bluuebunny/crossref_metadata_2025_split huggingface dataset:
A rare case of acute mesenteric ischaemia and duodenal ulcer perforation together in a single patient in a tertiary care hospital
Authors: Ammar Ahmed Siddique , Sattar Zahara , Naqi Syed Asghar , Hadi Ali , Inayat Farwa , Noor Ul Haq Mahwish 
Published: April 2022

A 57 years old male presented in the emergency department of EAST Surgical Ward, MAYO Hospital Lahore in February 2021 with complaints of abdominal distension, pain and vomiting. He was a chronic smoker and diagnosed hypertensive for the last 14 years but was non-compliant with oral antihypertensive medications. He was a factory worker and took NSAIDs off and on for pain in the knee joint for the last five years. On examination, his abdomen was tense and tender with resonant percussion notes in the right hypogastrium and epigastrium. His chest x-ray showed free gas under the right diaphragm. Diagnosis of a perforated duodenal ulcer was made and exploratory laparotomy was done. Examination revealed a perforated ulcer in the first part of the duodenum with greenish gangrenous patches on the next 3 feet of the small gut.
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Emerging cases of Rabies amidst COVID-19 in Pakistan: A new threat?
Authors: Kumar Harendra 
Published: April 2022

Madam, rabies is a deadly virus which is most of the time spread by the bite of the infected animals (1). In Pakistan, it is endemic with infections mainly caused due to dog bite(2).The lack of proper data on infections caused by rabies makes it very difficult to estimate the fatalities. However, it is believed that the deaths caused by rabies in Pakistan is somewhere between 2000 to 5000 every year (2). Moreover, the recent reported cases of rabies pose a grave concern to the struggling health-set-up of Pakistan (3). Furthermore, most of the viral infections share similar clinical symptoms at first. Rabies and COVID-19 cases also share some same clinical symptoms. Few of the same clinical symptoms may include fever, headache, nausea and vomiting (1, 4). It can be very difficult for the health care workers to diagnose and develop a treatment plan for such patients leading to poor prognosis and unfavourable outcomes. Meanwhile, the emergence and increase in cases of new variants of COVID-19 infections is a big challenge for the country. Recently, Pakistan has been reporting more than 4000 daily COVID-19 infections with most of those caused by delta variant of corona virus and therefore experiencing the fourth wave (5). Furthermore, there is a sharp increase in general trend of dog bites in the months from May-Aug, which supports the fact that summer is the month of hosting of most of the infections caused by Rabies. The improper sanitation of most of the cities of Pakistan plays a major role in aggravating different endemics in the region. Lack of awareness, vaccine hesitancy and knowledge gap further exacerbates the prognosis (3). Proper management plan for treating patients with Rabies should be designed by health regulating bodies which will then help in proper diagnosis of rabies patients by health care workers. Vaccine shortage should be addressed in an efficient way and areas where the prevalence of disease is higher should be well-stocked. Government should devise a proper plan with the help of international organizations like WHO to work on strategies which should be effective enough to minimize the emergence of Rabies amidst COVID-19. The hospitals in Pakistan have already been overwhelmed by COVID cases. If proper action is not taken, not only patients with Rabies will be neglected a proper treatment but the risk of mortality, mutation and simultaneous occurrence of both the viral infections will also increase.
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Preterm birth ---- A novel risk factor of Ischemic Heart Disease and Stroke
Authors: Abdul Moeed  , Atif Abdul Raafe , Shuja Syed Hasan 
Published: April 2022

Madam, preterm birth (PTB) is classified as having a gestational age of fewer than 37 weeks; annually, approximately 15 million infants are born preterm worldwide(1). Major risk factors of PTB include placenta previa, fetal distress, maternal thyroid disease, and maternal asthma(2). Both teenage (<20 years) and advanced age (>35 years) mothers carry an increased risk of giving birth prematurely(2). Previous studies have shown a positive correlation between PTB and numerous disorders, including hypertension, diabetes mellitus, and hyperlipidemia(3).
Mounting evidence suggests PTB is a significant risk factor for ischemic heart disease (IHD) and stroke. However, due to prior discrepant findings, there is a possibility that these associations might be spurious. However, recent literature surfaced two cohorts by Crump et al. in 2019(4) and 2021(3). In 2019, compiled data from 2,141,709 participants over 43 years, and preterm babies were found to have a significantly higher risk of developing IHD in the future (aHR: 1.44 [1.19-1.73](4). Moreover, the incidence of IHD was more prevalent among preterm-born men than preterm-born women(4). The 2021 cohort evaluated the frequency of stroke with PTB. It concluded that PTB was associated with higher risks of both hemorrhagic stroke (aHR: 1.15 [0.97–1.35]) and ischemic stroke (aHR: 1.31 [1.07–1.60]), compared with full-term birth(3).
These results are worrisome for Pakistan since it has a high tally of PTB cases, as highlighted by a 2017 study by Hanif et al., which showed a 21.64% prevalence of PTB among 1691 females(2). These preterm infants have an increased likelihood of acquiring IHD and Stroke coupled with the already established diseases including hypertension, diabetes, and hyperlipidemia later in life, which exacerbates the already high disease burden in Pakistan. Moreover, unaware of the medicines’ cost-effectiveness, medical practitioners commonly prescribe expensive popular generics for treating IHD(5), which inflicts a substantial financial burden on these patients. Hence, paediatricians should be advised to follow up with preterm babies regularly assess their progress, educate mothers about the risk factors of PTB and minimize the chances of them showing up down the line by emphasizing proper diet, regular exercise, and abstinence from smoking. Nationwide campaigns and awareness drives are a few ways the general population could be made aware of PTB and its threat to the health of these children in the future.
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Psihološki poremećaji kroz cjeloživotni razvoj / Psychological Disorders across the Life Span
Authors: Alispahić Sabina , Hasanbegović-Anić Enedina , Tuce Đenita 
Published: April 2022

Psychological well-being is an integral part of human ability to lead a fulfilled life, which implies the ability to form and maintain nterpersonal relationships, learning, work, or engaging in various activities and hobbies, and the ability to make decisions or make life choices on a daily basis. The World Health Organization recognized the importance of psychological well-being by defining health as a state of complete physical, mental and social well-being, not just as absence of disease or helplessness. Contrary to well-being, psychological abnormality can occur to everyone and greatly undermine day-to-day functioning. Prevalence of psychological disorders in BiH is similar to worldwide prevalence: mostly anxious and somatic disorders are present, followed by mood disorders, schizophrenia and personality disorders. The development of psychological disorders is caused by the presence of many risk and protective factors. One of the possible ways of looking at the risk and protective factors is through the developmental perspective which is presented in this paper. It is difficult to set the boundary between child / adolescent and adult psychopathology; it would actually be more useful when it would not exist in the conceptual sense. To truly understand the risks of developing psychopathology, it is necessary for theoreticians and researchers to take a look at psychological disorders through a lifelong perspective.
The Impact of Mortgage Loans on Housing Affordability in Kazakhstan
Authors: Anessova A. G. , Adambekova А. А. , Abdullaeva B. A. 
Published: April 2022

According to the Bureau of National Statistics of the Republic of Kazakhstan, there are 287 premises per thousand inhabitants in Kazakhstan regarding the number of residential premises and the average annual population. The problem of urgent housing need in Kazakhstan is being solved by the accelerated development of housing construction and by state programs for concessional lending. Housing affordability is one of the pressing issues of the socio-economic policy of any state. One of these programs is “NurlyZher”. The main measures of state support are aimed at the construction of affordable housing for the general population. To solve housing affordability issues, the “7-20-25” program was developed in 2018, which has the most significant demand. Therefore, it is essential to understand whether the population can take out a mortgage. This study builds on research by the Center for Applied Economics Research (AERC) on housing affordability in the country. This study uses two indicators, HPI and HPA, calculated for significant cities and regions. For the calculations, the official statistics of the BNS between 2015 – 2020 were used. According to results based on the HPI indicator, residents cannot save for housing with an average salary without tak-ing into account expenses. The HPA indicator for four mortgage programs, “7-20-25” was more accessible. However, calculations were made on average data, but in practice individually. The programs developed by the state are effective since the situation with the affordability of housing has improved over the past five years.
Lorlatinib (Lorbrena)
Authors: Reimbursement Team  
Published: April 2022

CADTH recommends that Lorbrena should be reimbursed by public drug plans for the treatment of adult patients with ALK-positive locally advanced or metastatic non–small cell lung cancer (NSCLC) if certain conditions are met.
Lorbrena should only be covered to treat adult patients with ALK-positive NSCLC who are diagnosed when their cancer has spread to lymph nodes (locally advanced disease) or other parts of the body (metastatic disease) and who have had no prior systemic treatment for advanced or metastatic NSCLC.
Lorbrena should only be reimbursed by public drug plans when used as a single drug. It should be prescribed by an oncologist with experience in the treatment of ALK-positive NSCLC although thereafter it can be given in an outpatient clinic by the patient’s health care team. The cost of Lorbrena should not be higher than the cost of treatment with alectinib or brigatinib for these patients.
Measurement of Microfibril Angle Using X-Ray Diffraction and Light Microscope on 5-year-old Super and Conventional Teak Wood
Authors: Setiowati Setiowati , Damayanti Ratih , Pandit I. Ketut N. , Febrianto Fauzi , Pari Gustan 
Published: April 2022

The long harvest time causes the processing industry manufactured from teak wood (Tectona grandis L. f.) has experienced a lot of declines. To overcome this problem, currently, in Indonesia many types of fast-growing teak have been developed, one of which is Jati Unggul Nusantara (JUN). Trees that are accelerated in growth, are likely to cause changes in their anatomical structure. The anatomical structure of wood is one of the basic properties that greatly influences the use of wood as a raw material. Even small changes in cell shape and size can change the properties of wood as a raw material. One of the anatomical structures of wood, namely the ultramicroscopic structure that affects the quality of wood, is the microfibril angle (MFA). The purpose of this study is to determine the MFA of JUN at the planned cutting age of 5 years, compared to conventional teak at the same age. There are two methods used, namely using X-Ray Diffraction (XRD) and measuring the elongation of the pit apertures slope of the fiber cells using a light microscope, which was obtained from the maceration process. As a result, JUN's MFA is 22.09°, smaller than the conventional teak of 25.29°. This is because JUN was developed from top cuttings so although still young, it already reflects the characteristics of mature teak. The results of the MFA measurements on JUN using two methods (XRD and light microscope), resulted different values. It is different from the MFA measurement results on conventional teak. It is recommended to measure the MFA in JUN wood by using XRD, because possibly, due to accelerated growth, simple pits with an oval shape turn into circular. This difference causes the results of the JUN MFA measurement using a light microscope based on the pit apertures slope to be inconsistent, subjective, and different results in other pits contained in the fiber even though they are closely associated. However, in conventional teak, measurements using a light microscope are possible because the shape of the pit is oval so that the slope of the elongation of the pit aperture can be determined easily, and is more consistent with more uniform values in the same individual fiber
ÖZEL GEREKSİNİMLİ ÇOCUKLAR İLE NORMAL GELİŞİM GÖSTEREN 1 ÇOCUKLARIN EBEVEYNLERİNİN PSİKOLOJİK DAYANIKLILIK, YILMAZLIK VE YAŞAM DOYUMLARININ İNCELENMESİ
Authors: İNAL Aysu Emre 
Published: April 2022

Bu araştırmanın amacı özel gereksinimli çocuklar ile normal gelişim gösteren çocukların ebeveynlerinin psikolojik dayanıklılık, yılmazlık ve yaşam doyumlarının karşılaştırılması ve bu degişkenler arasındaki ilişkilerin incelenmesidir. Araştırmaya özel gereksinimli çocuğa sahip 198 ve normal gelişim gösteren çocuğa sahip 205 ebeveyn olmak üzere toplam 403 ebeveyn katılmıştır. Araştırmada veri toplama aracı olarak, kişisel bilgi formu, Yetişkinler için Psikolojik Dayanıklılık Ölçeği, Aile Yılmazlık Ölçeği ve Yaşam Doyumu Ölçeği kullanılmıştır. Araştırma sonucunda, normal gelişim gösteren çocuğa sahip ebeveynlerin psikolojik dayanıklılık ve yılmazlık düzeyinin özel gereksinimli çocuğa sahip ebeveynlerin psikolojik dayanıklılık ve yılmazlık düzeyinden anlamlı bir şekilde yüksek olduğu belirlenmiştir. Benzer şekilde, normal gelişim gösteren çocuğa sahip ebeveynlerin yaşam doyumunun özel gereksinimli çocuğa sahip ebeveynlerin yaşam doyumundan anlamlı bir şekilde yüksek olduğu tespit edilmiştir. Buna ek olarak, psikolojik dayanıklılık ve yılmazlık arasındaki ilişkinin özel gereksinimli çocuğa sahip ebeveynlerde normal gelişim gösteren çocuğa sahip ebeveynlere göre daha güçlü olduğu sonucuna varılmıştır. Ayrıca, özel gereksinimli çocuğa sahip ebeveynlerden psikolojik dayanıklılığı yüksek olanların yaşam doyumunun da yüksek olduğu fakat normal gelişim gösteren çocuğa sahip ebeveynlerde bu şekilde bir ilişkinin olmadığı belirlenmiştir. Son olarak, hem özel gereksinimli çocuğa sahip ebeveynlerde
hem de normal gelişim gösteren çocuğa sahip ebeveynlerde yılmazlık ve yaşam doyumu arasında
anlamlı bir ilişki bulunduğu fakat özel gereksinimli çocuğa sahip ailelerde bu ilişkinin daha güçlü
olduğu sonucuna ulaşılmıştır.
Perspective from 2021 The Need for More Nuanced Policy Guidance
Authors: Klem Rolf 
Published: April 2022

Since publishing the findings of our feasibility study on neonatal vitamin A supplementation (NVAS) in Bangladesh in 2014, new evidence confirms NVAS reduces infant mortality in South Asia in contexts where prevalence of maternal vitamin A (VA) deficiency and rates of early infant mortality are high, but not in contexts characterized by low prevalence of vitamin A deficiency and lower rates of infant mortality.1 Unfortunately, this new evidence has not led to policy recommendations from the World Health Organization (WHO), nor to the implementation of NVAS in appropriate country contexts. Even in Bangladesh, where both NVAS efficacy and feasibility evidence is strong, NVAS has not been scaled up. Why?
2017 Omics Innovations and Applications for Public Health Nutrition
Authors: Lee Sun Eun 
Published: April 2022

Let’s assume that you have been taken to a place you have never been before, and are not sure how you got there. The first thing you might do is look at a Google map , which may reveal several roads leading to the place, each with outlying intersections and roads from other towns. Different overlays may reveal varying terrain, weather or road conditions throughout the region leading to your destination. Now, imagine a health problem affecting a population at your destination, and the plexus of pathways (routes), biochemical networks (towns), function (traffic flow) and other influential conditions (terrain, road upkeep, weather, etc.) that may lead to the health problem, overlaid on the map. Omics technologies comprise sets of molecular mapping tools for each overlay that can help us understand and navigate to or from states of health, including nutriture. This breakthrough approach has become possible due to advances in the development and application of high-throughput technologies, which allow us to analyze large-scale biological data to form new molecular maps to health and disease.
2015 The Challenges of Scaling Up Multiple Micronutrient Interventions
Authors: Zlotkin Stanley , Perumal Nandita , Ho Carmen , Wong Joseph 
Published: April 2022

With eight hundred million still living in extreme poverty and hunger, the Millennium Development Goals (MDGs) were created with a vision of a world with less poverty, hunger and disease; improved survival prospects for mothers and children; greater primary education; equal opportunities and empowerment for women; and a healthier environment. While several countries have progressed towards achieving the MDGs, many interventions have nonetheless failed to improve the quality of life in a large number of the world’s countries (Figure 1). To be sure, despite enormous in-country and international efforts to achieve the first MDG of ending extreme poverty and hunger, an estimated 800 million people still face these challenges daily. One in seven children under the age of fi ve years is still underweight (i.e., they weigh less than 2 standard deviations of the population average for their age and sex), and one in four children worldwide, or approximately 161 million children, are still stunted (i.e., they are below 2 standard deviations in height for age and sex).
NASIB SENIMAN MURAL DAN PROGRAM MERDEKA BELAJAR KAMPUS MERDEKA DI KOTA KENDARI
Authors: Wa Ode Sifatu  
Published: April 2022

Salah satu kesibukan masyarakat pembelajar di Indonesia saat ini adalah menjalankan Gerakan Nasional “Merdeka Belajar-Kampus Merdeka” dari Kementerian Pendidikan dan Kebudayaan, Riset dan Teknologi dan Pendidikan Tinggi. Merdeka Belajar-Kampus Merdeka adalah sebuah Gerakan nasional di mana dosen sebagai motor penggeraknya agar terjadi perubahan mindset di masyarakat. Dahulu, kampus merupakan tempat belajat bagi mahasiswa dan juga dosen dengan tatap muka langsung, saat ini, dosen dibebaskan dari birokrasi yang berbelit dan mahasiswa diberikan kebebasan untuk memilih bidang ilmu yang mereka sukai. Mahasiswa bebas memilih ilmu yang dapat menjaminnya nanti dalam memasuki dunia kerja. Kampus merdeka pada dasarnya merupakan konsep baru. Mahasiswa belajar di luar kelas tetap dibimbing oleh dosen dari program studinya agar substansi program studi yang telah dimasuki mahasiswa tetap terjaga. Mahasiswa bersosialisasi dengan lingkungan di luar kelas untuk belajar cara hidup sesuai dengan yang dicita-citakan. Untuk itu, dosen sebagai motor penggerak mempersiapkan semua bidang mata pencaharian untuk mahasiswa, termasuk berbisnis tanaman hias.
Menurut Wikipedia bahwa tanaman hias adalah tanaman yang mencakup semua tumbuhan, baik berbentuk ternak, temak, merambat, semak, perdu, ataupun pohon yang sengaja ditanam di kebun rumah, penghias ruangan, upacara komponen riasan atau busana atau berbagai komponen riasan dan busana atau berbagai komponen karangan bunga. Bunga potong pun dapat dimasukkan sebagai tanaman hias dan menarik untuk dibisniskan.
Berbisnis adalag salah satu aktivitas ekonomi manusia. Tokoh bisnis dalam antropologi adalah Malinowski (1922) yang melukiskan sistem perdagangan kula pada penduduk di Kepulauan Trobrian. Malinowski menjelaskan tentang hubungan terkait antara lingkungan alam dan berbagai unsur kebudayaan dalam sistem kula, Tulisan ini menyajikan bisnis tanaman hias berdasarkan suku bangsa pada masa pandemik di Kota Kendari. Kota Kendari merupakan salah satu kota yang penduduknya majemuk dari segi suku bangsa. Pemaparan bisnis tanaman hias di Kota Kendari berdasarkan suku bangsa penting dipaparkan agar menjadi bacaan yang bermanfaat bagi masyarakat.
Educational program for Sudanese population in Algazira state regarding the cardiac rehabilitation
Authors: Ebrahim Elturabi Elsayed 
Published: April 2022

Background: Cardiovascular disease (CVD) is one of the main causes of death or disability in world. Low- and middle-income countries (LMIC) have the highest mortality and morbidity rate of countries. Cardiac rehabilitation (CR) reduced cardiovascular mortality and the number of acute hospitalizations, while improved functional capacity and perceived quality of life. Rehabilitation is importance and The World Health Organization was developed a package of rehabilitation interventions to implement as part of the entire continuum of universal health care. It consists of five parts, namely nutritional counseling, risk factor modification, psychosocial management, patient education, and exercise training. Cardiac rehabilitation is custom designed to patient. Cardiac rehabilitation indicates for all patient with cardiovascular illnesses including ischemic coronary heart disease, coronary heart failure, myocardial infarctions, or sufferers who've passed through cardiovascular interventions including coronary angioplasty or coronary artery skip grafting. Cardiac rehabilitation packages purpose to restriction the mental and physiological stresses related to cardiovascular disease, lessen the chance of related mortality, and enhance cardiovascular feature to assist sufferers optimize their excellent of life.
“I Feel Good When I Sing It Right”: Singing Agency in Children
Authors: Hogle Lauri A. 
Published: April 2022

Abstract
The purpose of this qualitative study was to gain insight into learner perceptions of their singing agency (their belief in their capacity to sing aloud) in their elementary school music class. Guiding research questions focused on children's ideas about learning experiences that might foster or hinder singing agency. Data included field notes from classroom observations, video recordings of class sessions, semistructured interviews with 93 individual learners and the music teacher, and written responses from 175 children ages 8–11. Data analysis revealed four emergent themes: Participants ages 8–11 linked perceptions of singing agency with both (a) vocal skill and (b) musical understanding. At around age 9, (c) pervasive characteristics of perfectionism emerged, relating to perceived mistakes or quality of performance, hindering singing agency, and (d) participatory, authentically meaningful singing experiences enhance singing agency, despite psychological phenomena developmentally occurring at age 9. Implications for music education practice and further research are discussed.