bluuebunny/crossref_metadata_2025_split huggingface dataset:
Large Aorto-Pulmonary Window (APW) associated with severe pulmonary hypertension: A case report
Authors: Khan Abdul Wasay 
Published: January 2018

Background: APW is a rare congenital cardiac abnormality, accounting for 0.2% to 0.6% of patients. Hence the reported surgical experience is minimal. It is a communication b/w pulmonary artery (PA) and the ascending aorta (Ao), in the presence of two separate semi lunar valves. Heart failure and irreversible pulmonary hypertension are the fearsome outcomes of untreated APW. Therefore, surgical closure is the first-line curative choice. We present a case of young boy who presented late in age (his second decade of life) with severe signs and symptoms. Case Presentation: A 12-year-old male patient from Baluchistan (balochi) presented with complaints of high grade fever for one week, palpitations since 12 days, along with past history of shortness of breath. On examination patient was anemic, cyanosed with raised JVP. On precordial examination apex beat was localized at the 6th intercostal space shifted to mid-axillary line. S1 was normal but S2 was loud with prominent pulmonary component. Grade IV/VI continuous murmur was heard in the left upper sterna border. Chest X-ray showed cardiomegaly with prominent pulmonary artery (PA) and bilateral lung congestion. Echocardiography showed enlarged and hypertrophied right ventricle associated with dilated PA and a large APW was seen with severe pulmonary artery pressure (PAP) of 102 mmHg. Diagnosis of APW was confirmed on cardiac catheterization. Furthermore, cardiac CT was performed which showed type I APW with severe PH and large patent PDA (patent ductus arteriosus). Patient then underwent repair of APW associated with reactive pulmonary hypertension that had a complete repair utilizing a trans-aortic approach. PDA was also ligated during the same procedure. Patient symptoms remarkably improved with a reduction PAP (40mmHg) after surgery and at 6 weeks follow-up. Follow-up echocardiography showed complete closure of the APW, and pharmacological therapy was no longer required in the patient. Conclusion: APW should be suspected in any child, who comes with repeated chest infections and signs of congestive heart failure. It should be surgically corrected early, in order to prevent the development of obstructive pulmonary vascular disease. There is conflict of interest.
Frequency of foreign body inhalation in eight month duration admitted in Paediatric intensive care unit of Abbasi Shaheed hospital (tertiary care centre)
Authors: Mallick Ashfar Alam 
Published: January 2018

We present four cases of foreign body inhalation in eight month period (May-Dec 2016) admitted in pediatric intensive care unit (p.i.c.u) of Abassi Shaheed Hospital. Age range was eleven months to four years. Male gender was predominant among the case series. All of the cases presented with sudden onset of respiratory distress along with fever and cough. On examination all patients were febrile, tachpneic, tachycardic with subcostal and intercostal recessions. A working diagnosis of severe pneumonia was made and child was put on intravenous antibiotics and nebulizations. After 48 hours of admission, there was no improvement clinically so suspicion of foreign body was made on the basis chest of x-ray. Rigid bronchoscopy was done; foreign body peanut (1), chicken bone (1) and betel nut (2) were found. All children showed rapid improvement after removal of foreign body and were discharged soon after. Parents were counseled regarding addiction of betel nut and avoidance of foreign body inhalation in growing children. Hence we conclude that foreign body inhalation should be kept as a differential diagnosis in every child presenting with respiratory distress without improvement despite treatment. Parents should also be counseled for being vigilant around their children. There is no conflict of interest.
Long term effects of a ketogenic diet with Mav Ketofast pro supplements in obese postmenopausal women
Authors: Vranceanu Maria 
Published: January 2018

Background: The aim of this study was to determine the effects of a 24 weeks ketogenic diet with MaV Ketofast pro supplement in obese postmenopausal women. Methods: In the present study, 22 obese postmenopausal women with a body mass index greater than 35 kg/m2 and high glucose, high cholesterol and high triglycerides levels were selected. Anthropometric measurements evaluated were: height, weight, BMI, waist circumferences and FM (fat mass) baseline and after 12 weeks and 24 weeks. Total cholesterol, high density lipoprotein (HDL) cholesterol, triglycerides and fasting blood sugar were determined before and after the administration of the ketogenic diet. The bone density score before and after treatment has been evaluated. The patients ages varied from 52 to 68 years (with a mean age of 60.04 years). The average weight at the start of treatment for all patients was 105.27 kg. The initial BMI average was 39.2 kg/m2, initial FM=48.7% and waist circumference 130.04 cm. Results After 24 weeks of a ketogenic diet with MaV Ketofast pro supplement the group lost an average of 19.87 kg. Fat mass loss was 10.8% and waist circumference decreased 22.04 cm. Body mass index of the patients decreased significantly. The level of total cholesterol decreased from week 1 to week 24, HDL cholesterol levels significantly increased and the level of triglycerides decreased significantly following 24 weeks of treatment. The level of blood glucose significantly decreased. The changes in the level of bone density were not statistically significant. Conclusions: The present study demonstrates the beneficial effects of a long-term ketogenic diet in obese postmenopausal women. The KD (ketogenic diet) with Mav ketofast pro supplement significantly reduced the body weight and body mass index of the patients and increased the fat mass loss. Furthermore, it decreased the level of triglycerides, total cholesterol and blood glucose, and increased the level of HDL cholesterol. Administering a ketogenic diet for a relatively longer period of time did not produce any significant side effects in the patients. The bone density didn’t change during the ketogenic diet that means the diet it is safe and helpful for postmenopausal women.
The challenges and ethical dillema in operating CHD in developing countries
Authors: Gibali Osama Al 
Published: January 2018

Introduction: Worldwide the incidence of congenital heart diseases (CHD) is about 8 in every 1000 life born babies (1). The complexity of this group of congenital heart abnormalities are widely vary from simple with possibility to have spontaneous correction to non-operable. Interventions are not dependent only on the complexity of CHD. Associated morbidities, late presentation of simple CHD, and other factors have indispensable impact in such decision. (2), (3) In developing countries unlike developed, Operating CHD carries various challenges in limited resources (4). Objective: This presentation aims to collaborate all influences and the ethical aspect that should be considered in the decision of operating CHD in developing countries. Method: This was a case study from Sudan; where five cardiac missions were conducted in collaboration with Hamad Cardiac Center in Qatar. 200 cases underwent operations in these missions aged 3 weeks to 14 years. Results and findings: In developing countries like Sudan, where well-trained medical staff and necessary technical resources are limited, cardiac surgery becomes risky and hazardous. Other factors like cultural believes religious and ethical backgrounds to be considered, particularly when heart transplantation is decided. Late presentation of large VSD can be non-operable because of Eisenmenger syndrome. Reassuring good level of support and management in the post-operative care, in suboptimal setting, following such missions is one of the main factors to pick what level of intervention is applicable. Conclusion: In developing countries unlike developed, Operating CHD carries various challenges and ethical dilemma that have direct impact in such decision.
Exploratory study into the awareness of heart diseases among Emirati women (UAE) and their health seeking behaviour- a qualitative study
Authors: Khan Sarah 
Published: January 2018

Background: Cardiovascular diseases were the leading cause of death in women in the United Arab Emirates (UAE) in 2010. The UAE is expected to experience a tripling of heart diseases in the next two decades as risk factors for heart diseases increase. Research shows that first year survival rates of younger women suffering from a heart attack are lower than in men. Women present with a wider range of symptoms for heart diseases than men; non-recognition of atypical symptoms may explain the delay in seeking treatment and poor prognosis following heart diseases in women. No known study on awareness of heart diseases among women has been carried out in the Middle Eastern region. Methods: Social constructionist and interpretivist epistemological approaches have been considered in this qualitative study to explore the awareness of heart diseases and the health seeking behavior of Emirati women. Convenience sampling was used to recruit 41 Emirati women. Three focus groups and six in-depth semi-structured interviews were conducted to obtain data. Thematic content analysis was applied to the data following transcription and translation of recordings. Results: Emirati women had limited knowledge on heart diseases. Women were generally unaware of the atypical symptoms, commonly experienced by women however they identified most risk factors associated with heart diseases. Lack of awareness of disease severity and symptoms, sociocultural influences and distrust in the healthcare system were considered the main barriers to seeking prompt treatment. Conclusions: This study clearly identified gaps and inaccuracies in knowledge of heart diseases, which could contribute to delayed health seeking action and possibly poorer prognosis among Emirati women. Absence of initiatives to educate women on cardiovascular diseases in UAE has erroneously deemed it a less serious concern among Emirati women. The findings from this study provide clear indications of the need to increase accountability of the healthcare system and to develop culturally relevant, gender specific, age focused, heart diseases related public health awareness campaigns in UAE.
Management of tinnitus patient
Authors: Saeed Mohammed Abd Alnafia 
Published: January 2018

General tinnitus knowledge: What is tinnitus? Involuntary sound perception originating in the head Tinnitus can be caused by: Hearing loss Exposure to loud sounds Extreme stress or trauma Acoustic neuroma Injury to ears, neck or head and heart disease Neurophysiological models indicate the mechanism of tinnitus in an increase in spontaneous activity in the absence of acoustic stimuli. General notes on Tinnitus: 1- Any Tinnitus treatment must be used in connection with counseling and possible other treatment. 2- Tinnitus is a perception of involuntary sound. It must be audible to the person, it originates in the head (McFadden 1982). 3- It is most commonly referred to as ringing in the ears. 4- Produced centrally, with peripheral influences (e.g. Cochlear damage). Exact mechanism(s), or epidemiology is unknown. 5- Noise type can vary from pure tones over modulated noise to crackling sounds that varies significantly with time & Large intensity variations. 6- Not a ‘phantom’ perception for the patient, it is real 7- Tinnitus can be described in many different forms, for example: Ringing, Chirping, Clicking, Pulsating, Continuous, Sudden A-Geriatric tinnitus Presby tinnitus, defined as tinnitus that accompanies the progressive hearing loss of presbycusis; is classified as: type 1 (normal aging affecting the cochlea), and type II (preexistent sensorineural hearing loss accompanied by multiple systemic complaints, especially of sensory ones). B-Pediatric tinnitus has an incidence of 13% in children who passed an audio metric screening test, and 23-60% in those with hearing loss, 44% in secretory otitis media, but only 3% complain spontaneously because that the child considers tinnitus to be a normal event. There is no significant difference between children with tinnitus and those without in terms of hearing level, age, gender, or etiology of the deafness. Despite the fact that often children do not mention it, tinnitus may incite behavioral problems.
Antonimi Majemuk dalam Bahasa Laiyolo
Authors: Rahmatiah NFN 
Published: January 2018

Laiyolo is one of the most endangered languages. The language is one of the cultural assets that exist in South Sulawesi, in particular Selayar Islands District, Laiyolo village. This research aims to describe and identify multiple antonyms in Laiyolo language. The compound antonyms in Laiyolo are contradictory and have an antonymous relationship. The method used is qualitative descriptive which uses of library study and the data gathered technique is done by using of reading- scrutinizing, recording, and observation techniques. The data source comes from the native speakers of Laiyolo, in particular Selayar Islands District. The results show that the forms of compound antonyms in Laiyolo are divided into three groups, namely (1) compound antonym of noun (2) compound antonym of verb, (3) compound antonym of adjective. All three forms have their own characteristic. Abstrak Pemakaian bahasa saat ini khususnya bahasa Laiyolo merupakan salah satu bahasa yang terancam punah. Bahasa tersebut merupakan salah satu aset budaya yang ada di Sulawesi Selatan di Kabupaten Kepulauan Selayar khususnya di desa Laiyolo. Tulisan ini bertujuan mendeskripsikan dan mengidentifikasi antonimi majemuk dalam bahasa Laiyolo. Antonimi majemuk dalam bahasa Laiyolo merupakan kata-kata yang berlawanan makna dan mempunyai perhubungan yang bersifat antonimi. Metode yang digunakan adalah metode deskriptif kualitatif dengan teknik kajian pustaka dan kajian lapangan. Teknik pengumpulan data yang dilakukan merupakan penelitian kepustakaan dan pengamatan dengan teknik baca-simak, pencatatan, pengamatan. Sumber data berasal dari penutur bahasa Laiyolo, Kabupaten Kepulauan Selayar. Hasil penelitian menunjukkan bentuk antonimi majemuk dalam bahasa Laiyolo ditemukan beberapa antonimi majemuk yang dibedakan atas tiga golongan, yaitu (1) antonimi majemuk kata benda (2) antonimi majemuk kata kerja, (3) antonimi majemuk kata sifat.
Pengintegrasian Motif Ibadah Pendidik Sebagai Upaya Optimalisasi Pencapaian Tujuan Pendidikan
Authors: Dahlan Dahlan , Refnadi Refnadi , Zufriani Zufriani 
Published: January 2018

Â Pendidikan secara praktiknya tidak terlepas dari proses pembelajaran sepanjang ayat. Konsep ini bertujuan untuk mengidentifikasi keadaan muatan motif yang ada pada diri para pelaksana pendidikan, seperti pendidik, peserta didik, terutama terkait dengan penyelenggaraan proses pembelajaran sebagai suatu ibadah. Secara implisit penyelenggaraan proses pembelajaran merupakan suatu perbuatan ibadah. Perbuatan ibadah ini dilatarbelakangi oleh motif-motif tertentu oleh pelakunya, terutama pendidik dan peserta didik yang secara langsung terlibat di dalamnya. Setiap peserta didik sudah diberikan oleh Allah seperangkat potensi (fitrah) yang harus dikembangkan seoptimal mungkin melalui pendidikan. Potensi yang diberikan itu berjumlah 99 buah, seperti yang termuat dalam Asmaul Husna yang apabila dikembangkan akan mengembangkannya menjadi berbagai potensi. Hal ini sangat bergantung kepada peran pendidik yang akan membimbing pengembangannya.
Analisis Konsep Pesawat Sederhana Pada Pembelajaran Ilmu Pengetahuan Alam Berbasis Tradisi Sains Islam Di Madrasah Tsanawiyah
Authors: Zakwandi Rizki 
Published: January 2018

Abstract: Science learning in Islamic school is too less that orientation to Muslim scientist discoveries. Mainly, the theory that teaching to the student is adapted by the Westrn scientist discoveries. The study aim to rebuild treasure of the science in Muslim community throught learning orientation by the Muslim scientist discoveries, so that student would be more familiar with Muslim scientist and literating to work and glory of the Islam as before. The mehtod used in this project is the qualitative methode in the Islamic scientifict tradition approach and case study in the learning science books at the Islamic school. The result of research conduction show that there are similarity of principle by Physics modern scientist and Thabit ibn Qurra about the simple machine. Case study conduction show that only 13,51% textbooks are used at the Islamic School that giving information about Muslim scientist and their work by 75,67% textbooks that giving information about scientist. The solution offered to solve the problem is to make a textbook or handbook with largely contans the knowledge of the Muslim scientist.
Keywords: Simple machine, Islamic scientifict tradition, Muslim scientist, Physic
George Johnston’s Tibetan Interlude
Authors: Genoni Paul , Dalziell Tanya 
Published: January 2018

AbstractIn 1945 Australian war correspondent and later novelist George Johnston undertook a journey on the Tibetan Plateau with fellow American correspondent James Burke. Johnston later wrote about this adventure in his memoir Journey Through Tomorrow (1947) as part of a wider account of his travels in Asia during the Second World War. This article considers the Tibetan section of his narrative with a focus on the influence of English novelist James Hilton’s Lost Horizon, with its depiction of a Tibetan utopia in the form of the lamasery of Shangri-La. In doing so the article considers Johnston’s text as an example of the challenge faced by travel writers in negotiating the territory between myth and reality in representing the ‘truth’ of their experience, and as a narrative that avoids the worst of the orientalizing traits of many other travelers’ accounts of Tibet.
Coryat’s India and Trajectories of Cultural Mobility
Authors: Chakraborty Abin 
Published: January 2018

AbstractAccounts of early European travelers show ample textual evidences of travelers oscillating between the cultural and religious biases and prejudices that obviously conditioned them and a candid sense of wonder and admiration that directly contradicted inherited stereotypes of one kind or another. In the process such travelogues, letters, and observations not only become sites of ambivalence and hybridity but also testify to processes of “cultural mobility” (Greenblatt et al. 2010) and attendant self-fashioning that did not conform to the racial and imperial constructs generated by the “White Man’s Burden” at a later date. This article examines such issues through an analysis of the descriptions and letters of Thomas Coryat, who wandered across Mughal India between 1612 to 1617. What emerges through his accounts is an interstitial perspective that fosters a vision of cultural mobility without the teleological triumphalism often associated with empire and theology.
In the Eyes of Some Britons
Authors: Sakhnini Mohammad 
Published: January 2018

AbstractThis article examines the travel accounts of some eighteenth-century British travelers to Aleppo. It shows how these travelers’ identities were steeped in the world of others—in the entanglement with people from different cultures and religions—with no mention recalled in their diaries that Islam and Muslims were their enemies. As this article shows, these Britons posited Aleppo as a multicultural, multireligious city in which Europeans were not only men of riches and influence but also free to pursue their cultural and religious practices. This article concludes by emphasizing that British enlightenment practices—toleration, improvement, and freedom—were pursued both within European grand cities such as Paris, Edinburgh, and London as well as in Aleppo.
Henry Miller Travels in Greece
Authors: Sotiropoulos Leonidas 
Published: January 2018

AbstractThrough an examination of Henry Miller’s account of his journey to Greece in 1939, as expressed in his travel book The Colossus of Maroussi, this article examines the image of this country his writing presents. Miller’s description of people, places, and environment is infused with a mystical, spiritual element, as if something magical emanates from the cultural environment of this country and tints the landscape and its inhabitants, adding an atemporal dreamlike quality. The group of literati Miller befriended during his five-month stay in Greece viewed Greek art, culture, and history in an archetypal way, which blends well with Miller’s approach. This analysis of the enchanted world Miller claims to have met and experienced during his journey could thus possibly acquire further significance through tentatively relating it to the way contemporary Greeks may experience aspects of their culture and their Greekness.
The Corpus of London
Authors: Chapman David W. 
Published: January 2018

AbstractVisitors to London are often seeking an imaginary city, one defined through literary depictions and pop culture. To (dis)cover Victorian London requires the visitor to disentangle the corporeal, historical, and mythical manifestations of the city. Thus, the corpus of London is both a literary and a physical space with geographical features, architectural styles, and visual references that sometimes form the viewer’s experience and are sometimes formed by the viewer’s expectations. The corpus of London is not only an experience of recognition but also one that leads inevitably to magnification, distortion, disruption, and even erasure of the cultural artifact.
Monte Carlo Simulations of Photospheric Emission in Relativistic Outflows
Authors: Bhattacharya Mukul , Lu Wenbin , Kumar Pawan , Santana Rodolfo 
Published: January 2018

Abstract
We study the spectra of photospheric emission from highly relativistic gamma-ray burst outflows using a Monte Carlo code. We consider the Comptonization of photons with a fast-cooled synchrotron spectrum in a relativistic jet with a realistic photon-to-electron number ratio

, using mono-energetic protons that interact with thermalized electrons through Coulomb interaction. The photons, electrons, and protons are cooled adiabatically as the jet expands outward. We find that the initial energy distributions of the protons and electrons do not have any appreciable effect on the photon peak energy

and the power-law spectrum above

. The Coulomb interaction between the electrons and the protons does not affect the output photon spectrum significantly as the energy of the electrons is elevated only marginally.

and the spectral indices for the low- and high-energy power-law tails of the photon spectrum remain practically unchanged even with electron-proton coupling. Increasing the initial optical depth

results in a slightly shallower photon spectrum below

and fewer photons at the high-energy tail, although

above

and up to ∼1 MeV, independent of

. We find that

determines the peak energy and the shape of the output photon spectrum. Finally, we find that our simulation results are quite sensitive to

, for

. For almost all our simulations, we obtain an output photon spectrum with a power-law tail above

extending up to ∼1 MeV.