bluuebunny/crossref_metadata_2025_split huggingface dataset:
TyG index as a cardiovascular risk factor, with reference to anthropometry in first year medical students - A cross sectional study
Authors: Babu S Vinod , Khan M Rasheed , Sivakumar K  , Velu V Kuzhandai , Sowmithri K Durga 
Published: March 2022

Triglyceride-Glucose (TyG) index is an independent predictor of cardiovascular risk in several pathological conditions such as T2DM, Metabolic syndrome (MetS), CVD, and CAD. Early studies which were done on TyG index focus on insulin resistance. High TGL level induces production of small density LDL particle. All these proposed theories, explains why TyG index used as an independent factor of cardiovascular risk.150 First year medical students were included and their anthropometric measures done using standard scale. Fasting blood glucose estimated by GOD POD method. Total cholesterol, triglyceride, High density lipoprotein and direct low density lipoprotein were estimated by IFCC approved methods. Statistical analysis was performed using IBM SPSS version 20.Results 26% were obese and 5.33% were overweight. Lipid profile found to be significant different among the group. Atherosclerotic indices were found to have mild to moderate correlation with anthropometric measures (p &#60; 0.05).Present study showed a high prevalence of overweight to obesity ratio in first year medical students. With TyG index we observed an independent association of cardio-metabolic risk with BMI in young adult.
A study of clinical & angiographic profile of patients with young stroke in tertiary care center of Southern Rajasthan
Authors: M Waghralkar , S Barath , A Jukkarwala 
Published: March 2022

: Understanding the exact etiology of stroke in the young has great relevance to its prevention and management. Recent development in the surgical and interventional therapy of extra cranial and intracranial vascular diseases have made it necessary to correctly identify the causative as well as contributory factors of stroke.This cross sectional observational study was done on patients admitted in the stroke unit of Geetanjali Medical College, Udaipur of aged 15 to 50 years with stroke and who have underwent at least one standard vessel imaging procedure within 2 weeks of stroke onset. Out of 310 patients, majority of the strokes occurred in the setting of a rheumatic valvular heart disease (63.6%), with mitral valve disease being the most frequent association. Almost 80% of patients had normal ECG whereas 20% of the patients had an ECG abnormality.70% of patients had normal ECHO and the most frequent etiologic abnormality detected was valvular heart disease. Scan and MRI was done in 180 patients. The most commonly performed angiographic procedure was CT angiogram. TOF MRA was the next most commonly performed angiographic procedure. The highest yield for picking up abnormalities was noted in the CT Angiography. The yield of CT angiography was 35.4% and 37.7% for extracranial and intracranial vasculature respectively.Arterial dissections are fairly common in young population and should be considered in appropriate clinical setting and all patients should have a good and timely angiographic assessment to rule out dissections. Thus, this study highlights the importance of risk factor evaluation, and control, complete etiological evaluation including angiographic assessment in the diagnosis, management and planning of secondary prevention strategies in young patients with stroke.
A study of short term and long term risk of ischemic stroke and other vascular events following early treatment of tia and minor stroke in a tertiary centre in North India
Authors: Manchala Shashidhar , Mehta Vinod Kumar , Barath Sitaram 
Published: March 2022

Transient ischemic attack and minor ischemic stroke are associated with early recurrence and deterioration respectively. There is a high risk of stroke after TIA ranging between 10-20% in the ensuing 90 days in the various studies. There are various clinical and imaging factors which predict the early risk of stroke after a TIA. To evaluate the short term and long term risk of ischemic stroke following early treatment of TIA and minor stroke. TIA is defined as sudden focal neurologic deficit of presumed vascular origin lasting less than 24 hours. Minor ischemic stroke is defined as National institute of Health Stroke scale score of ≤5. TIA mimics were excluded from the study. The patients were followed up till 1 year. In patients with minor ischemic stroke, a 2-point worsening in the NIHSS was considered as an event. Modified Rankin score at 3 months was assessed. Total 320 patients were analysed with a mean age of 60.6 ± 13.6 years. Out of the them 20.7% were females, 78% of patients had minor stroke. There is significant association of lacunar stroke in minor stroke patients (p&#60;0.01), whereas most TIA patients, etiology remained undetermined. In multiple regression analysis, both diabetes [p&#60;0.05] and significant vessel stenosis (&#62;50%) [p&#60;0.05] were found to be an independent predictor of recurrent stroke in TIA and minor stroke patients. Urgent treatment after TIA and minor ischemic stroke is associated with reduced risk of ischemic stroke recurrence. Both diabetes mellitus and significant vessel stenosis are independent predictor of stroke recurrence.
Guillain - Barre syndrome following snake bite? An under-reported entity
Authors: BV Suresh , S Swathi , Rao Sudhesh 
Published: March 2022

Guillain-Barre Syndrome (GBS) is an acute polyneuropathy of varied aetiology. There were only a few reported case of GBS following snake bites in our review of literature. Given the high incidence of snake bites, we feel GBS following snake bites are under-reported. Since reporting of snake bites is not mandatory in many regions of the world, snake bites often go unreported. Consequently, no study has been conducted to determine the frequency of snakebites on the international level. However, some estimates put the number at 1.2 to 5.5 million snake bites. Here is a report of a patient of snake bite who presented at the outset with neuromuscular and haematological complications of envenomation and later developed severe peripheral neuropathy due to GBS.GBS following snake bite may not really be uncommon but may in fact be an under-reported entity. Patients of snake bite developing progressive weakness, could actually be due to GBS, which, if timely recognised and managed, might have a better outcome.
Développements et transformations digitales de l’enseignement supérieur au Liban : défis et perspectives
Authors: Messai-Farkh Sonia , Badr Maha , Calargé Fady 
Published: March 2022

L’objectif de notre recherche se veut une réflexion critique sur le rôle des enseignants de français pour publics spécifiques dans un contexte universitaire libanais post COVID-19. Elle s’inscrit donc dans le prolongement et l’approfondissement des réflexions sur l’enseignement/apprentissage en distanciel suite au confinement imposé depuis mars 2020. Pour mener cette étude, nous avons choisi de nous référer à un outil de modélisation appelé « Arbre de décision de réponse » issu de la théorie des « gestions de crise ». Nous l’avons appliqué au contexte de l’enseignement à distance dispensé au Liban suite à la crise sanitaire afin d’apporter des propositions opérationnelles et immédiates aux enseignants. De plus, nous avons mené conjointement des enquêtes par questionnaires, des entretiens semi-directifs et collecté des témoignages auprès des formateurs du supérieur au Liban. L’analyse jumelée de nos investigations a permis d’établir un état des lieux précis de l’intégration des TIC dans le système universitaire et de faire émerger des besoins prioritaires de formations. En effet, le corps professionnel exige une professionnalisation du métier d’enseignant pour faire face aux nouveaux défis liés à l’usage des TIC. Forts de ce constat, nous proposons un travail novateur et inédit : une proposition d’exploitation pédagogique en lien avec les arts visuels afin d’accompagner les enseignants dans l’enseignement en ligne.

The objective of our research is a critical reflection on the role of French teachers for specific audiences following the COVID-19 crisis in the Lebanese universities context. It is therefore part of the extension and deepening of reflections on distance teaching/learning following the lockdown enforced since March 2020. To conduct this study, we chose to refer to a modeling tool called "Decision tree for decision making" from the "crisis management" theory. We have applied it to the context of distance education provided in Lebanon following the health crisis in order to provide operational and immediate proposals to teachers. In addition, we jointly conducted questionnaire surveys, semi-structured interviews and collected testimonies from higher education trainers in Lebanon. The combined analysis of our investigations has made it possible to establish a precise inventory of the integration of ICTs in the university system and to identify priority training needs. Indeed, instructors require a professionalization of the teaching craftsmanship to face the new challenges related to the use of ICT. Based on this observation, we propose an innovative and original work: a proposal for educational exploitation in connection with the visual arts in order to support teachers in online teaching.
Rola Komisji Wspólnej Rządu i Samorządu Terytorialnego w kształtowaniu zasad wsparcia finansowego dla jednostek samorządu terytorialnego w ramach Rządowego Funduszu Inwestycji Lokalnych
Authors: Przedańska Justyna 
Published: March 2022

Komisję Wspólną Rządu i Samorządu Terytorialnego ustawowo określono jako forum wypracowywania wspólnego stanowiska rządu i samorządu terytorialnego i jednocześnie zobowiązano ją do opiniowania projektów aktów normatywnych, programów i innych dokumentów rządowych dotyczących problematyki samorządu terytorialnego. W artykule zaprezentowano kazus braku konsultacji z Komisją Wspólną określenia zasad podziału środków z II transzy Rządowego Funduszu Inwestycji Lokalnych, a także przyznanie i podział tych środków wybranym jednostkom samorządu terytorialnego bez ujawnionych zasad czy kryteriów ich otrzymania. W związku z powyższym autorka wyróżniła trzy obszary kluczowe dla funkcjonowania i przyszłości jednostek samorządu terytorialnego: deprecjonowanie roli Komisji Wspólnej w procesie legislacyjnym, narastający problem klientelizmu politycznego, którego przykładem jest właśnie podział środków publicznych określonym jednostkom samorządu terytorialnego według tzw. klucza politycznego, oraz ograniczanie samodzielności finansowej jednostek samorządu terytorialnego w związku z tendencją stopniowej utraty niezależności finansowej na rzecz dotacji celowych z budżetu państwa.
Horyzontalny wymiar zasady subsydiarności — uwagi w kontekście koncepcji decentralizacji i samorządu terytorialnego Tadeusza Bigi
Authors: Wacinkiewicz Daniel 
Published: March 2022

Spojrzenie przez pryzmat wyników badań prof. Tadeusza Bigi na temat związków publicznoprawnych na problematykę zasady pomocniczości doskonale obrazuje sprzężenie, w jakim pozostają zasady decentralizacji i subsydiarności. Zasady te znakomicie się uzupełniają, wskazując na określony sposób sprawowania władzy — opartej na zrozumieniu publicznej roli, jaką mogą i powinni odgrywać w życiu publicznym obywatele i tworzone przez nich instytucje; władzy zdolnej do dzielenia się zadaniami publicznymi z podmiotami prywatnymi (obywatelami, ich grupami, wspólnotami, tworzonymi przez nich organizacjami) i wspierającej ich inicjatywy.
Współcześnie obok wymiaru wertykalnego coraz istotniejszą rolę odgrywa również horyzontalny wymiar zasady subsydiarności. Jego istotą jest zapewnienie takiego sposobu wykonywania zadań publicznych, by w jak największym stopniu były one realizowane przez instytucje społeczeństwa obywatelskiego. Organy administracji publicznej, w tym jednostki samorządu terytorialnego, stanowią w takim modelu struktury pośredniczące pomiędzy obywatelami a państwem. Wymaga to stworzenia swoistego „podziału pracy” między sektorem publicznym a obywatelskim.
Team Approach: Nutritional Assessment and Interventions in Elective Hip and Knee Arthroplasty
Authors: Emara Ahmed K. , Hadad Matthew J. , Dube Michael , Klika Alison K. , Burguera Bartolome , Piuzzi Nicolas S. 
Published: March 2022

» Nutritional assessment is a critical element of routine preoperative assessment and should be approached by an interdisciplinary team that involves the primary care physician, dietitian, and orthopaedist.» Patients should be stratified on the basis of their nutritional risk, which influences downstream optimization and deficiency reversal.» The scientific literature indicates that nutritional supplementation affords protection against adverse outcomes and helps functional recovery, even among patients who are not at nutritional risk.» Published investigations recommend a sufficient preoperative interval (at least 4 weeks) to ensure an adequate nutritional intervention in malnourished patients as opposed to regarding them as nonsurgical candidates.
Advanced Transient Hydraulic Simulations to Safely Optimise Tripping Speeds
Authors: Bacon Robert 
Published: March 2022

Abstract
There are many factors that contribute to non productive time, these include but are by no means limited to Lost circulation, formation influx, pack-offs and other stuck pipe events which cause delays, problems, lost time, and generally increase risk, and cost of the well, during drilling operations. Such situations can, sometimes, escalate into serious problems that may result in expensive and undesirable technical sidetracks. Couple this with ever more complex wells, (whether they be long horizontal sections, multi-laterals, etc), drilled in ever smaller and more challenging reservoirs, such as those which are depleted, or at high pressure and or high temperature.
The modelling software offers forward-looking simulations that can be used to predict drilling problems and assess the likely effects of remedial options. During real-time monitoring, advanced monitoring and trend analysis software can use downhole conditions and mud properties to forecast hole cleaning, equivalent circulating density (ECD), and temperature changes for the next depth/time interval, based on three tightly coupled real-time dynamic models – hydraulic, mechanical and thermodynamic – that simulate wellbore condition and characterize improvement or deterioration during drilling. These models continuously assess drilling performance, borehole conditions, and associated risks based on real-time symptom detection.
The solution and concept presented in this paper showcases a modelling approach which allows all of these situations to be accurately modelled in a transient setting, and then also compared and back modelled using all the available real time high frequency data. This coupled with an automated drilling control system has resulted in safe, record-breaking drilling achievements in the North Sea. The models allow updated safeguards to be applied to the drilling control system to maintain a downhole pressure within the acceptable limits of the open hole formations. It also automatically stops the movement of the drill string in case of abnormal hook loads or surface torques. Since automatic actions can be triggered in case of an unexpected situation, some standard procedures have been fully automated, including friction tests and back-reaming.
Vision Analytics for Decreasing HSE Risk and Improving Worksite Efficiency
Authors: Chatar Crispin , Konchenko Andrey , Goncharov Maxim 
Published: March 2022

Abstract
Many Industrie are using cameras as the new sensor. Vision Analytics are being used to extract insight from video. One such project was completed recently where vision analytics proved to be a useful technology for improving HSE and increasing efficiency. Data inferred from existing cameras was used to create a monitoring dashboard where supervisors could receive alerts at the worksite level or drill down to the specific events. New technology for training machine learning models which result in faster training times over traditional methods was used. Operators and supervisors can use this to monitor trends and improve efficiency.
Working with companies external to the energy industry, a new technology was tested which allows users to train machine learning models in a fraction of the time and with much less data. In order to test the capability, several use cases were tested and workflows for each along with a dashboard for advance analytics was constructed. This paper will not describe the unique methods used to train the machine learning models. It will however describe the use cases and results as well as discuss the next steps in the evolution of a digital workshop. Of interest will be the adaptation of this technology to the oil and gas industry. Each use case will be described with the corresponding value proposition.
Establishing the Taxa, Functional profile, and in-silico Ayurvedic Remedy of Microbiota implicated in West Nile Fever
Authors: Bagchi Preenon , Jovita Jemy Ratna , IA Shylesh Murthy 
Published: March 2022

Abstract
West Nile fever causing microbiome is taken in this work. Culex nigripalpus mosquito is the causative factor for West Nile Virus. Using Metatranscriptomic sequencing, identified the taxa and functional profile of the microbiome is identified. Again, the receptor genes involved in West Nile fever is taken and using computer aided drug design, the novel ligands from Ayurvedic medicinal plants Ginkgo biloba, Uncaria tomentosa, Lycoris radiate and Glycyrrhiza glabra. Further, in-vitro and in-vivo studies can be done on the selected ligands to prove their efficiency as drugs for the disease
Thermal Radiation Effect on Unsteady Convection and Mass Transport Over a Stretching Sheet in a Saturated Porous Medium With Chemical Reaction
Authors: Hasanuzzaman Md. , Afroj Romana , Sharin Shanta , Miyara Akio 
Published: March 2022

Abstract
The impact of chemical reaction on unsteady convection and mass transport over a stretching sheet in a saturated permeable medium with the thermal radiation effect has been examined numerically. The governing partial differential equations (PDEs) have been converted into ordinary differential equations (ODEs) by using the local similarity transformation. The converted governing ODEs have been then solved numerically using the shooting technique in ‘ODE45 MATLAB’ software. The influence of emerging dimensionless numbers/parameters such as the thermal radiation parameter \(\left(R\right)\), Prandtl number \(\left(Pr\right)\), Schmidt number \(\left(Sc\right)\), Darcy number \(\left(Da\right)\) and chemical reaction parameter \(\left({K}_{r}\right)\) etc. on the flow, concentration and temperature distributions are presented and discussed. The fluid velocity decreases for uplifting values of the Darcy number. The fluid temperature enhances for rising values of the thermal radiation parameter. The concentration reduces for rising values of the chemical reaction parameter. The local skin-friction coefficient decreases about 21% due to increasing the Darcy number (0.6–1.6). The heat transfer rate decreases about 25%, and increases about 22% due to increasing the thermal radiation parameter (0.5-1.0) and the Prandtl number (0.71-1.0), respectively. The mass transfer rate increases about 9%, and 46%, due to increasing the chemical reaction parameter (0.5-1.0), and the Schmidt number (0.5-1.0), respectively. Finally, we compared our numerical results with previously published literature and observed to be a good agreement.
Risk factors and Interaction analysis of Hypertension in People who were Overweight and obesity:Based on Machine Learning and Data Mining
Authors: Wei Li Lu , Yu Jian 
Published: March 2022

Abstract
Objective To screen the independent risk factors of hypertension in People who were Overweight and obesity by Logistic regression and Decision tree model, and to analyze the two possible interactive risk factors by multiplying interaction scale and adding interaction scale.Methods 5098 People who were Overweight and obesity were selected as the research object. Firstly, Logistic regression and Decision tree model were used to screen the independent risk factors and possible interactive risk factors of hypertension in People who were Overweight and obesity. Finally, the multiplicative scale analysis and additive scale analysis were used to analyze the two possible interactive risk factors from the perspective of statistics and biology.Results Logistic regression showed that NAFLD, FPG, Age, TG, LDL-c, UA and Cr were positively correlated with overweight and obese hypertension, and GFR was negatively correlated with overweight and obese hypertension (P<0.05). The decision tree model suggests that Age, FPG and UA may interact. Multiplication scale analysis showed that FPG+UA, Age UA and Age+FPG had positive multiplication interaction (P<0.05, B≠0, OR > 1). Additive scale analysis shows that Age+UA single factor analysis and multi factor analysis have additive interaction, FPG+UA single factor analysis has additive interaction, multi factor analysis does not have additive interaction, and Age+FPG single factor analysis and multi factor analysis do not have additive interaction.Conclusion The independent risk factors of hypertension in People who were Overweight and obesity include NAFLD, FPG, Age, TG, LDL-c, UA and Cr. Age+UA has statistical and biological synergistic interaction, which can provide a reference for the study of the etiological interaction of hypertension in People who were Overweight and obesity.
Study on Pathophysiology of Gastric Function in Patients with Reflux Esophagitis
Authors: Yang Yi , Yin Xueying , Wang Xiaoyan , Yu Jun , Yue Fengming , Wang Lixia , Yang Dong , Zhang Zhifeng , Sun Xiaoyu , Hou Xiukun , Zhang Jing , Duan Zhijun 
Published: March 2022

Abstract
Background
Reflux esophagitis (RE) is a type of gastroesophageal reflux disease (GERD) which shows endoscopic injuries. Gastric function has been known as a part of mechanisms of GERD. However, there is still no comprehensive understandings.
Methods
40 patients completed endoscopy and high-resolution manometry (HRM) who meet diagnostic criteria were enrolled in RE group, and 34 healthy volunteers were recruited as control group. Both of them were evaluated gastric motility by a multidimensional system including a nutritional meal test combined with a visual analog scale (VAS) for assessing gastric tolerance and visceral sensitivity, gastrointestinal ultrasound used for evaluating gastric emptying, electrogastrogram (EGG) for gastric myoelectric activity.
Results
There were statistically significant differences between RE group and control group in gastric maximum tolerance, postprandial symptom score, gastric empty rate and postprandial slow wave rate (P < 0.05). Heartburn and reflux are the main symptoms in the RE group. There was a positive correlation between heartburn and epigastric discomfort score (VAS) at 0min and 20min postprandial, and between reflux and gastric empties rate (VAS) at 30min postprandial (P < 0.05). 30min nausea symptom score (VAS) was negatively correlated with the rest pressure of the lower esophageal sphincter (P < 0.05). The 20min fullness score (VAS) was negatively correlated with the distal shrinkage score (P < 0.05). Gastroelectric ratio was positively correlated with the percentage of swallowing failure (P < 0.01).
Conclusions
The gastric motility of RE patients is characterized by gastric tolerance, visceral sensitivity, gastric empties, and disturbance of gastric muscle electrical activity, some of which may be involved in the occurrence of RE symptoms and esophageal motility disorders.