bluuebunny/crossref_metadata_2025_split huggingface dataset:
Consumo elevado de benzodiazepinas en pacientes con consumo perjudicial de tóxicos, abordaje y manejo: a propósito de un caso.
Authors:   Hospital Universitario San Agustín, Oviedo, Alvargonzález Natalia Álvarez , Peña Herrero Ester ,   Hospital Fundación de JOVE, Gijón, Rodriguez Turiel Celia ,   Hospital Universitario San Agustín, Oviedo, Adrian Azanza Balmori Adrian Azanza Balmori ,   Hospital Universitario San Agustín, Oviedo, Lanza Quintana Elena ,   Hospital Universitario San Agustín, Oviedo
Published: November 2020

Objetivo, material y métodos: El abuso de benzodiazepinas es un problema de primer orden tanto a nivel de centros de atención primaria como de salud mental. Propongo un caso clínico que evidencia este problema y realizo una revisión bibliográfica posterior, con la intención de proponer herramientas de abordaje y tratamiento en pacientes con dependencia y abuso de benzodiazepinas. Descripción del caso: Varón de 48 años que acude de urgencia, el paciente refiere deseo inmediato de abandono de consumo de múltiples tóxicos demandando ayuda farmacológica. En sus antecedentes no constan alergias medicamentosas. Fumador de 20 paquetes/año. En la actualidad consumo activo de alcohol, cocaína y marihuana. Comienza el consumo a los 16 años, fue capaz de mantener abstinencia en dos ocasiones previas por periodos de seis meses y un año coincidiendo con su ingreso en centro penitenciario. Consumo frecuente de benzodiazepinas sin prescripción médica. No otros antecedentes de interés. Padre diagnosticado de consumo perjudicial de alcohol (F10.1 - CIE10). A la exploración en la consulta se muestra consciente y orientado. Abordable, parcialmente colaborador con tendencia a la irritabilidad. Discurso espontáneo, centrado en exponer su situación y la necesidad de apoyo con benzodiazepinas. Inquietud psicomotriz. Describe ánimo bajo. No alteraciones de la sensopercepción ni ideación delirante. Niega ideación o intencionalidad suicida estructurada. Refiere insomnio que trata con alprazolam 0.5mg a demanda. Capacidad de juicio crítico conservada. Cuenta con el apoyo de la pareja. Diagnóstico diferencial CIE-10: Uso nocivo de múltiples drogas y otras sustancias psicoactivas (F19.1) VS Dependencia de sedantes o hipnóticos (F13.3) Se inicia tratamiento con desvenlafaxina 100mg, trazodona 100mg. Conclusiones: •	El empleo de benzodiazepinas con finalidad ansiolítica e hipnótica es frecuente en pacientes con diagnóstico de consumo perjudicial de tóxicos. •	Se debe evitar el empleo y la prescripción de benzodiazepinas en pacientes con riesgo de abuso de estas.
RESULTS OF THE DETERMINING THE SEVERITY OF SYMPTOMS OF MUSCULOSKELETAL DYSFUNCTION IN PATIENTS WITH DENTOALVEOLAR ANOMALY USING THE M. HELKIMO METHOD
Authors: Myagkova Natalia , Styazhkin Nikolay , Demina Oksana 
Published: November 2020

Subject. Temporomandibular joint dysfunction is a broad term used for a large number of disorders affecting the temporomandibular joint and masseter muscles. Clinical methods for assessing the state of the temporomandibular joint and masticatory muscles are subjective and do not fully assess the degree of impairment. In this regard, M. Helkimo in 1976 proposed an index of dysfunction of the temporomandibular joint to assess the severity of functional disorders, which solves the current problem of determining the degree of dysfunction of the temporomandibular joint.
The aim of the study was to assess the severity of symptoms of musculo-articular dysfunction in patients with dentoalveolar anomaly using the M. Helkimo method.
Methodology. A questionnaire was conducted among patients aged 18―44 years with dentoalveolar anomalies using a questionnaire and a clinical study was carried out according to a single protocol. According to the method, anamnestic, clinical, occlusal indices were determined, and the range of motion of the lower jaw was assessed. When examining the state of the temporomandibular joint and masticatory muscles, the presence of crunching, clicks in the joint, pain on palpation was revealed, the trajectory and range of movements of the lower jaw were determined.
Results. Our own observations and studies in this matter have shown that the most important indicators are the presence of displacement of the mandible from the posterior contact position to the central occlusion and articulation disorders, which, in turn, can serve as early precursors of the onset of temporomandibular joint dysfunction.
Conclusions. The M. Helkimo method allows the dentist to assess the degree of dysfunction of the temporomandibular joint in a patient with a dentoalveolar anomaly without using additional instrumental diagnostic methods.
DIGITALIZATION AS A RESOURCE FOR IMPROVING THE AVAILABILITY AND QUALITY OF MEDICAL CARE ON THE EXAMPLE OF UIA "SP NO. 12"
Authors: Elovicova Tat'yana , Fomin Arkady , Chernavsky Michael , Chernavskiy Aleksandr 
Published: November 2020

Subject. Modern medical care is not complete without the use of modern digital technologies — from remote patient registration and appointment, to remote diagnostics and laboratory tests, monitoring the condition of the patient. In most foreign countries and Russian medical institutions, telemedicine and digital technologies are actively used in the provision of dental care. The impact of digitalization of medical organizations as part of the transformation of the technological environment on the effectiveness of the organization of dental care services and patient satisfaction.
The goal is to study the parameters of psychological resources of subjects of the treatment process that affect the development of digitalization. Develop an initiative to increase the benefits of digitalization in dental care.
Methodology. Individual, tutored training in digitalization skills. Group forms of training (seminars, round tables, trainings).
Results. Our research has shown that digitalization should start with the registry. This also implies improving the personal qualities and skills of both health professionals and patients. In addition, digitalization should also contribute to the development of comfort in the provision of dental services and improve the quality and safety of medical services provided.
Conclusions. A resource-based approach in digital dentistry can be a conscious choice that can improve the efficiency of dental procedures and optimize workflows. In dental practice, saving time for performing auxiliary procedures means reducing the duration of appointments, increasing throughput, and increasing patient satisfaction in General and specific cases.
DETERMINATION OF THE RELATIONSHIP BETWEEN THE COURSE OF CHRONIC GENERALIZED CATARRHAL GINGIVITIS AND CHANGES IN THE COMPOSITION OF DENTAL PLAQUE BIOFILM IN CADETS OF THE UFA LAW INSTITUTE OF THE MINISTRY OF INTERNAL AFFAIRS OF THE RUSSIAN FEDERATION UNDER PSYCHOEMOTIONAL STRESS
Authors: Gubina Oksana , Sitdikova Olesya , Kabirova Milyausha 
Published: November 2020

Subject. Both local and general factors are important in the development and progression of inflammatory periodontal diseases. Particular attention is paid to professional factors that are closely related to stress, which has a significant impact on the course of the inflammatory process of periodontal tissues. Employees of internal affairs bodies are exposed to professional stress, who are forced to fulfill their official duties in a strictly limited time in the tense socio-economic situation in the country. Of particular interest are cadets of military universities. The stage of entering a higher military educational institution is considered as the entry into an independent life.
The aim is to reveal the relationship between the features of the course of chronic generalized catarrhal gingivitis and changes in the composition of the dental plaque biofilm in cadets of the Ufa Law Institute under conditions of psychoemotional stress.
Methodology. 105 cadets aged 18 to 25 with chronic generalized catarrhal gingivitis took part in a clinical study on the basis of the dental office of the medical unit No. 1 of the medical and sanitary unit of the Ministry of Internal Affairs of the Russian Federation (Ufa).
Results. The results of the study showed that patients with chronic generalized catarrhal gingivitis have an unbalanced autonomic nervous system with a predominance of the madrenergic component in the release of catecholamines. As a rule, gingivitis occurs in such patients more often.
Conclusions. The severity of inflammatory periodontal diseases in cadets correlates with the severity of psychoemotional stress, and a mature dental plaque is formed, containing microorganisms of the red and orange complex.
THE ISLAMIC DIALEKTICS AND LOCAL CULTURE IN THE PETAWAREN TRADITION IN GAYO COMMUNITY
Authors: Rusdy Marhamah , Fauzi Fauzi 
Published: November 2020

This research aims to analyze the rituals or practices as well as traditional objects used in the Petawaren tradition of the Gayo community in Central Aceh District. This research is descriptive research using a qualitative approach. The data needed are the ritual or implementation of Petawaren tradition and the traditional objects used, especially at a wedding or Ngerje ceremony. Primary data are obtained from research informants, namely traditional leaders, cultural figures, and community leaders, while secondary data are obtained from the relevant literature, documents, results of previous studies, and references. The techniques of collecting data are done by interviewing, observing, and documenting. This research also employs a relational dialectical theory. The results conclude that Petawaren tradition is purely Gayo culture, whereas the dialectics of Islam and Petawaren tradition in the Gayo community is more like accommodation of Islamic values. Therefore, the interpretation of the customary symbols, practices, and objects is eventually based on the Islamic teachings which replace the animistic beliefs existing before the arrival of Islam. Penelitian ini bertujuan menganalisis ritual (amalan) serta benda-benda adat yang digunakan dalam pelaksanaan tradisi Petawaren masyarakat Gayo di Kabupaten Aceh Tengah. Penelitian ini merupakan penelitian deskriptif yang menerapkan pendekatan kualitatif. Data yang diperlukan berupa tata cara pelaksanaan serta benda-benda yang digunakan dalam tradisi Petawaren pada upacara perkawinan Ngerje. Data utama bersumber dari informan penelitian, yaitu sesepuh (petue), tokoh adat, dan tokoh masyarakat. Sedangkan data sekunder diperoleh dari literatur, dokumen, hasil penelitian terdahulu, dan referensi yang relevan. Teknik pengumpulan data dilakukan dengan wawancara, pengamatan, dan dokumentasi. Penelitian ini menggunakan pendekatan teori dialektika relasional. Hasil penelitian menyimpulkan bahwa tradisi Petawaren adalah murni budaya Gayo, sedangkan dialektika Islam dan tradisi Petawaren pada masyarakat Gayo lebih kepada akomodasi nilai-nilai Islam. Oleh karena itu, pemaknaan terhadap simbol-simbol, ritual (amalan), dan benda-benda adat pada akhirnya didasarkan pada ajaran Islam, menggantikan kepercayaan animisme yang ada sebelum Islam datang.
Efecto derrame del mercado internacional en las economías latinoamericanas: los casos de Chile, Brasil, Colombia y México
Authors: Candelo-Viafara Juan Manuel , Oviedo-Gómez Andrés Felipe 
Published: November 2020

En esta investigación se evalúan los efectos del desbordamiento y la volatilidad generados por los precios del petróleo, el gas y el carbón sobre la actividad industrial de las economías de Chile, Brasil, Colombia y México, usando la metodología propuesta por Diebold y Yilmaz (2012), que se caracteriza por el uso de vectores autorregresivos generalizados, donde la descomposición de la varianza no varía según el orden de las variables, midiendo así los efectos de contagio de la volatilidad total y direccional. Los resultados muestran que estas industrias reciben el derrame financiero de los mercados de materias primas, ocasionado por las fluctuaciones de los precios del petróleo y carbón y, además, se comportan como transmisoras del derrame que producen las oscilaciones de los precios del gas. Por otro lado, se halló que meses previos a la crisis económica del 2008, las cuatro industrias y dichos productos aumentaron el efecto derrame y la volatilidad.
The pattern of upbringing of middle to lower economic families in urban communities
Authors: Oktaviana Diva 
Published: November 2020

The purpose of writing this article is to examine the way parenting can influence the growth of attitudes and character in children from families in lower middle economic classes. By studying the parenting, the most appropriate parenting for children’s growth and development. The study was conducted on the social figures around children, especially parents and teachers who can understand every pattern of development that occurs in children in a city. This research utilized in-depth interviews and observation methods in order to identify the meeting point that the best parenting pattern is democratic parenting. Therefore, the inculcation of attitudes towards children from an early age must indeed be carried out to support the implementation of democratic parenting. Family and school are the social institutions that are interlocking and have a reciprocal relationship since both hold an important role for the growth and development of children. Having a synergistic relationship and becoming the social control for children are the essential key in improving the children’s quality in the future. Economic limitations are not an obstacle to the fulfillment of the social role held by parents and schools. Precisely with this awareness, it is expected that families can become more aware of the impacts resulting from parenting mistakes. Children who will become the future of the family will be saved. Social mobility is also highly likely to occur when parenting is properly implemented.
Thrombolytic Therapy in Normotensive Patients with Pulmonary Embolism (Data from the Retrospective Study)
Authors: Сherepanova N. A. , Mullova I. S. , Kiselev A. R. , Pavlova T. V. , Khokhlunov S. M. , Duplyakov D. V. 
Published: November 2020

Background. The thrombolytic therapy is absolutely recommended for patients in shock or hypotension because the benefits are clearly outweighing the risks. However, in hemodynamically stable patients, including those with acute right ventricular dysfunction and/or myocardial damage, thrombolysis has a significantly lower evidence level.Aim. To study the criteria based on which doctors decide to conduct thrombolytic therapy in normotensive patients in real clinical practice according to the retrospective data.Material and methods. A single-center retrospective cohort study analyzed medical records of patients hospitalized in 2006-2017 with a verified diagnosis of pulmonary embolism (PE) and who had a systolic blood pressure >90 mm Hg at the time of admission.Results. The present study population included 299 patients with a verified diagnosis of PE from 2006 to 2017 years. Patients were divided into two groups: with thrombolysis (group 1) and without thrombolysis (group 2). Logistic regression analysis showed that age younger than 60 years, the presence of varicose veins of the lower extremities, skin cyanosis, syncope in the debut of PE were independent clinical factors that significantly influence the doctor's decision to perform thrombolysis. Increased troponin I, right ventricular dysfunction, and the severity of PE according to the PESI score showed no significant impact on this decision. In-hospital mortality in the group 2 was 1.9% (5 patients), while there were no deaths in the group 1. But the analysis of the association of thrombolysis with survival was difficult to perform due to the low incidence of deaths and the small number of patients in the group with thrombolysis (odds ratio 0.34; 95% confidence interval 0.03-8.18; р=0.856). No major bleeding was registered in any group.Conclusion. We were not able to clearly identify independent clinical or instrumental factors that influence the decision to perform thrombolysis in patients with PE outside the framework of evidence-based medicine. Further research is needed.
Pharmacoeconomic Analysis of Therapy with Generic Statin Drugs in Patients with High and Very High Cardiovascular Risk (According to the Study PRIORITY)
Authors: Martsevich S. Yu. , Lukina Yu. V. , Kutishenko N. P. 
Published: November 2020

Aim. To perform a pharmacoeconomical assessment of the use of generic statin drugs in patients with high and very high cardiovascular risk (CVR) in real clinical practice based on the data of the study PRIORITY.Material and methods. The PRIORITY study included 298 patients with high (29; 9.7%) and very high (269, 90.3%) CVR. All patients were recommended to take the reproduced drugs of atorvastatin and rosuvastatin in an individually prescribed dose. After 1 month (B1), if the target level of lowdensity lipoprotein cholesterol (LDL-C) was not reached, the statin dose was titrated. After 3 months of follow-up (B3), the hypolipidemic effect of statin therapy was evaluated. 295 people completed the study, 285 patients had the results of the lipid profile. To perform a pharmacoeconomic analysis and evaluate the “cost/effectiveness” ratio, we used the prices of generic statins in one of the online pharmacies. The effectiveness of statins was determined by the LDL-C reduction, as well as by the percentage of achieving the target LDL-C level.Results. At the first stage of the pharmacoeconomic analysis, the criterion for the effectiveness of 3-month lipid-lowering therapy was a decrease in LDL-C level by 1 mmol/l. The median and interquartile range of the ratio “cost/effectiveness” indicator for atorvastatin was 658.2 (431.5; 1257.1) RUB/mmol/l, and for rosuvastatin – 621.0 (390.7; 940.6) RUB/mmol/l (p=0.45). The results of a comparative assessment of the “cost/effectiveness” ratio (with the abovementioned effectiveness indicator) in subgroups of patients with high and very high CVR, with the achievement and nonachievement of the target level of LDL-C, adherent and non-adherent to statins, revealed the economic advantage of statins in groups of adherent patients (p=0.35), high-risk patients (p<0.0001) and individuals who reached the target level of LDL-C (p=0.002) when compared with the corresponding comparison groups. Despite the revealed high effectiveness of rosuvastatin at doses of 20-40 mg/day (assessed by the cost/effectiveness of achieving the target values of LDL-C for specific doses of statins), calculation of the “cost/effectiveness” ratio for each reproduced statin, in general, showed a higher economic effectiveness of atorvastatin.Conclusion. Pharmacoeconomic analysis of therapy with generic statin drugs, performed according to the data of the non-randomized uncontrolled study, allows to justify the economic efficiency and advantages of these drugs in various subgroups of patients who need statin therapy.
Iklan Satā’ir Panasonic al-Hawā’īyah Koran Al-Ahrām, Mesir: Analisis Semiotik Peirce
Authors: Darajah Ulyah 
Published: November 2020

Advertising is text in the form of images or writing to promote an item, service, job opening, and others. Print advertisements (newspapers) are useful for all people who read them. The purpose of this paper is to describe the advertisement about “Satā’ir Panasonic al-Hawā’iyah” (AC cover) contained in Egypt’s Al-Ahrām newspaper. The method used in this paper is a qualitative method with descriptive analysis. The theory used in this research is Charles Sanders Peirce’s Semiotic theory; representamen, object, and interpretant. The results in this study indicates that (1) in terms of representamen, pink flowers in the advertisement show that what is seen is something that smells nice, soft, and comfortable; (2) the object in the advertisement is all the images and writing contained in the ad; (3) while the interpretant of the advertisement shows that the Panasonic brand AC cover product is fragrant, soft, clean, fresh, and comfortable to use.
Electric Shock-Induced Vertebral Fracture
Authors: Arora Sumit , Khan Yasim , Suri Tarun , Gupta Swati 
Published: November 2020

Case:
A 35-year-old man suffered electric injury with 220 V alternating current when he was connecting electric wires at approximately 5 feet height and accidentally touched a live wire. He was diagnosed to have fracture involving superior and inferior endplates of L2 vertebral body without involvement of posterior elements. He, subsequently, underwent spinal stabilization with percutaneous pedicle screws fixation.

Conclusion:
Electric shock can cause vertebral fractures even at a low voltage. These fractures tend to have coronal plane involvement and involve both superior and inferior end plates.
Cape-like Anomalous Confluence of the Long Head of the Biceps and Rotator Cuff in the Presence of a SLAP Tear
Authors: Parisien Robert L. , Griffis Martin , Jo Stephanie Y. , Kelly John D. , Sennett Brian J. 
Published: November 2020

Case:
A 25-year-old woman sustained an acute tear of her superior anterior-posterior labrum with arthroscopic identification of an anomalous origin of the long head of the biceps arising exclusively from the supraspinatus tendon with no attachment to the supraglenoid tubercle or superior labrum.

Conclusion:
This is the first report of a symptomatic superior labrum anterior-posterior tear in a patient with a rare anatomic confluence of the long head of the biceps to the supraspinatus. We recommend addressing the labral pathology with utilization of a standard technique because satisfactory results can be realized with isolated labral fixation to the glenoid, despite the absence of an attached biceps tendon.
Radial Nerve Palsy After Intercondylar Distal Humerus Fracture
Authors: Veeresh Vivek , Bansal Hemant , Dhiman Ankur , Trikha Vivek 
Published: November 2020

Case:
A 30-year-old man sustained an injury to the right elbow after a fall from a bike. On clinical examination, he had preoperative radial nerve palsy with radiological diagnosis of the intercondylar distal humerus fracture. Intraoperatively, the patient had the radial nerve entrapped between the proximal metaphyseal fragment and distal lateral condyle of the humerus.

Conclusion:
Preoperative radial nerve palsy associated with the intercondylar distal humerus fracture is very rare. Fractures with the significant anterolateral displacement of the proximal metaphyseal fracture segment may entrap the course of the radial nerve in the anterior compartment of the distal humerus and thus manifest as radial nerve palsy.