bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of Atherosclerotic Cardiovascular Disease Risk in Hypertensive Patient at Dhulikhel Hospital
Authors: Humagain Sanjaya , Pathak Surya Raj , Koju Rajendra Prasad 
Published: September 2023

Introduction: Cardiovascular disease is the leading cause of death worldwide and the burden of which is rising in low and middle-income countries. Atherosclerotic cardiovascular disease risk scoring is a part of treatment guideline for hypertension and dyslipidemia management.
Aims: This study is carried out to for the assessment of atherosclerotic cardiovascular disease risk among hypertensive patient.
Methods: Hypertensive patients presenting to outpatient department were assessed for atherosclerotic cardiovascular disease risk and the 10 years risk score calculation was done using American College of Cardiology/ American Heart Association pooled cohort equation.
Results: Out of total 212 patients 103 were male and 109 were female. 70 (33.02%) patients were smoker. The average systolic BP was 152 ± 18 mm Hg. Out of all hypertensive patients 164(77.36%) were receiving treatment and 48(22.64%) were newly diagnosed. Total of 76 (35.8%) patients were diabetic, 14 newly diagnosed. Total cholesterol was in the range of 367 mg /dl to 68mg/dl with mean 190 ±35mg/dl. HDL cholesterol range was 15 mg/dl to 78mg/dl with mean 42 ± 12 mg /dl. 10 years atherosclerotic cardiovascular disease risk was < 5% in 51(24.06%), 5 to < 7.5% in 34(16.04%), 7.5 to < 10% in 68(32.08%), 10 to <15% in 35(16.51%) and >15 % in 24(11.32%).
Conclusion: From this study we can conclude that atherosclerotic cardiovascular disease risk among hypertensive population is considerable and risk score calculation should be a part of patient evaluation so that they can be managed appropriately and the future cardiovascular events can be prevented.
Mental Health Literacy among Secondary School Students Attending Government Schools in Kohalpur Municipality
Authors: Shrestha Merina , Singh Priyadarshini Shah , Rana Dilsha , Jaiswal Aakash 
Published: September 2023

Introduction: Mental Health Literacy is a broader concept under Health Literacy which enables a person to recognize mental disorders, seeks knowledge on prevention of mental diseases, ability to help others, increases use of available health services and enhances improved self-help strategies for better management of mental illness.
Aims: To determine the sociodemographic factors that influence mental health literacy, assessment of knowledge, erroneous beliefs/stereotypes, help-seeking behaviours and self-help strategies associated with mental health.
Methods: A descriptive cross-sectional survey was conducted among the selected secondary school students, by simple random technique from selected government schools in Kohalpur using the mental health questionnaire, (5-point Likert scale). Statistical analysis was done using SPSS 20 and levels of mental health literacy in various domains was calculated.
Results: Among 420 participants, 53.33% were females and 46.67% males with mean age 15.12 years. The proximity to people with mental health problems was 13.1% and without was 86.9%. The Global Mental Health Literacy mean (3.67 with SD+/- 0.30) was taken as the reference point, the mean score above which is considered high and below it is low. Low levels of Knowledge (mean 3.64, SD+/- 0.43) and erroneous beliefs (mean 3.38, SD+/- 0.39) of mental health literacy were observed. Levels of self-help strategies (mean 3.96, SD+/- 0.703) was highest followed by help-seeking behaviours (mean 3.94, SD+/- 0.61).
Conclusion: There are low levels of knowledge and high stereotypes/ erroneous beliefs in secondary school children studying in government schools. Programs aimed to increase knowledge and awareness on mental health and decrease stereotypes need to be implemented at schools.
Diagnostic Utility of Pleural Fluid Cytology versus Cell Block Technique: A Comparative Study
Authors: Acharya Subarna 
Published: September 2023

Introduction: Categorization between benign and malignant pleural effusions most often create diagnostic dilemma. Categorization often requires clinical findings and morphological evaluation. Diagnostic possibility is increased if cell blocks are performed in addition to conventional cytology smears. This will help the clinicians in both treating the patient and determining the outcome of the disease process.
Aims: The aim of this study was to compare the smears cytology with cell blocks sections in pleural effusions.
Methods: This hospital-based cross sectional analytical study was carried out in Department of Pathology in Nepalgunj Medical College, Nepalgunj for one year.
Results: The four criteria scored for each technique were amount of background blood, yield of diagnostic cellular material, degree of cellular degeneration as well as cellular trauma and architectural preservation. More amount of diagnostic material present and appropriate retention of architecture was more in cell block sections compared with smears cytology; whereas cellular degeneration as well as cellular trauma and background blood was less appreciated in cell block sections which scored more than the smears cytology.
Conclusion: Cell block method especially in clinically, radiologically and cytologically suspected malignant cases should be routinely processed for cell block method.
PERANCANGAN MONUMEN PERJUANGAN SEBAGAI IDENTITAS KOTA SANGA-SANGA
Authors: Sefrina Elida 
Published: September 2023

Perancangan Monumen Perjuangan Sebagai Identitas Kota Sanga-sanga berperan memperkenalkan sejarah dan potensi kota sebagai destinasi wisata di Kabupaten Kutai Kartanegara. Memperkuat identitas kota melalui monumen dengan tujuan memunculkan potensi alam serta sejarah perjuangan. Metode penelitian yaitu meliputi pengumpulan data, analisis, konsep dan drawing. Bentuk tampilan mengambil simbolis perjuangan yaitu tangan dan kobaran api menandakan berkobarnya semangat dalam memperjuangkan Sanga-sanga dengan lima kobaran menandakan 5 kelurahan di Sanga-sanga. Serta minyak bumi melambangkan potensi minyak bumi di kota Sanga-sanga. Hasil pembahasan menunjukkan besaran kebutuhan ruang 13548.81 m2 dengan 2 bangunan sudah ada pada lokasi yaitu museum Merah Putih dan gedung Sandisa. Luas lahan 52000 m2, KDB 14700 m2 dan KDH 34300 m2. Pola gubahan massa terpusat terdiri dari bentuk-bentuk sekunder mengitari bangunan utama. Dengan meninjau konsep matahari diterapkan pada bangunan, jam 12 siang kepala monumen bersinar terang sehingga memperindah dan memberi point tambahan keagungan pada perancangan monumen perjuangan sebagai identitas kota Sanga-sanga.Kata Kunci : Monumen, Perjuangan, Minyak Bumi.
PERENCANAAN BALAI LATIHAN KERJA TUNA RUNGU DAN WICARA DI KOTA SAMARINDA
Authors: Syawaldi Jefry , Efendi Arman , Riza Ahmad 
Published: September 2023

Currently, the city of Samarinda has a special disability school with physical hearing and speech ability, it is necessary to place a training hall as a special container. The problem is that the research is planning a working training hall with complementary facilities, where the problem is a creative industry field skills. From the results of the discussion is the analysis site selected on Jl. AWS, District Samarinda Ulu, with a space of 4,509.5 m2, building basic coefficients of 2,254.75 m2 and a green basic coefficient of 5.261 m2. For the analysis of clean water utilities through PDAM water, while the handling of waste water is transmitted through the pipeline to the control body. For the concept of planning Training hall hearing impaired and speech applied organic architecture with material building materials of wood. On the transformation of the form of work training hall namely sunflower shaped divided into major mass, to create a youthful, interesting, unique and cheerful impression to take characteristics of the concept of organic architecture. Keywords: physical disabilities, organic architecture, Samarinda.
Development of a mathematical model of the reliability of multifunctional transportation delivery systems
Authors: Golub Dmitrо , Aulin Viktor , Bilichenko Viktor , Zamurenko Artem 
Published: September 2023

A mathematical model of the reliability of multi-functional transport delivery systems was built in the form of a system of equations of the functions performed by the system and the total duration of their operation. A system of equations describing the principle of calculating the reliability of the multi-functional transport system as a participant in the process of transportation of goods and passengers is given and the main and reserve, active and passive functions of its work are highlighted, the total number of which may exceed the number of tasks it solves in a given period of time. An analysis of the specified functions is given, the total number of which is performed by a multifunctional system may exceed the number of tasks solved by it in a given period of time, and the opposite situation is also possible. It was found that when considering the duration of the transport system for each performed function, it is not important to know the periodicity of receipt and the number of solved tasks per unit of time, and therefore the uncertainty of this information does not reduce the reliability of the reliability assessment method for functional redundancy.
The probability of the system being in different states is given, an example of a state graph is given, and possible two-way transitions between elements are shown. Equations of the probability of activation of the functions of dual-functional transport systems are obtained and their schematic representation is given. An assumption is made regarding the possible re-activation of the same function, due to the emergence of tasks before the dual-functional transport system and their solution in an arbitrary order. It was revealed that the structure of the system is formed by two modules for the implementation of the necessary functions and a switch designed to activate the necessary function, its possible failures are described.
Expressions for evaluating the elements of the matrix of serviceable states of transport systems are presented. Emphasis is placed on the need to develop the desired mathematical model, not on probability, but on the statistical interpretation of determining the average duration of a specific function for a specific period of time.
Development of fuel consumption standards for city buses and recommendations regarding the efficiency of their use
Authors: Мarmut Іhоr , Kashkanov Andriy , Kashkanov Vitaliy , Horbenko Oleksandr 
Published: September 2023

The basis of economical consumption of fuel and energy resources is the availability of a regulatory framework, which objectively reflects the conditions of operation of rolling stock of vehicles. The current rules are usually set by the average performance of cars and do not take into account the specific features of rolling stock. The article deals with the issues of fuel economy of city buses, taking into account real conditions of operation.
The most fully studied issues of assessment of car qualities in established modes. However, the qualitative impact of factors for these modes on roads with a horizontal profile can vary significantly in real operating conditions. In this regard, the problem of studying the fuel economy of cars in unsuspecting and cyclic modes is relevant. The most difficult are cyclic modes of traffic with stops, which include almost all phases of traffic, which are found in operation of city buses, as well as all gearboxes used in this case.
In order to solve the issues of rational use of fuel in road transport, it is important to improve the methods of calculating the indicators of fuel economy of cars in order to fully and accurately take into account the peculiarities of the process of their movement in different conditions of operation. In the development of fuel consumption standards, an analytical method was used, which is based on a strict mathematical model of diesel fuel consumption. The technique is based on a single classification of operating conditions, in which road and transport conditions are quantitatively assessed by the average technical speed, and atmospheric-climatic-pressure and ambient temperature.
For the analysis, selection and justification of factors (parameters) for inclusion in the mathematical models of fuel consumption of buses, taking into account the conditions of operation, the equation of fuel consumption, proposed by prof. M. Ya. Govorushchenko for established movement.
An important advantage of the developed methodology is the possibility of individual fuel consumption at road transport enterprises using simple computing equipment at the actual speeds of vehicles and daily air temperature.
Ojcowie Kościoła w teologii anglikańskiej
Authors: Nowosad Sławomir 
Published: September 2023

Od początków swojej eklezjalnej odrębności anglikanizm widział w Ojcach Kościoła „jasne gwiazdy” (J. Jewel), które prowadzą chrześcijanina do prawdziwego zrozumienia słowa Bożego. Niniejsze opracowanie ukazuje, jak w swoim historycznym rozwoju teologia anglikańska odwoływała się, choć zawsze ostrożnie, do antyku chrześcijańskiego jako nieodzownego elementu chrześcijańskiej tradycji. Dały temu wyraz już pierwsze fundamentalne dla tej teologii teksty, jak Book of Common Prayer czy 39 Artykułów (wiary), które w ten sposób wskazywały na ciągłość Kościoła Anglii z Kościołem pierwszych wieków. W okresie kształtowania się tego wyznania wyróżniali się w tym tacy biskupi i teologowie, jak T. Cranmer, R. Hooker czy J. Jewel, a w późniejszym okresie karolińskim J. Cosin, J. Taylor czy G. Bull. Odwołując się do Ojców, wbrew purytańskiej czy ewangelikalnej krytyce, broniono zwłaszcza miejsca i roli biskupów w Kościele. Nowe dowartościowanie patrystyki przyszło wraz z ruchem oksfordzkim, czemu wyraz dały nowe tłumaczenia w serii Biblioteka Ojców. Celem była odnowa samych fundamentów Kościoła, wiary oraz życia sakramentalnego i liturgicznego. Również współczesna teologia anglikańska sięga do starożytnej tradycji w poszukiwaniu inspiracji i odpowiedzi na wyzwania nowych czasów, co można dostrzec m.in. u takich teologów, jak F. L. Cross, R. Williams, S. Coakley, C. Harrison czy A. Louth. Ostatnia część artykuł zawiera analizę pism K. E. Kirka, profesora i biskupa Oksfordu. Dla odnowy chrześcijańskiej moralności najwięcej „w Biblii i u Ojców” szukał on światła dla rzeczywistego rozwoju duchowego i moralnego, specjalny akcent stawiając na wizję uszczęśliwiającą jako ostateczny cel i sens ludzkiego życia, w zgodzie ze słowami św. Ireneusza: gloria Dei vivens homo, vita autem hominis visio Dei.
BARREIRAS PARA O TRANSPORTE ATIVO EM ESCOLARES
Authors: Moraes José Fernando Vila Nova de , Barros Felipe Ramon Batista , Freire Gabriel Lucas Morais , Moura Ana Regina Felipe Ramon Batista , Silva Antonio Marcos Araújo da , Nascimento Junior José Roberto Andrade do 
Published: September 2023

O objetivo desse estudo transversal foi identificar a frequência do uso de transporte ativo no trajeto de casa até a escola, as principais barreiras encontradas e o nível de atividade física de estudantes. Participaram do estudo 119 estudantes do ensino fundamental de uma escola de Petrolina-PE, com idades entre 11 e 12 anos, sendo 59 meninos (49,6%) e 60 meninas (50,4%). Os participantes responderam a quatro perguntas acerca da temática estudada. Comparações entre sexos foram realizadas por meio do teste do Qui-Quadrado (P<0.05). Os resultados demonstraram que 91 (77,8%) usavam transporte passivo para a escola, 53 (50,0%) relataram a distância para a escola como a principal barreira para o uso de transporte ativo e apenas 23 (19,3%) dos participantes praticavam atividade física nos sete dias da semana. Não foram observadas diferenças significativas entre os sexos. Conclui-se que grande parte dos estudantes usa o transporte passivo para a escola, a distância é a principal barreira, e o nível de atividade física está abaixo do recomendado para essa faixa etária.
CURRÍCULO CULTURAL DA EDUCAÇÃO FÍSICA E EDUCAÇÃO ANTIRRACISTA: UM OLHAR DESCOLONIZADOR
Authors: Formoso Felipe Guaraciaba , Santos Bianca Viana , Santos Fatima Lucia Bispo 
Published: September 2023

Este ensaio é resultado de uma das mesas, com mesmo título, do 1º Colóquio Online de Educação Física Escolar realizado pelo Grupo de Estudo e Pesquisa de Educação Física Escolar da 7ª Coordenadoria Regional de Educação da cidade do Rio de Janeiro (GEPEFE7). O texto tem como objetivo fazer uma breve explanação sobre Currículo Cultural e como ele se relaciona com a Educação Física e no que se aproximam da Educação antirracista. O material foi elaborado de forma a contemplar de forma concisa tanto a fala dos palestrantes como as contribuições de professoras e professores participantes do evento.
UNLIMITED LISTS OF QUADRATIC INTEGERS OF GIVEN NORM APPLICATION TO SOME ARITHMETIC PROPERTIES
Authors: GRAS Georges 
Published: September 2023

We use the polynomials $m_s(t) = t^2 - 4 s$, $s \in \{-1, 1\}$, in an
elementary process giving unlimited lists of {\it fundamental units of norm $s$},
of real quadratic fields, with ascending order of the discriminants.
As $t$ grows from $1$ to an upper bound $\BB$, for each {\it first occurrence}
of a square-free integer $M \geq 2$, in the factorization $m_s(t) =: M r^2$, the
unit $\frac{1}{2} \big(t + r \sqrt{M}\big)$ is the fundamental unit of norm $s$
of $\Q(\sqrt M)$, even if $r >1$ (Theorem \ref{fondunit}).
Using $m_{s\nu}(t) = t^2 - 4 s \nu$, $\nu \geq 2$, the algorithm gives unlimited
lists of {\it fundamental integers of norm $s\nu$} (Theorem~\ref{unicity}).
We deduce, for any prime $p>2$, unlimited lists of {\it non $p$-rational}
quadratic fields (Theorems \ref{prational}, \ref{heuristic}, \ref{infty}) and lists
of degree $p-1$ imaginary fields with non-trivial $p$-class group (Theorems
\ref{cubic}, \ref{quintic}). All PARI programs are given.
Adesão à terapia antirretroviral por pacientes com HIV no Brasil e fatores que a prejudicam: uma revisão integrativa
Authors: Techi Lucas de Carvalho , Cavalcante Igor dos Santos , Lima Danilo Andrade , Oliveira Jocerone Emerson Nogueira , Lopes Samuel Davi Sousa , Mendes João Pedro Sousa , Nogueira Tiago Lima , Mendes Erica de Araújo Silva 
Published: September 2023

Objetivo: Analisar e sintetizar os fatores relacionados à adesão da terapia antirretroviral (TARV) em portadores de HIV/AIDS no Brasil e as suas principais barreiras de continuidade. Metodologia: Revisão integrativa de literatura utilizando as bases de dados Scientific Eletronic Library Online (SciELO), PUBMED e Literatura Latino-Americana e do Caribe (LILACS) a partir da combinação dos Descritores em Ciências da Saúde (DeCS/MeSH). Resultados: A TARV representa a principal forma de controle da infecção pelo HIV, tornando sua adesão um processo complexo e multifatorial. Os primeiros seis meses de tratamento são determinantes no sucesso da aderência das medicações. Entretanto, a regularidade do uso da TARV perpassa por diversas condições, como: contexto social, renda, escolaridade, efeitos adversos, estigma, uso de álcool e outras drogas, além de rede de apoio e receptividade no sistema de saúde. Por isso, para que haja uma continuidade do processo terapêutico, faz-se imprescindível o acolhimento efetivo e identificação das demandas dos usuários no serviço de saúde, para que esses se sintam seguros e incentivados a permanecer em tratamento. Conclusão: Segundo o levantamento realizado, percebeu-se uma fragilidade na adesão à TARV, o que chama a atenção para medidas de intervenção, tais como: entrevista motivacional, uso de aplicativos móveis, SMS e chamadas telefônicas, contribuindo para a prática assistencial e o acompanhamento integral em saúde desses indivíduos.
Variability in Virulence of Wheat Leaf Rust (Puccinia triticina) in the Sindh Province, Pakistan
Authors: Channa Abdul W. , Bux Hadi , Sial Mahboob A. , Jatoi Ghulam H. , Korejo Farzana , Ali Umed , Shah Syed M. A. , Koondhar Naimatullah , Mastoi Amir A. , Figari Isabel M. G. , Keerio Muhammad A. 
Published: September 2023

Leaf rust of wheat caused by an obligate biotrophic fungus (Puccinia triticina), is one of the widespread diseases of wheat. The emergence of new virulent races of fungal pathogens threatens wheat cultivars’ resistance, leading to outbreaks that can cause substantial damage to crops and result in economic losses to farmers. Developing wheat cultivars that have resistance to virulent races is an effective means of reducing the frequency and impact of these outbreaks. An experiment was conducted at 5 locations (a trap nursery consisting of 37 lines of wheat leaf rust differentials and 115 commercial wheat cultivars was established against leaf rust pathogen), for evaluating the virulence pattern of leaf rust under natural field environments across wheat-producing regions of Sindh, Pakistan. Results revealed that Lr9, Lr19 and Lr28 genes were found effective under field environments. The moderate resistance was recorded for Lr18, Lr23 and Lr34 genes at two locations while Lr36 Lr37 genes had moderate resistance at most of the locations. Results also revealed that Rawal-87, Marvi-2000, Bhittai, Pirsabak-08, Faisalabad-08, Benazir-13 and Shalakot-13 were the commercial wheat varieties having resistance at all locations of Sindh during (year 1 and year 2) years while most of the cultivars showed susceptibility. The scenario clue to a dire necessity to widen the genetic base of Pakistani cultivars by incorporating genes for the resistance against disease. Furthermore, strong monitoring and regular surveys should be conducted for determining current virulence status and resistance genes.
Examining the U-shaped relationship of sleep duration and systolic blood pressure with risk of cardiovascular events using a novel recursive gradient scanning model
Authors: Yang Shuo , Zhang Nanxiang , Liang Zichao , Han Yuduan , Luo Hao , Ge Yingfeng , Yin Jianan , Ding Chonglong , Li Chao , Zhang Qitong , Zhang Jinxin 
Published: September 2023

BackgroundObservational studies have suggested U-shaped relationships between sleep duration and systolic blood pressure (SBP) with risks of many cardiovascular diseases (CVDs), but the cut-points that separate high-risk and low-risk groups have not been confirmed. We aimed to examine the U-shaped relationships between sleep duration, SBP, and risks of CVDs and confirm the optimal cut-points for sleep duration and SBP.MethodsA retrospective analysis was conducted on NHANES 2007–2016 data, which included a nationally representative sample of participants. The maximum equal-odds ratio (OR) method was implemented to obtain optimal cut-points for each continuous independent variable. Then, a novel “recursive gradient scanning method” was introduced for discretizing multiple non-monotonic U-shaped independent variables. Finally, a multivariable logistic regression model was constructed to predict critical risk factors associated with CVDs after adjusting for potential confounders.ResultsA total of 26,691 participants (48.66% were male) were eligible for the current study with an average age of 49.43 ± 17.69 years. After adjusting for covariates, compared with an intermediate range of sleep duration (6.5–8.0 h per day) and SBP (95–120 mmHg), upper or lower values were associated with a higher risk of CVDs [adjusted OR (95% confidence interval) was 1.20 (1.04–1.40) for sleep duration and 1.17 (1.01–1.36) for SBP].ConclusionsThis study indicates U-shaped relationships between SBP, sleep duration, and risks of CVDs. Both short and long duration of sleep/higher and lower BP are predictors of cardiovascular outcomes. Estimated total sleep duration of 6.5–8.0 h per day/SBP of 95–120 mmHg is associated with lower risk of CVDs.