bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinico-Etiological Profile and Predictors of Mortality of Nontraumatic Coma in Children of Upper Egypt: A Prospective Observational Study
Authors: Abdel Baseer Khaled A. , Mohamad Ismail Lotfy , Qubaisy Heba M. , Gabri Magda F. , Abdel Naser Mohamed A. A. , Abdel Raheem Yaser F.
Published: February 2022

Nontraumatic coma (NTC) is a considerable cause of morbidity and mortality in children. This prospective observational study aimed to determine the clinico-etiological profile of NTC in children and delineate clinical signs predicting mortality in Upper Egypt from June 2019 to May 2020. All children from 1 month of age to 16 years who were admitted with NTC were included in the study. All patients received full histories and physical examinations, including Glasgow Coma Scale (GCS). Routine laboratory investigations including complete blood count, electrolytes, blood sugar, serum creatinine, and liver function tests were performed for all patients. Specific investigations such as metabolic studies, lumbar punctures, brain computed tomography scans, and magnetic resonance imaging were done when indicated. The precise etiology was determined and clinical presentations for survivors and nonsurvivors were compared. Among the 137 cases of NTC identified, central nervous system (CNS) infections were the most common cause leading to 38 cases, followed by toxic causes in 37 cases, status epilepticus in 22 cases, and metabolic causes in 21 cases. Hypothermia, hypotension, abnormal respiratory patterns, muscle hypotonia, absent corneal reflex, presence of shock, and need for mechanical ventilation were significantly correlating with mortality. The estimated mortality rate was 18.2% and all cases with GCS < 5 died. Toxic causes were the most commonly identified etiology in patients who died. In conclusion, the authors identified several etiologies for NTC in Upper Egypt and their corresponding clinical signs at presentation. This information can be used to improve the clinical care provided to children with NTC.
Prepoznavanje in evidentiranje mejic
Authors: Lampič Barbara , Kastelic Alenka
Published: February 2022

Mejice so manj (pre)poznan element v kulturni pokrajini. V Sloveniji je v uradno evidenco vključenih 4522 mejic v skupni dolžini 458,5 km. Zaradi različnih dejavnikov se njihovo število in kakovost zmanjšujeta. Ker gre za pokrajinsko rastlinsko prvino, ki se v prostoru hitro spreminja, je za njeno ohranjanje in upravljanje pomembno ustrezno prepoznavanje in evidentiranje. Preverili smo več postopkov prepoznavanja mejic. Z uporabo lidarsko zajetih podatkov smo razvili dva pristopa in ju ovrednotili z vidika njune nadaljnje uporabnosti. Ugotovili smo, da je za učinkovito prepoznavanje in evidentiranje mejic pomembna ustrezna kombinacija metod, tudi geografsko terensko delo. Za ohranjanje mejic bodo, poleg metodološko ustreznega in ažurnega evidentiranja, odločilni medsektorsko usklajeni ukrepi ter ciljno ozaveščanje kmetov in širše javnosti o raznovrstnih funkcijah mejic v kulturni kmetijski pokrajini.
Pressions anthropiques sur la forêt de Besalampy : richesse faunique, caractère socio-économique et accords pour la création d’une nouvelle aire protégée
Authors: Ramanantsalama Riana V. , Razafiarisolo Tantely H. , Rasolohery Andriamihaja
Published: February 2022

Des inventaires biologiques et des enquêtes socio-économiques ont été effectués dans un site potentiel pour la protection de la biodiversité,  subissant une forte pression anthropique, à Besalampy, ouest de Madagascar, afin de créer un projet de conservation durable. Quatre espèces de  lémuriens (Eulemur rufifrons, Hapalemur occidentalis, Lepilemur ruficaudatus, Propithecus deckenii), 31 espèces d’oiseaux avec des espèces  appartenant aux familles (Vangidae : Leptopterus viridis) et sousfamilles endémiques (Couinae : Coua coquereli et C. cristata) malgaches ; et la  tortue endémique en danger critique d’extinction Erymnochelys madagascariensis, ont été échantillonnées. La création d’une nouvelle aire  protégée pourrait profiter à la fois à la protection de la biodiversité et à l’amélioration du bien-être des villageois vivant à proximité de cette zone de  Besalampy.

 

Based on the Réseau de la Biodiversité de Madagascar (ReBioma), the forest of Besalampy, western Madagascar, is a  potential site to protect the biodiversity, although subject to high anthropogenic pressure. Hence, biological and socio-economic surveys have been  made in order to create a sustainable conservation project. Direct observations, and song and call listening technics were used to list species of  lemurs, reptiles, amphibians and birds along predefined transects. Some birds have been captured using nets. Thus, four species of lemur (Eulemur  rufifrons, Hapalemur occidentalis, epilemur ruficaudatus, Propithecus deckenii), 31 species of bird  including those belonging to Malagasy endemic  family (Vangidae: Leptopterus viridis) and subfamily (Couinae: Coua coquereli and C. cristata), and the endemic critically endangered big-headed  turtle Erymnochelys madagascariensis were sampled. The habitat loss resulting from anthropogenic activities and hunting threatened the  iodiversity in Besalampy. The poor living condition forced the local  community to use the forest resources in an irrational manner, and he creation  of a new protected area should provide a conciliation  between biodiversity and local people.
Cross-Cultural Analysis and its Impact on Religious Interpretation
Authors: VALİZADEH Mohammadreza , EZZATİ VAZİFEHKHAH Ahmad
Published: February 2022

The present study made an effort to analyze the effect of cross-cultural factors on interpretation by concentration on religious expressions as one of the main challenges in translation of holy books and religious texts. Interpreters' strategies such as adaptation, explanation and omission to confront this difficult task were analyzed as well. To conduct the study, researchers selected 50 common holy expressions in Iranian culture which were used by political and cultural speakers in speeches. A questionnaire, released by Supreme Council for Cultural Revolution (SCCR) in Iran, was utilized. The participants were 30 professional interpreters. The questionnaire was distributed among 30 professional interpreters; then the researchers classified the most common strategies for interpretation of religious expressions in utterances. The result demonstrated that adaptation strategy at 60% was interpreters' priority in translation of religious expressions. This originates in the fact that explanation and omission strategies only used in 17% and 23% of orders. Moreover, it was found that religious expressions take time to interpret and that is why adaptation was chosen as the main strategy. In addition, it was found that interpreters are supposed to have perfect knowledge of both Iranian and American cultures to choose the most appropriate equivalent to convey the message and take the time in the interpretation.
La depresión como trastorno colateral en pacientes diagnosticados con dengue
Authors: Solís-Olive Cecilia del Carmen , Rosero-Angulo Karen Eugenia , Buenaño-Barre Julio Patricio , Coronel-Parra Angelica María
Published: February 2022

El dengue es una infección causada por virus de la familia Flaviviridae, transmitida por mosquitos del género Aedes. Comenzó a propagarse, en Ecuador desde el año 1998 cuando la figura epidemiológica del serotipo DEN1 se hizo evidente. En Esmeraldas existe un porcentaje alto de hogares que no poseen agua corriente y la construcción de sus casas es a base de cañas lo cual facilita la proliferación del principal vector del dengue. Existe evidencia de que el dengue puede presentar sintomatología crónica después de que la fase aguda se haya autolimitado. Los síntomas psicológicos estudiados son los siguientes: insomnio, agresividad, irritabilidad, falta de concentración y depresión. Debido a la alta presencia del virus en nuestra población, se decidió el estudio sobre la relación entre la depresión y el dengue. Para ello, se analizaron las historias clínicas y se realizó un cuestionario de Salud del Paciente a todos aquellos pacientes de entre 18 a 65 años que asistieron al Hospital Básico Juan Carlos Guasti en el período comprendido entre 2019 a 2020. Para el estudio se utilizó un grupo de caso y otro de control.

Palabras clave: Dengue, Depresión, Relación, Serotipos, Factores Socioculturales.
PARA UMA HISTÓRIA DAS CONTAS NACIONAIS NO BRASIL: ORIGENS
Authors: Souza Luiz Eduardo Simões de
Published: February 2022

Trata-se de uma primeira incursão em uma narrativa da implementação e desenvolvimento do Sistema de Contas Nacionais (SCN) do Brasil, criado em 1952, seguindo diretrizes da Organização das Nações Unidas. O processo de instauração, consolidação, emprego de metodologias e interpretação das diretrizes da ONU esteve, nesses quase setenta anos da adoção do sistema, longe de uma estabilidade que permitisse dados consistentes à interpretação da economia brasileira. A Fundação Getúlio Vargas e o Instituto Brasileiro de Geografia e Estatística disputaram a primazia do cálculo e a divulgação dos dados por mais de quatro décadas, além de interferências no contexto externo, que causaram divergências de entendimento e diversas revisões às séries, que são apresentadas hoje ainda como fontes capazes de fornecer coerência ao analista. Neste texto, busca-se apresentar algumas primeiras considerações para debate sobre esse tema das políticas públicas na história do Brasil republicano pós-guerra.

Palavras-chave: Sistema de Contas Nacionais; Economia Brasileira; História Econômica.
The Relationship between Psychological Stress and Injury Risk in Young Soccer Players. A Systematic Review
Authors: Borato Lucas André , Pedroni Cristiane Rodrigues
Published: February 2022

Within soccer, a number of both intrinsic and extrinsic factors may expose athletes to injury. Recent studies have shown that among these conditions, psychological stressors can lead to several complications. No review articles were found that analyzed the relationship between psychological stress and risk of injury in soccer athletes of this age group. The objective of this systematic review is to identify and discuss studies that relate psychological stressors to the risk of injury in young soccer athletes and the main stressors related to this risk. A computerized search of the entire PubMed, Cochrane and Virtual Health Library (VHL) Libraries was conducted to identify relevant articles. Only four studies were included, their analysis demonstrates that four main stressors would explain 23% of injuries. Regarding the occurrence of injuries, it is associated with the high level of daily boredom and lower decreases of daily boredom. Moreover, implementation of psychosocial programs may be effective in reducing injuries of young soccer athletes. Psychological stress can play a role in the presence of disease in athletes. The present study demonstrates that injuries in young soccer athletes have a strong relationship with psychological factors and are associated with other illnesses.
Evaluasi tingkat efektifitas penggunaan Learning Management System dalam pembelajaran jarak jauh
Authors: Andhyka Wahyu , Prabowo Octianto Dicky
Published: February 2022

Sejak awal 2020 terjadi perubahan drastis dari perkuliahan tatap muka menjadi pembelajaran daring jarak jauh akibat Pandemi Covid-19 yang melanda seluruh dunia, namun aspek-aspek kehidupan tidak bisa terus dibiarkan berhenti karena adanya pandemi. Salah satu aspek yang terdampak adalah pendidikan, dimana harus beradaptasi dengan pembelajaran jarak jauh. Pembelajaran jarak jauh membutuhkan sistem yang optimal untuk digunakan semua instrumen pendidikan. Salah satu opsi yang dapat digunakan adalah penggunaan Learning Management System, yang merupakan sistem berbasis website Asynchronous. Melalui sistem ini dosen dan mahasiswa bisa berinteraksi satu sama lain tanpa perlu adanya tatap muka. Tujuan dari penelitian ini ada mengevaluasi tentang bagaimana jalannya penggunaan LMS dalam Pembelajaran Jarak Jauh di ranah Universitas. Hasil dari penelitian ini menyimpulkan bahwa Learning Management Sistem sekarang ini dapat digunakan selama masa darurat seperti sekarang, namun dengan beberapa hal yang masih perlu dibenahi.
Management of Islamic Religious Education In Developing The Noble Ability of Santries Through The Tahfidz Approach
Authors: Rohaeti Rohaeti , Ulfiah Ulfiah , Arifin Daeng , Khori Ahmad
Published: February 2022

The purpose of national education in Law Number 20 of 2003 concerning the National Education System chapter II article 3 emphasizes the aspect of faith and devotion, the second aspect is noble character. However, the practice of education in Indonesia is still not in accordance with the functions and objectives of national education. Pesantren is an appropriate model of education in fostering noble character because students are fully trained and accustomed to filling their sight, hearing and heart with content that is beneficial for their lives. The tahfidz approach is the right approach in fostering noble character because the series of processes in tahfidz activities are able to bring students closer to the Qur'an and Allah. The problem of students' morals is caused by several things including an inappropriate approach, an atmosphere or culture that is not yet supportive, teacher competence, and the lack of adequate human resources for tahfidz teachers. The approach used in this study is a qualitative interactive mode of inquiry approach. The method used is descriptive analytical method with a variety of case studies. While the data collection techniques are observation/observation, participation, interviews, and literature study. The conclusion is that the Pesantren Leader and the team that was formed made a context analysis document as a study in planning. The planning of Islamic religious education in order to foster noble character in the two Islamic boarding schools, namely the Tahfidz Misbahunnur Islamic Boarding School in Cimahi City and the Darul Arqom Muhammadiyah Islamic Boarding School in Garut Regency, is stated in the pesantren curriculum document. The implementation of Islamic religious education management is carried out through the tahfidz approach. The two pesantren set a number of indicators of the success of the Islamic religious education management process in fostering noble character through the tahfidz approach, namely: obedience to Allah and His Messenger, enthusiasm, tolerance, carefulness, thoroughness, compassion, patience and honesty.
Development of Student Islamic Behavior Through Worship Practice Activities at SMAN City of Bandung
Authors: Hamidah Iha , Mansyur Agus Salim , Supiana Supiana , Erihadiana Erihadiana
Published: February 2022

This study aims to describe the development of Islamic behavior of students through the practice of worship at SMAN Bandung. Based on observations and interviews of researchers to several principals of SMAN schools in Bandung who have athlete students, found that not all students who profess to be Muslim to perform worship well during sports practice while in school, only some students who want to perform worship in school, such as performing sunnah prayers or obligatory prayers in school mosques , on the grounds that his clothes are dirty because of sweat, responsibility is training and clashing with training time. Whereas if praying his clothes must be clean and holy. Sometimes, even many students have not prayed if they are not ordered and many others lack. Not infrequently students who when at home and at school show good Islamic behavior, but when outside the house and outside the school shows bad behavior seen in terms of Islam, such as smoking, hanging out on the side of the road, and excessive dating. This study uses qualitative approach with descriptive method. Data collection techniques through interviews, observations, and documentation. Data analysis techniques use data analysis techniques consisting of data reduction, data presentation, and drawing conclusions. The results of this study are: 1) Islamic behavior development program in high school in Bandung, namely congregational prayers before the start and at the end of teaching and learning activities, memorizing Asmaul Husna, reading the Quran 15 minutes before the first hour. 1) learning begins, praying dhuha congregation, praying midday congregation, infaq or setting aside some pocket money for alms. 2) The process of fostering islamic keisk behavior of students through religious practice activities in SMAN throughout Bandung needs to be held, religious lectures, guidance and supervision. 3) The behavior of students after receiving guidance through the practice of worship in SMAN throughout The City of Bandung is quite good. Students can be responsible and disciplined in performing worship. Students can also work together and socialize well.
Community-based Approach to Sustain Batik Tourism Village Area in the Special Region of Yogyakarta (The Case of Giriloyo Village)
Authors: Anggarani Pribudi Anggarani Pribudi
Published: February 2022

The study aims to identify the implementation of Community-based Tourism to sustain Giriloyo Batik Tourism Village as a sustainable tourism destination. The identification analysis of the Community-based approach is based on thirteen fundamental factors of the ideal Community-based Tourism developed and adopted from related existing literature. This study is a qualitative study with an in-depth interview and a thematic analysis method.  The results of the study showed that tourism development began after Yogyakarta’s earthquake through supports from NGOs and the Government. Community-based Tourism is implemented which has the characteristics of the thirteen factors of the ideal model of Community-based Tourism I identified. However, there is a difference between the ideal and the fact. The most remarkable gap is in community participation, which in Giriloyo is limited and very active within the Batik Association led by the core members. Stakeholders’ roles are crucial in enabling tourism to flourish in Giriloyo Village. The primary stakeholders are Village Government, Local and Regional Tourism Offices Department, and NGOs. Community-based Tourism has positive impacts, mainly in terms of socio-cultural, economic, and environment. Despite the positive impacts, the community is still struggling with several issues, such as regeneration within the organization, domestic waste management, and product innovation. Concrete efforts are needed to ensure the sustainability of Giriloyo Batik Tourism Village in the long-term.
The Implementation of Zakat Profession By Employees Income in Public Health Center (PHC) Sitopeng Cirebon City
Authors: Mohammad Ridwan  , Andini Triwulan
Published: February 2022

ZAKAT is an obligation of  Muslims as a form of concern fellow a man in establishing the relationship between man and Allah and man's relationship with other humans. With the obligations of zakat, in addition to fostering the relationship with Allah SWT also can tighten the rope the relationship between human beings. The aim of the research is that to identify understanding and application of zakat profession on employee income at Public Health Center  Sitopeng  Cirebon City. Method used in this research is qualitative method with data collection techniques are observation and interview. Based on the research results obtained it can be concluded that 1. Implementation of professional alms employees on Public Health Center Sitopeng has not been maximized because of the lack of employee understanding of the provisions on professional zakat regarding the law, calculation and distribution of professional zakat. Besides that, there is still a lack of socialization on professional zakat from the government or the nearest Zakat Institution. 2. Employee income at Public Health Center Sitopeng has indeed reached the Regional Minimum Wage (UMR) standard for Cirebon City but for the obligation to fulfill the professional zakat it still does not meet the nishob requirements set by the Islamic Sharia, but employees The Sitopeng Health Center can give a portion of its assets through Shodaqoh or infaq.
Congenital lobar emphysema in children: Institutional experience and errors to be avoided in the management
Authors: Iqbal Asif , Liaqat Naeem , Saleem Muhammad , Talat Nabila , Wasti Arsalan Raza , Ammar Muhammad , Hashim Imran
Published: February 2022

Background: Congenital Lobar emphysema (CLE) is one of the rarest cystic lesions in the thoracic cavity among children. It is often misdiagnosed and managed incorrectly. We are reporting our institutional experience and recommendations regarding the prevention of common errors in the management of this condition.
Methods: This study was conducted at the Paediatric Surgery Department, The Children’s Hospital & the University of Child Health Sciences Lahore from January 2015 to December 2018. All the patients who underwent thoracotomy for congenital lobar emphysema at our center were included in the study and their charts were reviewed. 
Results: A total of 19 patients had been treated at our center in this duration. The mean age of patients was 2.85 ± 2.11 months. Thirteen of them (68%) were male and the most common presenting complaint (94.7%) was respiratory distress. Chest X-ray was done in all of the patients while a CT scan was needed in 11 patients (57.9%). The most involved lobe was left upper (n=15). Lobectomy was done in all patients. Post-operative ventilation was required in 2 patients (10.5%) and pneumonia developed in 2 patients (10.5%). The most significant complication was wound infection (9/19, p=<0.01).
Conclusion: Our results about perioperative management are consistent, however, we received cases with misdiagnosis. We have proposed recommendations to address this issue.
Hybrid’s Hunt for Home: A Postcolonial Study of Bapsi Sidhwa’s Fiction
Authors: Javed Maryam , Tehseem Tazanfal , Butt Shaehroz Anjum , Javed Nimra
Published: February 2022

The present study aims at exploring the elements of hybridity and assimilation in the fictional expedition of Bapsi Sidhwa. The work in question adheres to the theoretical construct of Postcolonial theory by utilizing Bhabha’s concept of Hybridity which suggests that the colonizers and the colonized, through their interaction, mutually construct their subjectivities and this interaction destabilizes the hierarchy of superior and inferior cultures. The research is primarily qualitative in nature and the selected texts namely, An American Brat (1993) and The Crow Eaters (1980) are subjected to close reading for explicating the instances where the characters’ social practices and personal experiences display hybrid cultural forms, patterns and parameters. The novels actually depict a clash and an unbalanced conflict between different cultures. Though the characters yearn for saving their own cultures yet at the same time they are forced to sacrifice their traditions. . The current research shines light on the implications of multiculturalism and highlights an increasing interaction between different nations. The study contends that identity is a process, constantly being redesigned and refashioned. In the light of the findings, it can be concluded that identity is fluid, never complete, always in process owing to transnational and transcultural flows in the globalized world of today. The current study can be helpful in understanding the dynamics of identity and the challenges to the cultural purity in the world of diaspora.
Teknologi Branding dalam Pengemasan Produk Emping Melinjo Upaya Meningkatkan Partisipasi, Keterampilan dan Pemasaran Masyarakat Pedesaan di Desa Mancak, Kecamatan Mancak Kabupaten Serang
Authors: Nasri Edy
Published: February 2022

The purpose of the Student Work Lecture Community Service Program is as Learning and Empowerment for the Community in order to improve skills and help increase sales of products produced by the Village community. The products produced by the special community of Mancak Village are emping melinjo is a typical and iconic product of tourism in Serang Regency as the village center of emping melinjo. The problem faced is that the production processing is still done traditionally and attractive packaging has not been made and the customer is still doing it by selling to middlemen / collectors. as a result, the marketed production is still small and the attributes of the melinjo chips product are still simple, there are not many variations, causing a low selling value. The method that is used to develop this community service implementation is through (1) Survey through observation, interviews, and analysis of problems and village potentials, (2) Graphic Design Training, (3) packaging manufacturing training using branding technology. From the results of implementation through community service programs, the increase in community knowledge and skills regarding (1) Utilizing multimedia, and (2) making packaging with branding technology. In this activity, it is expected to increase knowledge and skills in branding technology for packaging processing
Budidaya Jamur Tiram sebagai Usaha Alternatif bagi Masyarakat (Pelatihan di Desa Bale Kencana, Kecamatan Mancak)
Authors: Untari Aryanti Dwi
Published: February 2022

The aim of the Community Service Program to increase public awareness and understanding of the potential it has to improve its quality of life. The problem faced is the economy of the community that relies on garden products and melinjo harvest, so it is necessary to have an alternative effort to improve the economy of the people of Bale Kencana Mancak Village. The method of implementing this service is through (1) Surveying through observation, interviews, and analysis of village potentials and problems, (2) Training of oyster mushroom cultivation, (3) Mentoring of oyster mushroom cultivation practices. The result of this program is that the community obtains knowledge and skills of oyster mushroom cultivation, so that it can make oyster mushroom cultivation as an alternative business choice to improve the community's economy.
Efectos del programa de consejería de métodos de planificación familiar en puérperas adolescentes el C.M.I. San José. Ves. Lima. 2020
Authors: Ramos Taype Zoila Zunilda , Oquendo Olivera Sandra Karina
Published: February 2022

El presente artículo tiene por finalidad establecer la efectividad del Programa de Consejería de Métodos de Planificación Familiar sobre lo que conocen las Puérperas Adolescentes del C.M.I. San José. VES. Lima. El método utilizado fue el hipotético-deductivo, muestra 60 puérperas, el diseño fue cuasi- experimental, en dos grupos, experimental y control, desarrollado en la aplicación del Pre-test y Pos-Test, compuesto por 20 Ítems. Se concluyó que es significativo que el Programa de CMPF tiene efectos en las Puérperas, ya que los puntajes de conocimientos en el grupo experimental son muy diferentes significativamente con los puntajes obtenidos en el grupo control, acentuándose en los puntajes obtenidos en Proceso y Logro.
UTILIZAÇÃO DE TÉCNICAS DE CLASSIFICAÇÃO EM CONJUNTO DE DADOS SOBRE INCLUSÃO FINANCEIRA: UM ESTUDO BASEADO EM PAÍSES LATINOAMERICANOS
Authors: Souza Pâmela Rodrigues Venturini de , Tomazi Bruno Gigioli , Santos Bruno Samways dos
Published: February 2022

A inclusão financeira é importante para reduzir a pobreza e proporcionar um crescimento econômico inclusivo, principalmente comparando grupos com grande desigualdade social. Este artigo utilizou a pesquisa Global Financial Inclusion (Global Findex) da World Bank Group para comparar técnicas de aprendizado de máquina na classificação de homens e mulheres quanto ao uso de serviços financeiros. Para isso, utilizou-se os classificadores Árvore de decisão, -vizinhos mais próximos, Naïve Bayes e Floresta randômica, e avaliadas as métricas de acurácia, precisão, sensibilidade, f1-score e área sob a curva Receiver Operating Characteristic (ROC). Verificou-se que todas as técnicas (exceto por Naïve Bayes) obtiveram uma acurácia próxima a 70%, sensibilidade próxima a 88% e precisão acima dos 72% na maioria dos parâmetros investigados. Quanto à área sob a curva ROC, a Floresta randômica atingiu 0,77, superando as outras técnicas nesta avaliação.
Midterm results of arteriovenous fistula patency at Dong Nai General Hospital
Authors: Thanh Nguyen Van , An Kieu Quang , Kha Huynh Tan , Quynh Nguyen Ngoc Hoa , Anh Vo Tuan
Published: February 2022

Background: End-stage renal disease (ESRD) has dramatically increased in number and hemodialysis remains the main therapy. Arteriovenous fistula plays a critical role for dialysis patients. 

Materials and Methods:  We retrospectively reviewed the medical records of AVF operated in Dong Nai General Hospital (between 09/2017 and 08/2020). Outcomes were compared between two groups: With and without preoperative vascular lập bản đồ to assess the role of this method. Learning curves were analyzed based on the trend of mean operative time and surgical success rate over time, and the number of operations required to overcome the learning curve was calculated with the CUSUM method. 

Results: The study group consisted of 158 patients, with a mean age of 54.76 ± 26. Male/ female rate was nearly 1:1. Short-term outcomes: Success rate was 87.3%, failure rate was 12.7%, reoperation rate was 7.6%. At 3 months, 6 months, and 9 months follow–up, the AVF patency was 86.70%, 84.18%, and 80.38%, respectively. Vascular lập bản đồ has a better trend of the short-term outcome (83.8% vs. 90.4%; P = 0.231), as well as AVF patency at 3 months, 6 months, 9 months (83.54% vs. 89.87%; P = 0.174), (79.75% vs. 88.61%; P = 0.066) and (75.95% vs. 84.08%; P = 0.077), respectively. However, the difference was not significant. In case of preoperative vascular lập bản đồ, the number of operations required to overcome the learning curve was 75 cases. 

Conclusion: Arteriovenous fistula surgery at Dong Nai General Hospital has a good short term and mid-term outcome. Preoperative vascular mapping seemed to improve the outcomes.
Early result of minimally invasive left atrial myxoma resection at Cardiovascular Center - E hospital
Authors: Hung Le The , Dat Pham Thanh , Nam Nguyen Hoang , Thinh Do Duc , Thuy Nguyen Tran , Thanh Le Ngoc , Huu Nguyen Cong
Published: February 2022

Objectives: The study aimed to evaluate clinical and paraclinical characteristics of left atrial myxoma and the early result of minimally invasive left atrial myxoma resection at E hospital.

Patients and methods: This is retrospective, descriptive study of consecutive patients, who underwent minimally invasive left atrial myxoma rejection, using total or video-assisted endoscopic technique from October 2016 to March 2021 at E hospital. There were 31 patients, consisting of 27 females and 04 males. The mean age was 53 ± 13 years old (range [17-74]).

Results: Preoperative clinical manifestations were diverse. Asymptomatic form was in 3 patients (9.7%), hemodynamic symptoms were in 26 patients (83.9%), embolism were presented in 4 patients (12.9%), systemic symptoms were in 8 patients (25.8%). Anemia and elevated erythrocyte sedimentation rates were observed in 45.2% and 74.2%, respectively. Echocardiography results: the average tumor size was 4.2 ± 1.7 cm (range [1.7-8]), the site of attachment was mainly in the atrial septum (77.4%). Cardiopulmonary bypass time was 158 ± 43 minutes (range [100-252]), cross-clamp time was 84 ± 34.2 minutes (range [42-153]), ventilation time was 10,8 ± 7,0 hours (range [3-30]), intensive care unit stay was 1,5 ± 1,0 days (range [0.5-4]), and in-hospital stay was 9.5 ± 5.0 days (range [3-30]). There was no hospital mortality. Cerebrovascular accident was presented in one (3.2%), femoral artery stenosis was in one (3.2%), atrial fibrillation after surgery was in one(3.2%).There was no bleeding, that require reoperation, and no other serious complications.

Conclusions: Initial results of left atrial myxoma resection, using minimally invasive total or video-assisted technique wassafe and effectivewith low complications, could be recommended toapply routinely in cardiac surgery centers.
Pieloplastía laparoscópica asistida por robot en un paciente monorreno con estenosis ureteropíelica
Authors: Viana Álvarez Guillermo
Published: February 2022

ANTECEDENTES: la estenosis de la unión ureteropiélica es la causa más frecuente de hidronefrosis en pacientes pediátricos y en adultos jóvenes. Esta alteración se caracteriza por obstrucción anatómica o funcional del flujo de orina, de la pelvis renal al uréter, la falta de tratamiento se refleja en deterioro de la función renal.CASO CLÍNICO: paciente femenina de 22 años de edad, que inició con infección urinaria de repetición y mala reacción al tratamiento dos años antes de efectuar el procedimiento quirúrgico, seguido de dolor lumbar izquierdo en los últimos 6 meses. La tomografía computada reportó hipoplasia renal derecha e hidronefrosis izquierda, por lo que se colocó catéter JJ izquierdo; se realizó pieloplastia laparoscópica asistida por robot, sin complicaciones ni incidentes adicionales. La paciente tuvo adecuada evolución y egresó dos días después del posoperatorio. CONCLUSIONES: la cirugía robótica disminuye la mayor parte de las complicaciones provocadas por la laparoscopia convencional, debido a la precisión de los movimientos, facilidad en la sutura y visualización en tercera dimensión; además, es efectiva cuando la pieloplastia desmembrada convencional no es óptima o se torna técnicamente complicada.PALABRAS CLAVE: pielopastia laparoscópica, robot, estenosis ureteral.
Sistema de cierre asistido por vacío en el tratamiento de la gangrena de Fournier: a propósito de un caso
Authors: Preciado Estrella Diego
Published: February 2022

ANTECEDENTES: la gangrena de Fournier es un proceso inflamatorioinfeccioso, agudo y fulminante que produce necrosis de la piel y fascias del escroto, pene y periné, incluso puede provocar la muerte en 45% de los casos.CASO CLÍNICO: paciente de 62 años de edad, sin alteraciones de importancia para el padecimiento actual, con antecedente de intervención quirúrgica por estenosis de uretra una semana previa al ingreso hospitalario. A la exploración física se encontró edema, eritema genital y perineal, que se extendía hacia ambas ingles e hipogastrio, sin afectación del ano. Las pruebas de laboratorio reportaron concentración de 32,000 leucocitos y bandemia con índice de severidad de 10 puntos de gangrena de Fournier. Se realizó debridación agresiva de los genitales y el periné, donde se encontró necrosis y exudado purulento que se infiltraba y extendía a las fascias de Camper, Scarpa y aponeurosis anterior hasta 10 cm por arriba de la sínfisis del pubis. Se continuó con debridamiento y a partir del tercer lavado se implementó el sistema de cierre asistido por vacío, hasta completar 5 lavados más en quirófano, con cambio del sistema. El paciente evolucionó adecuadamente, por lo que egresó a los 24 días postratamiento.CONCLUSIÓN: el sistema de cierre asistido por vacío representa un método efectivo, útil y reproducible en pacientes con gangrena de Fournier. Garantiza buenos resultados funcionales y estéticos, además de disminuir las complicaciones y estancia hospitalarias.PALABRAS CLAVE: gangrena de Fournier, sistema de cierre asistido por vacío.
Polimorfismos de genes de glutatión S-transferasa M1 y T1 como factores pronósticos del cáncer de vejiga: evidencia limitada e inconsistencias que aún no se resuelven
Authors: MENG Xiang-Yu , SHI Ming-Jun
Published: February 2022

Sr. Editor:El cáncer de vejiga es un tumor maligno común y los factores genéticos pueden desempeñar un papel importante en su manifestación, recurrencia y progresión. La relación entre el riesgo de cáncer de vejiga y los polimorfismos genéticos de glutatión S-transferasa (GST) T1 y M1 se han discutido en metanálisis recientes;1 sin embargo, actualmente no existe un resumen completo de su importancia pronóstica. En los estudios primarios se observan hallazgos inconsistentes; por tanto, realizamos una  revisión bibliográfica de este tema, para resumir la información disponible.
Quemadura eléctrica en el pene tratada con penectomía parcial. Reporte de un caso
Authors: Piñon Enrique Omar
Published: February 2022

ANTECEDENTES: las quemaduras eléctricas de alto voltaje en el pene son sucesos poco frecuentes, asociados con alta morbilidad y mortalidad, que pueden causar lesiones devastadoras y afectar la función eréctil, calidad de vida y aspecto psicológico del paciente.CASO CLÍNICO: paciente de 28 años de edad, atendido en el área de choque del Centro Médico Adolfo López Mateos (ISEM) por quemadura eléctrica con expansión hacia los genitales. A la exploración física se observaron lesiones en el antebrazo derecho y el pene, con necrosis y pérdida de la función de la uretra, cuerpos cavernosos y esponjosos en 2 tercios distales y la formación de un “globo” vesical con retención aguda de orina. Se decidió la cistostomía suprapúbica, debridación extensa del tejido necrótico y penectomía parcial, sin incidencias posoperatorias. El paciente se encuentra en protocolo de reconstrucción peneana anatómica y preservación de la función miccional.CONCLUSIONES: las quemaduras eléctricas en los genitales son sucesos excepcionales. Entre las opciones de tratamiento quirúrgicourológico más importantes se encuentran la preservación y recuperación de funcionalidad del pene en los pacientes jóvenes.PALABRAS CLAVE: quemadura eléctrica, penectomía parcial, tratamientopor quemadura eléctrica.
Istmectomía laparoscópica asistida por robot en un paciente con ectopia renal cruzada fusionada por un tumor renal
Authors: Briseño Renteria Juan Ivan , López Verdugo José Juan Francisco , Estrada Bujanos Juan Miguel , Camacho Trejo Victor Florentino , Castro Zazueta Said , Quintero Badillo Juan Eduardo , Tejeda Andrade Carlos Francisco
Published: February 2022

ANTECEDENTES: la localización anómala del riñón en el espacio retroperitoneal se denomina ectopia renal. La ectopia renal cruzada constituye una malformación congénita excepcional con incidencia de 1 caso por cada 1350 a 1 por cada 2000 nacimientos. El tumor más común reportado en alteraciones de la fusión renal es el carcinoma de células renales. Las anomalías de la fusión renal aumentan cuatro veces el riesgo de neoplasias.CASO CLÍNICO: paciente masculino de 64 años de edad con antecedentes oncológicos de ectopia renal y pulmonar. En los estudios de rutina se detectó una masa en la fusión de ambos riñones. Se realizó istmectomía con plastia ureteral, con colgajo de Scardino y colocación de catéter doble J mediante laparoscopia asistida por robot.CONCLUSIÓN: la ectopia renal fusionada cruzada se origina por el desarrollo anormal de la yema ureteral y el blastema metanéfrico durante la cuarta y octava semanas del embarazo. Después del riñón en herradura, la ectopia renal cruzada fusionada es la anormalidad renal más frecuente. La ectopia renal cruzada es una alteración congénita poco frecuente; el cruce de izquierda a derecha es frecuente, contrario al caso aquí reportado. La relación de tumores malignos con estas anomalías representa un evento excepcional. La anatomía es impredecible, se observan anomalías vasculares en 70% de los casos lo que complica el manejo quirúrgico. Diversos estudios han intentado establecer el origen del fenotipo sarcomatoide y su relación con cualquiera de los patrones histológicos clásicos del carcinoma renal.PALABRAS CLAVE: ectopia renal cruzada, ismectomía y tumor renal.
Madurez de la Revista Mexicana de Urología: continuidad y renovación
Authors: Beas Sandoval Luis R.
Published: February 2022

En la asamblea del pasado LXVIII Congreso Nacional de la Sociedad Mexicana de Urología, efectuado en el puerto de Acapulco en noviembre de 2017, el Dr. Alfredo Medina Ocampo asumió la Presidencia del Consejo Directivo para el período 2017-2019. Así mismo, previo a la toma de protesta de la nueva mesa directiva se realizó la elección para designar al nuevo Editor de la Revista Mexicana de Urología para el período 2017-2020, otorgándome la membresía con su voto de confianza la distinción de ocupar dicho cargo y suplir al Dr. José Guzmán Esquivel, quien ha dejado una huella en la trayectoria de la revista, llena de logros como editor saliente.
Precisión diagnóstica y complicaciones de la biopsia por congelamiento de masas testiculares malignas equívocas.
Authors: Cayetano-Alcaraz Axel Alberto , Halilovic Mirha , Olavarría-Sayavedra Natalia , Quiñones-Capistrán Christian Aníbal , Arceo-Olaiz Ricardo , Castillejos-Molina Ricardo Alonso
Published: February 2022

ANTECEDENTES: La mayor parte de las lesiones testiculares se detectan en etapa temprana. En 10 a 20% de los casos pueden ser benignas. La biopsia por congelamiento ha demostrado ser confiable para evaluar lesiones testiculares. El diagnóstico de histología benigna puede evitar orquiectomías radicales innecesarias y sus complicaciones.OBJETIVO: Evaluar la precisión diagnóstica de la biopsia por congelamiento de lesiones testiculares malignas equívocas, las complicaciones a corto y largo plazos asociadas con este procedimiento.MATERIALES Y MÉTODOS: Estudio retrospectivo efectuado de 2005 a 2015 en un centro hospitalario terciario, en pacientes con exploración testicular con biopsia por congelamiento debido a lesiones testiculares malignas equívocas. Se obtuvieron medidas de precisión diagnóstica. Se registraron las complicaciones a corto y largo plazo. El diseño del estudio se realizó siguiendo las recomendaciones STARD (Standards for Reporting of Diagnostic Accuracy, por sus siglas en inglés).RESULTADOS: Se incluyeron 23 pacientes, con una mediana de seguimiento de diez meses (rango intercuartil: 60). El 73.9 y 26.1% de las lesiones fueron benignas y malignas, respectivamente. No se observaron cambios en el diagnóstico entre el reporte de la biopsia por congelamiento y el reporte definitivo de patología. Las medidas de precisión diagnóstica tuvieron un valor de 100%. El grado de concordancia entre la biopsia por congelamiento y el reporte definitivo de malignidad, fue estadísticamente significativo (κ = 1.0, p<0.05). Debido al reporte benigno de la biopsia por congelamiento, se evitaron 12 orquiectomías radicales. Tres pacientes (12.5%) tuvieron complicaciones grado I. Se encontró atrofia testicular, a largo plazo, en 2 pacientes. En los pacientes que no se sometieron a orquiectomía radical por reporte benigno de biopsia por congelamiento, no se detectaron formaciones malignas durante el seguimiento.CONCLUSIÓN: La biopsia testicular por congelamiento representa una técnica confiable en el tratamiento de lesiones malignas equívocas y se relaciona con complicaciones de bajo grado.PALABRAS CLAVE: Biopsia por Congelamiento; Precisión diagnóstica; Neoplasias testiculares; Estudios retrospectivos; Patología testicular.
Determinación de parámetros uroflujométricos y su relación con parámetros antropométricos en hombres mexicanos sin síntomas urinarios
Authors: Preciado Estrella Diego Antonio
Published: February 2022

OBJETIVO: Determinar los parámetros uroflujométricos en hombres sanos sin síntomas urinarios y asociarlos con medidas antropométricas para establecer los límites de normalidad en México.MATERIALES Y MÉTODOS: Estudio prospectivo, descriptivo y analítico, efectuado en hombres menores de 40 años, sanos, sin síntomas o instrumentación urinaria. Se midieron los parámetros antropométricos y se realizaron tres uroflujometrías a cada individuo. Se efectuó la calibración periódica del uroflujómetro (disco Mediwatch©) y otras buenas prácticas urodinámicas para obtener resultados más certeros. El análisis de los resultados se llevó a cabo mediante estadística descriptiva (medidas de tendencia central, desviación estándar) e inferencial (tablas de contingencia, c2), para establecer asociaciones con significación estadística.RESULTADOS: Se incluyeron 77 hombres, con edad promedio de 25.9 años (DE ± 6.18), peso 78.9 kg (DE ± 14.4), estatura 172 cm (DE ± 6.3), IMC 26.8 kg/m2 (DE ± 4.64), perímetro abdominal 93 cm (DE ± 11.8), Qmax 28.01 mL/seg (DE ± 8.12), volumen-vaciado 313 mL (DE ± 94.98), tiempo 27.19 segundos (DE ± 7.6). El análisis por subgrupos, eliminando el rango intercuartilar y comparando el grupo de pacientes obesos versus delgados (IMC), encontró un Qmax de 27.9 vs 31.03 (c2 = -0.434, p>0.05); al comparar el perímetro abdominal se obtuvo 28.8 vs 25.31 mL/seg para los delgados y obesos, respectivamente (c2 = 2.901, p>0.05). Se observó un descenso de 1.68 mL/seg en el Qmax después de una década.CONCLUSIONES: Los varones mexicanos tienen una velocidad de flujo de 28 mL/seg, con descenso de 1.68 mL/seg por cada década de vida. Si bien el sobrepeso no afecta la potencia del chorro miccional, existe tendencia a ser mayor en la población obesa.PALABRAS CLAVE: Uroflujometría; síntomas urinarios; sobrepeso.
Reposicionamiento retrocapsular en un paciente con extrusión de prótesis peneana
Authors: Villela Segura Genaro , Ramírez Pérez Erick Alejandro , López Alvarado Damian
Published: February 2022

ANTECEDENTES: La colocación de prótesis peneanas representa la tercera línea de tratamiento en pacientes con disfunción eréctil. Una de las complicaciones más temidas es la extrusión distal de la prótesis, que ocurre cuando se debilita la túnica albugínea. CASO CLÍNICO: Paciente de 65 años de edad, con antecedente de colocación de prótesis peneana de 2 componentes; 8 años después tuvo disfunción mecánica, por lo que ameritó el recambio de la prótesis por una de 3 componentes. El paciente inició con dolor en la región distal-lateral derecha del cuerpo del pene. La resonancia magnética confirmó la extrusión de la prótesis sin perforación de la túnica albugínea. El procedimiento quirúrgico fue con la técnica de Mulcahy, con recambio protésico completo. El procedimiento se efectuó con corporotomía distal e incisión capsular transversal de la corpora en su posición dorsal, además de una nueva dilatación en la porción distal, y se colocó la prótesis en el nuevo trayecto (pseudocápsula). La prótesis peneana se activó a las 6 semanas posquirúrgicas, con evolución funcional satisfactoria y sin percepción de dolor por el paciente. La resonancia magnética de control mostró la prótesis en adecuada posición. CONCLUSIÓN: La técnica de Mulcahy representa una opción efectiva, con alta tasa de éxito y baja de infección en pacientes con extrusión de prótesis en la porción
Complications of retrograde ureteroscopy. Prevention, early recognition, and treatment
Authors: Cruz Ruíz José , Pulido Negrete Oscar Raul , Méndez Probst Carlos Enrique
Published: February 2022

La ureteroscopia es un procedimientos comúnmente efectuado en pacientes con diversos padecimientos del aparato urinario superior. Debido al progreso en la tecnología y desarrollo de destrezas médicas se ha incrementado su utilización en todo el mundo, por lo que actualmente representa un método fundamental en el área de la urología. Sin embargo, como cualquier otro procedimiento quirúrgico, la ureteroscopia no está exenta de complicaciones, de tal modo que el conocimiento y experiencia es de suma importancia para la práctica urológica. Por tanto, el objetivo de este estudio fue revisar las complicaciones más frecuentes en la práctica de la ureteroscopia. PALABRAS CLAVE: Ureteroscopia; complicaciones intraoperatorias; urolitiasis.