bluuebunny/crossref_metadata_2025 huggingface dataset:
Treatment of pielites by Meyer-Betz-Haas's diet. Daniel (Deut. med. Watch., 1922, No. 49)
Authors: Nikolaev N.
Published: September 2021

The author describes the treatment of pielitis according to Meyer-Wetz-Haas'y in combination with Lenhartz's method. Meuer-Wetz, based on the fact that b. coli grows poorly in acid medium, and Haas on the fact that urotropine detaches formaldehyde only in acid medium, and that the growth of the bacilli is inversely proportional to the urine concentration, independently of each other suggested treating pielites with a dry acid diet, combining it with oral administration of urotropine, salicylates and phosphoric acid.
To the recognition of cystic remodeling of the kidneys. N. Ya. Chistovich (Vrach. Delo, 1923, No. 3-5)
Authors: Gruzdev V.
Published: September 2021

Observations made by Prof. N. Chistovich on one patient whose postmortem examination revealed the presence of cystic kidney degeneration showed that excretion of urea, phosphate and chloride in this disease is extremely difficult, urea content in blood increases to threatening sizes, water excretion, if sufficient with moderate drinking, becomes unsatisfactory with increased water infusion, and the ability to liquefy urine suffers greatly.
Diagnosis and surgical treatment of ulcers of the stomach and duodenum. Kocher (Arch. f. klin. Chic, 1921, Bd. 115)
Authors: Zimmerling N.
Published: September 2021

The author reports the results obtained at the Bern Clinic in the surgical treatment of ulcers with gastroenterostomy. The total number of cases was 180. Not a single ulcer perforated after the operation, bleeding was observed very rarely.
About spirochetoses
Authors: Mühlens P.
Published: September 2021

Until 1905, that is, before the discovery of the causative agent of syphilis, Spirochaeta pallida, only very little was known about spirochetes; at the present time the chapter "Spirochetosis" belongs to the most extensive and important chapters of microbiology. At the time given to me for my presentation, I can give you only a brief overview of the relevant field.
On some features of the cultivation of Obermeier spirochetes
Authors: Aristovsky V. M. , Blagoveshchensky N. N.
Published: September 2021

After the discovery by Schaudin, in 1905, of the causative agent of syphilis, naturally keen interest among bacteriologists raised the question of the cultivation of this spirochete. However, the difficulties that were encountered on the way of the first researchers (Kolpino and Fontana, Levaditi and Mc Intosh, Schereschewsk y, Hoffmann) in solving this problem forced the question of cultivating spirochetes in general to be put on the agenda. Therefore, it is not a mere coincidence that the first pure culture of the spirochete (Spir. Dentium) was obtained by Mhlen S'OM in 1906, that is, already a year after the discovery of the pale spirochete. However, mixed cultures of spirochetes (so-called Mischkultur) were obtained even earlier Goadby B1903, Veszpmi, Walver and F unni with lif fʹ, Mll e r and Scherber in 1905. In 1909, Schereschewsky received a pale spirochete in a culture mixed with other bacteria, and in the same year, Mhlens, and a year later, Hoffmann announced that they had received a pure culture of this spirochete.
Current state of the art of protein therapy
Authors: Volter B. A.
Published: September 2021

The subject of my lecture is the doctrine of the nonspecific treatment of infectious and other diseases, which, under the name Proteinkrpertherapie, currently combines a number of long-known therapeutic methods, such as: vaccine therapy, serotherapy, organotherapy, as well as those departments of pharmacotherapy where the current principles are various substances of a protein nature.
Typhus and pregnancy. Ulanov (Mosk. Med. J., No. 5-6, 1922)
Authors: Gruzdev V.
Published: September 2021

According to the author's observations, typhus in pregnant women runs the same way as in non-pregnant women, even as if it were a little easier.
Atropine in parkinsonism. Szyszka (Münch. med. Woch., 1923, No. 2)
Authors: Weinberg M.
Published: September 2021

The author treats parkinsonism, which is often a consequence of epidemic (lethargic) encephalitis, with atropine, which gives good results. Atrawitz's clinic they give patients atropin. sulf. 0.0005 4-6 times a day. Improvement is noted already in two days.
Meningitis in the early period of syphilis. Schou (Zeit. f. die ges. Neur. LXXXI, 1923)
Authors: Weinberg M.
Published: September 2021

Until the recent past, patients with phenomena of meningitis in the early period of syphilis were used only by syphilidologists, due to insufficient contact between the nervous and venereal clinics. the author studied a large number of patients in the early period of syphilis. Out of 844 such patients 573 turned out not to be treated at all, and among them 20% gave pathological cerebrospinal fluid.
Determination of lipoids in the grains of leukocytes, According to Savinі (Wien. Sh. Woch., 1921. No. 46)
Authors: G. V.
Published: September 2021

Determination of lipoids in the grains of leukocytes, According to Savinі (Wien. Sh. Woch., 1921. No. 46) for this purpose, glasses with lubricants are placed in a 5% solution of two chromium copper, washed and stained with a saturated solution of charlah in ethyl alcohol, followed by: washing, light coloring of the nuclei with a contrasting paint, again washing, drying and imprisoning in neutral glycerin or a thick solution of levulose.
Induction of a miscarriage with the help of x-rays Arkhangelsk (Arch. Klin, and Aksp. Med., 1922, No. 1)
Authors: G. V.
Published: September 2021

Having tried X-ray (at a dose of 18 to 67 N, given for 3-7 sessions) with this purpose in 10 cases of early pregnancy (the delay of menstruation was from 8 to 35 days), Arkhangelsk (Arch. Klin, and Aksp. Med., 1922, No. 1) received sharply different results depending on the duration of pregnancy: in 7 cases, where the delay in menstruation was no more than 3 weeks, abortion occurred, in 3 cases where the delay was more than 3 weeks. the pregnancy, despite the X-ray, continued.
Terpikhin for chronic inflammatory diseases of the female genital area Schwarz (Deut. Med. Woch., 1921, No. 52)
Authors: G. V.
Published: September 2021

This remedy, offered by Oestgeich-Som, contains 15% ol. terebinthini, 0.5% quinine and anesthesin each, 84% ol. olivarum. Having applied it in 22 cases of perimetritis, salpingitis, oophoritis, infiltrates in the posterior Dоnglasen, etc., Schwarz (Deut. Med. Woch., 1921, No. 52) was very pleased with the results.
Sclera shaping in glaucoma prof. Dolganok (Doctor. Journal. 1922, No. 1)
Authors: G. V.
Published: September 2021

To enhance the therapeutic effect of iridectomy in glaucoma, prof. Dolganok (Doctor. Zhurn .. 1922, No. 1) recommends to precede this operation by cutting off the sclera.
A case of ascites operated on using the new method
Authors: Flerov S. A.
Published: September 2021

The demonstration patient was a 17-year-old girl, who had abdominal dropsy of 3 years' duration on the basis of syphilitic cirrhosis of the liver. Fluid filled the entire abdomen, after repeated punctures it accumulated again on the next day, and, arriving - judging by body weight - about 2 pounds a day, it reached its former size in 1-2 weeks. The amount of fluid released each time was 10-13 liters.
Protein therapy for gastric ulcers. Каlk (Klin. Woch., 1922, No. 28)
Authors: Luria R.
Published: September 2021

Favorable results of treatment of gastric and duodenal ulcers by parenteral administration of protein, obtained by Pribram, who published 77 cases treated with novoprotein (a crystalline preparation of vegetable protein), made Calck test this method on the material, where there were not only subjective complaints of patients - pain after eating, but also objective, especially roentgenological symptoms of gastric or duodenal ulcers.
A simple way to plasticize a sunken nose. Prof. Petrov (Vestn. Khir. i Pogr. Obl., 1922, bb. 4-6)
Authors: Alekseeva E.
Published: September 2021

A 1 cm incision on the nasal septum, immediately under the tip, insertion of Kocher's forceps and peeling off the skin to the bridge of the nose. A graft in the form of a sharpened trihedral prism taken from the tibia (with the sharp end to the nose bridge) is inserted into the prepared passage. Finally, one suture is placed for 24 hours.
Handbook of Malaria Control. Issue 1-5. NKZ Tropical Institute. Ed. E. I. Martsinovsky
Authors: Miloslavsky V.
Published: September 2021

The timeliness of the appearance of reference books on malaria is not to be questioned: due both to the pandemic spread of malaria and the lack of new books on the subject on the market, their publication should be warmly welcomed.
To the pathology of the intrauterine fetus and its membranes
Authors: Gorsky P. P.
Published: September 2021

The collection and scientific systematization of casuistic clinical material is undoubtedly one of the essential tasks of clinics, laboratories, etc. central institutions; but it is also unquestionable that we, practical doctors, publishing our observations from personal daily work, in our essence more or less deviate from the categories of strictly studied, thereby to a large extent assist central medical institutions in achieving their main tasks. activities.
A case of leishmaniasis in a child (in connection with the question of the treatment of this disease)
Authors: Tura A. F.
Published: September 2021

September 3, 1923 in the Children's Clinic V.-Med. A boy named Petya E. was transferred from the Academy.
The effect of the cutaneous application of old Kosh'a tuberculin for therapeutic purposes on tuberculosis patients in outpatient pediatric practice
Authors: Menshikov V. K.
Published: September 2021

The therapeutic use of tuberculin, as is known, has long occupied a prominent place among many methods of treating tuberculosis. However, the views and assessment of this drug among researchers still strongly diverge: while some authors completely deny the beneficial effect of using this drug, others widely use it, noting the good results obtained at the same time. One cannot but agree that such a disagreement depends a lot on the personality of the researcher himself, on the method of application of the agent, on the severity and stage of the disease, etc.
Measles prophylaxis according to Sagonia. Nobel Schonberger (Zeit f. Kindhlk., Bd. 40, H. 3)
Authors: Levinson A.
Published: September 2021

Nobel Schonberger (Zeit. F. Kindhlk., Bd. 40, H. 3), injecting intramuscularly 30 children who were in close contact with measles patients, a vaccine prepared by Sagonia from a microbe cultivated by him (the vaccine was administered in 2 cc., 3 consecutive days), came to the conclusion that such a triple vaccination does not have an adverse effect on the child's condition.
To the characteristics of streptococcus scarlet fever. I. M. Velikanova and G. Ya. Ionis (J. Exp. Biol., 1926, No. 6)
Authors: S. V.
Published: September 2021

According to the observations of IM Velikanov and G. Ya. Ionis (J. Exp. Biol., 1926, No. 6) death from scarlet fever is not associated with the presence in the blood of the deceased necessarily homolytic streptococcus.
Strengthening of joints for habitual dislocation by means of fascial free plasty of Joseph (Zentr. F. Chir., 1926, No. 3)
Authors: Friedland M.
Published: September 2021

Strengthening of the joints for the usual dislocation by means of fascial free plasty according to Josher'y was successfully performed in 4 cases on the shoulder and in 1 - on the patella by Girgolav (Zentr. F. Chir., 1926, No. 3).
Treatment of irreducible congenital dislocation of the hip joint and coxa vara using the Beck subtrochanteric osteotomy method (Zentr. F. Chir., 1926, No. 7),
Authors: Friedland M.
Published: September 2021

The treatment of irreducible congenital dislocation of the hip joint and coxa vara by the method of subtrochanteric osteotomy was described in 1918.
Postoperative X-ray for breast cancer. Borak (Wien. Klin. Woch., 1926, No. 21)
Authors: S. V.
Published: September 2021

As you know, Perthes, in 1921, pointed out that the use of X-ray after radical surgery for mammae cancer not only does not protect patients from relapses of the disease, but, on the contrary, contributes to their occurrence.
Caesar section according to the Rogtes'a method. Bosch Aviles and PuigyKoig (Rev. espan, de med. Y cir., 1925, no. 85)
Authors: Timofeev A.
Published: September 2021

The Caesar section by the Rogtes method was performed twice by Bosch Aviles and PuigyKoig (Rev. espan, de med. Y cir., 1925, no. 85).
Narcilene anesthesia (Zentr. F. Gyn., 1926, No. 10)
Authors: Zabolotskaya E.
Published: September 2021

Narcilene anesthesia (Zentr. F. Gyn., 1926, No. 10) was used in the Munich Gynecological Clinic in 400 cases, and it turned out that the advantages of this anesthesia are the absence of a noticeable period of excitation, the rare onset of asphyxia and vomiting and the absence of irritation of the respiratory tract, the fact that it causes a strong compression of the jaws and a fairly strong tension of the abdominal press.
Luminal for epilepsy. Ostmann (Dent and. Woch., 1925, no. 15)
Authors: Sergeev V.
Published: September 2021

Out of 30 cases of epilepsy, Ostmann (Dent and. Woch., 1925, No. 15) in 28 received very good results from the use of a dose of 0.2-0.3 pro die.
Mastoiditis. Prof. Witmaak (West, Rhino-Laryngo-Otiatry, 1925, No. 1)
Authors: Vasilieva O. A.
Published: September 2021

Prof. Witmaak (West, rhino-laryngo-otiatry, 1925, No. 1) sharply distinguishes 2 forms among the lesions of the pneumatic system of the mastoid process
Prof. V. A. Oppel. Endocrinological Surgical Observations
Authors: Sokolov N.
Published: September 2021

According to the author, at every moment in a person's blood there must be a certain amount of different hormones, the balance of which creates a state of health: a lack of hormones leads to disease due to insufficient irritation, an excess poisons, giving a picture of intoxication.
Estabilización de eólica marina flotante mediante control de flujo de aire en columnas de agua oscilante
Authors: M’zoughi Fares , Aboutalebi Payam , Garrido Izaskun , Garrido Aitor J. , de la Sen Manuel
Published: September 2021

En este artículo se presenta un nuevo tipo de control aplicado a una plataforma flotante multipropósito tipo barcaza capaz de aprovechar la energía eólica y undimotriz de manera simultánea. Además, los captadores de energía undimotriz se componen de columnas de agua oscilante (OWC) que ayudarán a estabilizar la plataforma y la turbina eólica flotante (FOWT) reduciendo el desplazamiento longitudinal de la parte superior de la torre. Para ello se implementa una estrategia de control de flujo de aire actuando sobre las válvulas de la cámara de captura de los dispositivos OWC. El estudio comparativo entre una FOWT estándar y la FOWT sobre la plataforma dotada de dispositivos controlados OWC propuesta, muestra una considerable mejora en la estabilidad del sistema.
Análisis de datos para el desarrollo de un sistema de control automático de embarcaciones en un área portuaria
Authors: Bernal García Ezequiel , Fernández-Cantí Rosa M. , Isalgué Buxeda Antoni
Published: September 2021

Según el último informe de la Agencia Europea de Seguridad Marítima (EMSA), un gran número de incidentes de navegación con víctimas se producen en instalaciones portuarias. Para minimizar el número de accidentes es necesario contar con algoritmos de control eficientes que permitan decidir acciones en tiempo real por parte del operador. Se presentan las principales fuentes de los datos que permiten un control efectivo del control portuario. Se discuten las ventajas e inconvenientes de los datos suministrados por los sistemas AIS y RADAR. A partir de los requerimientos de seguridad para evitar colisiones, se analizan los principales datos relacionados con la embarcación y su entorno que son relevantes para un algoritmo eficiente del control de tráfico en puertos.
Dispositivo de monitorización postural para personas de la tercera edad con alto grado de sedentarismo
Authors: Vermander Patrick , Pérez Nerea , Mancisidor Aitziber , Cabanes Itziar
Published: September 2021

La monitorización postural en personas de la tercera edad es fundamental para evitar la aparición de problemas músculo-esqueléticos, así como la prevención de situaciones de riesgo y caídas. En este trabajo, se presenta un dispositivo de monitorización compuesto por 16 sensores FSR (Force Sensitive Resistor), colocados de forma discreta a lo largo del asiento y respaldo de una silla. La selección de la ubicación de estos sensores se ha llevado a cabo mediante un estudio previo, donde se han identificado los puntos más significativos. Para validar el dispositivo de monitorización, se han realizado diferentes ensayos experimentales donde se han comparado los resultados obtenidos mediante el dispositivo propuesto con los medidos con una malla de presión comercial. Los resultados muestran que las posturas presentadas quedan correctamente caracterizadas mediante el sistema propuesto, reduciendo el coste del sistema y aumentando su autonomía.
Estrategias para la asistencia a la marcha de sujetos con hemiparesia a través de una órtesis activa de rodilla
Authors: Lora Millán Julio Salvador , Moreno Juan C. , Rocón Eduardo
Published: September 2021

La hemiparesia es una de las consecuencias motoras más comunes del accidente cerebrovascular. La marcha hemiparética está caracterizada por una fuerte asimetría, y los pacientes que la sufren desarrollan mecanismos de compensación para lograr una marcha funcional; no obstante, estos pacientes siguen requiriendo de dispositivos que asistan su marcha. En este documento proponemos dos estrategias para generar patrones de asistencia que sean implementados por una órtesis activa de rodilla. Ambas estrategias están basadas en la cinemática de la extremidad no afecta del usuario y se coordinan con su movimiento gracias a la estimación en tiempo real de la fase de la marcha. La generación de estos patrones de asistencia ha sido validada con datos experimentales de tres sujetos sanos. Los resultados obtenidos demuestran que la asistencia generada es acorde al movimiento del lado no afecto y está sincronizada con el movimiento del usuario.
Desarrollo de BenchBalance: un sistema para la evaluación de la capacidad de equilibrio en exoesqueletos robóticos
Authors: Bayón Cristina , Delgado-Oleas Gabriel , Tagliamonte Nevio L. , Asseldonk Edwin van , Rocón Eduardo
Published: September 2021

Avances recientes en el control de exoesqueletos se están centrando en mejorar la asistencia de equilibrio y disminuir la dependencia de las muletas. Sin embargo, métodos apropiados para cuantificar la estabilidad de estos exoesqueletos (y de sus usuarios) aún son escasos. Una evaluación del equilibrio cuantitativa es fundamental para enriquecer el desempeño de los exoesqueletos y su interacción con los seres humanos. En este trabajo presentamos el sistema BenchBalance, una soluci ón para realizar evaluaciones comparativas y reproducibles de equilibrio en exoesqueletos y sus usuarios. Al integrar dos elementos clave (perturbador manual y prenda inteligente), BenchBalance es una herramienta portátil y de bajo coste que proporciona una evaluación cuantitativa relacionada con la reacción y la capacidad de los exoesqueletos portátiles y sus usuarios para responder a perturbaciones externas controladas.
Modelo de predicción de respuestas cardiovasculares durante la inmersión en un entorno acuático
Authors: Martínez-Pascual David , Arnau-Papí Manuel , Catalán Orts José María , Lledó Pérez Luis D. , Ezquerro Santiago , Verdú-García Javier , García Aracil Nicolás
Published: September 2021

El sistema cardiovascular se ve afectado cuando el cuerpo humano se sumerge en un entorno acuático. Para estudiar y predecir las respuestas del sistema cardiovascular durante la inmersión se ha desarrollado un modelo de alto nivel. El modelo presentado se compone de un conjunto de ecuaciones en diferencias que describe el comportamiento del sistema cardiovascular de acuerdo con el nivel de inmersión. El modelo se evalúa en simulación y se compara con los efectos descritos en la literatura científica en sesiones experimentales.
Gene variant space for biosensor-based dynamic regulation
Authors: Camarena María , Boada Yadira , Picó Jesús , Carbonell Pablo
Published: September 2021

Inside a cell, protein, production and biosensor pathways can be genetically engineered within a dynamic regulation architecture that provides robustness to cell factories. Here we investigated how the selection of gene variants and their associated expression efficiency and kinetic parameters can lead to a wide diversity of dynamic responses in terms of protein or metabolite production. Results show that there is a trade-off between gene expression efficiency and pathway performance, and it can be eventually related to the evolutionary fingerprint of each gene variant. Therefore, the organism source of gene variants is a factor that needs to be considered in the design of dynamic regulation for genetic circuits.
Comparación de estrategias para la estimación de actitud en controladora de vuelo para UAV profesional
Authors: Gallarta Sáenz David , Rico-Azagra Javier , Gil-Martínez Montserrat , Rico-Azagra Ramón
Published: September 2021

Este trabajo presenta dos estrategias de integración multisensorial a través de las cuales se pretende encontrar un método apropiado para la estimación de actitud de un dron mediante filtros de Kalman y filtros complementarios explícitos. Para ello, se simulan los sensores de bajo coste, en concreto, unidades de medida inercial (IMU, Inertial Measurement Unit), que están incorporados en una controladora de vuelo diseñada para un UAV (Unmanned Aerial Vehicle) de ámbito profesional. De esta forma se dispone de unos datos fehacientes que resultan de gran interés para abordar la puesta en funcionamiento del sistema en pruebas reales, al poder implementar su sistema de control de forma adecuada en base a dicha información. La aplicación se desarrolla en MATLAB Simulink® por tratarse de un entorno adecuado para el trabajo con sistemas dinámicos.
Un exoesqueleto flexible y textil para asistir la flexión del codo
Authors: Samper Escudero José Luis , Cantalejo-Escobar David , Pont-Esteban David , Contreras-González Aldo-Francisco , Ruiz Ricardo , Blaya Fernando , Tapia Santiago , Sánchez-Urán Miguel Ángel , Ferre Manuel
Published: September 2021

Los exoesqueletos son robots que circunscriben la anatomía humana para asistir su locomoción. Entre las distintas categorías, los exoesqueletos flexibles o exotrajes (del término anglosajón exosuit) se caracterizan por su ligereza y bajas restricciones al movimiento. Los exotrajes emplean principalmente elementos flexibles, como tela, por lo que carecen de una estructura rígida autoportante. Por el contrario, estos robots se apoyan en el sistema musculo-esquelético al que transfieren fuerzas asistenciales. Este artículo describe el sistema para flexar el codo del exoesqueleto LUXBIT. El proyecto LUXBIT busca crear un exoesqueleto portable para asistencia de tareas bimanuales. Para ello emplea un sistema textil de agarre y transferencia de fuerzas al usuario basado en un esquema de polea móvil. El uso de métodos de costura ha proporcionado una solución compacta, fácil de mantener y versátil. Este diseño reduce la presión aplicada sobre la piel. Los últimos apartados muestran los resultados de aplicar el sistema en cuatro sujetos.
Screening for cancer of the colon and rectum A review on incidence, mortality, cost and benefit
Authors:   Icelandic Cancer Registry, Icelandic Cancer Society Research Center. Department of Surgical Sciences, Colorectal Surgery, Uppsala University, Sweden, Birgisson Helgi , Ólafsdóttir Elínborg J. , Sverrisdóttir Anna , Einarsson Sigurður , Smáradóttir Agnes , Tryggvadóttir Laufey ,   celandic Cancer Registry, Icelandic Cancer Society Research Center,   Center of Medical Gastroenterology, the Medical Clinic, Glæsibæ, Iceland,   andspitali, National University Hospital of Iceland, Dept of Gastroenterology. Reykjavík Digestive Center,   Landspitali, National University Hospital of Iceland, Dept of Oncology,   Icelandic Cancer Registry, Icelandic Cancer Society Research Center. University of Iceland, BioMedical Center
Published: September 2021

Key words: Colorectal cancer, Screening, Incidence, Mortality, Cost-effectiveness In this article the incidence and mortality for cancer of the colon and rectum in Iceland is discussed. The two most common screening methods, faecal immunochemical test (FIT) and colonoscopy are compared and an estimate of cost and benefits for the Icelandic society will be made. The incidence of cancer of the colon and rectum has been increasing in Iceland in last decades but mortality has decreased and survival improved. However, more individuals die from cancer of the colon and rectum than from both breast- and cervical cancer added together. It is likely that screening for cancer of the colon and rectum, could prevent at least 6 of the 28 deaths related to those cancers, occurring yearly in Iceland in screening age, given a screening ages of 50-74 years. The extra cost for the Icelandic community due to the implementation of screening for cancer of the colon and rectum will be acceptable due to the lower cost of simpler treatments, lower cancer incidence and reduced mortality.
Let them go! Compassionate release for disabled prisoners with chronic health conditions during the COVID-19 public health emergency
Authors: Schotland Sara
Published: September 2021

Inmates with disabilities are at high risk of serious illness and death from COVID-19 due to crowded and unsanitary conditions. The punishment for serious crimes is incarceration—not exposure to a dangerous, contagious virus. Prisoners have human rights, notwithstanding the loss of most of their civic rights. Critical Disability Studies draws attention to multiple and overlapping injustices and oppressions. Prisoners with disabilities often suffer from race and ethnic discrimination, poverty, trauma, multiple physical impairments, mental illness, and/or cognitive limitations. This essay calls for action to accelerate compassionate release of disabled inmates, many of whom are at high risk for COVID-19, and offers recommendations for improving conditions of confinement for disabled inmates who remain incarcerated.
Children and adolescents with disabilities in Brazil: effects of the COVID-19 pandemic
Authors: Almeida Luciana Alves Drumond , Fontes-Dutra Mellanie
Published: September 2021

The present research aimed to perform data survey and analysis of children and teenagers among 0- to 19-year-olds related to SARS (severe acute respiratory syndrome) and COVID-19 in populations with or without disabilities during the year of 2020. The database used for the evaluations was Sivep-Gripe, made available by the Ministry of Health. The database did not present variables regarding the type of disability and a proxy was created by the binary variable of Down syndrome and by qualitative analysis of clinical data of descriptive morbidity. This limitation hindered the consideration of the experience of disability as an interaction between bodily impairments and the environment, as well as the generalization regarding cases in this population. The analysis variables included individual, regional and progression characteristics of the cases, such as the need for hospitalization, admission to the ICU, use of ventilatory supports and evolution of the cases for the recovery or death. 83,491 cases of children up to 19 years old were considered. Of this total, 2,370 (3.27%) were categorized with the disability proxy. The analyzes showed the differences between cases and progressions between children and young people without disabilities and by type of disability, with the highest proportions of COVID-19 cases found in those with physical, intellectual or psychosocial disabilities. Considering the age groups, we found higher frequencies of these cases among children up to 4 years old in general; with intellectual or psychosocial disabilities between 5 and 9 years; and those with physical disabilities between 14 and 19 years. The progression of the children's cases demonstrates the relevance of considering their vulnerability and its effects on hospital establishments, since they are more susceptible to being hospitalized, requiring ICU admissions and respiratory support. Even with the use of these resources for the maintenance of life, the proportion of children with disabilities who evolve to death is equivalent to more than double (in the cases of COVID-19) and triple (SARS) of those without disabilities. Based on these verifications, we emphasize the need to further investigate, plan and execute public policies that target this population, especially in relation to health services in the current context of increasing cases of COVID-19 and its variants across the country. In addition, we seek to contribute to academic discussions that address disability as a relevant social marker that permeates the different layers of inequality and social exclusion, exposed and deepened in the pandemic context.
Introduction to the Special Issue: Disability and Covid-19
Authors: Block Pamela , Pereira  , Guedes de Mello Anah , Sakellariou Dikaios
Published: September 2021

No abstract available.
Brief chronological progress in the management of intussusception: 1674 to 2021
Authors: Ghritlaharey Rajendra K.
Published: September 2021

This is a review of the literature related to the progress in the management of intussusception. Literature and other publication on the topic of “intussusception” were retrieved from 1674 to August 2021. The online literature search was – performed using various websites, i e, PubMed, PubMed central, ResearchGate, and Google - eBooks, Google Scholar, and Google Images. The important historical events that occurred in the management of intussusception were briefly presented in this manuscript.
Avaliação em tempos de pandemia: oportunidade de recriar a escola
Authors: Pimenta Cláudia Oliveira , Sousa Sandra Zákia
Published: September 2021

Recorrendo a contribuições de estudos que se voltaram a mapear a situação educacional em municípios e estados brasileiros, no contexto da Covid-19, bem como a artigos acadêmicos que tratam de avaliação educacional, no referido cenário, neste artigo exploram-se possíveis percursos a serem percorridos no retorno às atividades presenciais, especialmente aqueles atinentes a avaliação e currículo. Tendo como horizonte o compromisso de promover uma educação de qualidade para todos, discutem-se caminhos que possibilitem recriar a escola pública, que se expressem em novos modos de ocupação do espaço e do tempo escolar, com potencial de enfrentar a histórica e brutal desigualdade econômica, social e educacional que saltou aos olhos de todos com a adoção do “ensino remoto”, por redes e escolas, em 2020.
Evaluation of thrombocytopenia: A single-center experience
Authors: Patel Swati , Sinha Avantika
Published: September 2021

To evaluate the common etiologies and bleeding manifestations in patients of thrombocytopenia and its clinical presentation, methods of investigation, and impact of various modes of management.

 Total 104 patients with platelet count less than l00,000 per cu.mm. with age, more than 12 years admitted to hospital between January 2010 to October 2011 were included in this study. Platelet count on automated cell counter less than 100,000 per cu.mm. and confirmed in peripheral smear were included in the study. All EDTA samples were processed in Abacus junior 5 hematology Analyser. Peripheral blood smear review was done for all cases. Clinical history and physical examination were collected from patients and medical record files.

The present study included 56 male patients and 48 female patients. The most common bleeding manifestation was petechial rash 8.6%, hemoptysis and traumatic bleeding account for 1.9 % each, whereas 74% of patients did not present with any bleeding issues. Total 66 patients presented with symptoms of fever, 73 had signs of pallor, 22 patients had splenomegaly, 16 patients had hepatomegaly. Total 37.5% of patients were diagnosed with malaria and 1 patient (0.96%) was diagnosed with plasma cell leukemia. Chronic liver disease, megaloblastic anaemia, ITP (Idiopathic thrombocytopenia) and chronic renal failure account for 9.6%, 13.4%, 5.7% and 3.8% respectively. Total 16 patients had platelet counts less than 20000/cu.mm. and 37 patients had platelet count between 60000-80000/cu.mm. Malaria (39 patients) was the major cause of thrombocytopenia. Out of 39 patients with malaria 10 patients had P. Falciparum, 27 had P. Vivax and 2 patients had both. 

Patients with a platelet count less than 100,000/cu.mm have very high chances of bleeding manifestation. Cutaneous bleed is the most common manifestation. Malaria can be present with signs of thrombocytopenia. Timely and accurate diagnosis is the key to the management of thrombocytopenia.
T-Lymphoblastic lymphoma presenting with obstructive jaundice and pleural effusion; role of flow cytometry on pleural fluid: A case report
Authors: P Awasthi Namrata , S Anshima
Published: September 2021

T-cell lymphoblastic lymphoma often presents as a large mediastinal mass in the anterior mediastinum with shortness of breath as chief complaint. We, put forward a case of T-LBL, presenting with obstructive jaundice and, later developing pleural effusion. Diagnosis was clinched by Flow Cytometry (FCM) performed on the pleural fluid, which revealed, neoplastic lymphoid cells; suggesting T-cell Lymphoproliferative disorder.

Bone marrow examination and immunohistochemistry revealed CD3+, TDT+, CD10+, CD34- and CD20- blasts. Thus, diagnosis of T-ALL/LBL was rendered. Clinicians should be mindful that TALL/LBL can uniquely present with obstructive jaundice, proffering serious diagnostic dilemma. FCM should be attempted on any available body fluids/effusions, in appropriate clinical settings, as it can contribute substantially, in making a rapid diagnosis and, initiating early therapy.

1. Leukemia/lymphoma should be considered in the differential diagnoses, when the initial work-up for obstructive jaundice, is inconclusive; 2. FCM can be performed on any fluid/effusion sample for hematolymphoid neoplasm and can aid in making a rapid diagnosis.
Primary squamous cell carcinoma of renal pelvis and kidney- Sole diagnosis by histopathology
Authors: Prachi  , Sharma Gaurav , Jain Vikas
Published: September 2021

Primary Squamous cell carcinoma of the renal pelvis is rare and accounts to only 0.5- 0.8 % of malignant renal tumours having poor prognosis. Chronic irritation, inflammation and infection induce the pathogenesis of this malignancy. A 53 year old male patient, presented with left flank pain since one month. On radiological investigation, his CT revealed atrophic shrunken left kidney measuring 7.9x5.2cms showing significant parenchymal thinning and complete loss of corticomedullary differentiation. A left upper ureteric calculus is seen measuring 7.5 mm with significant left renal hydronephrosis.Clinically, it was diagnosed as Xanthogranulomatous Pyelonephritis. Grossly the radical nephrectomy specimen measures 10.5x5.5x3.5cm. External surface is irregular & bosselated. On Cut surface renal architecture is effaced by necrotic mass measuring 9.5x5.0x3.0 cm involving pelvic ureter and most of renal parenchyma.

Hematoxylin and eosin stained tissue revealed characteristic feature such as keratin pearls and intracellular bridges seen, rendering the diagnosis of well-differentiated keratinising squmaous cell carcinoma seen with 40% tumour necrosis associated with Keratinizing Squamous Dysplasia. In the present case, obstructive uropathy has triggered the event of malignancy. The radiologic differential diagnosis includes primary and secondary renal neoplasms and xanthogranulomatous pyelonephritis associated with renal calculi. XGP is commonly associated with lithiasis however, rarely causes keratinizing squamous metaplasia and its manifestations closely mimic renal neoplasm, leading to misdiagnosis of malignancy.

The prognosis is dismal with a 5-year survival rate of <10%. CT and MRI play a crucial role in diagnosis and staging of these tumors, though histology always remains confirmatory and diagnostic.
Development Effectiveness Overview (DEO) 2021: Executive Summary
Authors:   Inter-American Development Bank
Published: September 2021

The Development Effectiveness Overview (DEO) is an annual report produced by the IDB Group to share the results and impact of its work in Latin America and the Caribbean. It showcases the IDB Group's contributions towards the development of its 26 borrowing member countries in the region and the Sustainable Development Goals, as well as progress against key institutional metrics in its Corporate Results Framework. The 2021 DEO summary provides an overview of the IDB Groups impact in the region, as well as a snapshot of how the Group is performing against its targets.
ECOLOGICAL AND GEOCHEMICAL CHARACTERISTICS OF SHALLOW GROUNDWATER IN SOUTHERN BUG AND SYNIUKHA INTERFLUVE AREA
Authors: Melkonyan D. V. , Cherkez E. A. , Tyuremina V. G.
Published: September 2021

Problem Statement and purpose. The study area encompassing the territory of about 150 km2, in August 2000, was declared as a zone of environmental emergency due to increasing pollution rates in shallow groundwater, in surface water and to health deterioration of the inhabitants of some settlements. Groundwater is widely used by the local population in numerous boreholes for domestic and agricultural purposes. In the zone of environmental emergency there are about 35 anthropogenic objects, such as: industrial and domestic landfills, pesticide and fertilizer storage, various livestock farm complexes, settling tanks, wastewater and solid waste discharges, etc. The insecurity of shallow groundwater, also its location close to the surface and in the lowest parts of the terrain leads to intensive pollution of groundwater. Besides, groundwater in relation to the fractured waters of the Precambrian crystalline rocks, which lie below and are used for drinking water supply, perform the functions of both a protective screen and a source of pollution. In this case, a multifaceted study of shallow groundwater chemical composition and their formation conditions is a priority task of this study for the environmental emergency zone and for the district as a whole. The purpose of this paper to study the chemical composition and to establish the processes and factors controlling the shallow groundwater chemistry in modern and Pleistocene sediments of the Southern Bug and Syniukha interfluve.
Data and Methods. A total of 102 water samples were collected from groundwater wells and boreholes and were hydrochemically analyzed for their macrocomponent composition. Groundwater quality geochemical assessment was carried out using statistical methods in combination with conventional graphical methods by examining groundwater in the Boleslavchik village, where they are most polluted.
Results. The dominant hydrochemical types of shallow groundwater are SO4- Na, HCO3-Na and mixed SO4-Mg-Na, SO4-Ca-Na types, sometimes NO3-HCO3 and NO3-Cl-Na types. These groundwater types are formed under the influence of natural and anthropogenic factors, such as water-rock interaction, evaporation-crystallization, precipitation and anthropogenic impact. In this case, water-rock interaction processes, such as silicate weathering, carbonate and sulfate dissolution, ion exchange, evaporation-crystallization and anthropogenic impact play major roles. The weathering of feldspars, chlorites and dissolution of calcites, dolomites are the primary sources for Na+, K+, Mg2+, Ca2+ ions, and dissolution of gypsum, sulfide mineralization for SO4 2– ions. High concentrations of Na+, Cl–, SO4 2–, NO3 – in shallow groundwater reflect agricultural activity as the main source of these ions.
A Broken Pathway: Understanding Congenital Adrenal Hyperplasia in the Newborn
Authors: Allis Kelly
Published: September 2021

Congenital adrenal hyperplasia (CAH) is an autosomal recessive disorder that leads to the partial or complete deficiency of cortisol and aldosterone production from the adrenal glands. The lack of these key hormones can precipitate acute adrenal crisis during the newborn period. This disorder can further lead to the development of virilized female genitalia from exposure to increased levels of androgens during fetal development. Nonclassical CAH is a common autosomal disorder, affecting 1/200 live births. The classical form of CAH affects 1/10,000–16,000 live births. Infants affected by classic CAH manifest with severe complications and an increased mortality risk. Early identification of CAH is critical to prevent significant sequela of adrenal crisis and to support families of affected females as they work through decisions of gender assignment. Newborn and pediatric nurses, as well as advanced practice providers, should maintain an active working knowledge of CAH to identify affected individuals early, implement needed interventions, and support families through education.
Congenital Diaphragmatic Hernia: Core Review and Novel Updates
Authors: Reed-McCullough Susannah , Jnah Amy J.
Published: September 2021

Congenital diaphragmatic hernia (CDH) is a developmental defect in the diaphragm that allows abdominal viscera to herniate into the thoracic cavity. Pulmonary hypoplasia and pulmonary hypertension are consequences of this disease process. The incidence is approximately 2.4–4.1/10,000 births, and survival rate is estimated at 70–90 percent. To avoid potentially devastating delays in care, it is crucial that neonatal nurses and care providers in both tertiary and nontertiary care centers be familiar with the pathogenesis of CDH and the standard of care for initial stabilization of the neonate. Novel fetal and postnatal surgical repair techniques are also described here.
Reliability and Construct Validity of the Nurses’ Intention to Use Deep Vein Thrombosis Preventive Measures Questionnaire
Authors: Hebeshy Mona I. , Hansen Dana M. , Broome Barbara , Abdou Somaya Abou , Murrock Carolyn , Bernert Donna
Published: September 2021

Background and Purpose

Valid and reliable measurements are paramount to advance the science of intensive care unit (ICU) nursing. This study aimed to evaluate the reliability and construct validity of the Nurses’ Intention to Use Deep Vein Thrombosis Preventive Measures Questionnaire among critically ill patients in an Egyptian ICU. A cross-sectional, predictive design pilot-tested the psychometric properties of the questionnaire in a convenience sample of 78 RNs working in ICU.

Methods

Construct validity was examined using factor analysis.

Results

The Kaiser–Meyer–Olkin measure of sampling was 0.71, and Bartlett’s test of sphericity was significant (χ2 = 410.16, p < .05). Four factors were identified through factor analysis. Cronbach’s α assessed the internal consistency reliability with a value of .82.

Conclusion

Our analyses showed that the Nurses’ Intention to Use Deep Vein Thrombosis Preventive Measures Questionnaire has good validity and reliability; however, further investigations will be completed.
The Psychometric Analysis of the Certified Registered Nurse Anesthetist Workload Perception Scale: Final Phase
Authors: McMullan Susan P. , Raju Dheeraj , Patrician Patricia A.
Published: September 2021

Background and Purpose

In two previous studies, the Certified Registered Nurse Anesthetist (CRNA) Workload Perception Scale (CWPS) was developed. The purpose of this paper is to report the final psychometric validation of the CWPS.

Methods

An 11-item CWPS was tested in a population of CRNAs. Classical psychometrics were performed on the 11-item instrument piloted in a sample of 393 CRNAs.

Results

Parametric and non-parametric analysis indicated 7 of 11 items were a good fit to measure perception of workload.

Conclusions

A revised 7-item final CWPS was developed.
Psychometric Evaluation of the Revised Iowa Pain Thermometer-Czech for Patients with Stroke
Authors: Mandysova Petra , Herr Keela
Published: September 2021

Background and Purpose

Pain is a frequent yet underdiagnosed problem in patients with stroke due to stroke-related cognitive limitations that may hamper effective usage of pain tools. The Revised Iowa Pain Thermometer-Czech (IPT-R-CZ) is a linguistically validated translation of an English-language self-report pain instrument; however, the psychometric properties of the Czech version are unknown. This study aimed to psychometrically evaluate the IPT-R-CZ in cognitively intact and impaired Czech-speaking patients with stroke.

Methods

Fifty-four patients rated their pain intensity using the IPT-R-CZ, the Faces Pain Scale-Revised, and the Numerical Rating Scale, ranking them in terms of usability. Results: Correlations among pain scores across the tools were very strong. The IPT-R-CZ ranked first in terms of usability.

Conclusion

Convergent validity, test-retest reliability, and usability of the IPT-R-CZ in Czech-speaking cooperative patients with stroke were acceptable.
Development and Validation of the Turkish Version of the Attitude Toward Professional Autonomy Scale for Nurses
Authors: Demırsoy Nilufer , Ture Aysun
Published: September 2021

Background and Purpose

Autonomy in nursing practice is one of the recurring fields in literature of research. For nurses to be autonomous is considered to have a great importance on the quality of healthcare services. This study aimed to examine the validity and reliability of the Turkish version of the Attitude Toward Professional Autonomy Scale for Nurses.

Methods

This methodological study adopted a descriptive cross-sectional design. The study was done in a secondary care hospital. Sample group includes 199 nurses that work at a secondary care hospitals. It was carried out while culturally adjusted and it also included two-way translations of English version of the Attitude Toward Professional Autonomy Scale for Nurses. To evaluate its validity, LISREL statistics software was used to make confirmatory factor analysis.

Results

Internal consistency was evaluated by using Cronbach’s α and total-item correlations. Average age of the sample group was found 28.35 ± 6.16. Confirmatory factor analysis yielded t-scores, which were significant for all the 18 items (p < .05). Fit indices of the model, resemblance rate chi-square statistics were identified as χ2/df = 198.01/132 = 1.50. The Cronbach’s alpha of the scale (.918) was indicative of strong internal consistency.

Conclusions

The scale demonstrated strong validity and internal consistency. This scale can be used to assess perceptions of nursing practices that enhance the quality of nursing care.
Evaluation of the Unidimensional Fatigue Impact Scale in Crohn’s Disease: The Importance of Local Item Dependency
Authors: Heaney Alice , McKenna Stephen P. , Hagell Peter
Published: September 2021

Background and Purpose

The Unidimensional Fatigue Impact Scale (U-FIS) was developed for use in a multiple sclerosis population. The aim was to determine whether the U-FIS is a valid tool for measuring the impact of fatigue in Crohn’s disease (CD).

Method

CD patients completed the U-FIS as part of a validation study of the Crohn’s Life Impact Questionnaire (CLIQ). Data were analyzed according to Rasch measurement theory (RMT).

Results

Two hundred sixty-one completed U-FIS questionnaires were available for analysis. After rescoring the items to resolve disordered thresholds, all 22 items showed acceptable RMT fit. However, there was considerable local item dependency (LID).

Conclusion

The U-FIS did not provide unidimensional measurement in a sample of CD patients due to high levels of LID. Combining the three FIS outcomes into a single measure was not justified.