bluuebunny/crossref_metadata_2025_split huggingface dataset:
Complex Heart Disease with Interrupted Aortic Arch
Authors: Ahmed Huda Qadeer , Malik Mahim , Mohsin Shazia Samad 
Published: November 2023

Background:
Congenital heart disease (CHD) is the most common of all birth defects. Interrupted aortic arch (IAA) is rare, attributing to 1% of all CHD and exhibits left sidedness in most cases. It usually presents in the first 2 weeks of life with heart failure and shock. Early recognition, preoperative stabilization with prostaglandin infusion, and timely surgery are necessary to prevent mortality. Single-stage repair has proven to have good outcomes. However, resource constraints in low- and middle-income countries can hinder diagnosis and intervention by single-stage repair due to a paucity of state of the art centers and inventory.

Case Description:
We present the experience of a low-resource center with two children with rare complex forms of IAA, both of whom underwent successful single-stage cardiac surgeries; a 6-week-old infant was admitted with difficulty in feeding and heart failure signs. Moreover, a 2-year-old boy was referred with failure to thrive, chronic respiratory problems, and feeding problems since early infancy. Both children were diagnosed with IAA with associated defects including patent ductus arteriosus by transthoracic echocardiography.

Management:
After stabilization with anticongestive medication, single-stage repair was attempted in both. The postoperative course was uneventful, and the postsurgical echocardiogram showed no residual defect. Both cases were discharged. They are under follow-up, are symptom free, have gained weight, and have not shown any need for reintervention yet.

Conclusion:
If preparative diagnosis is made correctly and surgery planned meticulously, the immediate and short-term outcome of single-stage repair can be favorable.
Exposure to Pornography in a Young Boy
Authors: Malhi Prahbhjot , Bharti Bhavneet , Satya Dileep 
Published: November 2023

Background:
Child sexual abuse is highly prevalent in India, both among boys and girls; however, few studies have studied sexual abuse of male children. The present case report highlights the challenges of diagnosis and management of a young boy who presented with marked hyperactivity and sexual acting out behaviors subsequent to his repeated exposure to pornography.

Clinical Description:
H, a 5-year-old boy, presented with a 2 month history of hyperactivity, poor concentration, inappropriate touching, and self-stimulation. H also displayed sexual knowledge beyond that of what would be expected of his age and developmental level. The Child Sexual Behavior Inventory was administered that showed an unusually high score on the (sexual abuse specific items, sexual behaviors that are atypical for child's age and gender).

Management and Outcome:
The use of therapeutic interventions such as building a therapeutic relationship, environmental change, family counseling, and nondirective play therapy helped in remitting most of the child's behavioral difficulties.

Conclusions:
Parents need to be active participants in the digital lives of their children and exercise controls on what they view online. Since pediatricians are often the first points of contact for a child with aberrant behaviors, they need to be aware of the law on the protection of children against sexual offenses and the range of types of sexual offenses against children.
Cecal Duplication
Authors: Kaushal Monika , Kaushal Ayush , Sasidharan Karthika , Gupta Sharmishtha 
Published: November 2023

Background:
Enteric duplication cysts are rare congenital malformations that are most commonly found in the ileum and ileocecal junction, followed by the esophagus, stomach, and duodenum. Although most present in the 1st 2 years, they are often difficult to diagnose as both presentation and radiological findings can be variable and nonspecific.

Clinical Description:
We present the case report of an 11-month-old child who presented with nonbilious vomiting and diarrhea. There was no fever, abdominal distension, blood in stools, or crying on defecation. A provisional diagnosis of acute gastroenteritis was kept and management started as per the standard protocol.

Management:
A series of investigations were carried out when the child did not improve and developed bilious vomiting. Ultrasound findings were suggestive of an ileal duplication cyst which was confirmed by magnetic resonance imaging. The child then underwent surgery where cecal duplication cyst was confirmed, which was previously missed due to a malpositioned cecum.

Conclusion:
Gastrointestinal duplication cysts are rare developmental anomalies that may present as an acute abdomen in a young child. The possibility of the duplication cyst should be kept as a differential diagnosis in a child presenting with unexplained vomiting, abdominal distension, or pain. Early suspicion, investigation, and intervention help in faster recovery with minimal complications.
Gorlin Syndrome – An Adult Diagnosis Made in Childhood
Authors: Mathur Surendra Bahadur , Mukherjee Sharmila Banerjee , Kapoor Dipti , Sharma Suvasini 
Published: November 2023

Background:
Syndromes in which some manifestations occur later in life are difficult to diagnose in childhood. A systematic clinical approach may prove to be extremely useful. Gorlin syndrome (GS) is characterized by jaw keratocysts and/or basal cell carcinomas usually appearing in the second decade of life.

Clinical Description:
A 9-month-old girl, second born to a nonconsanguineous couple, presented with delay in attaining milestones and spinal deformities. There was no significant antenatal, perinatal, neonatal, or family history. She had no neck control, vocalization, or social smile. Fixation and tracking of objects and startle response to sound was present. Salient examination findings were macrocephaly, frontoparietal bossing, flat occiput, hypertelorism, broad nasal bridge, right preauricular pit, palmar pitting, and kyphoscoliosis. X-ray chest revealed bifid vertebra, hemivertebrae, and bifid ribs. Echocardiogram, ultrasound abdomen, magnetic resonance imaging brain, and brainstem-evoked response audiometry were normal.

Management:
A systematic clinical approach was used that included the following steps: (1) history, examination, and identification of overt anomalies; (2) searching for concealed anomalies; (3) synthesizing information; (4) literature/database search using good search handles; (5) critically analyzing the differential diagnoses; and (6) surveillance for associated morbidities of established diagnosis. We arrived at a clinical diagnosis of GS after applying diagnostic criteria and excluding differential diagnoses. Appropriate intervention was started. The child is under annual follow-up.

Conclusion:
A systematic clinical approach including an effective search strategy with good handles helps in arriving at a clinical diagnosis in children with dysmorphism.
Transient Diabetes Insipidus in a Preterm Neonate
Authors: Kartikeswar Gouda Ankula Prasad , Pandya Dhyey J. , Mehetre Ashwini T. , Kadam Sandeep 
Published: November 2023

Background:
Diabetes insipidus (DI) is a disorder of water homeostasis due to insufficient production or inappropriate action of vasopressin. Central DI (CDI) develops due to intracranial causes such as hypoxic–ischemic encephalopathy, meningitis, and intraventricular hemorrhage. Manifestations such as polyuria, polydipsia, and irritability may not be obvious in preterm infants, resulting in delayed recognition and difficulty in establishing diagnosis.

Clinical Description:
A 1.4 kg preterm girl delivered by cesarean section for a significant nonstress test (but normal Apgar scores) was admitted for very low birth weight and preterm care. Initial clinical examination was normal, and the baby remained euglycemic. The neonate developed shock and fever on the 3rd day of life without any apparent cause.

Management:
DI was suspected on identification of hypernatremia (150 mEq/L) and polyuria (9 mL/kg/h). The urine osmolality was low (62.54 mOsmol/kg), despite high serum osmolality (312 mOsmol/kg) confirming the diagnosis. An increase in urine osmolality by >50% following oral desmopressin (5 μg/kg/day) suggested CDI. This was continued until the baby became asymptomatic and urine/serum osmolality normalized. A trial of discontinuation of desmopressin did not lead to recurrence of symptoms. Magnetic resonance imaging brain showed features of subacute hypoxic insult and absent posterior pituitary bright spot. After 7 months of follow-up, she is asymptomatic without any treatment, and her growth and development are age appropriate.

Conclusion:
A high index of suspicion of CDI should be kept in neonates presenting with unexplained shock, fever, hypernatremia, and polyuria.
Laparoscopic Inguinal Hernia Repair- Transabdominal Preperitoneal (TAPP) versus Totally Extraperitoneal (TEP) Approach: A Comparative Analysis
Authors: Trehan Munish , Garg Sahil , Singh Jaspal , Singla Sanjeev , Garg Ramneesh , Rakesh Devika , Aggarwal Kunwar 
Published: November 2023

ABSTRACT

Background and Aim:
Totally extraperitoneal (TEP) repair and transabdominal preperitoneal (TAPP) repair are the two standardized laparoscopic techniques for inguinal hernia repair. Although several studies were conducted in the past, there are still no certain answers regarding the best laparoscopic approach for inguinal hernia repair. Therefore, our aim was to compare the outcomes of the TAPP versus TEP for inguinal hernia.

Materials and Methods:
This prospective study was conducted at Dayanand Medical College and Hospital, Ludhiana, from January 1, 2018 to March 31, 2019 and included 54 patients admitted with unilateral or bilateral uncomplicated inguinal hernia. Patients undergoing laparoscopic TEP or TAPP inguinal hernia repair were compared on various intraoperative and postoperative parameters.

Results:
Fifty-four patients were included in the study (TEP, 27; TAPP, 27). Both groups were comparable in terms of demographic profile and hernia characteristics. TEP had significantly less mean operative time compared to TAPP. Pain scores and injectable analgesics’ requirement were significantly higher in TAPP compared to TEP. Postoperative stay was significantly higher in TAPP than TEP. Surgical outcome in terms of intraoperative and postoperative complications, hernia recurrence, and chronic pain for the two laparoscopic techniques was comparable.

Conclusion:
The lesser intraoperative duration of surgery with lesser postoperative pain scores and lesser postoperative hospital stay favor the use of TEP over TAPP for repair of inguinal hernia.
Measures of association between algebraic varieties, II: self-correspondences
Authors: Lazarsfeld Robert , Martin Olivier 
Published: November 2023

Following a suggestion of Jordan Ellenberg, we study measures of complexity for self-correspondences of some classes of varieties. We also answer a question of Rhyd concerning curves sitting in the square of a very general hyperelliptic curve.Comment: This article is dedicated to Claire Voisin on the occasion of her birthday. 12 pages
Rate of chainsaw vibrations in laboratory conditions and level of chainsaw noise at different distances
Authors: Staněk Luboš , Nevrkla Pavel , Jankových Lukáš , Zemánek Tomáš 
Published: November 2023

The study is focused on the rate of vibrations and level of noise in the chainsaw model Stihl MS 362 which belongs in the group of the best-selling professional chainsaws in the world with a highly efficient anti-vibration system. Testing cuts to determine the rate of vibrations were made on the stems of two tree species: sessile oak (Quercus petraea (Matt.) Liebl.) and Norway spruce (Picea abies (L.) H. Karst.). The purpose of noise level measurement was to compare the influence of chainsaw noise on its operator and on the person occurring behind the zone of protection (5 and 10 metres) from the source of noise. Then a distance from the chainsaw was measured where the level of noise reached 80 dB. The measurements were performed according to ČSN EN ISO 22868:2021. At measuring the chainsaw vibrations, the rate of vibrations acting on both operator’s hands (front and rear grip) was examined. Vibrations were measured according to ČSN EN ISO 22867 (2012). It was found out that the rate of vibrations on the rear handle was in both cases of measurements higher than the rate of vibrations on the front handle. At the same time, a higher rate of vibrations was recorded in sessile oak. As to the level of noise, results of measurements indicated that at working with the chainsaw, hearing protectors have to be used at all three measured distances (close proximity, 5 m from the operator, 10 m from the operator) in order to reduce high noise level as the average noise level was higher than permissible in all measurements. The highest possible tolerable level of acoustic noise (80 dB) at which permanent damage of hearing does not happen was measured at a distance of 21 m from the working place of chainsaw operator. Keywords: chainsaw, Stihl MS 362, vibrations, noise, occupational hygiene, forestry
Evaluasi Kelembagaan Pinjaman Dana Syariah yang Menggunakan Pembiayaan Berbunga Perspektif Fatwa DSN MUI No. 117 Tahun 2018
Authors: Aulia Dini , Zahara Fatimah 
Published: November 2023

Lending institutions in Indonesia have developed digitally, both conventionally and sharia-based. The large number of sharia-based lending platforms means that the MUI must provide provisions for running them which are regulated in the MUI DSN Fatwa No. 117. The formation of sharia lending institutions must follow the provisions set by the MUI. One of the sharia-based loan platforms is PT Dana Syariah. this institution So this article was written with the aim of looking at the Fatwa's views on the interest provisions set by Dana Syariah. This article was written using a juridical-normative research method, namely case study legal research, because the problems studied are in certain institutions and certain laws. This research approach will use a normative juridical approach supported by arguments. The research results show that PT Dana Syariah has violated 1 provision in implementing information technology-based financing services, namely providing 2% interest as an absolute additional form of financing. This must be reviewed by the MUI and OJK in implementing information technology-based financing services.
Relationship Between Physical Activity and Mental Health in Adults in Brazil
Authors: Marcelo Fernando 
Published: November 2023

Purpose: The aim of the study was to investigate the relationship between physical activity and mental health in adults in Brazil.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: Research on the relationship between physical activity and mental health in adults consistently demonstrates a strong and positive association. Multiple studies have revealed that engaging in regular physical activity is linked to improved mental well-being. It has been found that individuals who participate in physical activity, such as aerobic exercises, walking, or sports, often experience reduced symptoms of anxiety, depression, and stress. Moreover, physical activity appears to enhance mood and self-esteem, contributing to better overall mental health. These findings underscore the significant role of exercise as a preventive and therapeutic measure for promoting mental well-being in adults.
Unique Contribution to Theory, Practice and Policy: Self-Determination Theory (SDT), Social Cognitive Theory and Biopsychosocial Model may be used to anchor future studies on the relationship between physical activity and mental health in adults. Mental health practitioners should incorporate physical activity interventions into mental health treatment plans. policy level, governments and public health agencies should prioritize the development and implementation of evidence-based policies that promote physical activity as a means to improve mental health outcomes.
Evaluation of Selected Physical Fitness Profiles of Academic and Non-Academic Staff of Oyo State College of Education Lanlate, Oyo State, Nigeria
Authors: Abayomi Abel , Ogunnaiya Rachael , Morenikeji Aliu 
Published: November 2023

Purpose: The purpose of this study was to evaluate selected physical fitness profiles of Academic and Non-Academic Staff of Oyo State College of Education, Lanlate, Nigeria.
Methodology: The study made use of ex-post facto research design. The population for the study comprised of one hundred and ninety (190) staff that conveniently participated in the study within a span of sixteen weeks. 83 academic staff and 107 non-academic staff constituted the sample for the study which was purposively selected. The components of health fitness (flexibility, muscular endurance and muscular strength), physiological fitness (heart rate, systolic blood pressure and diastolic blood pressure) and motor fitness (agility, speed and leg power) were assessed using appropriate field tests and instruments.
Findings: The study revealed that heart rate, systolic blood pressure and diastolic blood pressure correlated positively with motor fitness of academic and non-academic staff in Oyo State College of Education, Lanlate. The result also showed that flexibility, muscular endurance and muscular strength play a significant role with motor fitness of academic and non-academic staff of Oyo State College of Education, Lanlate. The findings also revealed that academic and non-academic staffs of Oyo State College of Education possess low level of physical fitness.
Unique Contribution to Theory, Practice and Policy: The study recommends that adequate attention should be given to the development and training of motor fitness variables because they contribute significantly to health and physiological variables of the participants in this study. This unique contribution of the findings of this study support the Social Cognitive Theory (SCT) that individuals believe they can successfully engage in fitness activities because they have observed others within their social or work environment engaging in fitness-related behaviour and which has influenced their choice of participation.
Natural Resources and Conflict: A Case Study of the Bakassi Peninsula Conflict
Authors: Opuene Hart Akie 
Published: November 2023

This paper examined natural resources and conflict, using the Bakassi Peninsula conflict as a case in point. The paper is aimed at examining the role played by the availability of hydrocarbons in the 1,600-kilometre land boundary between Cameroon and Nigeria. Drawing from economic and cultural perspectives, the paper argued that even though the abundant natural resource deposits appear to be behind the squabble over the ownership of the peninsula, cultural affiliations between people of the disputed area and parts of Nigeria are contributory factors that raise critical questions. Data for the study were generated using secondary sources, and analysed qualitatively. The paper recommends, among other things, that effort should be made to reconnect the people alienated from the proceeds of the peninsula.
The Role of Nickel in Low Alloy Steels Exposed to H2S Containing Environments. Part II: Effect of the Electrochemical Potential and Stress Level on Trench Formation
Authors: Chalfoun Dannisa R. , Kappes Mariano A. , Perez Teresa E. , Otegui José L. , Iannuzzi Mariano 
Published: November 2023

In the first part of this paper, trenches were reported for Ni-containing steels tested using the slow strain rate test (SSRT) method in H2S-containing environments at the open-circuit potential (OCP). Trenches are deep elongated pits, and their appearance is more similar to small blunt cracks. These features can develop a sharp sulfide stress crack at their bottom under certain conditions, which are still not fully understood. In this second and final part, the effect of the electrochemical potential and the stress level in trench nucleation and growth was investigated for the same set of Ni-containing steels with up to 5 wt% Ni. The anodic nature of the trench formation mechanism was verified, and under an anodic polarization a critical stress value for trench formation, σtrench, was estimated from SSRTs and finite element modeling. Applying a cathodic potential suppressed trench formation, but not cracking, because cracks nucleated and propagated by hydrogen stress cracking. The resulting environmental and stress-level dependencies for Ni steels confirmed that trenches could be considered a form of environmental-assisted cracking. It is concluded that the main role of trenches is to provide favorable spots for hydrogen stress crack nucleation at OCP, but their presence is neither necessary nor sufficient for cracking occurrence.
Ein Apfel ohne Schorf und Tadel
Authors: Schaal René 
Published: November 2023

Frankfurt a.M. Eine grün-gelbe Schale, saftig-knackiges Fruchtfleisch und ein süßer Geschmack mit intensivem Aroma: das sind die hervorstechenden Eigenschaften von Pia41. Der Apfel hat kürzlich Sortenschutz erhalten. Gezüchtet wurde er in Dresden-Pillnitz am Julius-Kühn-Institut (JKI).
Konjunkturerwartungen negativ
Authors: Deininger Olaf 
Published: November 2023

Frankfurt a.M. Die Land- und Baumaschinen- sowie Motorgeräte-Fachbetriebe vermeldeten im 2. Quartal 2023 minimale Umsatzzuwächse bei weiter hohem Kostendruck. Die Branchenerwartungen sind im Durchschnitt negativ.
Transforming Learning Environments with Information Technology: Trends and Best Practices
Authors: Rahayu Sri 
Published: November 2023

This research was conducted as a way to examine contextual factors in the effective application of information technology to help the learning environment which can help carry out transformation in the field of education as a new learning method. The research method used is a qualitative descriptive method by prioritizing library or literature studies in the research process. By referring to the design components and also the implementation of initiatives in the field of education as a way of educational transformation, this research can describe what happens with the advancement of information technology to transformation in the world of education and learning which is also related to the integration of technology, policy recommendations, and also resources. sustainable power. The transformation of the education system of course supports national competitiveness as one of the long-term efforts that receives continuous support and also visionary leadership in providing input for the world of education with the help of advanced information technology.
Keywords: Learning Environments, Information Technology, Effective Application
FAKTOR-FAKTOR YANG MEMPENGARUHI KEPUTUSAN KONSUMEN DALAM MEMBELI RUMAH (STUDI KASUS DI PERUMAHAN TAMA CITY 4 SANGATTA)
Authors: Riski Meita Sondang 
Published: November 2023

Abstrak
Tujuan dari penelitian ini adalah untuk menganalisis pengaruh persepsi harga, lokasi terhadap keputusan konsumen membeli rumah di perumahan Tama City 4 Sangatta. Penelitian ini menggunakan metode kuantitatif yakni menguji dan menganalisis data dengan perhitungan angka-angka dan kemudian menarik kesimpulan atas pengujian tersebut. Objek yang diteliti adalah konsumen yang membeli rumah di perumahan Tama City 4 Sangatta. Jumlah konsumen yang menjadi sampel penelitian sebanyak 70 responden. Dari hasil analisa diketahui bahwa : pertama, persepsi harga (x1) berpengaruh terhadap keputusan membeli rumah di perumahan Tama City 4 Sangatta; kedua, lokasi (x2) berpengaruh terhadap keputusan membeli rumah di perumahan Tama City 4 Sangatta; dan ketiga, berdasarkan uji F terdapat pengaruh yang signifikan antara persepsi harga (x1) dan lokasi (x2) terhadap keputusan membeli rumah di perumahan Tama City 4 Sangatta.
Kata kunci : persepsi harga, lokasi, keputusan membeli