bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of Patent Ductus Arteriosus Stenting and Blalock-Taussig Shunt in Ductal Dependent Blood Flow Congenital Heart Disease and Decreased Pulmonary Blood Flow
Authors: Ghaderian Mehdi , Behdad Samin , Mokhtari Masoume , Salamati Ladan 
Published: February 2023

Background:
Congenital ductal-dependent cyanotic congenital heart disease (CHD) is a group of diseases that require early intervention during early infancy or the neonatal period. In this study, we compared the effectiveness, safety, and side effects of stenting patent ductus arteriosus versus a modified Blalock-Taussig (BT) shunt.

Materials and Methods:
Thirty-six neonates and infants with cyanotic CHD who were <6 months old and were not suitable for complete surgery were admitted to Chamran Hospital in Isfahan and enrolled in this prospective longitudinal cross-sectional study. Ductal stenting (DS) was performed in 18 patients and BT shunt in 18 patients. Data were collected and compared in these patients.

Results:
Age, height, and weight were lower in the DS group compared to the shunt group (1.28 ± 0.46 vs. 2.50 ± 0.51 months, 53.22 ± 1.80 vs. 56.11 ± 1.67 cm, 3.38 ± 0.45 vs. 4.98 ± 0.57 kg, respectively P < 0.001). The duration of the intensive care unit stay as well as hospital stay in patients in the DS group was much shorter than the shunt group (1.33 ± 0.68 vs. 2.83 ± 0.70 days, 3.33 ± 0.68 vs. 9.55 ± 0.51, P < 0.001, respectively). In both groups, the diameter of the pulmonary branches increased after the procedure compared to before the procedure (P < 0.001). Furthermore, the patient's hemoglobin was significantly decreased compared to before the procedure (P < 0.001). In both groups, one patient died in the postprocedure period. In ductal stent group one patient died in catheterization lab and in shunt group died 48 hours after surgery. There was no significant difference in postprocedural complications between the two groups.

Conclusion:
Duct stents can be used as an effective and safe method in duct-dependent cyanotic CHD patients who are not suitable candidates for complete surgery. As operators become proficient, this method can be a good alternative to BT shunts with fewer complications.
Recurrent Cardiac Tamponade with Stevens–Johnson's Syndrome – A Rare Deadly Combo
Authors: Tammiraju Iragavarapu , Srinivas B. , Nirupama K. , Naresh K Pruthvi 
Published: February 2023

Abstract
Pericardial effusion is an accumulation of fluid in the pericardial sac. It is caused by exudative or transudative collections. Large effusions can lead to a life-threatening condition called tamponade if not intervened properly. Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis are life-threatening cutaneous drug reactions in which the epidermis is separated from the dermis. The diagnosis mainly relies on the clinical signs and histopathology of skin lesions. Immunological mechanisms, reactive drug metabolites, or interactions between these two are proposed. Here, we report a case of recurrent cardiac tamponade with SJS secondary to empirical antituberculous therapy.
Challenges in the Implementation of Telemedicine
Authors: Raju P. Krishnam , Sistla Prasad G. 
Published: February 2023

Background:
There is a constant search across the globe for optimal healthcare solutions with affordability, accessibility, availability, and quality of healthcare services being the burning issue for mankind. The pandemic has further necessitated the need of use of the Telemedicine platform to address healthcare issues which are also non Covid related. Though Telemedicine has been in use for over two decades in India, there have been various challenges and adoption issues which have not yet made the technology an effective solution to address the current healthcare issues. There has been phenomenal growth in the Information and Communication Technology (ICT) over the last decade and its utilization in the healthcare field.

Methods:
Internet research on the various adoption strategies by healthcare providers coupled with our own experience for using this technology along with guidelines provided by the information and communication technology providers. The Telemedicine Guidelines of 2020 released by the Ministry of Health and Family welfare, India, provides a framework for the implementation of healthcare delivery through this technology.

Results:
This paper mentions our telemedicine experience in governmental and private institutes and highlights the implementation challenges of this technology and some solutions that made a difference in the execution. However, we discuss to a larger extent the possible challenges and barriers in the implementation of this technology in India.

Conclusion:
Despite successful work in the field of telemedicine, it is yet to become an integral part of healthcare system because challenges related to adaptability of healthcare users and lack of proper training to fast growing technologies. The future is going to compel the usage of this kind of technology and it is essential for setting up infrastructure and having trained personnel to man these departments to encash the full potential of the telemedicine technology.
Coronary Artery Complication in Kawasaki Disease and Management Option
Authors: Roy Mahua , Gangopadhyay Debasree , Chattopadhyay Amitabha 
Published: February 2023

Abstract
Kawasaki disease (KD) is a vasculitis of medium-sized arteries of which coronary artery involvement is of particular concern. Here, we are presenting three cases of KD with coronary artery aneurysm. One patient was treated with oral antiplatelet and anticoagulant, another one with impending coronary artery occlusion was managed by infusion of thrombolytic medication and last one, neglected KD patient needed coronary artery bypass grafting.
Strontium in Atrioventricular Conduction Disorder
Authors: Mukherjee Sanjeev S. , Kumar Dilip , Bera Debabrata , Pande Arindam , Patra Soumya , Roy Rana Rathore , Chakraborty Rabin 
Published: February 2023

Introduction:
Atrioventricular (AV) block is a common problem worldwide requiring permanent pacemaker implantation, which results in a huge economic burden on society. In our country, the major burden is noted in eastern India. The etiopathological correlation of degenerative conduction tissue disorder does o't explain the differential volume of disease. We speculate environmental link, particularly the influence of elevated trace metals in the pathogenesis of this condition.

Purpose:
The purpose of the study was to investigate and correlate the concentration of trace metals in blood of patients who have received a permanent pacemaker.

Materials and Methods:
The blood samples of 81 patients who had permanent pacemaker implantation in the past 3 years were collected and levels of various trace metals were evaluated. It was done using inductively coupled plasma mass spectrometry. The values were expressed in μg/l.

Results:
There were elevated trace metals in 21 patients and 4 among them had an overlap of more than one abnormal values. Strontium (Sr) surprisingly was elevated in a maximum of 11 patients. The most interesting observation was a trend of Sr being elevated in male sex with AV nodal disease.

Conclusion:
From this study we hypothesize, Sr affects ion channels in conduction tissue due to its close chemical similarity to calcium. In long run, it could have been inducing fibrosis causing AV blocks. Our observation suggests that trace metal screening may be considered in areas with a high prevalence of AV blocks requiring permanent pacemakers.
Outcome of Rheumatic Heart Disease and Percutaneous Balloon Mitral Valvotomy
Authors: Kadam Shilpa Deshmukh 
Published: February 2023

Abstract

Background:
Rheumatic heart disease (RHD) is still a leading cause of valvular heart disease in India. Balloon mitral valvotomy (BMV) is simple and safe procedure to improve the quality of life in patients with severe mitral stenosis. Aim: (1) To evaluate outcome of RHD patients in tertiary care hospital in developing country like India in twenty first century. (2) To evaluate safety and efficacy of BMV. Materials and Methods: We performed retrospective analysis of 500 patients with RHD undergoing echocardiography in a tertiary care hospital in Maharashtra, India. 15% (74 patients) of them underwent balloon mitral valvuloplasty between June 2012 and November 2019 and 37.6% (188 patients) were treated with valve replacements. Results: Successful BMV was performed in 72 patients. The rate of complication was 2.7%. No mortality was noted. One hundred and eighty-eight patients underwent Valve replacements.

Conclusions:
Balloon mitral valvuloplasty is a technically difficult procedure and demands considerable expertise in transseptal catheterization. Percutaneous balloon mitral valvotomy is a safe and effective treatment for symptomatic severe Mitral stenosis in experienced centers.
Lower limb musculoskeletal profiling in Malaysian professional footballers during pre-season pre-competition medical assessments
Authors: Aziz Mohamad Azwan , Hazwan S. Ahmad , Mohamed Nahar Azmi 
Published: February 2023

Background:
Lower limb musculoskeletal profiling is important in pre-competition medical assessment (PCMA) as it helps to identify musculoskeletal pathologies that need rehabilitation and risk factors for injury that need specific prevention programme. However, a normative value is needed to identify which is normal or pathological. Our objective in this study is to establish a normative value for football-specific adaptation of lower limb musculoskeletal examination among Malaysian professional footballers.

Materials and Methods:
This is a prospective cross-sectional examining 83 Malaysian footballers from a single club during PCMA from 17 January 2022 to 17 February 2022. We included anthropometric assessments using body impedance analysis, objective lower limb muscle strength assessments using handheld dynamometer, range of motion and objective dynamic balance test using the Biodex system.

Results:
The mean age of our study was 20.3 ± 3 years. Goalkeepers and defenders have a higher body mass index and a higher skeletal muscle mass. Strikers and midfielders have a higher quadriceps and hamstring strength. Non-dominant leg has a better overall stability and anterior posterior stability index compared to dominant leg. Defender has a better overall stability. Sixty-six footballers (80%) have at least 1 low Add: Abd ratio of less than 0.9, which requires preventive programme for groin injury.

Conclusion:
This study demonstrates a position-specific adaptation in different positions in football.
An audit of injuries among elite Malaysia U19 and U22 league soccer players
Authors: Hamdan Muhammad , Sharir Raihana , Yeo Wee Kian , Adi Sapto , Amran Mohammad Nor Ashraff , Raja Azidin Raja Mohammed Firhad 
Published: February 2023

Background:
Knee injuries are the most common injury among Malaysian elite athletes. However, an injury profile of elite soccer players in Malaysia is yet to be determined.

Aim and Objectives:
This study was conducted to determine the injury characteristics among elite, male U19 and U22 soccer players.

Materials and Methods:
Four teams were observed throughout the 2018/2019 season, where a total of 111 players were documented in accordance with the Federation International de Football Association Medical and Research Centre accord to determine the incidence, class, severity and causation of injuries among elite, male U19 and U22 soccer players.

Results:
From a total of 111 players (U19: n = 58; U22: n = 53) during the 2018–2019 season, a sum of 64 injuries were reported to the team physicians of the participating teams in the current study, representing an estimated 0.58 injuries per player throughout a single season. From the total number of injuries, 57.8% (n = 37) injuries were registered to the U22 age group, whereas 42.2% (n = 27) were reported in the U19 Age Group. When factoring in the number of players in each respective age group, the number of injuries among the U22 age group was higher than the U19 age group (0.72 vs. 0.47 injuries/player/season).

Conclusion:
Most soccer injuries reported were lower limb injuries, newly sustained and required up to 14 days of treatment before returning to full participation in the competition. Match-play injuries appeared to be more common than training injuries, with the ankle and knee joints being the most common injury locations. Sprains and ligamentous damage were the most common injury class sustained by players.
The effect of foam padding on the head response in soccer heading
Authors: Tan Fu Yang , Hassan Mohd Hasnun Arif , Johari Nasrul Hadi , Omar Mohd Nadzeri , Hasanuddin Iskandar 
Published: February 2023

Background:
Soccer is regarded as the most popular sports in the world, with millions of people are actively involved in the game. Being a contact sports in nature, soccer players are susceptible to various kinds of injuries such as lower extremities muscle injury. In addition to those familiar injuries that soccer players sustain during the game, traumatic brain injury is also a possibility. Head impacts in soccer could be a result of head-to-head impact with an opponent player, head-to-elbow impact, an impact with the goal post, impact with the ground, as well as an impact with the soccer ball, which occurs during a heading manoeuvre. Soccer allows the players to use their head to hit the ball to pass it to a teammate, or even perform heading to score goal. Although soccer heading is perceived as less harmful as compared to head impacts with other hard objects, many studies have shown compelling evidence that this repetitive heading might harm the brain, thereby leading to traumatic brain injury. Protective headgears designed, especially for soccer players have been commercially available in the market for some years.

Objective:
This article investigates the effectiveness of two padding foams by means of heading experiment.

Methodology:
An anthropometric test device known as Hybrid III head and neck dummy instrumented with an inertial sensor that consists of a triaxial accelerometer and gyroscope installed at the centre of gravity of the head was used in the experiment. A soccer ball launching machine was used to propel the ball at several inbound velocities. Peak linear acceleration and peak rotational acceleration (PRA) were recorded, and the head injury criterion (HIC) and the rotational injury criterion (RIC) were calculated.

Results:
Poron X-ray diffraction (XRD) foam was found to provide the best protection in both linear and rotational components. However, for protection against HIC, it is evident from the findings that both foams were very effective at lower inbound ball velocity and became drastically ineffective as the inbound velocity increases up to 22 m/s (i.e. equal to 79.2 km/h). This could be attributed to the foam being completely compressed by the high-velocity ball impacting it. The same situation is seen for RIC, however with less significant decline in protective performance.

Conclusion:
Overall, it can be concluded that the Poron XRD foam could be a better foam to be used in soccer headgear as compared to the yoga mat foam.
Turina, Joaquín (1882–1949)
Authors: Payne Alyson 
Published: February 2023

Joaquín Turina (b. Seville, 9 December 1882; d. Madrid, 14 January 1949) was a Spanish composer who rose to prominence during Spain’s Edad de Plata (1900–36), also referred to as the Silver Age, a time when Spain’s artistic development increased rapidly. Along with Manuel de Falla, Joaquín Rodrigo, and Conrado del Campo, Turina became of one the leading Spanish composers of his generation.
Turina enjoyed a middle-class upbringing in an artistic household—his father was a well-regarded and well-known Spanish painter. Turina displayed an early aptitude for music, spending extensive time practising an accordion given to him by the family’s servant. Turina later received piano lessons from the composer Enrique Rodríguez. Turina demonstrated a propensity for the piano, and he continued his musical studies with lessons in contrast and harmony to the choirmaster of Seville cathedral, Evaristo García Torres. Turina gave his first public performance on 14 May 1897, playing Thalberg’s Fantasy on Moïse, a piece demanding technical prowess. The performance was a success, and informed Turina’s decision to study music in Madrid with José Tragó (who taught the young Manuel de Falla), where he studied from 1902 to 1905.
Parsing as a lifting problem and the Chomsky-Sch\"utzenberger representation theorem
Authors: Melliès Paul-André , Zeilberger Noam 
Published: February 2023

We begin by explaining how any context-free grammar encodes a functor of operads from a freely generated operad into a certain &quot;operad of spliced words&quot;. This motivates a more general notion of CFG over any category $C$, defined as a finite species $S$ equipped with a color denoting the start symbol and a functor of operads $p : Free[S] \to W[C]$ into the operad of spliced arrows in $C$. We show that many standard properties of CFGs can be formulated within this framework, and that usual closure properties of CF languages generalize to CF languages of arrows. We also discuss a dual fibrational perspective on the functor $p$ via the notion of &quot;displayed&quot; operad, corresponding to a lax functor of operads $W[C] \to Span(Set)$. We then turn to the Chomsky-Sch\&quot;utzenberger Representation Theorem. We describe how a non-deterministic finite state automaton can be seen as a category $Q$ equipped with a pair of objects denoting initial and accepting states and a functor of categories $Q \to C$ satisfying the unique lifting of factorizations property and the finite fiber property. Then, we explain how to extend this notion of automaton to functors of operads, which generalize tree automata, allowing us to lift an automaton over a category to an automaton over its operad of spliced arrows. We show that every CFG over a category can be pulled back along a ND finite state automaton over the same category, and hence that CF languages are closed under intersection with regular languages. The last important ingredient is the identification of a left adjoint $C[-] : Operad \to Cat$ to the operad of spliced arrows functor, building the &quot;contour category&quot; of an operad. Using this, we generalize the C-S representation theorem, proving that any context-free language of arrows over a category $C$ is the functorial image of the intersection of a $C$-chromatic tree contour language and a regular language.Comment: reformatted for publication in ENTICS, proceedings of MFPS 2022
Students’ Socialization Level and Academic Achievement at Secondary Level
Authors: Bagum Munwar , Khan Rabbia Khalil , Tehsain Muhammad Jawad 
Published: February 2023

This study sought to determine the effect of socialization with specific reference to the academic achievement of secondary schools students in District Layyah. Moreover this has been interpreted as the socialization effect at secondary level of education: the school is considered to be the most important socializing agent transmitting social values and providing best opportunity for the transmission of academic activities through socialization. The issue is primarily a concern of policymakers, who are concerned about the type of teacher-student contact that leads to behavior problems among students. So that the training of instructors can be planned and organized. The main objectives of the study to address the most burning questions like What was the current situation of socialization level and academic achievement among secondary school students?, What were the difference between male and female students' levels of socialization? And is there any relationship present between a student's level of socialization and their academic achievement at the secondary level? Similarly, a descriptive correlational design of study was used to examine these research questions through survey design. In this study, a questionnaire with a five-point Likert scale was conducted 763 students by using simple stratified sampling technique The students’ socialization level is measured in the second section (B), which has 32 items. As a research tool, the third (C) component includes kids' families, teachers, classmates, and friends. There are twenty items in all and academic achievement measured through the grade 9th marks of the students .The results showed that socialization level have a great value for academic related purposes, particularly as teaching and learning and most of the respondents agreed that socialization build their confidence and they have a good communication with others.
Editorial
Authors: Diaz Dumont Jorge Rafael 
Published: February 2023

The Journal of Scientific and Technological Research Industrial - Professionals On Line, allows the publication of articles in all areas of Industrial Engineering and its applications; Summaries of master's and doctoral theses, technical opinions, book reviews and conference articles are also published after acceptance by the Editorial Committee.The magazine is published biannually in Spanish, Portuguese and English in digital format, the latter presentation being free. The articles that are submitted to the arbitration of the INDUSTRIAL ENGINEERING journal must be original and unpublished, and cannot be submitted for simultaneous consideration of evaluation in another academic or professional journal, nor may they have been partially or totally published in another journal. The received articles are subjected to a review of similarities, with the Turnitin software: up to two continuous lines of similarity with another document are accepted.
DIAGNÓSTICO DA FRATURA RADICULAR VERTICAL: UMA REVISÃO DE LITERATURA
Authors: Carvalho Falcão Liziane , Muniz Ana Bessa , Lima Bessa Ellen Roberta , Rodrigues de Holanda Maria Aparecida , Soares de Castro Gisele de Fátima , Nascimento Carvalho Angela , Barbosa Macedo Samuel , Nolasco de Abreu Kleyton , Pereira Leite Lady Daiane 
Published: February 2023

O objetivo do presente artigo foi identificar os principais fatores associados à fratura radicular vertical e, apresentar os principais métodos diagnósticos com ênfase na tomografia computadorizada, e comparar estudos quantitativos in vitro e in vivo, referente à sensibilidade, especificidade e precisão da técnica diagnóstica. Foi realizada uma busca por artigos publicados entre 2011-2021 nas bases de dados Lilacs e Pubmed. Dos 446 registros encontrados, 38 artigos foram eleitos para fins de revisão bibliográfica intergativa. Em relação aos sinais e sintomas, dor, fístula, abcesso ou inchaço periodontal, e radiolucências periapicais e halo em forma de J são achados comuns. A tomografia computadorizada de feixe cônico foi evidenciada como método não-invasivo mais adequado para a detecção da fratura radicular. A técnica se destaca pela produção de imagens 3D de alta resolução que permitem a visualização precisa de linhas de fraturas. Em dentes com preenchimento por materiais radiopacos, tais como guta-percha e pinos metálicos, é comum ocorrerem distorções com produção de artefatos, que diminuem significativamente o poder diagnóstico.