bluuebunny/crossref_metadata_2025_split huggingface dataset:
Value of Left Ventricular Strain Imaging Echocardiography in Predicting Outcomes after Severe Mitral Valve Regurgitation Surgery
Authors: Fahmy Ahmed Galal A. Fattah , Khairy Hatem , Ali Ahmed S , Thakeb Yosry M , Fayed Hany 
Published: February 2023

Purpose: A new indicator of measuring ventricular systolic function is myocardial strain. However, it is unclear if longitudinal strain following mitral valve surgery has any predictive utility in clinical settings. The best time of operation is usually detected through the left ventricular internal dimensions as well as the function.. So this study aimed to evaluate the utility of myocardial strain by echocardiogram with other parameters in forecasting postoperative outcomes after primary MR surgery.
Methodology: This prospective study enrolled 514 patients (279 males and 235 females; mean age (SD) of male participants was 57.3 (12.9). Included patients had severe primary mitral valve regurgitation and were candidates for valve surgery from April 2018 to April 2022. Patients with combined valvular disease as severe mitral stenosis, redo mitral valve replacement, and previous CABG and ischemic heart disease were excluded. Global longitudinal strain (GLS) was performed. Hospital re-admission for heart failure symptoms, reoperation and mortality were followed up as Cardiac incidents.
Findings: In median follow-up of about four years, Age, previous ischemia, concomitant CABG, left atrial size, LVEF%, atrial fibrillation and Global longitudinal strain were all predictive of heart incidents. Age, left atrial dimension, and GLS were independent predictors to heart incidents on multivariate analysis (HR: 1.386, 95% CI: 1.083-1.776; P <0.004, HR: 1.003, 95% CI: 0.976-1.031; p value 0.018, HR: 1.192, 95% CI: 1.101-1.291; P <0.001 respectively). All-cause mortality was linked to impaired GLS (HR: 0.003, 95% CI: 0.973-1.102; P =0.039).
Recommendation: GLS has a substantial link to clinical outcomes and is a stronger forecaster to cardiac issues than standard measurements. Measuring pre-operative GLS among those with severe primary MR is essential for anticipating post-operative results and determining the ideal time to plan operation.
O gênero textual na EJA
Authors: Ribeiro Guedes Sônia Margarida 
Published: February 2023

Este artigo resultou de uma pesquisa de campo realizado em sala de aula, com quatro turmas do 2º segmento da EJA, em uma escola pública da Rede de Ensino do Distrito Federal no decorrer de um bimestre e meio, com o objetivo de mapear os gêneros textuais estudados nas aulas de língua portuguesa. Para o mapeamento, inventários, dos gêneros. Baseio-me no conceito de agrupamento de gêneros proposto por Schneuwly e Dolz (2004). Em seguida, proponho a abordagem de gênero na perspectiva da Linguística Sistêmico-Funcional (LSF), na visão de Halliday e Hasan (1989), como uma prática pedagógica fundamental e capaz de capacitar os estudantes a produzirem textos mais eficazes e críticos (Cope & Kalantzis, 1999). Ao discutir as implicações pedagógicas sob o viés da LSF, busco focar, de forma explícita, os gêneros textuais no processo do letramento e revelar as relações existentes entre estruturas textuais e propósitos sociais em seus diferentes contextos de situação, pois só assim é possível empoderar o aluno para sua emancipação.
BVVG steigert Öko-Anteil
Authors: Vetter Bernhard 
Published: February 2023

Frankfurt a.M. Die Bodenverwertungs- und -verwaltungs-GmbH des Bundes (BVVG) hat im vergangenen Jahr den Strategiewechsel zur Bevorzugung ökologisch wirtschaftender Betriebe vollzogen.
Das letzte Mittel
Authors: Vetter Bernhard 
Published: February 2023

Frankfurt a.M. Die Halbierung der Pflanzenschutzmittel bis 2030 ist hoch umstritten. Doch laut einer Studie, die vom Bund für Umwelt und Naturschutz Deutschland (BUND) in Auftrag gegeben wurde, stehen Landwirtinnen und Landwirten andere, umweltfreundlichere Instrumente zur Verfügung.
Voltaire, Lettres sur les Anglais, INTRODUCTION 6A (I), & 6A(II) Lettres sur les Anglais (IB) LETTERS CONCERNING THE ENGLISH NATION, Voltaire Foundation, 2022.
Authors: Woodward Servanne 
Published: February 2023

Résumé de la Voltaire Foundation: Lettres sur les Anglais (I) 978-0-7294-1154-7
« Les Lettres sur les Anglais constituent un chef d’œuvre clé des Lumières, un manifeste qui illustre une manière de pensée qui a participé à la création d’une vision du monde qui reste importante aujourd’hui. C’est par cette œuvre aussi que Voltaire s’est réinventé en écrivain de prose, après une première phase de sa carrière où il était surtout connu comme poète. Le présent volume retrace la genèse et le contexte des Lettres (le séjour anglais de Voltaire, entre 1726 et 1728), et en dégage les principaux enjeux. L’introduction de Nicholas Cronk est suivie d’une liste complète des éditions parues du vivant de Voltaire, des traductions de ce texte, et de la version anglaise dont la publication en 1733 précéda de peu la parution du texte en français. Collaborateurs: Geneviève Artigas-Menant, Nicholas Cronk, Anna Marie Roos; Volume: 6A (I)-(II)Series: Œuvres complètes de Voltaire ; Volume Editors: Nicholas Cronk ; Publication Date: 2022 Pages: 730 Price (£): 160. »
Kritik Yesus Terhadap Rabi (Guru) Yahudi Berdasarkan Analisis Eksegetis Atas Kecaman Yesus Terhadap Ahli-Ahli Taurat Dan Orang-Orang Farisi Dalam Matius 23: 1-12
Authors: SM Erikson 
Published: February 2023

Yesus sering berselisih dengan para rabi orang Yahudi, Kaum Tuarat dan Farisi menentang Yesus karena Dia menyatakan ajaran dan tindakannya berbeda dari para rabi lainnya. Mengenai pendidikan dan pelatihan formal Yesus sebagai rabi untuk menjadi pengajaran di Bait Allah, adat atau tradisi dalam mengajar orang Yahudi bagi komunitas Yahudi pada waktu itu, juga menjadi persoalan. Oleh sebab itu topik ini sangat menarik untuk diteliti.
Metode penelitian yang digunakan dalam melaksanakan penelitian ini ialah metode penelitian kualitatif kajian pustaka. Peneliti akan mencari referensi dan hasil penelitian relevan yang kemudian akan diolah untuk menjadi suatu jawaban mengenai permasalahan ini.
Dengan penelitian ini ditemukan bahwa Yesus sebagai seorang rabi) menyampaikan kritiknya terhadap orang Farisi dan ahli Taurat (berdasarkan Matius 23:1-12), meliputi masalah: nilai/posisi ahli Taurat dan orang Farisi- sebagai rabi, integritas, dan otoritas Yesus sebagai Rabbi sejati, sehingga Yesus mengutuk Ahli Taurat dan Orang Farisi.
Blackness and Belonging: Shirley Graham’s “Negro Adaptation” of The Hairy Ape
Authors: Chura Patrick 
Published: February 2023

ABSTRACT
While working for the Federal Theatre Project in Chicago in 1937, leftist playwright Shirley Graham created a “Negro adaptation” of The Hairy Ape that altered O’Neill’s script and inserted an entirely new scene. The play was never produced because O’Neill denied Graham’s request to perform it and disparaged the work as an example of “freak theatre where white plays are faked into black plays.” This article looks closely at Graham’s adaptation in order to consider its significance, arguing that the race-determined changes Graham made to O’Neill’s script do not distort the play but elicit a layered African American presence. As a tool for understanding this presence, this article adopts a critical approach practiced in lectures delivered in 1990 by Toni Morrison, which restore legitimacy to Graham’s play and offer a model for fresh interpretation of O’Neill’s oeuvre.
EVALUATION OF THE DETERMINANTS OF CLINICAL MEDICINE TRAINING OUTCOMES IN WESTERN KENYA
Authors: Njeru S.O. Adoka S. K. , Onguru s Dan 
Published: February 2023

Study Objective: To analyze the learner – lecturer / instructor interaction process within the context of theory learned during training put into clinical / medical practice. This was in order to generate limitation in both the teaching institutions that address Clinical Medicine training outcomes.
Study Design: Across- sectional study
Study Setting: This study was carried out in Lake Basin Region of Kenya. The area includes Kisumu and its surrounding counties of Vihiga and Nandi.
Study Subjects / Participants: Sixty six (66) Clinical Medicine students from various MTIs in Lake Basin Region of Kenya, 58 health workers, 3 heads of departments from KMTCs, and 5 heads of departments in the clinical placement sites that was visited for this study and 4 lecturers of MTIs.
Study Results: Analysis from observations of student / lecturer / infrastructure / leadership / linkage engagements were obvious and more so the absence of libraries in all RHTCs. In both the county Hospital and the referral Hospital (JOOTRH) there were libraries which were inaccessible to Clinical Medicine students. There were linkages and networking processes in all the training health facilities that were used as clinical placement sites. This was evident in the many students who were present from different MTIs in Kenya. Students for clinical placements came from all MTIs in Kenya among who were all KMTCs, GLUK, Uzima University College, Mt Kenya University, Moi University and others. There were evident interactions in many ways both academically and socially, and with the presence of ICT services, these students were linked together nationally regionally and internationally
Study Conclusion: This study therefore provides a tool to guide MTIs and clinical placement sites in Kenya on the best practice in linking theory based learning with clinical practice in achieving quality, competent, effective, and efficient Clinical Medicine training outcomes.
Frequency of depression amongst patients with lower limbs physical disability
Authors: Rasool Ghulam , Tareen Zarmina 
Published: February 2023

Background: A congenital, developmental, mental, or physical defect that has the potential to seriously interfere with a person's daily activities is referred to as a disability. People with impairments are susceptible to a wide range of secondary issues, such as pain, fatigue, depression, obesity, and other unknown causes. Objective: To assess the frequency of depression amongst patients with lower limbs physical disability. Methodology: The current study was cross sectional, carried out at Balochistan Institute of Psychiatry and Behavioral Sciences and Bolan Medical Complex Hospital Quetta from March 2019 to March 2020. Patient Health Questionnaire (PHQ-9) was employed to assess the depression. A pre-designed proforma was then used to collect all the required information’s. The SPSS version 24.0 was used to input and analyze the data. Results: In our study, totally 220 patients were enrolled. The male patients were 154 (70%) while female patients were 66 (30%). The mean age (SD) in our study was 42 (4.1) years. Distribution based on PHQ-9 score shows that 132 (60%) patients were observed with PHQ-9 score of less than 4 whereas 88 (40%) patients were observed with PHQ-9 score of more than 4.
Attention to Detail: The Effect of Fluoroscopic Parallax on Limb Alignment Assessment During Corrective Osteotomy
Authors: Weldon Matthew , Arenas Abraham , Abraham Alex , Haidar Layla A. , Warth Ryan J. , Mansour Alfred 
Published: February 2023

Background:
The accuracy of a corrective osteotomy is dependent on many factors. One error rarely considered is using noncentered fluoroscopic imaging to assess intraoperative alignment. This study quantified the coronal alignment error produced by visual parallax per interval changes in vertical and horizontal positioning of the C-arm and alignment rod during intraoperative evaluation.

Methods:
Unilateral hip, ankle, and knee fluoroscopic images were obtained from a single intact cadaveric specimen. A center-center fluoroscopic image was obtained by moving the C-arm appeared in the center square of the nine-box grid. With the base of the C-arm stationary, the radiograph generator/intensifier portion of the C-arm was translated medially until the target bone appeared on the edge of the fluoroscopic image.

Results:
One hundred eight images were obtained. Measurement error increased by an average of 14% per 10 mm of horizontal C-arm offset. Minimal effect was seen if the obtained image was within 5 mm of the true center; however, once 55 mm of offset was reached, all experimental conditions resulted in at least 10 mm of parallax error.

Conclusion:
Our results demonstrate that small variations in C-arm positioning can create statistically significant inaccuracies when assessing limb alignment using intraoperative fluoroscopy.
Perception of Transformational and Transactional Leadership Behavior Among Staff Nurses in A Private Hospital
Authors: Khalid Madiha , Firdos Farzana , Robin Rehana , Rafique Robin , Asif Muhammad 
Published: February 2023

Nurses are the backbone of hospital and nurse leaders and managers had a great influence on retention, performance, and job satisfaction of staff nurses. Objective: To explore the perception of leadership behavior among staff nurses in a private hospital. Nursing leaders control and assume the responsibility of an organization and use effective strategies to set and achieve passionate goals and objectives. In addition, nursing leaders and managers create a safe and supportive work environment for the employees. Methods: A descriptive, cross sectional research design was used to assess the perception of leadership behavior among staff nurses in a private hospital. Convenient sampling technique was used for selection of participants. A total number of 86 registered nurses and nursing team leaders were selected for study. Results: The findings of this study presented that staff nurses prefer transformational leadership style over transactional leadership style. Transformational leadership has a positive influence on staff nurses. There is no association between transformational leadership and demographic characteristics of respondents. In addition, transactional leadership style also has no association with demographic characteristics of respondents. Conclusion: Transformational and transactional leadership style promotes the performance of nurses. Nurses’ job satisfaction increased the job performance of staff nurses. It is the great need of health care system to develop positive and adaptive behavior among nurses.
De Hague Rules on Business and Human Rights Arbitration
Authors: Eijsbouts Jan 
Published: February 2023

The Hague Rules on Business and Human Rights Arbitration
The Hague Rules on Business and Human Rights Arbitration have been drafted by a working group chaired by Prof. Bruno Simma, former Justice in the ICJ, to offer an international private-judicial alternative in anticipation of a full-fledged system of judicial remedies to complement human rights due diligence as embodied in the UN Guiding Principles on Business and Human Rights (UNGPs). The author discusses the underlying principles of the Hague Rules, and the challenges the working group had to face such as the power imbalance between parties, and the special requirements to be met by arbitrators. The relationship with mediation is also touched upon.
The future regulation of third-party funding in Europe
Authors: Cordina Adrian , Storskrubb Eva 
Published: February 2023

The future regulation of third-party funding in Europe
The right of access to civil justice continues to be constrained by the cost, complexity and delays of litigation and the decline in public legal aid. Private litigation funding methods like third-party litigation funding (TPLF) have been developing in Europe and other jurisdictions as a result of these challenges. The debate on whether and to what extent TPLF should be regulated has also been gathering pace. On the one hand, proponents of TPLF argue that it facilitates access to civil justice whilst, on the other hand, critics of TPLF say that there may be risks of abuse. These issues were critically discussed at the conference ‘The Future Regulation of Third-Party Funding in Europe’ held on the 22 June 2022, concluding the online seminar series on ‘Trends and Challenges in Costs and Funding of Civil Justice’ organised by the Vici team at Erasmus School of Law.
Profitability and marketing behavior of cauliflower crop in Sonipat district of Haryana
Authors: KUMAR AJAY , ROHILA ANIL KUMAR 
Published: February 2023

India is the second largest producer of vegetables in the world next to China. The cauliflower, potato, onion, tomato and radish are the major vegetable crops of Haryana. The present investigation was carried out to study the cost structure, returns, resource use efficiency, price spread and marketing efficiency of cauliflower. Present study was conducted in Sonipat district of Haryana. From selected district one tehsil and two villages from tehsil were selected on the basis of highest area and 15 farmers from each selected village were interviewed. Thus, sample of30 cauliflower growers were studied. The vegetable markets ofÂ Â Sonipat district was purposively selected as theseÂ are near to the main production area. While, Sonipat and Panipat markets were selected for the marketing efficiency. Ten intermediaries from each market were selected randomly making a sample of 20 intermediaries. The cost of cultivation of cauliflower was higher on large farms as compared to medium and small farms.The gross returns were found higher in medium farms as compared to large and small farms. The cost of production per quintal was lower onmedium farms and highest on large and small farms indicating that the medium farms are having economies of scale in production. The net income was higher on medium farms as compared to small and large farms in cauliflower.There was no difference in marketable and marketed surplus because of perishable nature of vegetable and farmers were hard pressed by their cash needs for post-harvest immediate sale. In cauliflower channel-I (Producer â†’ Commission agent cum wholesaler â†’Retailer â†’Consumer) was more efficient as it ensured higher percent share of farmer in the consumer's rupee as compared to channel-II (Producer â†’ Village trader â†’ Commission agent cum wholesalerâ†’Retailer â†’Consumer).
FORMULASI PASTA GIGI EKSTRAK ETANOL DAUN KENIKIR DAN UJI AKTIVITAS ANTIBAKTERI TERHADAP Streptococcus mutans
Authors: Abidin Afdaliah Z , Abidin Afdaliah Z 
Published: February 2023

Penelitian ini bertujuan untuk mengetahui konsentrasi daya hambat ekstrak etanol daun kenikir (Cosmos Caudatus Kunth.) terhadap bakteri streptococcus mutans, mengetahui stabilitas fisik formulasi sediaan pasta gigi ekstrak etanol daun kenikir serta yang paling efektif terhadap bakteri streptococcus mutans. Penelitian ini merupkan penelitian eksperimental laboratorium dengam lima perlakuan. Pengujian daya hambat terhadap bakteri streptococcus mutans dilakukan dengan metode difusi sumuran. Parameter yang diamati adalah diameter zona hambat pertumbuhan bakteri streptococcus mutans analisis data dilakukan secara desktiptif. Hasil penelitian menunjukkan bahwa konsentrasi daya hambat ekstrak daun kenikir pada konsentrasi 3% yaitu 6,58 mm, pada konsentrasi 4% yaitu 8 mm dan pada konsentrasi 5% yaitu 9,5 mm. uji mutu fisik kimia menunjukkan bahwa semua pasta gigi ekstrak etanol daun kenikir memenuhi mutu sediaan pasta gigi yang baik. Formula yang efektif sebagai antibakteri terhadap bakteri streptococcus mutans adalah F3 yaitu formulasi pasta gigi dengan konsentrasi 5% yang menghasilkan diameter daya hambat sebesar 9,5 mm.
Frequency of	Immunisation of	Children upto Five Years of Age According to Vaccination Card in	Karachi - A Multicentre Study
Authors: Saba Siddiqui  , Maham Akbar  , Asma Mehtab  , Maryam Zafar  , Sonia Shahid  , Shakeel Ahmed  , Sina Aziz  
Published: February 2023

Objective: To determine the frequency of immunisation of children upto 5 years of age according to vaccination card in the outpatient department of Abbasi Shaheed Hospital and Pakistan Naval Station (PNS) Shifa, Bahria University Hospital Karachi.
Methods: A hospital based cross-sectional study was done for the period of two years from 2014 to 2016 in the Paediatric outpatient department (OPD) and vaccination center of Abbasi Shaheed Hospital and PNS Shifa Hospital. The study was done after the approval of ethical review board of Karachi Medical and Dental College (KM&DC). Sampling procedure was non-probability convenience sam- pling. A total of 1408 children were included in study. The informed valid verbal consent was taken from the parents before entering the data on pre designed vaccination charts according to the Ex- panded Program of Immunisation (EPI) schedule. Data was entered after confirmation from child's vaccination card only. Data was analysed using SPSS version 20.0 for statistical analysis.
Results: Out of 1408 children 53.8% were male, 46.2% females. Age of the children was 0 to 60 weeks (5 years) out of which 73.0% were under one year of age. At birth, 46.3% received Bacille Calimette-Guerin (BCG) vaccine, 64.5% received both Oral Polio Vaccine (OPV) and Pentavalent 1 (Diphtheria, Pertussis, Tetanus, Hep-B, H. influenza) at 6 weeks, 57.8% received OPV and Pentavalent 2 at 10 weeks, 56.4% received OPV and Pentavalent 3 at 14 weeks. Only 34.9% were vaccinated for measles at 9 months, which was reduced to 22.7% at 15 months. A total of 51.8% were completely vaccinated, 41.6% were incompletely vaccinated and 6.6% were unvaccinated.
Conclusion: This study suggests that the rate of complete immunisation is still low and there are drop-outs to the subsequent vaccines that needs immediate control. Moreover, about 40% of children appear incompletely vaccinated which is indeed an alarming situation.
To Evaluate the Compliance of Postpartum Intrauterine Contraceptive Device at Jinnah Medical College Hospital
Authors: Farzana Aamir  , Asha Mahesh  , Saadiya Aziz Karim  
Published: February 2023

Objective: To evaluate the compliance of Postpartum Intrauterine Contraceptive Device (PPIUCD) in Jinnah Medical College Hospital, Korangi.
Methods: This cohort study was conducted in the obstetrics and gynaecology department of Jinnah Medical & Dental College Hospital, Korangi for a period of one year from June 2016 to May 2017. All the pregnant women booked at antenatal clinic of Jinnah Medical & Dental College Hospital Karachi for delivery either vaginally or by caesarean section, after proper counselling or discussing the advan- tages and disadvantages of method were included in study. Patients with rupture of membranes more than 18 hours, chorioamnionitis, congenital malformation of uterus, large uterine fibroids dis- torting the uterine cavity, unbooked dai handled cases, coagulation disorders, fever, clinical symptoms of infection and patients who underwent postpartum haemorrhage were excluded from study.
Results: Total number of women counselled in the outpatient department for PPIUCD were 2027 out of which 1498 (73.9%) accepted the method. Insertions were carried out in (31.4%) women who de- livered either vaginally and by caesarean section. Out of 31.4% insertions 93% followed up in out pa- tient department (OPD) in which main complaints were infections, menstrual cycle problems, dysparunia, abdominal cramps, expulsion and missed thread. PPIUCD was removed in 21.49%, rea- sons for removal noted were menstrual cycle irregularities, pressure from family, recurrent infection, myths and misconceptions. Expulsion took place in 3.9% and continuation rate was 74.5%.
Conclusion: On the basis of our overall results, PPIUCD was observed as a safe, timely, cheap and convenient method of contraception. Its advantage is that women are in our immediate reach at the time of delivery, so continuation of the method in this study is high (74.59%). Rate of insertion and compliance can be further improved by effective counselling of couples and by arranging public awareness programs by multiple sources.