bluuebunny/crossref_metadata_2025_split huggingface dataset:
Manifestations of utopia and dystopia in the magazine cover design
Authors: Falih Hasan Hasan , Jassem Mohammed Nsiyf 
Published: June 2024

ظهرت اليوتوبيا والديستوبيا في مجالات عديدة من الحياة، حاولت بعض مؤسسات التصميم ابرازها وتحقيقها في التطبيقات الكرافيكية، غلاف المجلة الذي يعد احددى التطبيقات الكرافيكية، ونُظم الفصل الأول في البحث الحالي وفق محاور، جاءت مشكلة البحث فيه مصاغة على وفق تساؤل: كيف تكرست اليوتوبيا والديستوبيا في غلاف المجلة؟ وجاءت اهمية البحث نظرية وتطبيقية، كما كمُن هدف البحث في تَعرف اليوتوبيا والديستوبيا وكيفية تكريسها، وتحرك البحث في الحدود المعرفية لعام ٢٠٢١ حول اغلفة مجلة (THE WEEK) الامريكية مجالا للبحث. واحتوى الفصل الثاني (الاطار النظري) على محورين، جاء المحور الاول بعنوان: (انواع اليوتوبيا والديستوبيا) اما المحور الثاني فكان بعنوان (الأساليب البنائية لليوتوبيا والديستوبيا). واحتوى الفصل الثالث على ايضاح للمنهجية واختيار عينة واداة البحث وتحليل العينة التي بلغت (٣) نماذج بأسلوب (قصدي – غير احتمالي)، وافرد الفصل الرابع النتائج والاستنتاجات والتوصيات والمقترحات، وجاء في النتائج التي تفرعت: أفادت مجلة (THE WEEK)، الامريكية تخطيطها للتطورات التقنية التي طرأت على صناعة الأفكار، وتم استنتاج: ان هناك سياسة إدارية توجه العمل التصميمي في كثير من الشركات التي تعنى بتصميم غلاف المجلة في طرح الأفكار التي غالباً ما تثير أسئلة عند الراي العام، ثم اوصى الباحث بالاستفادة من التجارب التصميمية العالمية في تصميم غلاف المجلة وضرورة الاطلاع على اساليب المصممين، وألحق الفصل بمقترح وهو: يوتوبيا الاتجاهات الفكرية وانعكاسها على التطبيقات الكرافيكية. ثم كتابة المراجع.
The Prevalence of Hashimoto's Thyroiditis among Rheumatoid Arthritis Patients
Authors: Ali Diab Baneen , Fadhil Obaid Rana 
Published: June 2024

Background: Rheumatoid arthritis is an inflammatory illness that affects the entire body but its cause is unknown. There has been a considerable debate about the relation between thyroid gland and Rheumatoid arthritis. Aim of the study: To determine the frequency of Hashimoto's thyroiditis in patients with Rheumatoid Arthritis and determine whether patients with Rheumatoid arthritis are at higher risk of Hashimoto's thyroiditis. Patients and methods: This study is a cross-sectional observational study done in the governorate of Najaf from September 2022 to February 2023 involving 140 participants diagnosed with Rheumatoid arthritis, determined by rheumatologist doctors in line with ACR/EULAR 2010 Criteria and serological testing. Patients including 16 males and 124 females, ranging between the ages of 20 and 60. All participants underwent complete clinical and laboratory assessments. The data were collected during the direct patient interview and the information from the questionnaire, verbal approval has been received from the study participant. Results: The frequency of Hashimoto's disease in the selected patients of rheumatoid arthritis (N=140), was 45 (32.14%), While euthyroidism (Rheumatoid arthritis patients without Hashimoto’s) was 95(67.9%). Hashimoto's disease included subclinical 9 (6.4%) and overt Hashimoto's thyroiditis 36(25.7%). Conclusions: HT is frequent among patients with RA. Therefore, there is a need of screening of thyroid hormone dysfunction as well as presence of Anti-TPO antibodies as markers of HT in RA patients particularly in young patients, females, and those with high disease activity. The association was a significance among RA patients with HT and ACCP, BMI, and ESR.
Shear-Wave Elastographic Evaluation of Splenic Stiffness in Patients with Chronic Liver Diseases as A Predictor of the Oesophageal Varices Grade
Authors: Nasser Ahmed Faaz , Al-Tameemi Haider Najim 
Published: June 2024

Background: Chronic Liver disease (CLD) is a global public health problem and one of the leading causes of mortality worldwide with many complications like portal hypertension (PH) and esophageal varices (EV). Researchers have investigated the role of shear-wave elastography (SWE) as a non-invasive method to assess patients with cirrhosis and PH. However, studies evaluating the role of splenic stiffness (SS) have shown variable results. Aim of the study: This study aims to assess the SS in a patient with CLD compared to controlled cases and to evaluate its role in the prediction of EV grade. Material and Methods. The study included 60 participants; 30 patients diagnosed with CLD by the clinical, laboratory, and radiological investigation, who underwent upper gastrointestinal endoscopy; and 30 control health individuals. The mean splenic size, SS, and platelet counts were measured for all participants. Mean SS was compared between two groups, and then its validity in differentiated between low and high-risk groups of EV was assessed. Results. Patients with CLD and controls were significantly different in SS values with cut-off value of 12.49 Kpa. Among CLD patients, the low and high-risk EV subgroups were significant different in SS values with cut-off value of 15.125 KPa. Compared with splenic size and platelet count, SS had the highest accuracy (93.3%) in predicting high-grade EV. Conclusion. Patients with CLD showed higher SS values than control with stepwise increase in SS with increasing grade of EV. SS can accurately predict high-risk groups of EV hence may help decrease patients' burden by avoiding unnecessary endoscopy.
EMERGÊNCIAS GESTACIONAIS: RELAÇÃO ENTRE COVID-19 E O ABORTO
Authors: Marina Caloi Lóss  
Published: June 2024

A relação entre COVID-19 em gestantes e o aborto é um tópico de preocupação e estudo. Estudos sugerem que gestantes infectadas com COVID-19 enfrentam um risco ligeiramente aumentado de aborto espontâneo, especialmente no primeiro trimestre da gravidez. A gravidade da infecção, incluindo sintomas graves como febre alta, parece aumentar ainda mais esse risco. Mecanismos fisiopatológicos, como inflamação placentária e distúrbios da coagulação, podem desempenhar um papel na relação entre a infecção por COVID-19 e o aborto. A vacinação durante a gravidez é recomendada como medida preventiva para reduzir o risco de complicações graves da infecção e, consequentemente, o risco de aborto espontâneo. No entanto, é crucial que gestantes recebam cuidados pré-natais adequados e informações precisas sobre os riscos associados à COVID-19 durante a gravidez. O objetivo deste estudo é avaliar a relação entre covid19 em gestantes e o aborto espontâneo, definir a fisiopatologia e manejo.
USO DE COMPÔMEROS COLORIDOS NO TRATAMENTO RESTAURADOR DE DENTES DECÍDUOS: RELATO DE CASO CLÍNICO
Authors: Ferreira Vieira Taynara , Mendes Cruz Tônia Arianne , Da Silva Ana Caroline , Vitorino Sousa Leite Hanny Gabriela , De Oliveira Júnior José Klidenberg , Pereira Brocos Pires Livia , Lopes Drumond Clarissa 
Published: June 2024

Os compômeros coloridos tornaram-se alvo de estudos em relação a aceitação do paciente como forma de tratamento da cárie dentária. O objetivo do trabalho foi relatar o caso de restauração com o uso de compômeros coloridos e o grau de satisfação da criança. Paciente sexo feminino, 8 anos, compareceu a clínica de Odontopediatria do Centro Universitário Santa Maria,acompanhada da responsável com queixa de dor ao beber água. Na anamnese, relatou-se resistência da criança frente ao tratamento odontológico, alto consumo de açúcar e falta de motivação para escovação. No exame clínico, foi diagnosticada lesão de cárie ativa no dente 74. Após consentimento do responsável e assentimento da criança, foi proposto o uso dos compômeros associado à técnica falar-mostrar-fazer. Para escolha da cor do foi apresentada a escala de cor. Posteriormente foi realizada profilaxia, e preparo cavitário usando com colher de dentina, sob isolamento relativo.Foi realizado o condicionamento com ácido fosfórico a 37%, lavagem, secagem e aplicação do sistema adesivo convencional e fotopolimerização. O manuseio do compômero realizou–se com a seringa centrix e espátula de resina, de forma incremental, seguida de fotopolimerização, acabamento e polimento. Foi aplicado flúor em gel neutro como recomendação do fabricante. Ao final, a restauração foi mostrada à paciente através de um espelho e a partir da escala Smiley Face Likert, a criança apontou o grau de satisfação quanto a cor da restauração. A paciente indicou o rosto que sinalizava “muito satisfeito”. Conclui–se que o compômero colorido pode ser uma alternativa positiva para o atendimento odontopediátrico.
El Aprendizaje Basado en Problemas: Competencias Adquiridas en el Internado de Medicina
Authors: Romero Acaro Richard Fernando , Salinas Torres Mayra Liliana 
Published: June 2024

El aprendizaje basado en problemas (ABP) se ha constituido actualmente en un modelo educativo que ha cambiado el paradigma del proceso enseñanza-aprendizaje, siendo relevante para la formación profesional de estudiantes autocríticos y en capacidad de enfrentar las diferentes problemáticas que se les presente. Con este trabajo, se dio respuesta a la pregunta, ¿Cómo contribuye la metodología ABP en la adquisición de competencias específicas en los estudiantes de internado rotativo del Hospital Isidro Ayora? Los objetivos del proyecto fueron identificar las competencias específicas que los internos de medicina consideran haber adquirido y explorar las experiencias de los internos de medicina con respecto al ABP. El proceso metodológico en el que se recoge la opinión de los estudiantes de medicina se realizó mediante la aplicación de un cuestionario, centrado en el análisis concreto de las competencias adquiridas con el ABP y la entrevista por grupo focal para explorar sus experiencias con esta metodología. Los resultados obtenidos demostraron que la aplicación del ABP, permite adquirir varias competencias que son necesarias para un correcto desenvolvimiento laboral en medicina. Así mismo se pudo concluir que el ABP es una piedra fundamental en la formación de los médicos.
Pengaruh Key Opinion Leader (KOL) Terhadap Jumlah Followers Instagram Tropikana Waterpark
Authors: Hardian Valent Sausan Hadipura , Kholik Abdul , Fatimah Anggun Nadia 
Published: June 2024

Penelitian ini bertujuan untuk menguji pengaruh Key Opinion Leader (KOL) terhadap jumlah followers Instagram Tropikana Waterpark dalam konteks teknologi informasi dan sistem informasi. Instagram merupakan platform media sosial yang populer dengan pengguna aktif yang terus meningkat, serta memiliki potensi sebagai sarana pemasaran yang efektif melalui implementasi metode pengambilan keputusan berbasis data. Jumlah followers di Instagram menjadi indikator keberhasilan akun dan strategi pemasaran, serta memiliki peran penting dalam meningkatkan exposure, keterlibatan, dan kredibilitas suatu akun. Penelitian ini menggunakan metode kuantitatif dengan melibatkan data followers Instagram Tropikana Waterpark dan jumlah pengikut KOL yang terkait dengan akun tersebut. Data dianalisis menggunakan teknik regresi untuk menguji hubungan antara KOL dan jumlah followers. Hasil penelitian menunjukkan adanya pengaruh positif yang signifikan antara KOL dan jumlah followers Instagram Tropikana Waterpark. KOL yang memiliki jumlah followers yang besar dan kemampuan mempengaruhi keputusan dan tindakan followers-nya dapat membantu meningkatkan jumlah followers akun Instagram Tropikana Waterpark. Temuan ini memiliki implikasi penting bagi pengembangan aplikasi teknologi informasi dalam strategi pemasaran digital, terutama dalam memanfaatkan analisis data untuk mengoptimalkan engagement dan peningkatan jumlah followers. Penelitian ini memberikan kontribusi dalam pemahaman tentang pengaruh KOL dalam konteks media sosial, khususnya Instagram, serta menyoroti pentingnya kerja sama dengan KOL dalam strategi pemasaran yang didukung oleh teknologi informasi. Hasil penelitian ini dapat menjadi acuan bagi perusahaan atau akun bisnis lainnya yang ingin memanfaatkan potensi Instagram sebagai platform pemasaran yang efektif melalui kolaborasi dengan KOL, serta menerapkan teknologi informasi untuk meningkatkan efektivitas kampanye pemasaran mereka.
Cardiovascular Events During Pregnancy: Implications for Adverse Pregnancy Outcomes in Individuals With Autoimmune and Rheumatic Diseases
Authors: Dhital Rashmi , Baer Rebecca J. , Bandoli Gretchen , Chambers Christina 
Published: June 2024

ObjectiveThis study examined maternal cardiovascular (CV) events relative to adverse pregnancy outcomes among individuals with autoimmune rheumatic diseases (ARDs), primary antiphospholipid syndrome (APS), and those with neither.MethodsUsing a California population-based birth cohort (2005-2020), we identified those with CV events (CVEs), ARDs, and APS through International Classification of Diseases, 9th and 10th revisions, Clinical Modification codes in maternal discharge records. Selected adverse pregnancy outcomes identified from birth certificates were preterm birth (PTB; < 37 weeks' gestation), small-for-gestational-age infants (SGA; birth weight < 10th percentile for age and sex), and a composite of either outcome. Adjusted risk ratios (aRRs) for adverse outcomes and their 95% CIs were calculated.ResultsCVEs occurred more frequently in individuals with ARDs (265 of 19,340 [1.4%]) and primary APS (428 of 7758 [5.5%]) than those without (17,130 of 7,004,334 [0.3%]). The presence vs absence of CVEs was associated with a greater incidence of adverse outcomes in ARD (53.2% vs 26.6%), APS (30.6% vs 20.7%), and non-ARD/APS pregnancies (28.2% vs 15.2%). CVEs were associated with increased risks of SGA in all groups (aRRs 1.2-1.5) and PTB in ARD (aRR 1.6, 95% CI 1.3-2.0) and non-ARD/APS (aRR 1.7, 95% CI 1.7-1.8) pregnancies.ConclusionCVEs were associated with modestly increased risks (20-70%) for PTB, SGA, or both across the groups. Notably, > 50% of ARD pregnancies with CVEs experienced adverse pregnancy outcomes. Given that ARD and APS pregnancies have higher (although still low) rates of CVEs and have higher baseline risks of adverse pregnancy outcomes than the general population, the additional burden conferred by CVEs is clinically important.
Surveillance for COVID-19 associated mucormycosis: A coordinated effort in prevention and management of rhino-orbital mucormycosis
Authors: Raj Reshma , Rathod Ramya , Bansal Sandeep , Gopal Karunya R , Kothandaraman Kirubakaran , Kaur Harsimran , Chakrabarti Arunaloke 
Published: June 2024

Abstract

Context:
Patients of coronavirus disease 2019 (COVID-19) and factors inducing a diabetogenic state are at increased risk for rhino-orbital mucormycosis (ROM). Efforts to diagnose ROM in its pre-clinical stage would avoid the disease and its consequences.

Aim:
This study aimed to diagnose ROM in the pre-clinical stage of the disease in high-risk patients and treat patients accordingly.

Settings and Design:
This is a single-center, prospective study conducted at a tertiary care center in Northern India in collaboration with departments of Otolaryngology, Internal Medicine, and Mycology.

Materials and Methods:
Fifty-three high-risk patients were enrolled in the study, and all underwent bedside nasal endoscopy with tissue sampling for fungal culture. Patients with suspicious nasal endoscopy findings but negative fungal culture were prescribed oral posaconazole. Those with positive fungal hyphae on nasal endoscopy and culture underwent surgical intervention followed by intravenous amphotericin B, while the remaining patients were kept on follow-up.

Statistical Analysis Used:
Statistical analysis was performed using the Statistical Package for Social Sciences software.

Results:
Among the 53 patients, 13 (24.5%) patients had abnormalities on nasal endoscopy, while the remaining 40 (75.5%) patients had normal nasal mucosal cavities. Seven patients (13.2%) underwent surgery and received intravenous liposomal amphotericin B, while another 7 (13.2%) received oral posaconazole. Thirty-five (66.03%) patients were placed under observation, and 4 (7.5%) patients died due to COVID-19-related illness.

Conclusions:
Nasal endoscopic-guided tissue sampling for fungal culture serves as a valuable surveillance tool for predicting ROM in COVID-19 patients.
The Papanicolaou Society of Cytopathology System for Reporting Respiratory Cytology: To Establish Efficacy and Ease to Use in Routine Cytology Practice
Authors: Sharma Neha , Sharma Sonam , Singh Mukul 
Published: June 2024

Background:
Various pulmonary cytology techniques have been established, representing morphological diversity and ranging from non-invasive to minimally invasive. However, there is currently no widely accepted classification system for respiratory cytology. In 2016, the Papanicolaou Society of Cytopathology (PSC) proposed a six-tiered category system for the cytological sample obtained from the respiratory tract. The diagnostic efficacy of such a category system can help in the early diagnosis of lung cancer patients, thereby reducing mortality and morbidity.

Aim:
The aim of this study was to determine the diagnostic accuracy and utility of PSC guidelines for reporting respiratory cytology specimens in comparison to histopathology.

Materials and Methods:
This study was conducted over 6 months, from September 2023 to February 2024, on a prospective basis. Out of a total of 165 samples analyzed, 147 (89%) were bronchoalveolar lavage samples, 09 (05%) were bronchial brushings, 03 (02%) were bronchial washings, and 06 (04%) were endobronchial ultrasound-guided transbronchial fine-needle aspiration. These cytological specimens were processed and categorized according to the PSC reporting system for respiratory cytology, as non-diagnostic, benign, atypical, neoplastic (benign/undetermined malignant potential), suspicious of malignancy, and malignant. In all cases, the histopathological correlation with corresponding transbronchial or endobronchial lung biopsy was done.

Results:
Our study found that 4% of the cases were non-diagnostic, 80% were benign, 13% were atypical, 2% were suspicious for malignancy, and 1% were malignant. When compared with the histological diagnosis, the sensitivity was 53.13%, the specificity was 93.23%, and the overall accuracy was 85.45%.

Conclusion:
The PSC reporting system for respiratory cytology can easily standardize reporting patterns to enhance communication between cytopathologists and clinicians, ultimately improving patient care.
Electrocardiographic characteristics in chronic obstructive pulmonary disease patients: An observational study
Authors: Tanwar Vikram Singh , Singh Anurag Ambroz , Sharma Kapil , Chawla Suraj , Tank Rakesh , Saini Anjali 
Published: June 2024

Abstract

Background:
Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death worldwide. It causes alteration in the cardiac performance that can be recorded by electrocardiogram (ECG) and echocardiography noninvasively.

Methods:
In this observational study, we studied ECG changes and their relation with the disease severity and disease duration amongst 100 COPD patients.

Results:
Their mean age was 58.1 ± 12.0 years, and the mean disease duration was 7.9 ± 4.1 years. ECG was found normal in 31% and abnormal in 69% of subjects. Right axis deviation (RAD), right ventricular hypertrophy, right bundle branch block and P-pulmonale were noted in 38%, 28%, 20% and 17% of study subjects, respectively. Left bundle branch block, ventricular premature contractions (VPC) and second and third-degree block were seen in none of the subjects. ECG was found abnormal in 78% of patients with Stage 4 COPD, whereas only 17% of patients with Stage 1 COPD had their ECGs abnormal (P < 0.01). ECG was abnormal in 91% of patients with a disease duration of more than 10 years and 39% of patients with a disease duration of <5 years (P < 0.001).

Conclusions:
RAD appeared to be the most common ECG finding in patients with COPD. Patients with advanced disease and longer disease duration have a high risk for ECG to be abnormal.
Neurorehabilitation and its relationship with biomarkers in motor recovery of acute ischemic stroke patients – A systematic review
Authors: Ahmad Shahnawaz , Singh Varun Kumar , Chorsiya Varsha , Chaurasia Rameshwar Nath 
Published: June 2024

Abstract
Neurorehabilitation is the major pathway for motor recovery, but its effect on biomarkers of stroke has rarely been considered. Only brain-derived neurotrophic factor and matrix metalloproteinase are related to the rehabilitation process. Radiological and inflammatory biomarkers need to be correlated with the neurorehabilitation process. The clinical and physiological effects of neurorehabilitation on biomarkers and motor recovery should be established, to maximise the effect of neurorehabilitation. In this systematic review with narrative synthesis we provide the current state and understanding of neurorehabilitation and its effect on biomarkers for motor recovery in acute ischaemic stroke patients.
Predictors of COVID-19 vaccination among antenatal mothers in South India
Authors: Saravanan V , Sindhuri R , Subalakshmi S , Mohan Reenaa , Pravin S 
Published: June 2024

Abstract

Background:
Severe acute respiratory virus coronavirus-2 disease (COVID-19) vaccination among antenatal mothers plays a vital role in preventing maternal and neonatal morbidity and mortality. We attempted to find out the COVID-19 vaccine uptake rate and to determine the factors associated with COVID-19 vaccine uptake.

Methods:
Community-based analytical cross-sectional study was conducted for 6 months amongst antenatal mothers who are residing in the field practice area of primary healthcare (PHC). The participants were selected based on simple random sampling. Face-to-face interviews were conducted in their house using a pre-designed structured questionnaire after obtaining consent.

Results:
Amongst 246 antenatal mothers, 82.5% were in the 20-29 years of age group. Only 17.9% of the mothers were illiterates, 88.2% of the participants were homemakers. Majority (97%) belonged to the Hindu religion and more than half of them lived in nuclear families. One hundred and fifty (61%) had taken at least one dose of the vaccine. The logistic regression model was statistically significant (P < 0.05) and had explained 14.2% of the variance in acceptance of the COVID-19 vaccine and correctly classified 67.9% of cases. Fear concerning the safety of the vaccine and its side effects was the most commonly reported reason for not taking the vaccine.

Conclusion:
Targeted interventions to maximise COVID-19 vaccine uptake among pregnant women from ethnic minority communities and those living in deprived areas should be explored.
Stroke in a young female
Authors: Khaleelullah Syed , Kolia Vaishnavi , Rajitha Pathuri Sai Naga , Modugu Nageswara Rao , Uppin Megha , Vinay Krishna Karri 
Published: June 2024

Abstract
A 30-year-old female, with no prior co-morbidities, presented with chief complaints of headache for 4 days, deviation of the angle of the mouth towards the right side for 4 days, vomiting for 1 day and altered sensorium for 1 day. On general physical examination, her vitals were normal. Her Glasgow Coma Scale was E4V5M6. Neurological examination showed left-sided hemiplegia and left facial palsy. Diffusion-weighted imaging–magnetic resonance imaging was suggestive of acute infarct. Complete haemogram showed anaemia, thrombocytopenia; leucocytosis with 60% promyelocytes. Diagnosis of acute promyelocytic leukaemia was made. The patient was started on injection arsenic trioxide. However, the patient lapsed into a deep coma and started to bleed in the form of ecchymotic patches. Non-contrast computed tomogram brain was suggestive of right capsuloganglionic bleed with midline shift coagulation profile suggested of disseminated intravascular coagulation. The patient later succumbed to death.