients undergoing short laparoscopic surgery lasting <2 h. Patients were randomly allocated into Group A and B. After intubation, endotracheal tube (ETT) cuffs were filled with saline in group A and with 0.1 mg/kg dexamethasone in group B. All patients received general anesthesia as per a standardized protocol. Incidence and severity of POST, POC, and POHV were assessed.

Results:
As compared to group A, the number of patients who had sore throat was significantly low in group B at 2, 6, 12, and 24 h (P < 0.001). Though more number of patients in group A had postop cough at all time points and postop hoarseness of voice at 2,6, and 12 h, the difference was statistically significant only at 2 h and 6 h for both. Severity as well as the incidence of POST, POC, and POHV showed a downward trend in both groups with time. In group B, no patient had POST after 12 h, POC after 6 h, and none complained of POHV in the postoperative period.

Conclusion:
Intracuff dexamethasone 0.1 mg/kg significantly reduces incidence and severity of POST, POC, and POHV which occur following general anesthesia with endotracheal intubation in patients undergoing short pelvic laparoscopic procedures lasting <2 h.
A survey of cardiopulmonary resuscitation in COVID-19 patients
Authors: Kapoor Mukul C. , Rao SSC Chakra , Dewan Rasesh , Böttiger Bernd W. 
Published: April 2021

Background and Aims:
The novel coronavirus 2 (SARS-CoV-2) pandemic has placed severe resource constraints on hospitals. High mortality rates of the COVID-19 have overwhelmed the resuscitation services. The constant fear of virus infection during cardiopulmonary resuscitation (CPR) has placed severe restrictions on the resuscitation services. Reports of poor outcomes after CPR further dampened the spirits of CPR providers. Hence we surveyed CPR practices for COVID -19 patients across hospitals in India by health care providers.

Material and Methods:
An online survey using Google Forms was initiated to collect data on performance of CPR in diagnosed cases of COVID-19 after in-hospital cardiac arrest. The survey's web-link was publicized using social media, and participation sought of all personnel involved in CPR delivery in COVID-19 patients. The responses received were analyzed. The main outcome measured were determination of the percentage of COVID-19 patients discharged home who were administered CPR.

Results:
There were 248 responses from different parts of India. At the time of cardiac arrest, 194 victims had diffuse lung infiltrates, 22 had mild lung disease, while 32 had no documented lung lesion. Twenty-five victims had evidence of pulmonary embolism, 39 had cardiac involvement, and 3 had brain involvement. Return of spontaneous circulation (ROSC) was achieved in 59.27% of cases but ROSC sustained in only 22.59%. 7.25% of patients, who received CPR, could be discharged home.

Conclusion:
The survey has shown reasonable survival rates after CPR administration in COVID-19 patients suffering from IHCA. We should not ignore the need to maximize live outcomes after CPR, even in COVID-19 patients.
Effect of oral gabapentin premedication on hemodynamic parameters and postoperative pain in patients of laparoscopic cholecystectomy
Authors: Jain Richa , Kumar Mahendra , Singh Tanveer , Rautela R. S. , Kumar S. 
Published: April 2021

Background and Aims:
Carbon dioxide (CO2) pneumoperitoneum created during laparoscopic cholecystectomy causes adverse hemodynamic changes such as rise in arterial pressure. The aim of this study was to assess the effect of oral gabapentin premedication on hemodynamic parameters in addition to postoperative nausea and vomiting (PONV) and pain in patients of laparoscopic cholecystectomy conducted under general anesthesia.

Material and Methods:
Randomly selected 60 American Society of Anesthesiologists (ASA) class I patients scheduled for laparoscopic cholecystectomy were premedicated with either gabapentin 1200 mg (Group GB) or placebo (Group PL) 2 h prior to induction of anesthesia. Anesthesia was induced with fentanyl, propofol, and vecuronium; and maintained with oxygen (33%), nitrous oxide (66%), and isoflurane (1%) with controlled ventilation. Hemodynamic parameters were recorded at various time intervals intraoperatively and during pneumoperitoneum every 10 min till 50 min. Postoperatively visual analog score (VAS) for pain, incidence of PONV, and sedation score were recorded for 6 h. The collected data were analyzed statistically by using repeated measures analysis of variance (ANOVA), Student's t test, Chi-square test, and Mann–Whitney U test.

Results:
Changes in mean BP, systolic BP, and diastolic BP from prepneumoperitoneum values were significantly less in group GB during pneumoperitoneum (P < 0.05) with no significant change in HR in both groups (>0.05). VAS score was significantly lower in group GB. The duration of analgesia and PONV free period were significantly higher in group GB (P < 0.01).

Conclusion:
Oral gabapentin premedication may be used to control hemodynamic parameters during pneumoperitoneum in patients undergoing laparoscopic cholecystectomy.
Anesthetic management and outcomes of patients with Steven-Johnson Syndrome—A retrospective review study
Authors: Ramsali Manjula V. , Puduchira Koshy G. , Maganti Sitaram P. , Vankaylapatti Sarada Devi , Pasupuleti Surender , Kulkarni Dilipkumar 
Published: April 2021

Background and Aims:
Steven-Johnson Syndrome (SJS) is a rare and severe form of erythema exudative multiforme. Multisystem involvement in SJS and the suspicion of precipitation of the disease with exposure to anesthetic drugs makes anesthesia a challenging task. The concerns during anesthesia are the mucosal lesions and special care that is required to prevent injury to the oropharynx and larynx during airway management and also the drugs used for anesthesia. In the literature, very few isolated case reports or case series are available. Here, we have analyzed the cases of SJS coming for ophthalmic anesthesia, taking into consideration factors like mode of presentation, precipitating factors, associated diseases, types of anesthesia, anesthetic modifications, and various drugs used during anesthesia.

Material and Methods:
The electronic medical records of 497 cases of SJS who required interventions like ophthalmic examination or surgery (either under local or general anesthesia) over a period of 18 months were analyzed retrospectively. The records were reviewed to obtain the concerned details like anesthesia-inducing agents, muscle relaxants, inhalational agents, and analgesics. The problems concerned with monitoring and intubation were also noted. The data were analyzed and presented as frequency and percentage.

Results:
Patient age ranged between 9 months and 72 years. Many surgeries were conducted under general anesthesia (441) although a few required local (peribulbar block) anesthesia (56). The drugs administered for general anesthesia were sevoflurane, isoflurane, propofol, thiopentone, vecuronium, and atracurium and those administered for pain management were fentanyl, tramadol, butorphanol, and paracetamol. The patients who were sensitive to nonsteroidal anti-inflammatory drugs (NSAIDs) and paracetamol were not administered the same. None of the patients reacted adversely to the different drugs used for anesthesia.

Conclusion:
Identifying the precipitating factors, understanding the pathophysiology and its implications for anesthesia will help in successfully managing anesthesia in the rare cases of SJS.