bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of structural changes in the left atrium myocardium according to cardiac magnetic resonance with contrast before and after balloon cryoablation in patients with persistent atrial fibrillation
Authors: Aparina O. P. , Kirilova V. S. , Stukalova O. V. , Maykov E. B. 
Published: May 2023

Aim. To study the structural changes of the left atrium myocardium according to magnetic resonance imaging with contrast in patients with persistent atrial fibrillation before and after balloon cryoablation and compare the results with the effectiveness of the intervention.Material and methods of research. The study included 28 patients with persistent form of atrial fibrillation. All patients before and after magnetic resonance imaging underwent cardiac magnetic resonance imaging with delayed contrast using a high-resolution MR pulse sequence (voxel size 1,25x1,25x1,25 mm) before and after cryoablation.The severity of atrial fibrous lesion was calculated automatically using a specialized LGE HEART Analyzer program using algorithms based on the myocardial contrast index with a threshold value of 1.38. The clinical efficacy of the intervention was evaluated after 12 months and the relationship was determined structural changes in the myocardium of the left atrium according to contrast magnetic resonance imaging data before and after the cryoablation.Results. The severity of fibrotic myocardial lesion of the left atrium before balloon cryoablation was 1,5 [0,16; 9,3]%. In Utah patients, stage 1 fibrosis was detected in 71,4% (n=20), stage 2 in 14,3% (n=4), stage 3 in 3,6% (n=1), stage 4 in 10,7% (n=3). 3 months after cryoablation, there was an increase in the severity of fibrosis of 2,7 [1,02; 18,8]% (p<0,001). Overall efficiency of the intervention rate was 57,1%. The construction of Kaplan- Meyer curves demonstrated that the intervention was most effective in patients with minimal severity of fibrosis before ablation (Utah I) and least effective in more pronounced fibrotic lesion (stage Utah III and IV)Conclusion. Magnetic resonance imaging of the heart with contrast allows to assess fibrotic lesion of the myocardium of left atrial, which may be one of the factors of the effectiveness of interventional treatment of persistent AF.
Prevention of thrombotic complications in patients in the postoperative period of total hip and knee arthroplasty: efficacy and safety
Authors: Ushanova A. M. , Okisheva E. A. , Mironova O. Iu. 
Published: May 2023

Thromboembolic complications (TEC) remain a significant problem in modern surgery, worsening the prognosis and reducing the effectiveness of the operation performed. The increase in the number of venous thromboembolisms (VTE) is determined by the severity of the initial injuries, the volume and traumatic nature of the surgical intervention, as well as the increase in the number of elderly patients with multiple comorbidities. Patients in orthopedic departments who have undergone major surgeries such as total hip arthroplasty (THA) or total knee arthroplasty (TKA) are at increased risk of VTE, leading to significant postoperative morbidity and mortality. Thromboses in extensive orthopedic surgery are caused by several prothrombotic mechanisms, such as venous injury, activation of procoagulation factors due to massive bone and tissue damage, and prolonged postoperative immobilization. The most common potential thrombotic complications after arthroplasty are deep vein thrombosis (DVT) of the lower extremities and pulmonary embolism (PE).In the absence of prophylaxis in the postoperative period of major orthopedic surgeries, TECs develop in most patients.To date, the issue of primary prevention of VTE in orthopedic patients remains relevant, and there is still no consensus on the best way to prevent thrombosis after THA and TKA.Risk assessment is the first step in preventing death and disability from VTE. Currently, mechanical and pharmacological methods are used for primary prevention in orthopedics, often in combination. Certainly, the use of antithrombotic drugs in the postoperative period is an effective way to prevent thrombosis. When prescribing antithrombotic drugs, it is also important to minimize the risk of bleeding, including in the area of postoperative wounds. Various antithrombotic drugs are used as pharmacological prophylaxis for TEC. The literature on the dosage, duration, efficacy, and safety of their use varies considerably. Our review assessed published literature on the efficacy and safety of antiplatelet agents for VTE prophylaxis.
Organizational and clinical aspects of acute coronary syndrome combined with a new coronavirus infection (SARS-COV-2)
Authors: Serebrennikov I. I. , Kopylov Ph. Yu. , Komarov R. N. , Mukanova M. B. , Ismailbaev A. M. , Gafurov F. S. 
Published: May 2023

Objective. Assessment of organizational and clinical aspects of acute coronary syndrome combined with a new coronavirus infection (SARS- CoV-2).Materials and methods. This is a retrospective study where 60 patients were divided into the following groups: group 1 patients with acute coronary syndrome (ACS) and a new coronavirus infection hospitalized in the «red» zone after infection was detected at the prehospital stage (n=29); group 2 - uninfected coronavirus infection patients with ACS (n=31). The primary points were mortality in the hospital and the average time (up to 2 months) after ACS, the incidence of acute heart failure, the incidence of ACS with ST segment elevation, the frequency of acute coronary artery occlusions.Results. The analysis of hospital mortality revealed its higher level in the ACS group and COVID-19 (group 1) (p=0.009). Mortality within 2 months was also higher in group 1 (p=0.017). The groups did not differ in the number of patients with ACS and ST segment elevation and acute coronary artery occlusions. Analysis of the incidence of OSN at admission revealed a statistically significant difference (p=0.05) in group 2 (n=12, 38.7%) compared with group 1 (n=5, 17.2%).Conclusions. Patients with ACS and COVID-19 are characterized by a higher initial severity, a tendency to develop ACS with ST segment elevation, high rates of hospital and 60-day mortality. Separating the flows of infected and uninfected patients makes it possible to improve the epidemiological situation in non-infectious hospitals, however, it leads to a delay in hospitalization of patients with ACS and COVID-19, which potentially increases the risk of fatal complications in this cohort.
Management of Scriptothrip Dorsalis (Thysanoptera; Thripidae) in Chilli Crop
Authors: Pathan Shehnaz , Solangi Abdul Waheed , Marri Jan Muhammad , Khuhro Sajjad Ali , Lanjar Abdul Ghani 
Published: May 2023

Chilli crop is drastically damaged by chilli thrip due to cryptic in nature and difficult to monitor the population till damge symptoms become visible. Simultaneously, this noxious pest mainly controlled by the use of chemicals, which lead to several problems. The main purpose of the present research is to monitor, manage and keep thrip population below economic thresh hold level (ETL) by using various colour (Yellow, Blue, Green & Whitesheets) sticky traps on various trap heights (30, 60,90 & 120 centimeters) were instlled in Randomized complete block design (RCBD) with three replications at fazal stop,Tandoallahyar during March, 2018 for the management of chilli thrip population efficiently. As a results of scouting experiment, it was confirmend that the yellow color sticky trap was significantly attracted highest number of Scirtothrips dorsalis than other sticky traps with significant differences (F=11.58; df=259, P<0.001), also the maximum thrips were captured on traps which were installed at 90cm height as compared to other heights. During management trial, the significant reduction in thrip population was recorded in IPM plots, t-test showed a significant difference (t=6.11, F=0.75; df=114, P<0.0001) in IPM and conventional plots. Since, the yellow color sticky trap attracted much more number of thrips at the height of 90cm. Thus, it is recommended as important components of IPM for the management of thrip in chilli agri-eco system
Effect of Potash Fertilizer on Vegetative Growth and Pod Yield of Groundnut (Arachis hypogaea l.) in Semiarid Region
Authors: Khan Chaker , Memon Dr. Noor un nisa , Wahocho Niaz Ahmed , Akhtar Naseem , Majeedano Memoona Islam , Sharif Naseem , Jamali Muzamil Farooque , Khan Qamber 
Published: May 2023

Groundnut (or peanut, earthnut, monkey nut) is taxonomically classified as Arachis hypogaea and it belongs to family Fabaceae (Leguminosae). In Pakistan, the groundnut is mainly cultivated in rain fed areas, mostly in Punjab, also in some areas of Sindh and North-West Frontier Province. A field experiment was carried out at the Horticultural Research area, Sindh Agriculture University, Tandojam during the year 2021. Two ground nut cultivarrs (“Golden” and “Bari-2011”) were used and sulphate of potash (SOP) was used @ 60, 80, 100 kg ha-1as treatments. Different growth and yield related parameters were studied in this experiment, such as days to flowering, plant height (cm), canopy width (cm), pods plant-1, kernels plant-1, 100 kernels weight, pod yield ha-1, edible portion (%) and non-edible portion (%). Randomized Complete Block Design (RCBD) was used with three replications. Results revealed that the potassium applied @ 80 kg ha-1 significantly affected for canopy width (1213.5 cm), pods plant-1 (52.27), kernels plant-1 (100.99), weight of 100 kernels (58.07 g), pod yield (1590.4 kg ha-1) and edible portion (63.50 %). To compare cultivars, Bari-2011 had superior results for early flowering (28.37 days), plant height (18.68 cm), canopy width (1102.9 cm), pods plant-1 (48.00), kernels plant-1 (94.43), weight of 100 kernels (55.26 g), yield (1543.6 kg ha-1) and edible portion (65.31%) as compared to Golden. The results revealed that potassium application at 80 kg ha-1 produced better results for growth and pod yield related attributes of the groundnut. Whereas, “Bari-2011” responded significantly better for growth and yield related parameters as compared to “Golden”
Association Between the Availability of Mobility Assistive Products and Participation Outcomes in Individuals With Spinal Cord Injury in Switzerland
Authors: Fong Angelene , Gemperli Armin , de Vries Wiebe 
Published: May 2023

Objectives
This study investigated the association between the reported availability of mobility assistive products and the perceived frequency, restriction, and satisfaction of participation in individuals with spinal cord injury in Switzerland.

Methods
This study was based on a cross-sectional analysis based on questionnaire data collected from the Swiss SCI Cohort Study community survey in 2012 (N = 492). The availability of 12 mobility assistive products were analyzed as the main predictor variable. The outcomes of interest were the frequency, restriction, and satisfaction of participation scales as measured by the 32-item Utrecht Scale for Evaluation of Rehabilitation–Participation (USER-P). The association between availability of mobility assistive products and participation was investigated using linear regressions analyses. All mobility assistive products were ranked in terms of relevance to improve participation by means of an importance performance plot.

Results
The availability of a sports wheelchair or a hand bike were both significant in reducing the restriction to participation. Having an adapted car increased the frequency of participation.

Conclusion
The availability of a sports wheelchair or a hand bike was significantly associated with less restriction in participation. With an unmet need of up to 36%, the known health benefits of regular physical activity and thereby cost-saving potential for the health care system, external support in the acquiring or use of these sports-related mobility assistive products could be an easy target for intervention.
Income and Residence related Disparities of Information and Knowledge about COVID-19 and Behavioral response: Evidence from COVID-19 Community Risk Perception and Behavioral Response survey in Ethiopia
Authors: Yada Dereje Y. , Gajaa Mulugeta , Tedale Ashinef , Taye Girum , Achemyeleh Hiwot , Getachew Fikeresilasie , Taddele Tefera , Zeru Arega , Alemayehu Senait 
Published: May 2023

Introduction: The Coronavirus disease-19 (COVID-19) has caused enormous stress among the public in China initially and then after the whole world. This study aims to examine the income and residence-related disparities in information and knowledge about COVID-19 in Ethiopia.
Methods: The data for this study was extracted from the community risk perception and behavioral response toward the COVID-19 survey data set. Out of 8005 survey participants, 7970 participants were used for the current study. Results of this study were presented by frequency, percent, concentration curve, tables and p-values used to indicate the significance level.
Result: The concentration index of Knowledge of COVID-19 causes, COVID-19 transmission, COVID-19 symptoms, and its prevention across income status was (0.08, 0.02, 0.02, and 0.01), respectively. Indicating that participants of the highest income level had better knowledge than participants of the lowest income level. Similarly, the concentration index of information about COVID-19 from multimedia, print media, and social media across income status was (0.05, 0.37, and 0.07) respectively. The concentration index information about COVID-19 from health care professionals and community networks across residences was (-0.10) and (-0.07) respectively. Implying that participants of the rural resident had better access to information about COVID-19 from health care professionals and community networks than participants of the urban resident.
Conclusion: COVID-19 causes, spread, symptoms, and prevention strategies were disproportionately more known to those with the highest income levels and those who lived in urban areas. Also, those with the highest income and those who live in urban areas have disproportionately more access to COVID-19 information from multimedia, print media, and social media than those with the lowest income level, and rural residents have disproportionately more access to COVID-19 information from health care professionals and community networks than urban residents.
PERFIL MICROBIANO ORAL DE PACIENTES TOTALMENTE DESDENTADOS COM HISTÓRICO DE PERIODONTITE: UMA REVISÃO DE ESCOPO
Authors: Zanon Magalhães de Araujo Lucas , Retamal-Valdes Belen 
Published: May 2023

O objetivo desta revisão foi responder a seguinte pergunta: qual o perfil microbiano oral de pacientes totalmente desdentados com histórico de periodontite? Uma revisão de escopo foi realizada PRISMA. As bases de dados Medline/pubmed, Cochrane Library e Lilacs foram pesquisadas usando uma estratégia de busca. Foram incluídos estudos em humanos, com a seleção de voluntários com histórico de periodontite que levou à extração total de elementos dentários (pacientes totalmente desdentados), e com amostras de biofilme oral dos dentes antes da extração e de qualquer parte da boca após a extração. As informações foram coletadas de cada estudo e registradas em formas predefinidas. As informações das variáveis extraídas dos artigos selecionados foram sumarizadas e apresentadas de forma qualitativa, por meio de tabelas e relatado dos resultados alcançados. Foi possível identificar quatro estudos que atenderam os critérios de elegibilidade. O perfil microbiano oral de pacientes totalmente desdentados com histórico de periodontite que levou a necessidade de exodontia apresenta-se constituído por periopatógenos (por exemplo, Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis e Prevotella intermedia), os que permanecem na cavidade oral mesmos após a exodontia de todos os dentes, porém, em menores concentrações. Assim, é importante que os profissionais de odontologia realizem tratamentos periodontais efetivos que alcancem todas as superfícies da cavidade oral em indivíduos com diagnóstico de periodontite, mesmo com a futura indicação dos elementos dentários. Pois, mesmo diante da diminuição de periopatógenos após a exodontia, estes ainda permanecem na cavidade oral e poderiam ser o foco de início para futuras doenças infecciosas orais.
Upaya Peningkatan Hasil Belajar Siswa Kelas III Pada Konsep Pecahan Melalui Penerapan Model Pembelajaran Picture and Picture
Authors: Maulidasari Maulidasari , Novianti Novianti 
Published: May 2023

Penelitian ini merupakan jenis penelitian tindakan Kelas yang bertujuan untuk memperbaiki mutu praktik pembelajaran dan hasil belajar siswa khususnya kelas III SD Negeri 9 Peusangan Selatan Kabupaten Bireuen. Instrumen pengumpulan data berupa lembar observasi, tes hasil belajar dan angket. Metode yang digunakan untuk menganalisis data adalah dengan teknik deskriptif kualitatif. Hasil penelitian menunjukkan adanya peningkataan hasil belajar siswa. hasil yang diperoleh pada saat di lakukan pada siklus I dan SIklus II terjadi peningkatan dari 67,36 % menjadi 95,15% dimana terjadi peningkatan sebesar 26,79 %. Sedangkan hasil observasi kegiatan siswa mencapai 71,45 % meningkat menjadi 93,23 % pada siklus II. Begitu juga dengan hasil kegiatan aktivitas guru pada siklus I mencapai 87,56 % meningkat menjadi 95,47 % terhadap pembelajaran matematika konsep pecahan sangat baik. hal ini menunjukkan bahwa penerapan model pembelajaran picture and picture sangat efektif pada konsep pecahan.
Peningkatan Kemampuan Berpikir Kreatif Melalui Soal Tipe HOTS Dengan Model Pembelajaran Discovery Learning
Authors: Riski Desi , Wahyuni Rahmi , Novianti Novianti 
Published: May 2023

Penelitian ini bertujuan untuk mengetahui peningkatan kemampuan berpikir kreatif melalui soal tipe HOTS dengan model pembelajaran discovery learning di SMA Negeri 3 Bireuen. Penelitian ini merupakan penelitian eksperimen tipe Quasi Eksperimen dengan rancangan penelitian The One Group Pretest-Posttest Design. Populasi dalam penelitian ini adalah seluruh siswa kelas XI SMA Negeri 3 Bireuen yang terdiri dari 5 kelas. Sedangkan sampelnya yaitu kelas XI IPA 2 yang dipilih secara random sampling. Data di analisis dengan uji T pihak kanan dan dibuktikan dengan bantuan SPSS 22 yaitu pengujian one sample t-test. Hasil penelitian diperoleh nilai yaitu 2,42 > 2,16 dan Sig.(2-tailed) < yaitu 0,031 < 0,05. Hal ini menunjukkan bahwa terdapat peningkatan kemampuan berpikir kreatif melalui soal tipe HOTS dengan model pembelajaran discovery learning di SMA Negeri 3 Bireuen. Peningkatan tersebut dapat dilihat dari hasil perhitungan N-gain sebesar 0,58 dengan kriteria sedang. Dengan demikian dapat disimpulkan bahwa terdapat peningkatan kemampuan berpikir kreatif melalui soal tipe HOTS dengan model pembelajaran discovery learning di SMA Negeri 3 Bireuen. Selain itu, 76,18% siswa menunjukkan respon yang baik terhadap kemampuan berpikir kreatif melalui soal tipe HOTS dengan model pembelajaran discovery learning.
Patients’ perception of gustatory changes after lower molar extractions
Authors: Sakinatul Ain Tasneem , Balan Usha , Al-Muteb Atheer Mohammed , Al Sanad Areej Ayed , Mir Shugufta , N. C. Sandeepa 
Published: May 2023

Introduction and Aim: Gustatory changes in the form of loss of taste or alteration of taste or lingual paresthesia are often encountered post-extraction of molar teeth. The aim of this study was to assess patients' perception of gustatory changes/taste alterations following lower molar extractions in female patients attending the OPD (dentistry-clinics) at College of Dentistry, King Khalid University, Abha, Saudi Arabia.

Materials and Methods: Thirty consecutive new female adult patients indicated for extraction due to grossly decayed mandibular molars between the age of 19-45 were included in the study. These patients were evaluated using a self-administered interview to assess the lingual tactile and gustatory function impairments immediately after surgical procedures/extraction involving the lower molar region. They were re-evaluated seven days and one month after the surgical procedure. ANOVA for repeated measures was used to assess the statistical difference between patient responses at baseline (before the procedure), seven days, and one month after the surgical procedure. Tukey HSD post hoc multiple comparisons were made to find the group that is significantly different from others.

Results: There were no statistically significant differences between the responses at baseline, seven days, and one month after the surgical procedure concerning all the questions asked except Q2 and Q7 that dealt with the presence of tingling sensation on the tongue and ability to continue with their usual diet after the dental procedure, respectively.

Conclusion: There was only a transient change in a small proportion of patients in the lingual tactile and gustatory function after surgical extraction of mandibular molars, which was self-limiting and resolved by one month postoperatively.
Risk factors of pneumonia among elderly with robust Poisson regression - A study on mimic III data
Authors: M. Karun Kalesh , Puranik Amitha , M. K. Lintu , M. S. Deepthy 
Published: May 2023

Introduction and Aim: Pneumonia is a common and serious illness among the elderly. Early identification of the risk factors for pneumonia is essential for improving the survival outcomes among elderly. The present study aimed to identify an optimal regression approach to determine the risk factors for pneumonia among elderly patients.

Materials and Methods: The present study utilized data from the Medical Information Mart for Intensive Care (MIMIC III) to evaluate the use of alternative generalized linear models to identify the risk factors for pneumonia. The regression model with the smallest AIC, BIC and SE was considered as the appropriate regression model for the data. Robust Poisson model was considered the best fit for the current data as it had the lowest AIC, BIC and standard error compared to other regression models.

Results: Variables such as BMI, renal failure, hypertension, diabetes and asthma were identified as the significant risk factors for pneumonia. The risk of pneumonia was found to be significantly higher in the underweight category of BMI [RRadj=1.70; 95% CI=1.38, 2.08]; diabetic patients [RRadj =1.29; 95% CI=1.03, 1.61); asthmatic patients [RRadj =1.35; 95% CI=1.15, 1.58] and patients with renal failure [RRadj =1.16; 95% CI= 1.05, 1.29].

Conclusion: Among various binary regression models, Poisson regression with robust variance (sandwich Poisson regression) provided unbiased estimates of the relationship. In the present study, variables such as BMI, renal failure, diabetics, hypertension and asthma were identified as the significant risk factors for pneumonia in the elderly using robust Poisson regression.