bluuebunny/crossref_metadata_2025_split huggingface dataset:
Extracranial Carotid Artery Aneurysm: An Institutuinal Review
Authors: Mohan Lakshmidharan , Kumar Yadamreddy Rohit , Raju Radhakrishnan , Ayyappan M. K. 
Published: April 2024

Abstract

Background:
Extracranial carotid artery aneurysm (ECAA) is a rare condition, with varied symptoms and etiology. The current series describes the profile and treatment outcomes of those with ECCA.

Materials and Methods:
A record-based retrospective case study on 10 years of data from a hospital was done. Data on sociodemography including age and gender, symptoms, examination findings, radiological investigations, and management techniques were collected.

Results:
A case series of 12 cases presenting with different symptoms of extracranial internal carotid artery aneurysm are discussed. Age of the participants varied from being adolescents, adults, or elderly patients. Three-fourth of the cases were males. Pulsatile swelling in the neck was the most common presentation, though asymptomatic manifestations are also present. All 12 were managed by different techniques, with surgical resection and end-to-end anastomosis being the most common type of repair. All had good outcomes following treatment.

Conclusion:
ECCA has male predominance and occurs mainly in those above 50 years of age. The most common presentation is swelling in the neck and the most common management technique is open surgical repair.
Left Ventricular Dysfunction in Hypertensive Patients and Inter-arm Pressure Difference
Authors: El-Dosouky Ibtesam Ibrahim , Hassanin Mesbah Taha , Elmaghrabi Mohamed Hussien , Seddik Eman H. 
Published: April 2024

Background:
Systolic inter-arm pressure difference (SIAD) is considered as cardiovascular risk. We aimed to ascertain whether the presence of (SIAD) is associated with impaired left ventricular (LV) functions or not.

Methods:
Blood pressure (BP) was measured on both arms of 81 participants, echocardiographic parameters of LV functions; ejection fraction, mitral E, A, eˋ, aˋand tricuspid regurgitant velocities, left atrial volume index, E/A and E/eˋ ratio, LV stiffness index and myocardial performance index (MPI) were measured, and global longitudinal strain (GLS) was assessed.

Results:
Higher SIAD level had good positive correlations with age, body mass index (BMI), duration of hypertension (HTN), MPI, and LV end-systolic volume. SIAD had good negative correlations with mitral E wave velocity, E/A ratio, eˋ and sˋ wave velocities, and with the average GLS. Impaired LV average GLS is independently associated with: Years from HTN discovery followed by BMI, gender, and age.

Conclusion:
BP reading in both arms on the first visit is not sufficient; hypertensive patients need evaluation of the SIAD on follow up. We need to consider the SIAD on risk stratification and BP control. This will be simple to follow in primary care and areas with low resources.
To Estimate and Compare the Level of Serum Immunoglobulin A in Patients of Oral Submucous Fibrosis, Leukoplakia, and Control Group
Authors: Shele Sweta Prakash , Bhagwat Pooja P , Yadav Renu , Deshmukh Sonali , Ghaisas Shraddha , Samanta Anwesha 
Published: April 2024

ABSTRACT

Aim:
To estimate and compare the level of serum immunoglobulin A in patients of oral submucous fibrosis (OSMF), leukoplakia, and control group.

Introduction:
OSMF is a well-recognized potentially malignant condition in the oral cavity, and a transformation rate as high as 7.6% over a period of 10 years has been reported from India. Leukoplakia has evolved as a clinico-pathologic concept over many years, with the current clinical designation being accepted worldwide.

Materials and Methods:
Quantia IgA is a turbidometric immunoassay for the detection of IgA in human serum and is based on the principle of agglutination reaction. The test specimen is mixed with the activation buffer (R1) and then with antihuman IgA reagent (R2) and allowed to react. For the estimation of serum IgA, 500 μl of Quantia IgA activation buffer R1 is taken in a clean test tube. Serum sample is diluted in the ratio of 1:5 with normal saline. Ten microliters of diluted serum sample are added to R1. After incubation for 10 min, 50 μl of R2 is added, which is Quantia IgA antihuman IgA reagent to the sample, and the reading is recorded at wavelength 340 nm at 37°C. The level of IgA will be estimated by a semi-automatic biochemical analyzer machine and then data analysis will be done.

Results:
The immunologic alterations observed by us in OSMF and leukoplakia are almost similar or nearer to the alterations observed in oral cancer, so it is reasonable to assume that OSMF and leukoplakia can be an intermediate stage in the transformation process of a normal cell to oral malignancy.

Conclusion:
Prevention and early detection is the best way to reduce the incidence and mortality of premalignant disorders and oral cancer. There are many ways and methods of early detection of premalignant disorders and oral cancer, and the immunological method is one of them.
Pain Perception During Local Anesthesia Administration in Pediatric Dental Patients and The Impact of Pre-Cooling The Injection Site: An in-vivo Study
Authors: Shah Nishith M , Gulati Ruchi , Rasalkar Tejaswi , Nasha Divya , Arya Ashtha , Tekam Deepashri 
Published: April 2024

ABSTRACT

Aim:
Examining how pre-cooling affects children’s experience of pain during local anesthetic administration is the primary goal of this study.

Material and Methods:
This study was conducted in vivo and involved 60 child patients who required local anesthetic in order to undergo dental procedures. Patients were divided into two groups based on a random chance: Group I was the control group, which did not receive any pre-cooling. Group II was the pre-cooling group, which allowed the injection site to be chilled with an ice pack for one minute prior to the administration of anesthesia. The Wong-Baker FACES Pain Rating Scale was used to evaluate the participants’ level of pain perception immediately following the administration of the anesthetic injection.

Results:
The group that received pre-cooling showed a reduction in pain levels that was statistically significant when compared to the group that received control (P < 0.05).

Conclusion:
Pediatric dental patients may decrease local anesthesia pain by pre-cooling the injection site. This technique can be simply used in dental practices to improve patient experience, especially for children with dental anxiety or needle phobia.
Sensibilización y prevención del alcoholismo en adolescentes a través de talleres de educación en salud
Authors: Veloz Miño Silvia Patricia , Mejía Paredes Martha Cecilia , Muquinche Usca Maria de Lourdes , Veloz Miño María Fernanda 
Published: April 2024

Introducción: El alcoholismo es un grave problema de salud pública, según la OMS provoca cerca de 3 millones de muertes anuales y se asocia a más de 200 enfermedades, las consecuencias afectan al consumidor y también al entorno familiar y social. Objetivo: Determinar la influencia de la intervención en Educación para la salud sobre los factores protectores y competencias en relación al consumo de bebidas alcohólicas. Metodología: Se aplicó un test antes y después de la intervención educativa desarrollada con 39 adolescentes de ambos sexos de entre 15 y 16 años de edad que cursaban el segundo año de bachillerato de la Unidad Educativa Capitán Edmundo Chiriboga en Riobamba - Ecuador. Resultados: Se comprobó la influencia de los talleres educativos en el incremento significativo de los criterios afirmativos relacionados con los factores protectores antialcoholismo, la media de respuestas positivas en los 39 adolescentes aumentó en todas las competencias; así: de 20.80 a 33.60 en tomar decisiones correctas en el cuidado de la salud, de 17.20 a 32.00 en la independencia frente a la presión de los amigos y de 13.20 a 34.20 en el discernimiento ante la publicidad de bebidas alcohólicas. Conclusiones: La intervención educativa basada en una metodología activa participativa fue efectiva; ya que se demostró la influencia positiva o el incremento de factores protectores que podrían incidir sobre decisiones correctas para evitar el alcoholismo. Se recomienda ampliar la investigación en esta temática para desarrollar programas de prevención destinados a mejorar la salud y el bienestar de los adolescentes.
Haydée Guanais Dourado
Authors: Dos Santos Batista Ricardo , Ferreira Luiz Otávio 
Published: April 2024

Objetivo: descrever e analisar a trajetória formativa e profissional da enfermeira Haydée Guanais Dourado (HGD) entre 1941 e 1956. A ênfase está em dois períodos de estudos e treinamento realizados por ela nos Estados Unidos da América do Norte e no Canadá com o financiamento da Fundação Rockefeller (FR). Métodos: a pesquisa utilizou fontes documentais coletadas em arquivos do Museu da Escola de Enfermagem da Universidade Federal da Bahia, do Centro de Documentação da Escola Anna Nery, na Hemeroteca Digital da Biblioteca Nacional e entre familiares de HGD [duas entrevistas, cinco cartões de bolsistas, um dossiê da FR, notícias de jornais e imagens] que registraram a sua experiência enquanto bolsista. A análise dos documentos foi baseada nos métodos onomástico e indiciário, conforme a proposta de Carlo Ginzburg, que destaca a importância do nome para a coleta e análise documental. Resultados: as múltiplas experiências de aprendizagem e de observação de Haydée no exterior prepararam-na para atuar como líder na área da educação em enfermagem em um momento em que a prioridade era a criação de novas Escolas de Enfermagem. Considerações finais: embora a política de concessão de bolsas patrocinada pela FR tivesse objetivos institucionais e políticos bem definidos, as escolhas de HGD foram decisivas na definição de seu trajeto profissional.
REVIEWING THE ROLE OF ARTIFICIAL INTELLIGENCE IN ENERGY EFFICIENCY OPTIMIZATION
Authors: Tosin Michael Olatunde  , Azubuike Chukwudi Okwandu  , Dorcas Oluwajuwonlo Akande  , Zamathula Queen Sikhakhane  
Published: April 2024

Artificial intelligence (AI) is revolutionizing the field of energy efficiency optimization by enabling advanced analysis and control of energy systems. This review provides a concise overview of the role of AI in enhancing energy efficiency. AI technologies, such as machine learning and neural networks, are being increasingly applied to optimize energy consumption in various sectors, including buildings, transportation, and industrial processes. These technologies analyze vast amounts of data to identify patterns and trends, enabling more precise control of energy systems and the prediction of energy demand. One of the key advantages of AI in energy efficiency optimization is its ability to adapt and learn from data, leading to continuous improvement in energy-saving strategies. AI algorithms can optimize energy consumption based on factors such as weather conditions, occupancy patterns, and energy prices, resulting in significant cost savings and environmental benefits. Furthermore, AI enables the integration of renewable energy sources into existing energy systems by predicting renewable energy generation and optimizing its use. This integration helps reduce reliance on fossil fuels and mitigates greenhouse gas emissions, contributing to a more sustainable energy future. However, the implementation of AI in energy efficiency optimization is not without challenges. These include data privacy concerns, the need for specialized skills to develop and deploy AI solutions, and the complexity of integrating AI systems into existing energy infrastructure. Addressing these challenges will be crucial for realizing the full potential of AI in energy efficiency optimization. In conclusion, AI holds great promise for enhancing energy efficiency by enabling more intelligent control and optimization of energy systems. By leveraging AI technologies, organizations can achieve significant energy savings, reduce costs, and contribute to a more sustainable and resilient energy future.
Keywords: Role, AI, Energy, Efficiency, Optimization.
ADVANCING HEALTHCARE DATA SOLUTIONS: COMPARATIVE ANALYSIS OF BUSINESS AND RESEARCH MODELS IN THE U.S
Authors: Arenike Patricia Adekugbe  , Chidera Victoria Ibeh  
Published: April 2024

In the dynamic landscape of healthcare, data-driven solutions play a pivotal role in enhancing patient outcomes, optimizing processes, and steering strategic decision-making. This review presents a comprehensive comparative analysis of the business and research models underpinning healthcare data solutions in the United States. By examining the distinctive characteristics, challenges, and advancements within these models, this study aims to elucidate critical insights for stakeholders navigating the complex intersection of healthcare and data analytics. The American healthcare ecosystem is marked by a diverse array of entities engaged in harnessing data for various purposes, ranging from improving patient care to driving operational efficiencies. This analysis delves into the contrasting approaches adopted by businesses and research institutions in leveraging healthcare data. Businesses predominantly focus on profit-driven initiatives, emphasizing efficiency, scalability, and commercial viability. In contrast, research models prioritize scientific rigor, innovation, and academic collaboration, often with a primary focus on advancing medical knowledge. Key components of the comparative analysis include examining the regulatory frameworks governing healthcare data, the utilization of cutting-edge technologies such as artificial intelligence and machine learning, and the ethical considerations surrounding data privacy and security. Furthermore, this study investigates the impact of socioeconomic factors, such as disparities in access to healthcare and disparities in data availability, on the development and implementation of data solutions. The comparative analysis also highlights notable case studies and best practices from both business and research sectors, illustrating successful approaches to overcoming common challenges and driving innovation in healthcare data solutions. Additionally, emerging trends, such as the integration of wearables and Internet of Things (IoT) devices, are explored for their potential to revolutionize data collection and analysis in healthcare settings. Ultimately, this review underscores the imperative for collaborative efforts between business entities and research institutions to harness the full potential of healthcare data solutions, fostering advancements that benefit patients, providers, and society at large.
Keywords: Healthcare Data Solutions, Comparative Analysis, Business Models, Research Models, United States, Innovation.
Comparative Analysis of the Energy Efficiency of Hierarchical Data Transmission Protocols in Geographically Distributed Wireless Sensor Networks
Authors: Семенова Л. Л. 
Published: April 2024

проведен сравнительный анализ энергоэффективности протоколов LEACH и PEGASIS в контексте их применения в территориально-распределенных беспроводных сенсорных сетях. Исследование направлено на выявление зависимости между выбором протокола и энергетической эффективностью сети, а также на определение влияния этих протоколов на продолжительность жизни сенсорных сетей. Результаты моделирования демонстрируют, что протокол PEGASIS превосходит LEACH по обоим параметрам, обеспечивая более длительную работу сети и улучшенную энергоэффективность. На основании полученных результатов может быть определен один из факторов оптимальных стратегий развертывания сенсорных сетей, учитывая их энергетические характеристики и требования к продолжительности функционирования
this study conducts a comparative analysis of the energy efficiency of LEACH and PEGASIS protocols within the context of their application in geographically distributed wireless sensor networks. The research aims to identify the relationship between protocol selection and network energy efficiency, as well as to determine the impact of these protocols on the lifespan of sensor networks. Simulation results demonstrate that the PEGASIS protocol surpasses LEACH in both parameters, providing longer network operation and improved energy efficiency. Based on the findings, one of the factors for optimal sensor network deployment strategies can be determined, considering their energy characteristics and operational longevity requirements
Alone in the Dark
Authors: Dibbern Doug 
Published: April 2024

Alone in the Dark is an experimental memoir – or perhaps, more accurately, an anti-memoir or fabulist memoir, some unruly combination of essay, prose poem, and floating reverie that examines the relationship between one’s cultural heritage and one’s aesthetic devotions. Unlike a traditional autobiography that details the chronological events of a person’s life, the book begins with the obsessive moviegoing of Dibbern’s early years in New York and then unfurls as a fevered rumination on the role that an excessive love of art plays in shaping ideas about one’s identity.
The book opens with the American premiere of the Hungarian filmmaker Béla Tarr’s harrowing, eight-hour-long magnum opus Sátántangó in 1998 as an emblematic cinephile experience. Dibbern then frames the book by asking, why would anyone devote the bulk of their waking hours to such a compulsive pursuit of a seemingly passive experience of art? Sitting alone in a darkened movie theater, he suggests, is not a passive, but a creative act: developing an aesthetic taste, after all, is central to defining our identities. And taste is the product of two contradictory impulses: the will to simultaneously embrace and escape the values of our cultural backgrounds that made us who we are.
With these conjectures as the jumping-off point, the book commences its discursive explorations, wending and weaving between topics as diverse as Carl Jung’s theories of the collective unconscious, Carl Theodor Dreyer’s Ordet, old family photo albums, nineteenth-century immigration to North Dakota, the actress Gena Rowlands’s histrionic mental breakdowns, the self-portraits that the Mandan chief Mato-Tope made in the 1830s, and the dizzyingly joyful suicidal games in Howard Hawks’s film about aviation, Only Angels Have Wings.
Mudança climática e impactos em populações de lontra neotropical
Authors: Carvalho Junior Oldemar de Oliveira , Birolo Alesandra Bez 
Published: April 2024

O presente trabalho tem por objetivo discutir as principais causas e impactos das mudanças climáticas em populações de Lontra longicaudis. Para tanto, são considerados os critérios de exposição, sensibilidade e adaptabilidade. As diferentes percepções de pesquisadores sobre o assunto também são apresentadas e discutidas. Os três conjuntos, exposto, sensibilidade, e capacidade adaptativa, são aplicados ao método do gráfico de Venn, para representar visualmente as relações entre eles. Uma tabela auxiliar de contingência é utilizada para analisar a relação entre as variáveis categóricas. Avaliações de sensibilidade e adaptabilidade são realizadas com o auxílio de informações obtidas de publicações e literatura sobre o tema, bem como bancos de dados na internet e a experiência de especialistas. Dados ecológicos da espécie sobre especialização de habitats foram acessados também na IUCN Red List. A temperatura e a precipitação para a análise da tolerância ambiental são fornecidas pelo WorldClimate. A capacidade de dispersão e a diversidade genética são delineadas por meio de referências e bancos de dados próprios do Projeto Lontra, do Instituto Ekko Brasil (IEB).
Investigación evaluativa de un protocolo para urgencias de salud mental en el primer nivel de atención
Authors: Martin Julia , De Battista Julieta L. , Maugeri Nicolás A. , Azcona Maximiliano 
Published: April 2024

Introducción: Esta investigación parte de algunos obstáculos en la implementación de la Ley Nacional de Salud Mental, especialmente en el primer nivel de atención y en lo relativo al manejo de urgencias, con o sin riesgo cierto e inminente. La escasez de protocolos de intervención en salud mental y la percepción de que podrían limitar la lectura singular de cada situación crítica son desafíos identificados en la práctica. No obstante, los protocolos pueden ser herramientas organizativas valoradas en circunstancias complejas. En la bibliografía se destaca la necesidad de acompañar su implementación con capacitación para evitar enfoques exclusivamente burocráticos y deshumanizados. Materiales y métodos: Para abordar esta brecha, se realizó esta investigación,en la que se diseñó un protocolo de actuación en urgencias de salud mental y una capacitación acorde para el personal de salud del primer nivel de atención de un territorio del área metropolitana de Buenos Aires. El objetivo de la investigación fue evaluar su efectividad. Se utilizaron métodos cuali-cuantitativos con el fin de caracterizar las intervenciones previas a la implementación del protocolo, comparándolas con las posteriores a la capacitación y aplicación del protocolo. Resultados: Se halló que su implementación favoreció respuestas más adecuadas en contextos críticos y mejoró el conocimiento acerca de las estrategias de resolución que pueden efectuarse en el marco de la Ley Nacional de Salud Mental, reforzando asimismo factores protectores de la salud mental de los trabajadores de la salud, tales como el acceso a una estrategia que colabore en la organización de la tarea y el trabajo en equipo.
Comparative Effects of Core Neuromuscular Training versus Conservative Physical Therapy to Reduce Pain and Improve Functional Performance in Patients with Patellofemoral Pain Syndrome
Authors: Khalid Amna , Javed Nadia , Fatima Noor 
Published: April 2024

Running, stair climbing, jumping and squatting represent a few of the activities that can cause patellofemoral pain syndrome. Patellofemoral pain syndrome (PFPS) is one of the most typical causes of anterior knee discomfort in teenagers and persons below Sixty. Objective: To contrast the results of conservative physical treatment plus core neuromuscular training and conservative physical therapy alone. Methods: It was a quasi-experimental study in which patients suffering from patellofemoral pain syndrome were selected on the basis of convenience sampling from Government hospitals of Faisalabad after meeting the inclusion and exclusion criteria. Twenty patients with patellofemoral pain syndrome were divided into Group A and Group B at random. Participants of Group A performed neuromuscular core training plus conservative physical therapy exercise program for 4 weeks while participants of group B performed conservative physical therapy exercise alone for 4 weeks. Data were analyzed by SPSS version 27.0. Results: Following therapy, the pain level was substantially reduced in both of the groups (P < 0.05) with Intervention group showing better results. Similarly, there was improvement in scores of Kujala questionnaire in both groups after treatment (P< 0.05) but the results of Intervention group were comparatively better. Conclusions: There is significant effect of core neuromuscular training plus conservative physical therapy as compared to conservative physical therapy alone.