bluuebunny/crossref_metadata_2025_split huggingface dataset:
Case of Hypertrophic Cardiomyopathy with Clinical Progression to Restrictive Physiology
Authors: Nisarga M. J. , Hegde Anupama V. , Krishnamurthy Vishwanath , Rahul H. 
Published: March 2024

Abstract
Hypertrophic cardiomyopathy (HCM) is defined as an unexplained left ventricular (LV) hypertrophy ≥15 mm (13 mm if family history present) occurring in the absence of identifiable factor that may account for LV wall thickening, including pressure overload and infiltrative or storage disorder. Restrictive physiology is a pattern of ventricular filling with increased myocardial stiffness leading to elevation of ventricular pressure, causing diastolic dysfunction. A 60-year-old man was brought to the hospital with progressive worsening breathlessness for 2 days and bilateral lower limb swelling. The patient was a known case of HCM, ischemic heart disease (IHD) with single-vessel disease – ostial D1 70% stenosis, atrial fibrillation (AF), status post radiofrequency ablation, moderate LV systolic dysfunction (ejection fraction [EF] – 30%), with recurrent admission due to heart failure. The patient presented with hypotension and bilateral lower limb swelling, and systemic examination showed bilateral crepitations. The patient was diagnosed with acute decompensated heart failure, heart failure with reduced EF, HCM, old IHD, and AF with controlled ventricular rate. Serial two-dimensional echocardiography showed the progression of HCM to restrictive physiology. The patient deteriorated and was planned for a heart transplant with bridging LV assist device therapy. The transition is not usually reported, and literature related to this is scarce; hence, this case is being reported.
Management of Ekakushta (childhood psoriasis) through Ayurveda multimodal approach: A case report
Authors: Prajapati Vishal Nandlal , Jangir Jyoti Kumari , Rani Simmi 
Published: March 2024

Abstract

Kushta Roga is a broad term used in Ayurveda to refer to various skin ailments. Ekakushta is a type of Kshudra Kushta caused by the Vata and Kapha Dosha. Its symptoms are quite similar to those of psoriasis, including Aswedanam (no sweating/dryness), Mahavastum (affecting a large region), and Matsyashakalopamam (scaling like fish skin). Corticosteroids are usually prescribed topically to treat psoriasis, although this only offers temporary relief. Ayurveda has effective treatment of Ekakushta using a variety of interventions; nevertheless, because of the disease’s complicated etiology, a multimodal approach is necessary. A 15-year-old girl with a moderate build has been complaining for the last 4–5 years about reddish-patchy skin rashes that cause pain, scaling, and itching all over her body. She also reported recurrent relapses. The symptoms pointed to the involvement of the Vata and Kapha Dosha, suggesting Ekakushta (psoriasis). Due to the disease’s tendency toward remission and recurrence, we undertook purgative therapy (Virechana Karma) for the purification of vitiated Dosha. The patient was administered Shamana medicines for Dosha pacification and a topical application following purifying therapy. A complete remission of symptoms was noted after Ayurvedic therapy, as documented by pre- and post-therapy photos of lesions. Furthermore, there were notable declines in the Psoriasis Area and Severity Index score (32.6 to 0), Adolescent Psoriasis Quality of life Psychosocial Impact (42 to 8 at the end of treatment), and Adolescent Psoriasis Quality of life Physical Symptoms and Treatment (17 to 3) after 6 months of treatment with no documented adverse drug reactions during treatment. Ekakushta (psoriasis) is extremely difficult to treat; nonetheless, a comprehensive pathogenesis assessment, appropriate purification, and pacifying therapy work well.
Perturbing isoradial triangulations
Authors: David François , Scott Jeanne 
Published: March 2024

We consider an infinite planar Delaunay graph

\mathbf{G}_{\epsilon}

which is obtained by locally deforming the coordinate embedding of a general isoradial graph

\mathbf{G}_{\mathrm{cr}}

, with respect to a real deformation parameter

\epsilon

. Using Kenyon’s exact and asymptotic results for the critical Green’s function on an isoradial graph, we calculate the leading asymptotics of the first- and second-order terms in the perturbative expansion of the log-determinant of the Laplace–Beltrami operator

\Delta(\epsilon)

, the David–Eynard Kähler operator

\mathcal{D}(\epsilon)

, and the conformal Laplacian

{\underline{\boldsymbol{\Delta}}}(\epsilon)

on the deformed Delaunay graph

\mathbf{G}_{\epsilon}

. We show that the scaling limits of the second-order
bi-local
term for both the Laplace–Beltrami and David–Eynard Kähler operators exist and coincide, with a shared value independent of the choice of the initial isoradial graph

\mathbf{G}_{\mathrm{cr}}

. Our results allow us to define a discrete analog of the stress-energy tensor for each of the three operators. Furthermore, we can identify a central charge (

c=-2

) in the case of both the Laplace–Beltrami and David–Eynard Kähler operators. While the scaling limit is consistent with the stress-energy tensor and the value of the central charge for the Gaussian free field (GFF), the discrete central charge value of

c=-2

for the David–Eynard Kähler operator is, however, at odds with the value of

c=-26

expected by Polyakov’s theory of 2D quantum gravity; moreover, there are problems with convergence of the scaling limit of the discrete stress-energy tensor for the David–Eynard Kähler operator. The second-order bi-local term for the conformal Laplacian involves anomalous terms corresponding to the creation of discrete
curvature dipoles
in the deformed Delaunay graph

\mathbf{G}_{\epsilon}

; we examine the difficulties in defining a convergent scaling limit in this case. Connections with some discrete statistical models at criticality are explored.
An IFS for the Stretched Level-n Sierpinski Gasket
Authors: Arauza Rivera Andrea , Lankford Adam , McClinton Matt , Torres Sandra 
Published: March 2024

Broadly, fractals are sets that exhibit a repeating pattern at multiple scales. One important fractal set is the Sierpinski Gasket (SG) which is made up of nested equilateral triangles. A variation of the classic Sierpinski gasket is to create n-levels with the equilateral triangles. Another variation is to stretch the points of intersection for the triangles in SG into line segments of length 0 < α < 1/3. When one combines these variations, one arrives at the stretched level-n Sierpinski gaskets (SSGn) which are the focus of this work. We give an introduction to iterated function systems (IFS) and determine an IFS which generates SSG3. We then describe how one can acquire the IFS for SSGn in general, and conclude with a theorem which determines the Hausdorff  dimension for SSGn.
Experimental analysis on Solar Drying of Tomatoes and Cucumbers using PV/T Hybrid Solar Air Dryer
Authors: T. Somasekhar  , B. Guruprasad  , M.V. Kishore  
Published: March 2024

Drying is a method for removing moisture from food that is frequently used for storage and preservation. The most important goods in the agriculture industry are fruits and vegetables. Because of its extremely high nutritional value, it needs to be kept. The best way to maintain a food's nutritional worth is to keep it fresh. There are numerous ways to preserve this food, but nut drying is the most popular because it lengthens the item's shelf life. These items can contain up to and sometimes even more than 90% moisture. The key contributing factor to the proliferation of microorganisms that cause putrefaction is thought to be water content. This study compares the effectiveness of solar drying versus sun drying for drying fruits and vegetables. Rate of drying, weight. The experiments were carried out on tomatoes and cucumbers. The collector is inclined at 45° with horizontal and oriented in South – North direction with drying time of 5 hrs per day. During experimentation 5 temperatures, absolute humidity, air velocity and solar intensity were measured hourly in the month of March and April, 2023 for drying of tomatoes and cucumber slices. The hot air was transferred through the pipes to the chamber to dry the tomatoes and cucumber slices. The drying of tomatoes and cucumbers are reached around 90% with half of the time compared to conventional drying.
Karbon nano tüp katkılı cam elyaf takviyeli kompozit malzemenin delme parametrelerinin Taguchi tabanlı Critic-CoCoSo yöntemleriyle optimizasyonu
Authors: FEDAİ Yusuf 
Published: March 2024

Bu makale, çok duvarlı karbon nanotüp (ÇDKNT) ile takviye edilmiş cam elyaf takviyeli polimer (CETP) kompozitlerin işleme verimliliğini, Taguchi ve Critic-CoCoso yöntemiyle değerlendirmesini sunmaktadır. Çalışmada delik delme işlemlerinde, farklı oranlarda çok duvarlı karbon nano tüp katkılı CETP malzemelerin, farklı takım tipiyle, işleme parametrelerinin, yüzey pürüzlülüğü, delaminasyon ve itme kuvveti üzerindeki etkileri araştırılmıştır. Deneyler Taguchi L27 ortogonal dizilimine göre planlanarak her bir kontrol parametresinin çıktılar üzerindeki etkileri S/N oranı yöntemiyle belirlenmiştir.
Yapılan çalışmada, CETP matrix composite materials ın işlenmesinde kullanılan parametrelerin optimum değerlerinin belirlenmesi amaçlanmıştır. Elde edilen çıktı sayısının birden fazla olması, farklı ve çelişkili cevap değerlerinin birbirleri üzerindeki etkilerinin de dikkate alınmasını gerektirmektedir. Bu sebeple bütün çıktıların tek bir amaç fonksiyonu olarak değerlendirilebilmesi için uygulamada sıklıkla kullanılan çok kriterli karar verme yöntemleri (ÇKKV) kullanılmaktadır. Önce tüm çıktı değerlerinin minimizasyonunu sağlamak için veriler Critic yöntemiyle ağırlıklandırılmış daha sonra da, çok kriterli karar verme yöntemlerinden CoCoSo yöntemi kullanılarak karşılaştırmalı analizi yapılmıştır.
THE ROLE OF CIVIL SOCIETY INSTITUTIONS IN THE FIELD OF ENVIRONMENTAL PROTECTION IN RUSSIA AND THE REPUBLIC OF IRAQ
Authors: Хасан Мохаммед Н.Х. 
Published: March 2024

Статья посвящена изучению роли институтов гражданского общества в сфере охраны окружающей среды в России и Республике Ирак. Автор отмечает, что охрана окружающей природной среды является важной задачей не только для государства, но и для институтов гражданского общества. В статье сделан вывод, что в настоящее время Россия и Республика Ирак относятся к числу государств, в которых важную роль в вопросах охраны окружающей среды играют институты гражданского общества. При этом отмечается, что в России уже существуют и успешно развиваются различные общественные объединения и организации, занимающиеся природоохранной деятельностью. Проведен эмпирический анализ, который позволил определить значимую роль институтов гражданского общества в решении экологических проблем и в охране окружающей среды в целом, а также выявить существующие в данной части проблемы. Автором сделаны выводы, о том, что требуется дальнейшее совершенствование данного института в Российской Федерации путем внесения соответствующих изменений в действующее законодательство, а также о целесообразности внедрения в Ираке института общественных инспекторов при заимствовании в данной части положительного российского опыта.
The article is devoted to the study of the role of civil society institutions in the field of environmental protection in Russia and the Republic of Iraq. The author notes that environmental protection is an important task not only for the state, but also for civil society institutions. The article concludes that at present Russia and the Republic of Iraq are among the states in which civil society institutions play an important role in environmental issues. At the same time, it is noted that various public associations and organizations engaged in environmental protection activities already exist and are successfully developing in Russia. An empirical analysis was carried out, which made it possible to determine the significant role of civil society institutions in solving environmental problems and in protecting the environment in general, as well as to identify existing problems in this part. The author concludes that further improvement of this institution in the Russian Federation is required by making appropriate changes to the current legislation, as well as the expediency of introducing the institute of public inspectors in Iraq while borrowing positive Russian experience in this part.
Operaciones Urbanas Estratégicas -OpURBE Villavicencio, Meta.
Authors: Saray Leguízamo Néstor Saúl 
Published: March 2024

Los proyectos urbanos en las últimas décadas se han situado como principal instrumento de intervención y ordenamiento para las ciudades; para esto, intentan responder a la lógica competitiva y de marketing urbano; apuestan por grandes mediaciones que implican inversiones, complejos convenios público-privados y una fuerte carga imaginaria e icónica de las actuaciones urbanísticas que determinan el desarrollo y mejoramiento de la calidad de vida de los habitantes. Todo esto hace parte del objetivo principal de los planes de ordenamiento territorial.
Por ello, determinar la transformación del área y del conjunto urbano desde los grandes proyectos estratégicos, conlleva a rupturas y tensiones que reflejan las diferentes visiones de los agentes que habitan en el territorio de intervención y fijan la configuración del modelo de ciudad, planteado como hito catalizador de desarrollo en las estructuras urbanas. De allí, las operaciones urbanas estratégicas podrían estar claramente referenciadas con el urbanismo neoliberal que, desde la teoría y la práctica, orientan el mercado global y urbano, y los negocios empresariales e industriales; y dejan al margen las necesidades y los compromisos sociales, por aumento de las desigualdades socio-espaciales, la pérdida de valores democráticos.
Analyzing The Implementation of Green-Economy Inclusive Strategy in East Java Province Through Urban Good Governance in Green-Economy Framework: The Case of Surabaya
Authors: Chairunnisa Rizqi Shafira , Kusumadewi Hemalia 
Published: March 2024

The global uncertainty has forced countries including Indonesia to look on ways to stabilize themselves, one of them being the implementation of green-economy development. The lack of inclusive and environmental-oriented policy has created an urgency for East Java Province to prioritize the green-economy implementation. Therefore this paper analyzes a possible implementation of green-economy through Surabaya City’s green-economy concept. This city is chosen due to its status being the only city in East Java to have the Green Sister City Surabaya-Kitakyushu program. This paper uses green economy city development which has four main dimensions which are; decision making process, Implementation Capacity, green economy system and the socio-ecological dimension. A qualitative-descriptive method will be used in this paper, along with a thematic analysis technique to deeply explain the topic at hand. The result of this research is a strategy that can be referenced by Surabaya to develop the green-economy city as the city already has its basis, especially in its society’s system in approaching green-economy aspects. Aside of that, this research also presents 3 strategies of implementing green-economy policies for cities throughout East Java Province. These strategies are intended for those cities to be able to take the first step in developing a green-economy city by deeper understanding of local context, policy & capacity development, and monitoring & evaluation.
Respiratory diseases pattern in "Saurashtra": experience from an upcoming tertiary Health care centre.
Authors: Singhal Sanjay , Parekh Aneri , Deokar Kunal , Tandon Ashwani 
Published: March 2024

Background:
AIIMS Rajkot is an upcoming institute with super-specialty services in the Saurashtra region of Gujarat state, where OPD services commenced on 31st December 2021.

Methods:
We retrospectively analyzed data of patients attending Pulmonary Medicine OPD, AIIMS Rajkot, from 1st January 2022 to 31st December 2022 with respect to the disease pattern of patients.

Results:
A total of 426 patients attended Pulmonary Medicine OPD, contributing to 1140 visits. Among the disease pattern, more than 50% of patients presented with obstructive airway disease, followed by interstitial Lung Disease (ILD) in 3% of cases. Patients with post-tuberculosis sequelae, post-COVID sequelae, and Pulmonary Tuberculosis (PTB) were lesser in number. Patients with diseases like Obstructive Sleep Apnea (OSA), Lung cancer, Bronchiectasis, Pulmonary Artery Hypertension, Allergic Bronchopulmonary Aspergillosis (ABPA), Scleroderma, Rheumatoid arthritis, Sarcoidosis, NonTuberculous Mycobacterium (NTM) infection, pulmonary Thromboembolism, Pulmonary Hydatid Cyst, and diaphragmatic palsy, were also encountered.
Chronic Obstructive Pulmonary Disease among non-Smokers
Authors: Madhurmay  , Vineet  , Raj Kamal  , Rajiv  , Aman  
Published: March 2024

Since tobacco use has been linked to COPD for more than 50 years, this population has served as the foundation for almost all of our knowledge regarding the clinical, physiological, pathological, and radiological aspects of the disease as well as the rates of lung function loss and the effectiveness of various treatments. We stated in 1990 that 25 to 45% of COPD cases among never smokers. According to the 2017 Global Burden of Disease report, smoking is only responsible for 35% of the burden of COPD worldwide, with the majority of cases occurring in high-income nations. Most of the world's remaining 65% of nonsmokers with COPD live in low- and middle-income nations. Other non-smoking risk factors for COPD include exposure to biomass smoke while cooking in poorly ventilated homes, high ambient air pollution levels, occupational exposures to dust and gases, ambient ozone exposure, poverty, recurrent respiratory tract infections in childhood, poorly controlled chronic persistent asthma, and prior tubercular lung disease.
Worldwide, non-tobacco-related risk factors, which vary by geographic region, are to blame for around half of all instances of COPD. Inflammation, oxidative stress, airway remodelling, and accelerated lung ageing are potential factors for the development of COPD in never-smokers. Never-smokers with COPD had less severe chronic respiratory symptoms, little to no emphysema, less airflow limitation, and fewer comorbidities than smokers who acquire COPD; however, exacerbations can still happen often. More research- including epidemiological, translational, clinical, and implementation studies- is required to fill in knowledge gaps and promote viable solutions to lessen the burden of COPD in never-smokers. Clinical history and spirometry can be used to diagnose Chronic Obstructive Pulmonary Disease (COPD), but identifying its risk factors is time-consuming and crucial because doing so can stop the disease's progression. Contrary to popular belief, smoking cigarettes is only one of the numerous risk factors for COPD. We have examined the etiology of nonsmoker COPD through this review in an effort to identify the causative risk factor and reduce the disease's morbidity and mortality.
Sperimentazioni teatrali nell’ambiente virtuale: le creazioni digitali di Giacomo Lilliù/Collettivo Ønar
Authors: Giuliani Francesca 
Published: March 2024

A partire dalle sperimentazioni online degli artisti e delle artiste delle performing arts durante il biennio pandemico (Gemini, Brilli, Giuliani, 2020; Monteverdi, 2023) si osserva oggi il consolidarsi dell’esperienza di alcuni degli «emergency experimenters» (Brilli, Gemini, Giuliani, 2022) che continuano a mettere alla prova differenti gradienti di liveness teatrale (Gemini, Brilli, 2021) per attivare nuove «dinamiche di connessione e coinvolgimento del pubblico» (Patti, 2021). Questi progetti innovativi, che si muovono tra performance, piattaforme e pubblici connessi, interrogano la natura dei dispositivi digitali per ricontestualizzare dinamiche e pratiche teatrali, coreografiche e performative negli ambienti virtuali. Assistendo ora, superata la fase dell’emergenza, a una restaurazione sia a livello delle programmazioni dei teatri che dei sostegni alla produzione, sembra necessario provare a storicizzare questo fenomeno tenendo traccia delle digital performance (Dixon, 2007) online e degli OTONI – Oggetti Teatrali Online (Non Identificati). Per questo motivo il contributo esplora l’evolversi della ricerca teatrale nel contesto digitale dell’artista Giacomo Lilliù/Collettivo Ønar, osservandola a partire dal processo di mediatizzazione del teatro (Del Gaudio, 2021; Brilli, Gemini, 2022).
The ACWL: Enhancing the Accessibility of the WTO Legal System
Authors: Buencamino Leah 
Published: March 2024

The ACWL was established in 2001 to level the playing field at the WTO by providing assistance in WTO dispute settlement proceedings and free legal advice and training to developing countries and LDCs. More than 20 years after its creation, this article describes the origins of and rationale behind the ACWL and assesses the impact of its services. It also explains the current informal discussions among ACWL Members to improve the accessibility of its services in the context of the broader WTO discussions regarding the dispute settlement system reform.
Legal aid, developing countries, LDCs, accessibility, dispute, Settlement, World Trade Organization
Digital Trade in the EU–New Zealand Free Trade Agreement: An Appraisal
Authors: Burri Mira , Kugler Kholofelo , Dorothea Ker Anna 
Published: March 2024

The increasing reliance on digital technologies for cross-border economic activity has sparked the quest for adequate rules. Preferential trade agreements have become the primary platform for digital trade rulemaking and the recently signed Free Trade Agreement (FTA) between the European Union (EU) and New Zealand is one of the latest additions to these far-reaching regulatory efforts. The EU– NZ FTA is a particularly instructive case study, as it brings together two important legal entrepreneurs in the area of digital trade law that, however, have different positions in the regulatory landscape and different domestic priorities. The article seeks to reveal the points of convergence and divergence between the two parties and also shows how these could be reconciled with the concluded EU–NZ deal. In the latter context, the article evaluates the normative value and the potential impact of the agreement as well as situates it in the broader and geopolitically complex landscape of digital trade rulemaking.
digital trade, data flows, data protection, electronic commerce, free trade agreements, European Union, New Zealand
Article: The Double Layer Test versus the VAT Neutrality Principle
Authors: Sánchez-Sánchez Ángel 
Published: March 2024

With the Morgan Stanley judgment, the Court of Justice of the European Union (CJEU) established what is known as the double requirement (or double layer test) in order to exercise the right to deduct VAT in cases of cross-border transactions carried out by taxable persons. In this work, the author examines this test and its possible incompatibilities with a number of fundamental VAT principles through different cross-border transaction scenarios. The analysis elucidates problems that may arise, and proposals are advanced to address them. These solutions involve eliminating the double requirement or, alternatively, implementing an intra-Community transfer for services regime that is equivalent to that which already exists for goods.
VAT, double layer test, intra-EU transfer of services, cross-border transactions, equal treatment principle, VAT deon, VAT refund, VAT neutrality principle