bluuebunny/crossref_metadata_2025_split huggingface dataset:
Embracing a Precarious Life
Authors: Sjölin Clara 
Published: February 2024

Abstract
This article presents research focused on the precarious life of an independent dance artist in a European context. The aim of this study was to identify ways to understand and cope with the various unstable aspects of the lifestyle and profession of independent dance artists. Together with a group of fellow dance artists, I explored understandings of instability and stability and investigated how collective action might reinforce a sense of stability. I position this study in relation to current economic trends in which the individual is increasingly in focus, with few social security benefits, and the dancer is often faced with solitary living and working situations. I applied a performative, practice-led research methodology supported by feminist post-human theories. The findings led to discussions of the complexity and entanglement of stability and instability, which evolved into a joint phrasing of in/stability, in which I explored how the fluid practice of dance corresponds with not only a wider socio-political landscape but also an ever-changing world.
Karakteristik Pengeringan Ikan Kembung (Mackerel Fish) Menggunakan Metoda Pengeringan Konveksi Dengan Suhu Bertingkat
Authors: Putra Haznam , Pratoto Adjar , Furqon Arapat Muhammad , Dwika Leonanda Benny 
Published: February 2024

Ikan kembung kering merupakan salah satu solusi untuk mengatasi berlimpahnya hasil tangkapan dan pembusukan pada ikan kembung. Namun, saat ini proses pengeringan yang dilakukan oleh masyaraka, khususnya nelayan masih dilakukan secara konvensional, yang membutuhkan waktu pengeringan yang lama karena tergantung cuaca saat pengeringan dan untuk mengatasi pengeringan ini dalam penelitian ini dilakukan dengan menggunakan teknologi pengeringan konveksi yang memanfaatkan aliran cairan dari udara panas dengan kecepatan aliran udara tetap konstan 1 m/s. penelitian melakukan penelitian ini untuk melihat efek pada karakteristik pengeringan makarel menggunakan pengeringan konvektif dengan suhu bertingkat. Ada dua variasi suhu yang digunakan dalam penelitian ini, suhu konstan dan suhu bertingkat. Pengeringan suhu konstan yang digunakan ada dua variasi, suhu rendah dan suhu tinggi (40 dan 60). Sementara pengeringan menggunakan suhu bertingkat menggunakan suhu 40, 50 dan 60 yang secara bertahap ditingkatkan dari suhu rendah ke suhu tertinggi. Dalam penelitian ini, proses pengeringan dilakukan hingga kadar air ikan kembung mencapai 40%. Setelah melakukan penelitian menggunakan suhu konstan dan suhu bertingkat, hasilnya menunjukkan bahwa waktu pengeringan terpanjang diperoleh pada percobaan pengeringan yang menggunakan suhu konstan 40. Namun, konsumsi panas selama pengeringan adalah yang terkecil. Waktu pengeringan tercepat diperoleh pada pengeringan suhu konstan 60, tetapi konsumsi panas selama pengeringan menjadi lebih besar. Sementara itu, pengeringan dengan suhu bertingkat didapatkan waktu pengeringan dan konsumsi panas saat pengeringan yang sedang. Jadi, selama proses pengeringan pengaruh suhu sangat besar, dimana antara suhu dan waktu pengeringan berbanding terbalik, dan hubungan antara suhu dan konsumsi panas selama pengeringan berbanding lurus.
Attitudes of newborns` mothers toward neonatal whole exome testing: results of a combined study
Authors: Трофимов Д.Ю. , Сим Е.Л. , Гребенщикова Е.Г. , Померанцева Е.А. , Павлова Н.С. , Коровко А.И. , Буяновская О.А. , Васильев Г.С. , Большакова А.С. , Зарецкая Н.В. , Шубина Е.С. 
Published: February 2024

Представлены результаты комбинированного (смешанного) эмпирического исследования отношения матерей новорожденных к полноэкзомному неонатальному тестированию, реализованного в 2021-2022 гг. на базе ФГБУ «НМИЦ АГП им. В.И. Кулакова». Исследование включало анкетирование 328 женщин и проведение 31 полуструктурированного глубинного интервью. В результате исследования выявлен значительный интерес респондентов к неонатальному генетическому тестированию, который соотносится с высоким доверием научным знаниям в области медицинской генетики, достижениям и открытиям в области науки и технологий. Развитие и расширение программ генетического тестирования в неонатологии требует разработки разными специалистами критериев информирования с учетом степени риска, наличия лечения и других факторов. Также дальнейшего исследования требует оценка риска конкретных заболеваний, что позволит применять достижения генетики не только для диагностики и профилактики, но и для планирования семьи.
The article presents the results of a combined (mixed) empirical study of attitudes of newborns’ mothers’ toward whole exome testing in neonatology, conducted in 2021-2022 at the «National medical research center for obstetrics, gynecology and perinatology named after academician V.I. Kulakov». The study involved questionnaires of 328 women and 31 semi-structured in-depth interviews with some of them. The study revealed a significant interest of respondents in neonatal genetic testing, which correlates with high trust in scientific knowledge in the field of medical genetics, achievements and discoveries in the field of science and technology. The development and expansion of genetic testing programs in neonatology requires the formulation of informing criteria, taking into account the degree of risk, availability of treatment and other factors. Also, further research is required to assess the risk of specific diseases, which will make it possible to apply the achievements of genetics not only for diagnosis and prevention, but also for family planning.
Hyperhomocysteinemia as a risk factor for cerebral vascular thrombosis in a child with a traumatic brain injury. Clinical observation
Authors: Котов С.В. , Сидорова О.П. , Котов А.С. , Проскурина Е.В. , Соловова О.А. 
Published: February 2024

Приводятся клиническое наблюдение пациента с гипергомоцистеинемией и краткий обзор литературы, посвященный данной проблеме (диагностика и лечение). Тромбоз сосудов головного мозга – одна из наиболее частых причин летального исхода. Выявление этиологии заболевания является актуальным для тактики лечения и профилактики тромбозов. Причинами тромбозов сосудов головного мозга, в том числе у детей, могут быть гипергомоцистеинемия, мутации в генах тромбофилии. Описывается клиническое наблюдение ребенка 15 лет с тромбозом глубоких вен мозга, венозных синусов. Проведены тандемная масс-спектрометрия и таргетное секвенирование. Определено двукратное повышение уровня гомоцистеина и метионина в сыворотке крови. При секвенировании гена CBS (ген цистатионин бета-синтазы) выявлена мутация, описанная в международной базе данных HGMD(СM970234) NM_000071:c.785 C>T (p.T262M) в гетерозиготном состоянии. Также выявлена ранее не описанная замена в гене CBS NM_000071:c. 352 G>A (p.V118M), программами оценки патогенности генетических вариантов расцененная как высоковероятно патогенная.
The clinical observation of the patient and a brief review of the literature on this problem (diagnosis and treatment) are given. Cerebral vascular thrombosis is one of the most common causes of death. The identification of the etiology of the disease is relevant for the tactics of treatment and prevention of thrombosis. The causes of cerebral vascular thrombosis, including in children, may be hyperhomocysteinemia, mutations in the genes of thrombophilia. The clinical observation of a 15-year-old child with deep vein thrombosis of the brain, venous sinuses is described. Tandem mass spectrometry and targeted sequencing were performed. A twofold increase in the level of homocysteine and methionine in the blood serum was determined. When sequencing the CBS gene (cystathionine beta-synthase gene) a mutation described in the international mutation database HGMD(CM970234) NM_000071 has been identified:c.785 C>T (p.T262M) in a heterozygous state. A replacement in the CBS gene NM_000071:c. 352 G>A (p.V118M), undescribed in the international database for HGMD mutations and dbSNP polymorphism, was also identified, but according to pathogenicity programs it is highly likely pathogenic. Conclusion: cerebral vascular thrombosis in children is a rare condition, so it is important to search for the genetic cause of the disease.
MAXIMAL EXERCISE CAPACITY IS INVERSELY RELATED TO INCIDENT PERIPHERAL ARTERY DISEASE
Authors: Ehrman Jonathan K. , Keteyian Steven J. , Aronow Herbert D. , Ahsan Syed T. , Blaha Michael J. , Al-Mallah Mouaz H. , Brawner Clinton A. 
Published: February 2024

https://youtu.be/wLtxZn3XafA

BACKGROUND
Maximal exercise capacity (EC) is a strong, independent predictor of incident coronary and cerebrovascular disease. However, less is known about the relationship between EC and incident peripheral artery disease (PAD). Using data from the Henry Ford Exercise Testing (FIT) Project, we evaluated the relationship between EC and incident PAD. We hypothesized that EC, measured in metabolic equivalents of task (METs), is inversely related to incident PAD.

METHODS
We assessed 41,268 patients (age = 55±12 yrs, 49% female, and 64% white) who completed a clinically indicated exercise stress test between January 1991 and June 2009 at a Henry Ford Health facility. Patients with established PAD at the time of testing were excluded. METs were estimated from peak treadmill speed and grade and standardized to the equivalent of a 50-year-old male to account for differences in absolute risk for a given MET level by age and sex. METs were categorized as &lt;6, 6-9, 10-11, and &gt;12. ICD9 codes 440.XX and 443.9 were used to identify first incidence of PAD from the test date through June 2010. Multivariable Cox regression was used to relate METs to incident PAD. Patients were censored at the date of death or last clinic visit.

RESULTS
During a median follow-up of 7.1 years (IQR 4.2-11.1 yrs) there were 2,596 (6%) incident diagnoses of PAD. In the adjusted analysis, each 1 MET increase in maximal EC was associated with a 7% lower risk of PAD (aHR=0.93 [0.91, 0.94]). There was a graded, inverse risk of incident PAD by MET category (see Table). A significant interaction was noted for race (overall p=.04; white [HR=0.93 (0.92, 0.95)] vs black [HR=0.91 (0.88, 0.93)], p=.02; white vs other [HR=0.97 (0.87, 1.07)], p=0.47), but not for sex (p=.79).

CONCLUSION
In a diverse cohort that completed a clinically indicated exercise stress test, higher EC measured in METs, is independently and inversely associated with a lower risk of incident PAD.
CLINICIAN-LEADERS IN CARDIAC REHABILITATION: CLINICAL EXERCISE PHYSIOLOGISTS
Authors: Richardson Laura A. , Berry Robert , Harding Aaron W. , Nustad Jill , Ozemek Cemal , Savage Patrick D. , Walker Ash , Brawner Clinton A. 
Published: February 2024

https://youtu.be/5aocJv-Xyk0

BACKGROUND
Clinical exercise physiologists (CEP) are members of the multidisciplinary team in cardiac rehabilitation (CR). CEPs undertake multiple roles, including individualizing patient care to help restore or improve daily functioning in patients with heart disease. CEPs are equipped with a wide range of knowledge and skills for successful patient care and also have the skillset to propel career development to serve in leadership roles. The Million Hearts Cardiac Rehabilitation Collaborative (CRC) is working to achieve the goal of increasing enrollment to 70% CR participation in eligible patients. However, given the critical healthcare staffing shortage, the workforce poses a unique challenge to adequately staff clinics to improve access to CR, especially in historically marginalized rural and urban communities. PURPOSE: Describe the prevalence of CR programs that are solely staffed by CEPs and the job tasks they perform in the United States.

METHODS
CR program managers in the United States were sent an email invitation to participate in an electronic survey from the American Association of Cardiovascular and Pulmonary Rehabilitation. Depending on the participant’s responses, the final survey could be as few as 11 and up to 44 required multiple choice questions.

RESULTS
Among 297 CR programs that responded to the survey, 86% (n= 256) stated they staff a CEP and 12% (n= 30) stated their program is run entirely by CEPs. Among the programs run entirely by CEPs, the minimum degree for CEP staff was a bachelor’s in 93% (n= 28) and a master’s in 7% (n= 2). The ACSM clinical exercise physiology credential was preferred or required in 73% (n= 22) of programs. Job tasks performed by CEPs in these CR programs were provided patient education (100%), monitored ECG during exercise (100%), assessed patient symptoms (100%), screened patients entering CR (100%), measured blood pressure via auscultation (97%), measured blood glucose (97%), and administered supplemental oxygen (93%). CEPs can hold a leadership position in 83% (n= 25) of these institutions.

CONCLUSIONS
Leveraging the CEP practice patterns to serve as CR clinical leaders permits other health care professionals, such as nurses, to be used in other areas of health care. Although no formal framework exists on the educational preparation for a CEP career ladder, findings suggest that CEPs are competent to run and oversee CR programs. Innovative strategies to improve referral, enrollment, and retention of patients with heart disease into CR will require increases in CR capacity which can be filled by CEPs.
TOWARDS GROWTH-FOCUSED PHYSICAL ACTIVITY: QUALITATIVE EVALUATION OF A BETTER FUTURE
Authors: Slavin Maggie 
Published: February 2024

https://youtu.be/3xvOOk9vfEQ

BACKGROUND
Physical activity promotion has traditionally centered on weight loss, contributing to harmful practices and missed opportunities to do good. This study emphasizes the multifaceted benefits of physical activity beyond weight loss. The objective is to provide evidence for a growth-focused approach that will hopefully encourage more successful referral networks between clinical practice and health fitness professionals.

METHODS
Qualitative data were gathered through questionnaires from participants in 1:1 personal training and fitness classes. Questions included intended goals of participation, what they were able to accomplish, what aspects were most enjoyable and provided the greatest benefit, what may have exceeded their expectations, a single word to describe the experience, feedback about the instructor, and what they would tell someone who is considering participation.

RESULTS
Qualitative findings revealed that participants responded positively to the growth-focused approach, expressing increased enjoyment and adherence to sustain physical activities. Social connections formed during group activities emerged as significant contributors to sustained engagement, along with the instructor’s support and structure throughout the process. Data showed improvements in overall mental well-being, reductions in stress levels, increased fitness knowledge, self-efficacy, adherence, strength, conditioning, and mobility.

CONCLUSIONS
This study advocates for a shift in physical activity promotion, moving away from a weight-centric model towards a growth-focused approach. The positive reception and sustained engagement observed among participants suggest that emphasizing well-being, mental health, social connections, and overall growth can be effective in encouraging regular physical activity. This approach has the potential to contribute to a more positive and sustainable health and fitness culture. Future interventions and public health campaigns should encourage continued collaboration between clinical practice and health fitness professionals.
EFFECTS OF CARDIO VS. CARDIO AND RESISTANCE TRAINING IN PEOPLE WITH OBESITY
Authors: Parker Emily J. , Riely Korie M. , Ellingson Sydney , Modglin Cali J. , Lang Henry 
Published: February 2024

https://youtu.be/oKAwffZN59k

BACKGROUND
Current ACSM guidelines for people with obesity suggest cardiovascular training of up to 300 minutes of moderate to vigorous physical activity per week with little focus on resistance training. PURPOSE: The purpose of this study was to explore the effects of 10-weeks of cardiovascular only (CO) vs. cardiovascular and resistance training (CRT) on metabolic health and health-related quality of life (HRQOL) among people with obesity.

METHODS
Four male and 14 female participants with a BMI of 30 to 40 kg/m2 were randomly assigned to either CO (9) or CRT (9) groups. Participants were verbally administered the CDC HRQOL-14 and completed other assessments, including systolic blood pressure (SBP), diastolic blood pressure (DBP), waist-to-hip ratio (WHR), fasting blood glucose, homeostatic model assessment for insulin resistance (HOMA-IR), resting energy expenditure, and body fat percentage before beginning and after completing the exercise program. Both groups exercised for 1 hour, 4 days a week, for 10 weeks. CO completed 225 minutes of moderate-intensity cardio for weeks 1-2 and progressed to 177 minutes of moderate and 48 minutes of vigorous-intensity cardio for weeks 3-10. CRT completed 150 minutes of moderate-intensity cardio training and 1 hour of RT for the first two weeks and progressed to 48 minutes of moderate and 48 minutes of vigorous-intensity cardio along with 130 minutes of RT for weeks 3-10. Paired samples t-tests were used to compare pre-and post-intervention variables within groups. One-way ANOVAs were used to compare groups at baseline and the change from pre- to post-intervention for each variable between groups.

RESULTS
Of the 18 participants, 100% completed the study. There were no significant differences between groups at baseline. The CRT group had a significant reduction from baseline to post-intervention for SBP (-8.8±10.6mmHg, p&lt;.05) and a significant increase for log adjusted 5-RM (0.7±0.01kg, p&lt;.001). BMI (x̄= −0.8±1.0, p=.060), body weight (x̄= −5.7±7.7, p=.057), and %BF (x̄= −1.8±2.5, p=.059) decreased in the CRT group trending towards significance. The CO group had significant reductions from baseline to post−intervention in DBP (−7.3±7.6mmHg, p&lt;.05), bodyweight (−7.4±5.3lbs, p&lt;.05), BMI (−1.2±0.9 kg/m2, p&lt;.05) and body fat percentage (−2.8±2.5%, p&lt;.05). The only significant difference in change variables between groups was log-adjusted 5-RM (p&lt;.001).

CONCLUSIONS
Ten weeks of CO or CRT improve markers of metabolic health. Combing cardiovascular and resistance training may improve SBP and muscle strength to a greater extent than cardiovascular training alone, while cardiovascular training may have a greater impact on body weight and body fat percentage.
INTERNATIONAL CRITERIA EKG COMPARISON STUDY
Authors: Cosio-Lima Ludmila , Lee Lincheng , Mahmoudian Armaghan , Adlof Lauren , Lee Youngil 
Published: February 2024

https://youtu.be/4jm0uzAQNm8

BACKGROUND
There has been an evolution of athlete specific Electrocardiogram (EKG) criteria over the years, resulting in improved specificity and lower false positive rates, starting with the European Society of Cardiology 2005 guidelines and most recently with the current 2017 International Recommendations. The consistency of EKG interpretation with the 2017 International Criteria have been compared between various groups, including local and specialized center physicians. Whether novice EKG interpreters (undergraduate/graduate students) can be taught to accurately interpret athletes’ EKGs with the 2017 International Criteria has not been extensively studied. This study seeks to assess the accuracy and variability of novice EKG interpreters, compared to cardiologist interpretations and expert readers.

METHODS
Three novice EKG interpreters (undergraduate exercise science students) were trained in interpreting EKGs of athletes with the 2017 International Criteria during one semester under the instruction of an expert reader. During an annual high school, sports screening day 1350 EKGs were collected and assigned a corresponding number. The on-site cardiologists evaluated the EKGs in real-time and classified as “normal” or “abnormal” according to the International Criteria. Following the sports physical day, three novice EKG interpreters (students), a cardiologist and a Clinical Exercise Physiology Professor (expert reader) were asked separately to classify the same EKGs as “normal or “abnormal” according to the International Criteria. All readers were blinded to the initial classifications made by the cardiologist during the sports physical event. Information regarding the athlete's age, gender, race/ethnicity, and sport was provided on the EKGs. We assessed the agreement between the cardiologist, expert reader and students in interpreting EKGs using Fleiss' kappa analysis.

RESULTS
1350 athlete EKGs (males = 879; females = 471, age (mean + SD) 15.09 + 1.3y) including 37 (2.7%) abnormal cases were reviewed. The inter-rater agreement between novice readers, expert reader, and physicians in classifying an EKG as abnormal was good (k = 0.7, p &lt; .001).

CONCLUSION
This study demonstrated that novice EKG readers could correctly classify EKGs based on the International Criteria as “normal and abnormal” to identify athletes at high risk of acute cardiovascular events
A POTENTIAL PARAMETER FOR ASSESSMENT OF EXERCISE CAPACITY IN PATIENTS WITH IDIOPATHIC PULMONARY DISEASE
Authors: Aktan Ridvan , Can Tertemiz Kemal , Yiğit Salih , Özalevli Sevgi , Alpaydin Aylin Özgen , Uçan Eyüp Sabri 
Published: February 2024

https://youtu.be/_jIKpatUoGA

BACKGROUND
A 6-minute walk distance (6MWD) is widely used to assess functional exercise capacity in patients with cardiac or pulmonary disease and is known to hold strong prognostic utility. However, previous studies have shown that bodyweight negatively affects the predictive accuracy of the 6MWD. 6-minute walk work (6MWORK = 6MWD X bodyweight) has been shown to be more strongly associated with clinical markers in patients with chronic obstructive pulmonary disease (COPD), however, this has not been investigated in patients with idiopathic pulmonary fibrosis (IPF). This study aims to determine whether 6MWORK has a stronger correlation with clinical parameters compared to 6MWD in male patients with IPF.

METHODS
Clinical data was retrospectively analyzed from 22 male patients with IPF. Linear correlations between lung function, 6MWORK and 6MWD were performed.

RESULTS
There was a positive correlation between 6MWD and forced expiratory volume in the first second (FEV1) (r=0.488, p=0.021), while a strong positive correlation existed between 6MWORK and FEV1 (r=0.558, p=0.007). There was also a strong positive correlation between 6MWORK and FEV1/forced vital capacity (FVC) ratio (r=0.564, p=0.006), while there was no correlation between 6MWD and FEV1/FVC (r=0.320, p=0.146). Moreover, when performing a linear regression analysis, the FEV1 (β=0.411, p&lt;0.033) and FEV1/FVC (β=0.420, p&lt;0.030) were significant unique contributors to 6MWORK. The model was statistically significant check(R-square=0.47, F(2, 19)=8.31, p&lt;0.003).

CONCLUSION
6MWORK appears to be more closely associated with clinical parameters in male patients with IPF compared to 6MWD. 6MWORK may better characterize the clinical status of patients with IPF. Further study is needed to investigate the ability of 6MWORK to predict clinical endpoints.