bluuebunny/crossref_metadata_2025_split huggingface dataset:
Du « contre nature » aux valeurs interpersonnelles : une évolution inachevée de la théologie de la sexualité
Authors: Saintôt Bruno 
Published: February 2023

L’article cherche à répondre à certaines demandes formulées par les recommandations 10 et 11 du rapport de la CIASE, notamment celle de ne pas privilégier la matière de l’acte à l’évaluation de la responsabilité personnelle, et celle de favoriser la réflexion doctrinale pour ne pas séparer doctrine sur la sexualité et doctrine sociale. L’article soutient que l’évolution de la théologie de la sexualité amorcée par le « tournant personnaliste » de la théologie morale dès avant Vatican II reste inachevée. Il pointe ainsi la permanence des héritages stoïciens et aristotéliciens du « contre nature » assimilé à la sacralité d’un « ordre naturel », et invite à son dépassement. Il insiste enfin sur l’écoute de l’expérience des chrétiens et sur l’élaboration d’une nouvelle pédagogie de la sexualité.
Que devient l’enseignement de la morale sexuelle si on introduit la notion de justice ?
Authors: Fino Catherine 
Published: February 2023

Pour remettre en valeur la notion de justice en morale sexuelle, on peut s’appuyer sur le pape François qui réintègre l’éthique sexuelle dans la perspective de la doctrine sociale de l’Église. L’éthique sexuelle ne doit plus se limiter au jugement à poser sur des pratiques sexuelles et à la promotion du mariage, mais aussi dénoncer les injustices faites aux personnes, et protéger ceux qui sont rendus vulnérables par leur différence en matière de sexualité. Sans renoncer pour autant à une anthropologie et une éthique personnaliste, ni à solliciter les ressources spécifiques de la foi, il faut proposer un cadre éthique sous-jacent qui assure la protection des corps. Les principes de la doctrine sociale de l’Église sont des exigences préalables au développement de toute relation amoureuse et conjugale.
Effects of brisk walking on fasting blood glucose and blood pressure in diabetic patients
Authors: Opoku Bridgette , De Beer-Brandon Caroline R. , Quartey Jonathan , Mshunqane Nombeko 
Published: February 2023

Background: Aerobic exercises have been administered as an adjunct treatment for health conditions; however, the effects of brisk walking on Type 2 diabetes mellitus (T2DM) patients living with hypertension in Ghana are yet to be explored.Aim: To determine the effects of brisk walking on fasting blood glucose and blood pressure of patients with T2DM living with hypertension in Ghana.Setting: The National Diabetes Management and Research centre at Korle-Bu Teaching Hospital.Methods: Males and females above 18 years with T2DM and hypertension were included. Fasting blood glucose, anthropometric measurements and distance walked were measured at baseline and after 8 weeks of intervention. The intervention consisted of brisk walking three times a week for 8 weeks.Results: Sixty participants completed the intervention. There was a statistically significant reduction of fasting blood glucose (baseline: 8.79 mmol/L (3.55), after intervention: 7.62 mmol/L (2.73) with p = 0.02) and blood pressure levels: (systolic blood pressure baseline: 141.12 mmHg (2.91) after intervention 120.75 mmHg (1.21) with p = 0.00); diastolic blood pressure (baseline: 80.78 mmHg (1.66), after intervention mmHg 69.38 (1.05) with p = 0.00) between baseline and post-intervention.Conclusion: Eight weeks of brisk walking reduced the levels of fasting blood glucose and blood pressure in patients with T2DM and hypertension.Contribution: This study will enlighten healthcare workers about the integration of brisk walking as a possible adjunct to control blood glucose and blood pressure levels in patients with T2DM and hypertension.
Weighing up the pros and cons of dysphagia triage in South Africa
Authors: Kater Kelly-Ann , Seedat Jaishika 
Published: February 2023

Background: Early identification of dysphagia followed by intervention reduces, length of hospitalisation, degree of morbidity, hospital costs and risk of aspiration pneumonia. The emergency department offers an opportune space for triage. Triaging offers risk-based evaluation and early identification of dysphagia risk. A dysphagia triage protocol is not available in South Africa (SA). The current study aimed to address this gap.Objectives: To establish the reliability and validity of a researcher-developed dysphagia triage checklist.Method: A quantitative design was used. Sixteen doctors were recruited from a medical emergency unit at a public sector hospital in SA using non-probability sampling. Non-parametric statistics and correlation coefficients were used to determine the reliability, sensitivity and specificity of the checklist.Results: Poor reliability, high sensitivity and poor specificity of the developed dysphagia triage checklist was found. Importantly, the checklist was adequate in identifying patients as not being at risk for dysphagia. Completion time for dysphagia triage was 3 minutes.Conclusion: The checklist was highly sensitive but not reliable or valid for use in identifying patients at risk for dysphagia.Contribution: The study provides a platform for further research and modification of the newly developed triage checklist, which is not recommended for use in its current form. The merits of dysphagia triage cannot be ignored. Once a valid and reliable tool is confirmed, the feasibility of implementation of dysphagia triage must be considered. Evidence to confirm that dysphagia triage can be conducted, when considering the contextual, economic, technical and logistic aspects of the context, is necessary.
Kuyper’s sphere sovereignty and institutional religious freedom in Indonesia
Authors: Kristanto David , Salurante Tony 
Published: February 2023

Although the Indonesian Constitution guarantees religious freedom in Indonesia, the implementation of that freedom is not without ambiguity. As the state defines what constitutes religion and categorises official and nonofficial religions, religious communities such as indigenous religious groups are struggling to obtain equal access to the public administration and to express their faith to the broader society. The ambiguity of religious freedom in Indonesia is obvious in the matter of institutional freedom of religion. Minority religious groups, especially those of nonofficial religions, would find their institutional freedom much restricted. Kuyper’s sphere sovereignty has proved to be successful in establishing institutional religious freedom in the Netherlands. This article seeks to show the relevance of Kuyper’s sphere sovereignty to the matter of institutional religious freedom in Indonesia.Intradisciplinary and/or interdisciplinary implications: Kuyper’s sphere sovereignty does not only show the importance of religious freedom but also the equal access for every religious community to institutionalise themselves. In the Indonesian context, sphere sovereignty could contribute to the issue of institutional religious freedom, especially for the adherents of nonofficial religions.
The Effect of Normal Saline and Plasmalyte on Acid–Base Status in Patients Undergoing Head-and-Neck Surgery with Free Flap Reconstruction
Authors: Trivedi Saurabh , Sharma Anand , Baghel Kaushal Singh , Karna Sunaina Tejpal , Thaware Pooja , Trivedi Gaurav , Tejpal Manvinder 
Published: February 2023

Background:
Intraoperative fluid strategy may affect the graft viability in head-and-neck surgeries with free flap reconstruction (HNS-FFR). Studies to guide regarding association of intraoperative fluid with metabolic parameters during such surgeries are infrequent.

Aim:
This study aimed to compare plasmalyte (PL) and normal saline (NS) (0.9%) in terms of acid–base balance and electrolytes in the peri-operative period along with graft viability during above-mentioned surgeries.

Settings and Design:
Prospective, observational cohort study was conducted in patients, 18–65 years, undergoing HNS-FFR at a tertiary care center.

Materials and Methods:
The cohort was categorized into two groups based on the intraoperative fluid used, i.e., PL (Group A) and NS (Group B) group. The primary objective was to compare arterial blood gas parameters at seven time points till the 3rd postoperative day. We studied the effect on graft viability and length of hospital stay.

Statistical Analysis Used:
The independent t-tests, Chi-square, or Fisher's exact test were used to evaluate the categorical variables with a repeated measures analysis of variance for inter-group comparison with P < 0.05 as significant.

Results:
Seventy-one (36 in Group A and 35 in Group B) patients were included in the study with comparable baseline characteristics. Group A had a better acid–base status, especially after the conclusion of vascular anastomosis (pH 7.37 ± 0.06 vs. 7.33 ± 0.04, P = 0.014) and in the postoperative period (pH 7.35 ± 0.07 vs. 7.31 ± 0.05, P = 0.013). No statistically significant difference was observed in outcome parameters between the groups.

Conclusions:
PL may be preferred over NS due to better metabolic milieu during HNS-FFR surgery.
Cyanotic Congenital Heart Disease_Effects of Iron Supplementation on Hematological Indices in Iron-Sufficient and Iron-Deficient Children
Authors: Sharma Rambabu , Meena Devendra , Bagri Dhan Raj 
Published: February 2023

Abstract

Background:
Cyanotic congenital heart disease (CCHD) children often have malnutrition and iron-deficiency anemia along with poor weight gain. Low arterial oxygen saturation due to CCHD affects hematological indices.

Objective:
The objective of the study is to find iron status and hematological indices in children having CCHD and to study the impact of iron therapy in the sample population under study.

Materials and Methods:
This hospital-based, prospective, cross-sectional, observational type of study evaluated 50 CCHD children aged more than 1 year with informed written consent from the parents. Sample size is calculated at 95% confidence level and alpha error 4.005 assuming 52.2% iron deficiency in patient with CCHD with hematocrit value <60%.

Results:
Tetralogy of Fallot was the most common CCHD followed by transposition of great arteries and tricuspid atresia. Most common age of presentation is <50 months with cyanosis (50%) and congestive cardiac failure (16%) with male preponderance (M:F = 3:1). 60% CCHD patients were iron deficient. Iron-deficient group shows significant improvement in all hematological parameters after iron supplementation compared with iron-sufficient group.

Results and Discussions:
Serum iron levels, serum ferritin levels, mean hemoglobin levels, total red blood cell count, hematocrit, and red cell distribution width along with red cell indices (mean corpuscular volume, mean corpuscular hemoglobin, and MCHC) should be used as diagnostic tool for the evaluation of iron status in patients as well as for monitoring improvement. This emphasizes that iron therapy iron must be supplemented with special focus on iron status of children.
Finding Association Between Lipid Profile and Demographic and Disease Status of Patients Undergoing Coronary Angiography
Authors: Prashanth R. M. 
Published: February 2023

Abstract

Background:
Coronary artery disease has higher prevalence in India than the West. Studies suggest that vascular age of Asian Indians is older to their chronological age, making them more susceptible for the disease. Association between various factors involved in patients having coronary artery disease and their lipid profiles in rural India is not clear.

Objectives:
The study focuses on the prevalence and comparative analysis of dyslipidemia in the patient group with respect to demographic data and comorbid conditions.

Patients and Methods:
This was a retrospective study which analysed 957 patients' hospital record in whom angiography was done for their coronary artery disease in a rural south India.

Results:
Statistically significant data (P < 0.005) were found in case of total cholesterol levels, with a mean being elevated in age below 45 years (178 ± 46 mg/dl) as compared to age above 45 years (167 ± 48 mg/dl). The mean total cholesterol levels were greater (177 ± 49 mg/dl) in women as compared to men (166 ± 48 mg/dl) with P < 0.005. Hypertensive patients showed elevated levels of total cholesterol and triglycerides. Patients with diabetes had elevated triglyceride levels in general.

Conclusion:
Triglyceride levels might be playing an important role than total cholesterol in the pathophysiology of CAD and for atherogenesis, it is the presence of hypertension with a deranged lipid profile, more so with total cholesterol and triglycerides.
Prevalence of Metabolic Syndrome and its Clinical and Angiographic Profile in Patients with Naive Acute Coronary Syndrome
Authors: Kumar Anil P. , Surhonne Prakash Sadashivappa , Reddy Rohith P. , Nanjappa Manjunath Cholenahally 
Published: February 2023

Objective:
The objective of the study is to evaluate the prevalence of metabolic syndrome (MS) and its clinical and angiographic profile in patients with naive acute coronary syndrome (ACS). Furthermore, this study tried to evaluate the severity of coronary artery disease in patients with and without MS.

Methods:
This was a single-center, cross-sectional study which prospectively enrolled 500 patients with naive ACS during the period from January 2017 to December 2018 at a tertiary care center in India. They were divided into two groups according to the presence and absence of MS based on revised NCEP ATP III guidelines. The ACS was defined based on the Joint Committee of the American College of Cardiology. After clinical evaluation and investigations, the prevalence of MS in ACS patients was calculated.

Results:
Prevalence of MS in this study was 46.2% and was more frequent in males (81%) compared to females (19%). Maximum number of patients with MS were between the age group of 40–59 years (55%). Prevalence of diabetes (56.7%), hypertension (58.0%), and smoking (45.88%) were significantly higher in patients with MS (P < 0.001). Most prevalent components of MS were low high-density lipoprotein (HDL) levels, increased blood pressure, fasting blood sugar, and triglyceride levels (P < 0.001).

Conclusion:
Prevalence of MS was high in patients with ACS and was more often after the age of 40 years and most commonly seen in males. Low HDL levels, increased blood pressure, and blood sugar were most prevalent components in the criteria for MS. Patients with MS tend to have more complex coronary lesions.
Post Cabg Myocardial Ischemia and Infarction – A Review
Authors: Sathyamurthy I , Jayanthi K 
Published: February 2023

Abstract
Coronary artery bypass graft (CABG) surgery is recommended for patients with obstructive coronary artery disease to improve survival and quality of life. Patients receive arterial and venous grafts as conduits to improve coronary circulation. There are factors that can lead to periprocedural myocardial necrosis, and there are factors resulting in late recurrent angina after CABG. In this article, an attempt has been made to review these details.
Assessment of Risk Factors, Clinical Presentation and Angiographic Profile of Coronary Slow Flow Phenomenon
Authors: Abd-Elghaffar Sara Abd-Elghaffar , El Sheikh Raghda Ghonimy , Gaafar Ayman Ahmed , Elbarbary Yasser Hussein 
Published: February 2023

Background:
Primary coronary slow flow phenomenon (PCSFP) is a clinical entity that causes attacks of mild to severe chest pain. It is characterized by delayed coronary vessel opacification in the absence of epicardial stenosis. This work aimed for the assessment of predictors, clinical presentation, and angiographic profile of PCSFP.

Subjects and Methods:
This cross-sectional case–control study was done between February 2019 and January 2020, including 150 patients who presented by ST-segment myocardial infarction, non-ST segment myocardial infarction, unstable angina, chronic coronary syndrome, or atypical chest pain. The patients were divided into two groups: group 1: consisted of 100 patients who had PCSFP and Group 2: consisted of 50 patients who had normal coronary flow (NCF).

Results:
PCSFP was significantly more prevalent in young male patients. Among the traditional risk factors, there was significantly more prevalence of hypertension (63.0% vs. 28.0%, P = 0.001), obesity (body mass index ≥30 kg/m2 (47.0% vs. 4.0%, P = 0.001), and history of smoking (66.0% vs. 40.0%, P < 0.002) in PCSFP patients as compared to NCF patients. Triglyceride (TG), cholesterol, low-density lipoprotein, high-sensitivity C-reactive protein (hs-CRP), and hemoglobin all were higher in patients with PCSFP. Low high-density lipoprotein levels were associated with PCSFP. In multivariable analysis, PCSFP was significantly independently associated with male sex, high TG, cholesterol, and hs-CRP. TG (odds ratio [OR]: 14.427, 95% confidence interval [CI]: 3.514–59.226) and cholesterol (OR: 11.739, 95% CI, 2.439–56.513) are the strongest independent predictors for PCSFP.

Conclusion:
PCSFP is more common in young smoker males, is associated with hypertension, obesity, high hs-CRP, TG, and cholesterol levels. High cholesterol and TG and male sex are the strongest risk factors for PCSFP. Furthermore, inflammation plays an important factor in the pathogenesis of PCSFP due to the association of high hs-CRP level in those patients.
Nonvalvular Atrial Fibrillation and Acute Coronary Syndrome
Authors: Modi Ranjan , Jaswal Aparna , Modi Sunil 
Published: February 2023

Abstract

Background:
The number of patients undergoing percutaneous coronary intervention (PCI) who mandate additional oral anticoagulant therapy, due to presence of Atrial Fibrillation (AF), has been increasing. Dual antiplatelet therapy (DAPT) is associated with reduced ischemic events including stent thrombosis, myocardial infarction and stroke following PCI. However, the trade-off is an increased risk for bleeding while on DAPT. The addition of an anticoagulation further increases the likelihood of bleeding while on antiplatelet therapy. Thus, the overall risks and benefits for each patient undergoing PCI on anticoagulation (VKA/ NOAC) must be assessed and therapy individualized to ensure optimal therapy for each unique situation.

Aims and Objectives:
The aim of the study was to determine the diversity in the antiplatelet and anticoagulation treatment of patients with nonvalvular AF or flutter who develop acute coronary syndrome (ACS) or undergo PCI in India.Materials and Methods: All patients who had AF and underwent PCI were included in the study. Results: In the study 100 patients of AF with PCI were evaluated, among who 95 % were started on triple therapy (TT) and 5 % on DAPT. The patients were followed up at 1 month, 3 months, 6 months, and 1 year for adjustment of antiplatelet, anticoagulation medicines, and their dosage.

Conclusion:
The study reviewed the best practices for the pharmacologic management of patients requiring anticoagulation with NOAC who are treated with PCI and require antiplatelet therapy.
Giant Right Ventricular Clot
Authors: Jariwala Pankaj , Jadhav Kartik Pandurang , Boorugu Harikishan , Punjani Arshad , Mishra Krushna Chandra 
Published: February 2023

Abstract
Giant right ventricular thrombus is a rare characteristic of pulmonary thrombosis-embolism that is typically associated with chronic obstructive pulmonary disease (COPD) exacerbation. We found such a giant right ventricular thrombus in a patient who was a heavy smoker who had extreme type of COPD with cor pulmonale. He also had hypotension, hypoxia, low tolerance for exercise, congestive heart failure, and poor quality of life, which are the prognostic qualities in the patient's clinical scenario we mentioned.
Physiological response during match simulation in youth soccer players
Authors: Nordin Mohammad Nor Aliff , Hamdan Muhamad , Hasan Hosni , Yeo Wee Kian , Sulaiman Mashidee , Raja Azidin Raja Mohammed Firhad 
Published: February 2023

Introduction:
The aim of this study was to investigate physiological changes of heart rate (HR), rating of perceived exertion (RPE) and vertical jump (VJ) height responses during a Youth Soccer Match Simulation (YSMS90).

Materials and Methods:
Twenty (n = 20) male academy soccer players (age:17 ± 2 years, height: 1.69 ± 0.6, weight: 67.9 ± 6 kg) volunteered for this study. In a repeated measures study design, each participant completed the 90 min of soccer match simulation. Heart rate, subjective RPE and VJ were recorded every 5 min throughout the simulation.

Results:
The mean HR, RPE and VJ height during the YSMS90 were 147 ± 19 beats/min, 16 ± 1 and 34 ± 4 cm, respectively. There was a significant increase of HR and RPE throughout the YSMS90. The VJ performance reduced during the second half of the simulation.

Conclusions:
The findings from this study suggest that YSMS90 elicited similar physiological responses to soccer match play and may justify the use of YSMS90 for replicating the demands of youth soccer as an ecologically valid soccer match play simulation.
Relationship between ABO Blood Group Phenotypes and Some Cardiovascular Risk Factors among Undergraduate Students in Kano Nigeria
Authors: Mukhtar Isyaku Gwarzo , Abdullahi Abdulkarim Tsoho 
Published: February 2023

Background:
Studies have linked ABO phenotypes to cardiovascular diseases (CVDs); however, data on the relationship between ABO phenotypes and CDV risk factors among healthy adults are lacking.

Aim:
To determine the relationship between ABO phenotypes and CVD risk factors among undergraduate students in Kano, Nigeria.

Materials and Methods:
This cross-sectional descriptive study recruited 150 participants. ABO phenotypes were determined using monoclonal antisera. Serum total cholesterol (TC), triglycerides (TG), and high-density lipoprotein cholesterolwere determined enzymatically, while low-density lipoprotein cholesterol (LDL-c) was calculated using the Friedewald equation. Blood pressure and anthropometric measurements were by standard protocols. Data were analyzed using SPSS version 23.0; P ≤ 0.05 was considered statistically significant.

Results:
Mean age of the participants was 23.12 ± 2.97 (17–31) years. The frequency of ABO phenotypes among the participants was: O (39.3%), B (26.0%), A (23.3%), and AB (11.3%). Non-O phenotypes had significantly lower systolic blood pressure (P = 0.050), higher TC (P = 0.023), TG (P = 0.003), and LDL-c (P = 0.050) compared to O phenotypes. Of the non-O phenotypes, A had significantly higher TC compared to B (P = 0.004) and O (P = 0.001); higher TG compared to O (P = 0.001); higher LDL-c compared to B (P = 0.001), AB (P = 0.042), and O (P = 0.006); heavier compared to B (P = 0.012) and O (P = 0.033); and higher hip circumference compared to B (P = 0.022).

Conclusion:
Non-O phenotypes, especially A phenotypes, had significantly higher mean serum lipids compared to O. ABO phenotypes should be considered in CVD risk stratification.