bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative Effect of High-Frequency Nasal Cannula and Noninvasive Ventilation on the Work of Breathing and Postoperative Pulmonary Complication after Pediatric Congenital Cardiac Surgery: A Prospective Randomized Controlled Trial
Authors: Goel Alisha , Kumar Bhupesh , Negi Sunder , Mahajan Sachin , Puri Goverdhan D. , Khan Waseem A. 
Published: January 2024

ABSTRACT

Background:
Various forms of commonly used noninvasive respiratory support strategies have considerable effect on diaphragmatic contractile function which can be evaluated using sonographic diaphragm activity parameters.

Objective:
To compare the magnitude of respiratory workload decreased as assessed by thickening fraction of the diaphragm and longitudinal diaphragmatic strain while using high-flow nasal cannula (HFNC) and noninvasive ventilation (NIV) modes [nasal intermittent positive pressure ventilation (NIPPV) and bilevel positive airway pressure (BiPAP)] in pediatric patients after cardiothoracic surgery.

Methodology:
This prospective randomized controlled trial was performed at a tertiary care surgical intensive care unit in postcardiac surgery patients aged between 1 and 48 months, who were randomly allocated into three groups: 1) HFNC (with flows at 2 L/kg/min), 2) NIPPV via RAMS cannula in PSV mode (pressure support 8 cmH2O, PEEP 5 cmH2O), and 3) BiPAP in nCPAP mode (CPAP of 5 cmH2O). Measurements were recorded at baseline after extubation (R0) and subsequently every 12 hourly (R1, R2, R3, R4, R5) at 12, 24, 36, 48, and 60 hours respectively until therapy was discontinued.

Results:
Sixty patients were included, with 20 patients each in the NIPPV group, HFNC group, and BiPAP group. Longitudinal strain at crura of diaphragm was lower in the BiPAP group as compared to HFNC group at R2-R4 [R2 (-4.27± -2.73 vs - 8.40± -6.40, P = 0.031), R3 (-5.32± -2.28 vs -8.44± -5.6, P = 0.015), and R4 (-3.8± -3.42 vs -12.4± -7.12, P = 0.040)]. PFR was higher in HFNC than NIPPV group at baseline and R1-R3[R0 (323 ± 114 vs 264 ± 80, P = 0.008), R1 (311 ± 114 vs 233 ± 66, P = 0.022), R2 (328 ± 116 vs 237 ± 4, P = 0.002), R3 (346 ± 112 vs 238 ± 54, P = 0.001)]. DTF and clinical parameters of increased work of breathing remain comparable between three groups. The rate of reintubation (within 48 hours of extubation or at ICU discharge) was 0.06% (1 in NIPPV, 1 in BiPAP, 2 in HFNC) and remain comparable between groups (P = 1.0).

Conclusion:
BiPAP may provide better decrease in work of breathing compared to HFNC as reflected by lower crural diaphragmatic strain pattern. HFNC may provide better oxygenation compared to NIPPV group, as reflected by higher PFR ratio. Failure rate and safety profile are similar among different methods used.
Continuous Bilateral Transversus Thoracicmuscle Plane Block: An Analgesia Boon for Scoliotic Patients Undergoing Cardiac Surgery
Authors: Singh Avneet , Indumati  , Kapoor Dheeraj , Dhillon Suman , Narula Jasmine K. , Garg Sidharth 
Published: January 2024

ABSTRACT
A person with thoracolumbar scoliosis for cardiac surgery presents with problems of restrictive lung disease with the additional risk of reduced lung compliance and respiratory complications compared to the other patients. Post-operative analgesia in the form of continuous bilateral transversus thoracic muscle plane block (TTMPB) may help such patients in early respiratory rehabilitation by decreasing the time to extubation, reducing the opioid requirement, and early initiation of physiotherapy decreasing the risk of complications.
Coronary Artery Aneurysm with Fistula Associated with Tricuspid Valve Regurgitation
Authors: Donoo Farooq A. , Alghamdi Faris , Mir Abdul Basit , Alkhedhairi Fahad 
Published: January 2024

ABSTRACT
Aneurysmal dilation of coronary arteries is a rare condition detected during coronary angiography. Due to their poorly elucidated underlying mechanisms, their variable presentations, and the lack of large-scale outcome data on their various treatment modalities, coronary artery aneurysms, and coronary ectasia pose a challenge to the managing clinician. This case presentation provides insight into the challenges regarding the management of the coronary artery aneurysm during the perioperative period.
Curious Case of Pediatric One-Lung Ventilation with Two Endotracheal Tubes: A Case Report
Authors: Jha Lalit , Naaz Shagufta , Paul George , Kumar Sanjeev 
Published: January 2024

ABSTRACT
One-lung ventilation is indicated during thoracic surgery for visualization and exposure of surgical site. It is achieved with bronchial blockers, double-lumen endobronchial tube, single-lumen endotracheal tubes and Univent tube for infants and children. Fibreoptic bronchoscope is required for placing and confirming the correct position of these tubes. We report a perioperative management of safe conduct of one lung ventilation for a 6-year child undergoing left lower lobe lobectomy through C-MAC video laryngoscope guided two single lumen tubes in limited resource settings where paediatric-sized fibreoptic bronchoscope is unavailable.
Confounding Factors Responsible for Elevated Lp(a) Levels in Patients with Coronary Artery Disease
Authors: Amin Navaneeth , Devasia Tom , Kamath Shobha Ullas , Paramasivam Ganesh , Shetty Prasad Narayana , Singh Ajit , Prakash Ganesha N. S. 
Published: January 2024

ABSTRACT

Background:
Cardiovascular diseases (CVDs) are a leading cause of global mortality, motivating research into novel approaches for their management. Lipoprotein(a) (Lp(a)), a unique lipoprotein particle, has been implicated in atherosclerosis and thrombosis, suggesting its potential as a therapeutic target for CVDs.

Aim:
This study aimed to investigate the association of Lp(a) levels with various cardiovascular parameters and events among patients with confirmed cardiovascular disease.

Methodology:
A prospective study was conducted, enrolling 600 participants, predominantly comprising males (79%), with a mean age of 52.78 ± 0.412 years diagnosed with cardiovascular disease. The follow-up was done for 18 months. Patient demographics, blood investigations, and occurrence of major adverse cardiac events (MACE) were collected. SPSS version 21 was used to statistically analyze the relationships between elevated Lp(a) levels and factors such as age, glycated hemoglobin, mortality, MACE, cardiac death, target vessel revascularization, and stroke.

Results:
The study revealed significant (P < 0.05) associations between elevated Lp(a) levels and advanced age, increased glycated hemoglobin levels, as well as occurrences of all-cause mortality, MACE, cardiac death, target vessel revascularization, and stroke. Notably, a significant (P < 0.05), association between high Lp(a) levels and acute coronary syndrome (ACS) emerged, suggesting Lp(a)’s role in advanced cardiac events.

Conclusion:
The findings highlight the potential significance of Lp(a) as a notable risk factor in cardiovascular health. The observed associations between elevated Lp(a) and adverse cardiovascular events, including ACS, underscore its pathogenic role. Consequently, this study supports the rationale for further research into Lp(a)-specific therapeutic interventions, offering substantial promise in refining the management strategies for cardiovascular diseases.
Delayed Paraparesis: An Unusual Complication Following Coarctation of Aorta Repair
Authors: Arasu Thanigai , Kumar Rupesh , Khajuria Udit , Komal T 
Published: January 2024

ABSTRACT
Paraparesis following cardiac surgery is a manifestation of spinal cord injury (SCI). It can occur in any aortic surgery from the aneurysm to the coarctation of the aorta (CoA) where the cross-clamp of the aorta is applied. Though the incidence of paraplegia is low, its occurrence affects the morbidity and mortality of the patient. There are only sporadic case reports on the development of paraplegia following recurrent and technically challenging repair of CoA. However, the spontaneous development of paraplegia has also been reported in cases of unoperated CoA. The present report describes the case of delayed SCI in which paraparesis developed 5 days post a coarctation repair. The risk factors and strategies to protect the spinal cord during aortic surgeries are emphasized.
Deep reinforcement learning for base station switching scheme with federated LSTM‐based traffic predictions
Authors: Park Hyebin , Yoon Seung Hyun 
Published: January 2024

AbstractTo meet increasing traffic requirements in mobile networks, small base stations (SBSs) are densely deployed, overlapping existing network architecture and increasing system capacity. However, densely deployed SBSs increase energy consumption and interference. Although these problems already exist because of densely deployed SBSs, even more SBSs are needed to meet increasing traffic demands. Hence, base station (BS) switching operations have been used to minimize energy consumption while guaranteeing quality‐of‐service (QoS) for users. In this study, to optimize energy efficiency, we propose the use of deep reinforcement learning (DRL) to create a BS switching operation strategy with a traffic prediction model. First, a federated long short‐term memory (LSTM) model is introduced to predict user traffic demands from user trajectory information. Next, the DRL‐based BS switching operation scheme determines the switching operations for the SBSs using the predicted traffic demand. Experimental results confirm that the proposed scheme outperforms existing approaches in terms of energy efficiency, signal‐to‐interference noise ratio, handover metrics, and prediction performance.
IMPLEMENTASI PELAYANAN SOSIAL ANAK PADA LEMBAGA KESEJAHTERAAN SOSIAL ANAK (LKSA) (Studi Kasus di Panti Asuhan Sultan Al-Amin Anduonohu Kecamatan Poasia Kota Kendari)
Authors: Susnia Wa Ode , Tanzil Tanzil , Sarmadan Sarmadan 
Published: January 2024

Penelitian ini bertujuan untuk mengetahui implementasi pelayanan sosial anak pada Lembaga Kesejahteraan Sosial Anak (LKSA) Anduonohu Kecamatan Poasia Kota Kendari. Metode penelitian yang digunakan dalam penelitian ini adalah kualitatif deskriptif. Sedangkan teknik pengumpulan data yang digunakan adalah observasi, wawancara dan dokumentasi. Informan dalam penelitian ini adalah Kepala Yayasan, 4 orang pengurus dan 4 0rang anak. Panti Asuhan Sultan Al- Amin. Sumber data yang digunakan adalah sumber data pimer dan sekunder. Hasil penelitian ini menunjukan bahwa terdapat beberapa bentuk pelayanan implementasi pelayanan sosial yang dilaksanakan Lembaga Kesejahteraan Sosial Anak (LKSA) Panti Asuhan Sultan Al-Amin Anduonohu Kota Kendari diantaranya yaitu pelayanan sosial dalam penyediaan Asrama, penyediaan makanan, pelayanan yang diberikan dalam bentuk pakaian, pelayanan dalam bentuk pendidikan, dan pelayanan dalam bentuk kesehatan. Faktor pendukung dan faktor penghambat dalam pelayanan sosial anak yang dilaksanakan Lembaga Kesejahteraan Sosial Anak (LKSA) Panti Asuhan Sultan Al-Amin Anduonohu Kota Kendari diantaranya yaitu faktor sarana dan prasarana, donasi dan faktor kurangnya partispasi pengurus
Kata Kunci: Implementasi, Pelayanan Sosial, LKSA
An Analysis of The Language Variations of Luwunese Through Speech Acts (Fokus: Luwu, North Luwu, and East Luwu)
Authors: Surahim Irsyam , Ramli Aswadi 
Published: January 2024

The main objectives of this research were to determine the differences of language variation in the use of regional language especially Luwu, North Luwu and East Luwu in South Sulawesi area. The descriptive qualitative research method was applied by the researcher. The research was conducted at Luwu, North Luwu and East Luwu. The researcher describes that variety of luwu, North Luwu and East Luwu. In this research the researcher using purposive sampling, the researcher observed and interviewed all of the respondents who from Luwu, North Luwu, and East Luwu. The researcher used video recording and field notes to conduct observation. Respondents’ activities and attitudes social was captured on video. Meanwhile, the researcher used field notes to obtain more accurate data. Based on the observation that The language variation in Luwu were different with the language North Luwu people and East Luwu, because the variation Luwu language has same the similarity language spoken Buginese people and near also from the land of Buginese are. There were several factors that caused language variations of Luwunese including internal factors such as self perception, perception of language, language difficulties , and external factors such as social judgment. The factors divided into three categories: linguistic factors, which cover linguistic difficulties, psychological factors, and environmental factors. As a result, it is suggested that the researcher and reader get to know more about the language variations of Luwunese. By becoming acquainted with the language variations of Luwunese, the people has to study about the language of variety, in order that can helping communicate with the kind.
Diversidad florística y estructura de la regeneración natural del bosque piemontano con intervención de manejo forestal en el sur de Ecuador
Authors: Ramírez Guaman Tito German , Lozano Deicy 
Published: January 2024

La regeneración natural es el proceso ecológico más importante para la renovación de los bosques a lo largo del tiempo. El presente estudio caracterizó la composición florística y estructura poblacional de las especies regenerantes con intervención de manejo forestal, en el bosque piemontano de Zamora Chinchipe. Se estratificaron áreas de bosque según el tiempo de sucesión posterior a la intervención de manejo forestal en cinco años (T5) y diez años (T10), y se estableció un área de referencia donde no se ha implementado actividades de manejo forestal (T0). Se evaluó la regeneración natural en: plántulas, brinzal y latizal. Se utilizó curvas de rarefacción de especies y análisis multivariado NDMS para la diversidad. Además, se generó parámetros estructurales y se comparó las variables de: riqueza, abundancia, diámetro a la altura de la base (cm) y altura (m). La composición florística de la regeneración natural total (T0; T5; T10) esta, representada en 125 especies, 88 géneros y 41 familias. Nuestros resultados mostraron que existe similitud florística entre plántulas y brinzales para T0, T5, T10, a excepción de latizales. La abundancia y riqueza de especies presentó diferencias entre T0 con respecto a T5; T10 en la categoría de plántulas y brinzales. En latizales existió diferencias en la riqueza de especies entre T10 con respecto a T0; T5. La intervención de manejo forestal promueve cambios significativos en la estructura y diversidad florística en los estratos de regeneración natural de plántulas y latizal.
Los circuitos lúdicos en el desarrollo de la psicomotricidad en la Educación infantil
Authors: Bravo Zambonino José María , Constante Barragan María Fernanda , Culqui Cerón Patricia Catherine , Defaz Gallardo Yolanda Paola 
Published: January 2024

Introducción: la educación psicomotriz es base importante para el desarrollo de las habilidades y destrezas en edades tempranas, lamentablemente en los últimos años los niños de Educación Inicial tienen deficiencias en su desarrollo motor, producto de diversos factores, lo que ha perjudicado su desarrollo cognitivo, psicomotor y afectivo
Objetivo: diagnosticar y aplicar circuitos lúdicos para el desarrollo motriz de los niños de las escuelas rurales del cantón Pujilí
Métodos: Se utilizó el enfoque cualitativo, para la recolección de información se trabajó con la técnica de la entrevista y la observación. Se utilizó el análisis temático, el cual ayudó establecer los resultados de los observado en el diagnóstico y la aplicación de los circuitos lúdicos
Resultados: Se evidenció que los docentes de las instituciones rurales no tienen el título de Educación Inicial y desconocen los circuitos motrices y se evidenció que los niños presentaban deficiencias en su motricidad fina, gruesa, lateralidad y equilibrio, lo cual está perjudicando su desarrollo integral.
Conclusiones: las conclusiones resaltan la necesidad de una mayor capacitación docente, una mejor infraestructura educativa y una mayor atención a la psicomotricidad en los primeros años de vida de los niños, con el fin de promover un desarrollo integral y saludable.
La evaluación, la inteligencia artificial y otras tecnologías de vanguardia en Educación General Básica Superior
Authors: Lara Andino Aquilino Ramiro , Sacatoro Toaquiza José Ignacio , León Vinueza Ana Gabriela , Jarrín Trujillo Gisele Melissa , Simancas Malla Flor María 
Published: January 2024

Introducción: La inteligencia artificial y otras tecnologías de vanguardia han comenzado a tener un impacto en la educación en todos los niveles y la Educación General Básica Superior no escapa de ello, porque se pueden utilizar para personalizar los procesos educativos y ofrecen ventajas en la personalización del aprendizaje.
Objetivo: Identificar los procesos de evaluación basados en inteligencia artificial y otras tecnologías de vanguardia funcionales en Educación General Básica Superior
Métodos: la investigación se desarrolló bajo el paradigma cualitativo, con diseño y nivel explicativo, el procesamiento de la información recopilada se realizó en cuatro pasos: 1. Creación de los descripciones; 2. Selección de los documentos; 3. Análisis e interpretación de los documentos seleccionados y 4. Elaboración del informe de investigación.
Resultados: La evaluación con inteligencia artificial y tecnologías de vanguardia en Educación General Básica Superior se puede basar en cuatro sistemas que son los sistemas de tutoría inteligente, los de análisis de datos, evaluación adaptativa y retroalimentación automatizada.
Conclusiones: Se concluyó que el uso de la inteligencia artificial y las tecnologías de vanguardia en la Educación General Básica Superior permiten la evaluación en tiempo real de los conocimientos adquiridos, lo que promueve mayor participación por parte de los estudiante.
دراسة بعض العوامل المؤثرة في القطاع الزراعي لتحقيق ابعاد التنمية المستدامة في العراق للمدة 1990- 2019
Authors: عبد مقداد , جاسم محمد , راهي وضاح , حسن كريم 
Published: January 2024

تعتبر التنمية المستدامة من الأساليب التي تتطلبها الحياة المعاصرة التي تتميز بالتطور والتغيير، حيث شهد القطاع الزراعي عدم الاستقرار لسنوات عديدة بسبب الظروف المختلفة التي مر بها العراق، تهدف الدراسة الى بيان تأثير بعض العوامل المتمثلة بالاستثمار الزراعي والقوى العاملة في القطاع الزراعي والمؤثرة في القطاع الزراعي لتحقيق ابعاد التنمية المستدامة، وتوصلت الدراسة الى ان الاستثمار الزراعي من العوامل الأساسية وخاصة فيما يعاني القطاع الزراعي من عدم توفر الخطط الاستثمارية الملائمة ولا سيما خلال العقود الماضية هذا جانب والجانب الآخر دعم القوى العاملة في القطاع الزراعي لما له من تأثير واضح على الجانب الزراعي والاجتماعي وبالشكل الصحيح لتحقيق ابعاد التنمية المستدامة في العراق باستخدام البرنامج الاحصائي Eviews 10 من خلال تحليل ARDL وتوصي الدراسة تفعيل دور الاستثمار في القطاع الزراعي لأهميته في دعم الناتج المحلي الزراعي على المدى القصير والطويل من خلال المشاريع الاستثمارية بالجانب النباتي او الحيواني، والعمل على توفير الدعم للقوى العاملة بالقطاع الزراعي من خلال تهيئة الخبرات اللازمة وتوفير الدورات المطلوبة لرفع مستوى العمالة، وضرورة زيادة التوجه الحكومي بدعم القطاع الزراعي للدور الذي يحققه في ابعاد التنمية المستدامة سواء على مستوى الإنتاج او مستوى العمالة في القطاع الزراعي في العراق .
الكشف عن أهم ملوثات نهر دجلة واختبارها والتنبؤ لها باستعمال الأساليب الاحصائية
Authors: عبد الله مرتضى , فرحان عقيل 
Published: January 2024

إن للتطور العلمي والتقنيات الحديثة أهمية كبيرة إلا انه توجد العديد من المشاكل ومن اهمها مشكلة تلوث المياه كونها تتعلق في حياة جميع الكائنات الحية وجودة المحاصيل الحقلية والحفاظ عليها لذلك فان التخطيط الجيد المبني على تنبؤات جيدة من شانه ان يساهم في حل جزء من المشاكل التي تم استعمال العديد من الطرائق الاحصائية حيث استعمال اختبار فان دير فان وذلك لاختبار البيانات كونها تعود لنفس المجتمع واستخدم اختبار كاي سكوير لاختبار تلوث المياه كما استخدم اختبار LSD لإيجاد معنوية المعالم بين المحطات واخيرا اخذت اهم ملوثات نهر دجلة واخطارها واستخدمت السلاسل الزمنية للتنبؤ بها حيث اظهرت النتائج ما يلي: بعد اجراء اختبار فان دير فان والاطلاع على النتائج واثبت ان العينات متجانسة وتنتمي الى مجتمع واحد اي توجد اختلافات بين اماكن سحب المياه من نفس النهر وان قيم x^2 المحسوبة <x^2 الجدولية ل( ) التي تمثل كميات الاملاح وعكورة الماء و كلوريدات و صوديوم و كبريتات على التوالي لذلك قبول فرضية العدم ورفض البديلة اي ان مياه نهر دجلة تكون ملوثه بهذه الملوثات الخطرة وقد وجد تغاير طفيف في تراكيز العناصر الثقيلة بين المحطات الثلاث نتيجةً لتقارب المحطات من بعضها. اما قيمة LSD اثبتت فروق معنوية إيجابية بمستوى P≤0.01 للعاملين الاوكسجين الذائب DO والمتطلب الحيوي للأوكسجين BOD5 بين المحطات واظهر تحليل السلاسل الزمنية للتنبؤ ان افضل انموذج للمتغيرات التي تم التنبؤ هو الانموذج الذي اثبتته مقاييس دقة الانموذج والمعالم المقدر لذا تم استخدامه للتنبؤ واظهرت نتائج دقيقة وكفؤة وقريبة من قرينتها وذات تلوث متزايد
Beleza matemática: abordagem integrativa entre o último Teorema de Fermat e a fórmula de Euler da análise complexa
Authors: Da Cruz Sóstenes Rônmel , Da Silva Cleomacio Miguel 
Published: January 2024

A matemática consegue integrar maravilhosamente a arte e o conhecimento científico. Desde os primórdios das civilizações, a arte e a matemática estão intrinsecamente interligadas. A beleza de uma reflete na outra e vice-versa. É um grande mistério como a arte e a matemática se ligam em diferentes frameworks para formar a base do conhecimento científico. A matemática influenciou a arte e a arte influenciou a matemática desde que ela existiu. Na intrincada dança entre matemática e a arte, os limites muitas vezes ficam confusos, sendo muito difícil definir onde termina um e começa o outro. A matemática e a arte formam a beleza que é uma propriedade fundamental da Ciência. A Ciência realmente não existiria sem a matemática e a arte. Em muitas situações que envolvem o estado da arte em estudos matemáticos, é possível integrar partes aparentemente desconexas, e criar um quadro artístico belíssimo de grande valor científico. Por exemplo, que beleza resultaria da integração do Último Teorema de Fermat e a Fórmula de Euler? Que estado da arte pode ser criado dessa integralidade? O Último Teorema de Fermat mostra que não existem três números inteiros positivos que sejam uma solução para
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O impacto do diabetes gestacional no desenvolvimento infantil
Authors: Prado Marília Gabriela Siqueira , Silva Kauany dos Santos , Camelo Antônio Ian Parente , Damasceno Gustavo Sousa , Arcanjo Francisco Plácido Nogueira 
Published: January 2024

O diabetes gestacional (DMG) é caracterizado pelo grau de intolerância à glicose diagnosticado no segundo ou no terceiro trimestre da gestação. Nesse contexto, é importante destacar que o estado de saúde materna tem grande influência sobre o desenvolvimento fetal e infantojuvenil. Diversos artigos com essa temática levantam hipóteses acerca do impacto da DMG no desenvolvimento infantil, como risco de sobrepeso e obesidade, distúrbios metabólicos e alterações na antropometria dos petizes. Por conseguinte, o aumento do tamanho para idade gestacional, o elevado peso ao nascer e a tendência à prematuridade são alguns dos questionamentos levantados. Esclarecer essa associação é de fundamental relevância à projeção de possíveis doenças em infantes decorrentes de mães com DMG, visto que 55% das crianças obesas tendem a ser adolescentes obesos e destes 80% serão afetados pela obesidade na vida adulta, elevando os índices mundiais, com manifestações mais precoce, de doenças cardiovasculares e metabólicas.