bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rheumatic Heart Disease
Authors: Narayanan Kumar 
Published: February 2023

Abstract
Rheumatic heart disease (RHD) continues to be responsible for the loss of millions of young productive lives worldwide, with a disproportionate burden being borne by the underdeveloped and economically disadvantaged strata of society. There is an urgent need to develop approaches to identify RHD in its early stages and reverse it before it can cause significant valvular damage. This is especially relevant for the developing world where advanced cardiac surgery is inaccessible to many. Research over the last decade has made it possible to diagnose subclinical or latent RHD through systematic echocardiographic screening using standardized criteria, which can pick up early disease better compared to clinical screening alone. Furthermore, initial studies show promise that timely institution of penicillin prophylaxis can lead to regression of such latent disease. This brief review summarizes the current state of the field in this regard and outlines some of the challenges in translating this concept from benchside to public health policy.
A Study on Clinical Profile and In-Hospital Outcome of Elderly Patients Receiving Thrombolytic Therapy for St Elevation Myocardial Infarction
Authors: Thakkar Darshan P. , Ramalingam Rangaraj , Palakshachar Anand , Patil Shivanand S. , Subramanyam K. , Moorthy Nagaraja , Thacker Meet M. , Arun B. S. , Manjunath C. N. 
Published: February 2023

Objective:
Ischemic heart disease is the leading cause of mortality in population above the age of 70 years. ST-elevation myocardial infarction (STEMI) constitutes important treatable cause of death in elderly population. However, many large, randomized trials have excluded this age group. The present study was planned to find out the benefits and complications related to thrombolytic therapy in elderly patients.

Materials and Methods:
The study was done between January 1, 2019, and December 31, 2019, in the Department of Cardiology, Sri Jayadeva Institute Of Cardiovascular Sciences and Research, Bengaluru, India, which included the study group comprising 106 elderly patients (age >70 years) with acute STEMI and underwent thrombolytic therapy. All patients were followed up till the index hospitalization and evaluated for in-hospital outcome.

Results:
Out of the 106 patients in the study group, 64 (60.38%) were male and 42 (39.62%) were female. Out of which, 88 (83%) patients were between 70 and 80 years whereas 18 (17%) patients were >80 years. Mortality was happened in 32 patients (30.2%). Coronary angiogram post thrombolysis was performed as pharmacoinvasive or rescue percutaneous coronary intervention (PCI) in 25 patients (23.6%), and cardiac arrhythmias were noted in 22 (20.6%) patients, acute kidney injury in 7 (6.6%) patients, ventricular septal rupture in 5.7%, ischemic stroke in 4.7%, free-wall rupture in 2.8%, and intracranial hemorrhage in 0.9% of patients.

Conclusions:
Primary PCI may offer clinical advantage over fibrinolytic therapy as manifested by the trends toward improvements in the combined endpoint of death, reinfarction, and stroke in the oldest patients. Despite the higher prevalence of comorbidities and high-risk features in elderly patients of acute STEMI, timely thrombolysis is also beneficial particularly who present early after symptom onset, absence of comorbid condition, and lower NYHA class on admission (NYHA I/II). In developing countries like India where primary PCI may not be feasible, timely thrombolysis should be given to the elderly patients also.
Elevated Thyroid-Stimulating Hormone is a Risk Factor in Coronary Artery Bypass Grafting
Authors: Thukral Ankit , Kotwal Ankush Singh , Gupta Rajan Prasad , Rastogi Amit , Pande Shantanu , Agarwal Surendra Kumar , Tewari Satyendra 
Published: February 2023

Introduction:
Asymptomatic hypothyroidism is endemic in most regions of our country. We planned a study to observe the effect of thyroid-stimulating hormone (TSH) in otherwise asymptomatic for hypothyroidism patients, on outcome after coronary artery bypass grafting (CABG).

Materials and Methods:
This is a retrospective cohort study conducted between January 2017 and December 2019. A total of 449 patients undergoing CABG were included in the study. Patients with redo operations, combined procedures, and emergency operations were excluded from the study. The groups were formed on the level of TSH (normal, subclinical elevation, and clinical elevation) as follows: TSH normal (Group 1, n = 309), TSH subclinical elevation (Group 2, n = 122), and TSH clinical elevation (Group 3, n = 12). One-way ANOVA was used to analyze the groups.

Results:
There was an increase in the use of inotrope, appearance of atrial fibrillation, and use of intra-aortic balloon pump in Group 3 when compared to that in Groups 1 and 2, P = 0.0001. Higher mortality was observed in group 3 (25%) when compared to group 1 (2.91%) and group 2 (2.45%). There was no difference in the level of free T4, between groups. T3 was similar in TSH normal, TSH subclinical elevation, and clinical elevation group. TSH level of >10 mIU/l predicted mortality with a sensitivity of 91.7% and a specificity of 99.8% in predicting mortality.

Conclusion:
About 2.67% of the patients undergoing CABG had asymptomatic but clinical elevation of TSH, and it is associated with higher mortality.
Left Ventricular Global Longitudinal Strain in Patients with Chronic Kidney Disease with and Without Renal Replacement Therapy
Authors: Sankaran Ramesh , Ramalakshmi S , Uppupetai Ganeshbabbu Manish Babbu , Jayakumar Matcha , Ramamurthy Muralidharan Thoddi , Balakrishnan Vinod Kumar , Senguttuvan Nagendra Boopathy 
Published: February 2023

Background:
Cardiovascular disease is the leading cause of mortality among patients with chronic kidney disease (CKD). Hemodialysis treatment is associated with an increased risk of developing left ventricular (LV) dysfunction. LV global longitudinal strain (GLS) has emerged as a sensitive parameter in evaluating LV function in patients with CKD. We aimed to assess cardiac function using two-dimensional (2D) echocardiogram, 2D speckle-tracking echocardiogram (2DSTE), and traditional ejection fraction (EF) in patients undergoing hemodialysis.

Methods:
A cross-sectional study was conducted for 3 months in patients with CKD at a tertiary care center in Southern India. Patients were subjected to conventional 2DSTE and evaluated for LV ejection fraction (LVEF), GLS, pulmonary systolic blood pressure, and the degree of tricuspid regurgitation.

Results:
Among 100 patients with CKD, 54.3% underwent hemodialysis, and 26.7% on drug therapy had impaired LV GLS. The LVEF was normal in 61.4% of patients undergoing hemodialysis and 86.7% of patients on drug therapy. Proportion of patients undergoing hemodialysis were significantly high with moderate-to-severe pulmonary hypertension (21.4%), moderate-to-severe tricuspid regurgitation (21.4%), and mild-to-moderate EF (37.1%) compared to respective patients on drug therapy. Pulmonary hypertension and abnormal EF are significantly associated with lesser GLS in patients undergoing hemodialysis.

Conclusions:
This study indicated that patients undergoing hemodialysis are at higher risk for impaired LV GLS. The GLS by 2DSTE can act as an early diagnostic tool for this high-risk patient group. Thus, regular cardiac screening is required for early detection, and treatment in patients undergoing hemodialysis with risk of LV dysfunction.
Current Concepts in the Management of Acute St-Elevation Myocardial Infarction with Ventricular Septal Rupture – Early Versus Late Approach
Authors: Kasturi Sridhar , Pantula Narsingarao 
Published: February 2023

Abstract
Ventricular septal rupture (VSR) is an uncommon complication of Acute ST-Elevation myocardial infarction (STEMI) with poor prognosis. Mortality of patients with cardiogenic shock due to VSR is as high as 67% within 48 hrs and 100% within 30 days. Surgical closure of VSR a challenging procedure with mortality between 20% to 87% depending upon operator's experience and surgical facilities with backup system. In view of the poor prognosis of VSR patients and the ben¬efits from VSR closure, transcatheter closure or surgical repair of the VSR in the acute phase is usually the only option in order to stabilise haemodynamics and restore cardiac function for those with unstable hemodynamic status, despite high risk and mortal¬ity in both therapeutic operations.
Sports nutritionists adopt the nutrition care process road map to develop individualized meal planning for athletes
Authors: Mustafa Norashikin , Safii Nik Shanita , Mohamad Mohd Izham , Jamil Sameeha Mohd , Abdul Rahman Abdul Hadi , Sani Nor Samsiah , Ahmad Azimah , Yatiman Noor Hafizah , Zakaria Ahmad Zawawi , Talib Ruzita Abd , Koon Poh Bee 
Published: February 2023

Background:
It is considered that the implementation of nutrition care process (NCP) leads to more efficient and effective care, as well as enhancing the roles of dietetics and nutrition professionals in the clinical setting. However, little is known about the NCP being implemented in the sports nutrition setting to deliver nutrition care, especially in meal planning. Therefore, this study aims to identify the process that sports nutritionists (SNs) practice in meal planning to plan meals for athletes and identify the application of NCP.

Methods:
In-depth interviews, using semi-structured interview questions, were conducted with SNs employed at the National Sports Institute of Malaysia. Five SNs who managed different types of sports were recruited. The interviews were audio-recorded and transcribed verbatim. Data were entered into ATLAS.ti 8 and analysed using thematic analysis.

Results:
The following processes were identified: (i) collecting pertinent data, (ii) analysing the collected data, (iii) determining nutrition prescriptions, (iv) formulating goals and determining actions, (v) implementing actions and recommendations and (vi) monitoring.

Conclusions:
This study identified six general processes practiced by SNs in meal planning that comprised the NCP's interrelated steps, except nutrition diagnosis statement from the nutrition diagnosis step of the NCP. A comprehensive process and workflow can help sports dietitians or nutritionists to develop individualised meal plans that can improve athletes' nutritional status, adherence, health and sports performance.
Stramm, August (1874–1915)
Authors: Vock Petra 
Published: February 2023

August Stramm was a German Expressionist poet and playwright; an important author of the Expressionist journal Der Sturm and its main contributor of ‘Wortkunst’, a form of literature characterised by the destruction of conventional language patterns.
Born in Münster on 29 July 1874, Stramm entered postal service, working on the ‘Seepostdienst’ (nautical mail service) between Hamburg/Bremen and New York from 1897 onwards and at the Berlin Postal Ministry from 1905. By then he started attending university lectures (e.g. philosophy, history, economy) and preparing for his doctorate, which he achieved in 1909 with a thesis on unified global postal rates. In 1902, Stramm married Else Krafft, a successful writer of light fiction; they had two children.
Effect of a 6-week core stability training program on active trunk repositioning: a randomised controlled trial
Authors: Elborady Amal A. , Saleh Omaima E. , Abdallah Amira A.A. 
Published: February 2023

IntroductionCore stability training has recently attracted attention for improving muscle performance. This study aimed to examine the effect of core stability training on active trunk repositioning error.MethodsForty healthy males, randomly assigned into two equal groups; experimental and control groups, participated in the study. Their age, weight, height, and BMI ranged between 18–22.5 years, 64–85 kg, 1.63–1.83 m, and 19.4–25 kg/m2, respectively. The Biodex Isokinetic dynamometer was used to assess the absolute error (AE) at both 30° and 60° trunk flexion, measured at a 60°/s angular velocity. Data were recorded twice; before (pre-test) and after (post-test) a 6-week period during which the experimental group was trained.ResultsMixed 3-way ANOVA revealed that the AE was significantly lower at 60° trunk flexion in both groups at pre-test, and in the control group at post-test compared with 30° flexion (<i>p</i> < 0.05). In addition, the AE decreased significantly in the post-test in the experimental group only at both trunk flexion angles compared with pre-test (<i>p</i> < 0.05).ConclusionsThe decreased active trunk repositioning error with core stability training indicates improvement in trunk proprioception. Thus, core stability training could be beneficial if added to rehabilitation programs that aim to improve trunk proprioception.
Wastewater Surveillance for Communicable Diseases
Authors: Clark Michelle , Severn Melissa 
Published: February 2023

This Horizon Scan summarizes the available information regarding wastewater epidemiology, or wastewater surveillance, for the detection of pathogens that cause communicable diseases.
Wastewater surveillance can detect the presence of pathogens or chemical substances within the wastewater system and allows for the monitoring of a broad population with a single sample.
Wastewater surveillance has been used for decades but has become more common since it was implemented around the world for the detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes COVID-19. In Canada, wastewater surveillance is currently used for the detection of SARS-CoV-2, influenza, and respiratory syncytial virus.
Studies conducted in Canada and internationally indicate that wastewater surveillance can be used as a reliable method for detecting pathogens at the population level.
Future uses of wastewater surveillance may include monitoring of antibiotic use and antibiotic resistance, detection of cancers in the population, or assessing the prevalence of other infections within communities.
Effect of Elderly Exercise on Pain Scale in Patients with Rheumatoid Arthritis
Authors: Supriadi Dedi , Purwanti Reni , Rosmiati Rosmiati , Kusumawaty Jajuk , Firmansyah Andan 
Published: February 2023

Rheumatoid arthritis is the most common articular inflammatory disease in the elderly. Rheumatoid arthritis is a chronic, systemic disease that typically develops slowly and is characterized by recurrent inflammation of the diarthrodial joints and associated structures. According to the Ciamis District Office, from the entire Ciamis District Health Center, 17,492 cases of rheumatoid arthritis were diagnosed. To determine the effect of elderly exercise on pain scale in patients with rheumatoid arthritis at the Ciamis Public Health Center. This research method is a pre-experimental design in the form of one group One-Shot Case Study. The population in this study were the elderly aged 45-59 years as many as 129 people. The sampling technique in this research is accidental sampling. The sample in this study were the elderly aged 45-59 years as many as 56 people. The results of the study stated that there was an influence of elderly exercise on the pain scale in patients with rheumatoid arthritis at the Ciamis Health Center, with the significance value of the Wilcoxon test results showing (P = 0.029 <0.05). This means that rheumatoid arthritis can be reduced by doing sports, one of which is by doing elderly gymnastics. Exercise that is done regularly can strengthen the muscles around the joints, reduce pain or aches, improve balance and provide more energy in the body. Conclusion is elderly exercise can affect the pain scale of rheumatoid arthritis sufferers
On Time and Tense in Aristotle
Authors: Haas Andrew 
Published: February 2023

ABSTRACTTense is the clue to the discovery of the meaning of time. Speaking hints at thinking, and language suggests a way to conceive of philosophical concepts. Here, the universality of temporality is that out of which the grammar of tense and the concept of time first come. Temporality, however, is not simply present in tense or time. On the contrary, temporality’s way of being—like being’s—is implication: tense is implied by how the verbality of verbs can be spoken; time, by how temporal beings come to presence—just as being is implied in Greek, and many other languages. But then, the habits of modern Western language and philosophy must be radically reformed in order to learn how to imply again, and to think and speak about time and being as implications.
Fallet med den muterade science fictiondeckaren
Authors: Mehrstam Christian 
Published: February 2023

The Case of the Mutant Science Fiction Detective Story: Literariness and Popular Culture in Education
This article states that the main schools of pedagogy of literature are in their respective ways designed to seize upon the benefits of literariness, which is a feature that some texts are still considered to have and others are considered to lack. With the example of Henrik Örnebring’s novel Blodsmak: Ett fall för Sennja Maler (»Taste of Blood: A Case for Sennja Maler«), it is demonstrated how a book that by all reader accounts lacks literariness, can be given it by altering the reader’s expectations. It is suggested that a turn in perspectives might be beneficial: the pedagogy of literature should be considered a creative activity, in the sense that it produces texts with desirable qualities rather than discovers »existent« qualities. This would open up a range of possibilities, for instance by making genre fiction more interesting to the education system. It is contended that this turn in perspectives could be strongly supported by modern systems theory, which would also bring wider implications for comparative literature.
Att läsa Lolita på lärarutbildningen
Authors: Persson Magnus 
Published: February 2023

Reading Lolita in Teacher Education
In this article an example of class room work on Vladimir Nabokov’s novel Lolita is used to discuss text selection in teacher education. My starting point is that text selection far too seldom becomes a matter of risk taking. What happens when you as a teacher deliberately choose texts that may provoke your students? What are the didactic and ethical possibilities and difficulties? My thesis is that the choice of provocative literature can function as a productive bridge between aesthetical and instrumental ways of reading. Texts which challenge core values of the school and »the myth about the goodness of literature« open up for dialogues about the what, how and why of literature instruction.
Läsningens disciplinering
Authors: Bergenmar Jenny 
Published: February 2023

The Teaching of Literature and the Disciplining of Reading
The article discusses how the institutional norm of critical reading tends to rule out other ways of reading. Instead of mapping different kinds of reading practices and providing useful concepts for describing them, the teaching of literature often tends to be prescriptive and aimed at reproducing this specific way of reading, and in extension, a certain view of literature related to it. This problem is discussed in connection to Rita Felski’s »modes of textual engagements,« Michael Warner’s questioning of what qualifies as a critical reading, and Eve Kosofsky Sedgwick’s concept of »reparative reading.«
Indonesia Post-Pandemic Outlook: Environment and Technology Role for Indonesia Development
Authors: Ramlan Fitria Wulandari , Sitompul Fachri Rizky , Fajar Ahmad , Putri Nanda Aulia , Nuha Ulin , Mustafa Ade Brian , Zahraturrahmi  , Mustaqiman Aulia Nur , Hidayatulloh Asep Muhammad , Pangestu Radityo , Septiani Nabilla Dewi , Subrata Bhaskara Anggarda Gathot , Junaid Anugrah Abdillah , Prilliadi Hilmy , Sidik Fahrudin , Hassan Fahir , Hanun Jihan Nabillah , Nur Adyanis Latonia , Mahardika Surya Bagus , Agusta Rendy Pratama , Untari Dyah Wahyu 
Published: February 2023

COVID-19 has disrupted all aspects of human life. To mitigate the impact of the pandemic, several efforts have been taken, including by Indonesian scholars abroad. This book entitled Indonesia Post-Pandemic Outlook: Environment and Technology Role for Indonesia Development explores environment and technology issues and topics related to the COVID-19 pandemic and discusses post-pandemic recovery efforts in Indonesia. Comprising of 19 chapters, this book is divided into four sections. The first section, disaster and greening management development, discusses insights for a better solution in disaster prevention and development of greening management. Second, waste and pollution management development, explores options in development of waste and pollution management such as potentials uses of membrane technology, remediation of textile dyes, biochar industry, and also discussion on persistent organic pollution and microplastics. Third, food defense and security development, explores the potentials of food security and management in utilizing the potential of coastal sand marginal land resources, IoT and smart packaging, and smart food supply chain. The last part, human resource and public service development, discuses developments on management of education system, public transportation, e-government, and health information system. We hope that this book can be a valuable reference for stakeholders, policymakers, as well as society to recover from the pandemic crisis and find better solutions to benefit future generations.
Alveolar lymphangioma diagnosed in a white Irish neonate: a previously unreported finding
Authors: McCarra Charlotte , FitzGerald Kirsten 
Published: February 2023

Historically, alveolar lymphangiomas have been reported exclusively in the oral cavities of black infants. To the author’s knowledge this is the first report of alveolar lymphangioma in a white Irish neonate. The paper presents multiple alveolar lymphangiomas found in the oral cavity of a white Irish neonate in a Dublin children’s hospital. The child’s medical background, differential diagnosis, management options and outcome are discussed.
La importancia de la perspectiva cultural enfermera a la hora de ofrecer consejos de introducción de alimentación complementaria en niños
Authors: Viedma Sánchez Silvia , Esperón Gaitán Silvia 
Published: February 2023

La alimentación complementaria (AC) se define por la introducción de alimentos líquidos, semilíquidos o sólidos diferentes a la lactancia materna o leche de fórmula en el niño, para satisfacer las necesidades adecuadamente a partir de una determinada edad. La Organización Mundial de la Salud (OMS) entre otras sociedades recomiendan la introducción de la AC a partir de los 6 meses de edad, siempre que sean seguros y adecuados nutricionalmente [Fragmento de texto].
La leche por bandera en Granada. Evolución de las nodrizas desde la plaza de las pasiegas hasta el banco de leche del hospital materno infantil de Granada
Authors: Martín García María Isabel , Cortecero González José Luis , Aragón Romero Paula , Romero Ortega Griselda 
Published: February 2023

Cuando pensamos en nodriza, las dos palabras que se vienen a la cabeza son leche materna y altruismo. Dos vocablos que han estado ligados a ellas y que hoy, en el siglo XXI, aún continúan. Las primeras nodrizas hicieron de esto una forma de trabajo, no estaba remunerado y para la clase alta era una forma de librarse del cuidado y crianza de sus hijos. Para las nodrizas supuso la incorporación al mundo laboral [Fragmento de texto].