bluuebunny/crossref_metadata_2025_split huggingface dataset:
Degeneración sarcomatosa rápida de un leiomioma simplástico pleomórfico de útero, reporte de caso y revisión de la literatura
Authors: Bonilla-Sepúlveda Oscar Alejandro , Díaz-Cardona Jaime , Restrepo-Pareja Álvaro 
Published: March 2020

Objetivo: revisar la epidemiología y el cuadro histopatológico de los sarcomas uterinos.Presentación del caso: mujer de 35 años de edad atendida en el Hospital General de Medellín (Hospital de 3er nivel de atención, público, centro de referencia Obstétrica), por sangrado genital. Presentaba anemia y masa pélvica, que en el estudio histopatológico mostró como leiomiosarcoma uterino de alto grado.Discusión: se describe como una lesión tumoral benigna atípica con celularidad variable, degenera en una lesión leiomiosarcoma de comportamiento agresivo, con intervalo de ataques de síntomas en fase temprana.
La escritura de la historia: Una aproximación a la Teoría del Relato de Jean Pierre Faye
Authors: Gómez Palomino Alfredo 
Published: March 2020

La tradición de la escritura de la historia en Colombia durante el siglo diecinueve y buena parte del siglo veinte fue elemento decisorio en la formación del Estado-nación. Esta tradición después de los años ochenta del siglo pasado, marca el comienzo de otras posibilidades para el oficio historiador; entre las posibilidades se permite la profesionalización del historiador. La producción de la escritura profesional y universitaria de la historia ofrece a la comunidad académica un acervo de antecedentes para la reflexión sobre la escritura de la historia. Una reflexión en este sentido es posible con la aproximación a la Teoría del Relato del filósofo e historiador francés Jean Pierre Faye. El artículo presenta la postulación de los principios metodológicos de la Teoría del Relato, particularmente, explica las influencias teórico-metodológicas de la racionalidad kantiana, de la economía política marxista, de la sociología sagrada o del poder, y de la lingüística chomskiana. La aproximación a la Teoría del Relato, presenta una tradición de escritura de la historia, novedosa para el medio académico nacional que se muestra potente para los estudios de historia social y política.
A partial mediation effect of father-child attachment and self-esteem between parental marital conflict and subsequent features of internet gaming disorder in children: a 12-month follow-up study
Authors: Jeong Hyunsuk , Yim Hyeon Woo , Lee Seung-Yup , Lee Hae Koo , Potenza Marc N , Jo Sun-jin , Son Hye Jung 
Published: March 2020

Abstract
Background

This study evaluated whether parent-child attachment and self-esteem may mediate the relationship between parental marital conflict and increases in features of internet gaming disorder (IGD) in children at one year.

Methods

The baseline and one-year follow-up data for 268 pre-teens aged between 9 and 10 from the Internet User Cohort for Unbiased Recognition of Gaming Disorder in Early Adolescence (iCURE) study were collected. The students were children at low risk for IGD in the initial self-reported assessment, anyone living with both parents, current game user at baseline, and those who completed a 12-month follow-up assessment. The Internet Game Use-Elicited Symptom Screen (IGUESS) was used to identify increases in IGD features at 12 months. To examine a potential mediation effect, structural equation modeling was performed.

Results

The direct effect was statistically significant, and parental marital conflict at baseline significantly predicted the increases in IGD features in children at the 12-month follow-up after adjusting for gender, sex, socioeconomic status, and baseline IGUESS score (ß=0.206, P=0.003). The indirect effect showed that attachment to fathers through self-esteem was a significant mediating effect (ß=0.078, P=0.045). Parental marital conflicts were associated with increases in IGD features in children through poor father-child attachment, and in turn, the lower levels of self-esteem in the children.

Conclusions

Parents, especially fathers, should make an effort to bond with their children to reduce the risk of their children’s developing the IGD features.
Smoking is Associated with a Higher Risk of Unplanned Medical Visits among Adult Patients with Diabetes, using Retrospective Electronic Medical Record Data from 2014-2016
Authors: Selya Arielle , Johnson Eric L , Weber Tess L , Russo Jaymi , Stansbury Cheryl , Anshutz Drake , Griese Emily , Hsu Benson 
Published: March 2020

Abstract
Background

Smoking exacerbates the complications of diabetes, but little is known about whether patients with diabetes who smoke have more unplanned medical visits than those who do not smoke. This study examines the association between smoking status and unplanned medical visits among patients with diabetes.

Methods

Data were drawn from electronic medical records (EMR’s) from a large healthcare provider in the Northern Plains region of the US, from adult (≥18 years old) patients with type 1 or type 2 diabetes who received care at least once during 2014-16 ( N =62,149). The association between smoking status (current, former, or never smoker) and having ≥1 unplanned visit (comprised of emergency department visits, hospitalizations, hospital observations, and urgent care) was examined after adjusting for age, race/ethnicity, and body mass index (BMI). The top ten most common diagnoses for unplanned visits were examined by smoking status.

Results

Both current and former smoking were associated with an approximately 1.2-fold increase in the odds of having at least one unplanned medical visit in the 3-year period (OR=1.22, 95% CI=1.16-129; OR=1.23, 95% CI=1.19-1.28, respectively), relative to never-smokers. Most common diagnoses for all patients were pain-related. However, diagnoses related to musculoskeletal system and connective tissue disorders were more common among smokers. Smoking is associated with a higher rate of unplanned medical visits among patients with diabetes in this regional healthcare system.

Conclusions

Results from this study reveal higher rates of unplanned visits among smokers and former smokers, as well as increased frequencies of unplanned medical visits among current smokers.
Prevalence and determinants of modern contraceptive utilization among rural lactating mothers: Findings from the primary health care project in two northwest Ethiopian districts
Authors: Derso Terefe , Biks Gashaw Andargie , Yitayal Mezgebu , Ayele Tadesse Awoke , Alemu Kassahun , Demissie Getu Debalkie , Wolde Hailab Fekadu , Dellie Endalkachew , Azale Telake , Misganaw Bisrat , Kebede Adane , Fetene Destaw , Gebremdhin Tsegaye , Atnafu Asmamaw 
Published: March 2020

Abstract
Background : Contraceptive utilization is a guarantee to avert unwanted pregnancies. In Ethiopia however, more than half of the rural women have shorter birth intervals. Consequently, 17% and 8% of the births have been either mistimed (wanted at later date) or unwanted, respectively. Therefore, this study investigated modern contraceptive utilization and its predictors among rural lactating women. Methods : A community based-cross-sectional study was conducted from May 01 to June 29, 2019, in Dabat and Gondar zuria districts, northwest Ethiopia. Data from 603 lactating mother were collected through face to face interviews using a structured questionnaire. Bivariate and multivariate logistic regression analyses were fitted to identify the independent predictors of modern contraceptive utilization. Results : The overall prevalence of modern contraceptive (MC) utilization rate was 45.8% [95% CI: 38.01, 53.59]. The contraceptive method mix was dominated by Depo-Provera (39.8%) followed by implants (4.8%). The odds of utilization of contraceptive were 5.58 times higher among mothers of children with fully immunized [AOR=5.58, 95% CI: 3.45, 9.01] compared to mothers whose children were vaccinated partially or not at all. Mothers who received antenatal [AOR= 1.74, 95% CI: 1.13, 4.43] and postnatal care [AOR=2.02, 95%CI: 1.24, 2.91) were 1.74 and 2.02 folds more likely to utilize modern contraceptives than mothers who did not receive such care, respectively. Conclusion : The prevalence of modern contraceptive utilization in this study area was lower than the planed national target. In the region, child immunization service is one of the promising platforms for reaching lactating mothers with modern contraceptive utilization. Our findings suggest that antenatal and postnatal care visits are the other key determinants of modern contraceptive utilization. Thus, in low-resource settings like ours, the health system approaches to improved antenatal and, postnatal care and child immunization services should be intensified with more effective advice on modern contraceptive utilization to reduce unwanted pregnancies. Key words : Contraceptive utilization, postnatal care, Child immunization
Creatine kinase elevation after robotic surgery for rectal cancer due to a prolonged lithotomy position
Authors: Tsuchiya Yuki , Munakata Shinya , Tsukamoto Ryoichi , Okazawa Yu , Mizukoshi Kosuke , Sugimoto Kiichi , Takahashi Makoto , Kojima Yutaka , Tomiki Yuichi , Sakamoto Kazuhiro 
Published: March 2020

Abstract
Background Robotic surgery for rectal cancer, which is now performed worldwide, can be associated with elevated creatine kina se levels postoperatively. In this study, we compared postoperative complications between patients undergoing robotic surgery and laparoscopic surgery. Methods We identified 66 consecutive patients who underwent curative resection for rectal cancer at Juntendo University Hospital between January 2016 and February 2019. Patients were divided into a conventional laparoscopic surgery (CLS) group (n = 38) and a robotic-assisted laparoscopic surgery (RALS) group (n = 28) before comparing various clinicodemographic factors between the groups. Results Patient age and gender, surgical approach (CLS/RALS), pathological T factor, pathological stage, duration of postoperative hospital stay, and postoperative complications were not significantly different between the RALS and CLS groups. However, the operation time was significantly longer in the RALS group (407 min) than in the CLS group ( 295 min; p < 0.001 ). Notably, the serum level of creatine kinase on postoperative day 1 was significantly higher in the CLS group (154 IU/L) than in the RALS group (525 IU/L; p < 0.001), despite there being no significant differences in the incidence of rhabdomyolysis. The multivariate analysis showed that RALS/CLS (HR 6.0 95% CI 1.3–27.5, p = 0.02) and operation time (HR 15.9 95% CI 3.79–67.4, p = 0.001) remained independent factors of CK elevation on postoperative day 1. Conclusions Clinically relevant positioning injuries and rhabdomyolysis may occur in patients who are subjected to a prolonged and extreme Trendelenburg position or who have extra force applied to the abdominal wall because of remote center displacement. The creatine kinase value should therefore be measured after RALS to monitor for the sequelae of these potential positioning injuries.
Quality of Life in chronic musculoskeletal symptomatic Chilean population: Secondary analysis of National Health Survey 2009-2010
Authors: Mena-Iturriaga Maria Jesus , Mauri-Stecca Manuel Vicente , Sizer Phillip S. , Leppe Jaime 
Published: March 2020

Abstract
Background: Health-related quality of life (HRQoL) is defined as the patient's perception of their health status. HRQoL can be modified by illnesses, treatments or social and health policies. Chronic musculoskeletal pain is a modifying factor of HRQoL that leads to lower quality of life, elevated suffering and disability. Knowing HRQoL in subjects reporting chronic musculoskeletal symptoms (cMSS), like pain, discomfort or swollenness lasting more than 3 months, will provide information to health teams and organizations engaged in the Chilean health system. This study aim was to determine the relationship between HRQoL and musculoskeletal symptoms measured in three different Chilean groups: (1) without symptoms; (2) with acute symptoms; and (3) with cMSS. Methods: A secondary analysis of the 2009-10 Chilean National Health Survey (NHS) was executed to determine the relationship between HRQoL (measured with SF-12) in three MSS groups. The Chilean NHS considered a national, probabilistic, stratified and multistage sample of 5,293 participants aged 15 and older; it was representative at the national, urban-rural and regional levels. A multivariate logistic regression model studied the relationship between cMSS and HRQoL, adjusted for age, sex, educational level and residence area as control variables (p<0.05). Results: Out of 5,293 participants in the NHS 2009-10, 5,276 subjects were included for analysis. The median age was 46 years (IQR 31-60), 59.4% women, a median of 10 years formal education (IQR 7-12) and an urban residence in 85.2% of the population of the NHS 2009-10. The observed population prevalence of people with cMSS was 42.6% (95% CI 40.4 - 44.9). Presence of cMSS is a risk factor for low HRQoL, exhibited both in the physical (OR 3.1 95% CI 2.7-3.5) and mental (OR 1.9 95% CI 1.6-2,) HRQoL dimensions, independent of control variables. Conclusions: Physical and mental HRQoL are affected in people with cMSS, low educational level and advanced age. This is especially seen in women. This information will facilitate assessment and treatment of cMSS as a prevalent and multidimensional health problem.
How do 66 European Institutional Review Boards approve one protocol for an International Prospective Observational study on traumatic brain injury? Experiences from the CENTER-TBI study.
Authors: Timmers Marjolein , Dijck Jeroen Van , Wijk Roel van , Legrand Valerie , Veen Ernest van , Maas Andrew , Menon David , Citerio Guiseppe , Stocchetti Nino , Kompanje Erwin 
Published: March 2020

Abstract
Background:The European Union (EU) aims to optimize patient protection and efficiency of health-care research by harmonizing procedures across Member States. Nonetheless, further improvements are required to increase multicenter research efficiency. We investigated IRB procedures in a large prospective European multicenter study on traumatic brain injury (TBI), aiming to inform and stimulate initiatives to improve efficiency.
Methods: We reviewed relevant documents regarding IRB submission and IRB approval from European neurotrauma centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI). Documents included detailed information on IRB procedures and the duration from IRB submission until approval(s). They were translated and analyzed to determine the level of harmonization of IRB procedures within Europe.
Results:From 18 countries, 66 centers provided the requested documents. The primary IRB review was conducted centrally (N=11, 61%) or locally (N=7, 39%) and primary IRB approval was obtained after one (N=8, 44%), two (N=6, 33%) or three (N=4, 23%) review rounds with a median duration of respectively 50 and 98 days until primary IRB approval. Additional central IRB approval was required in 55% of countries and increased duration to 535 days. Total duration from submission until required IRB approval was obtained was 114 days (IQR 75-224) and appeared to be shorter after submission to local IRBs compared to central IRBs (50 vs. 138 days, p=0.0074).
Conclusion:We found variation in IRB procedures between and within European countries. There were differences in submission and approval requirements, number of review rounds and total duration. Research collaborations could benefit from the implementation of more uniform legislation and regulation while acknowledging local cultural habits and moral values between countries.
Effect of flavophospholipol on fecal microbiota in weaned pigs challenged with Salmonella Typhimurium
Authors: Nair Saranya , Farzan Vahab , Weese J Scott , Poljak Zvonimir , Friendship Robert M 
Published: March 2020

Abstract
Background
The heightened prevalence of Salmonella Typhimurium remains a public health and food safety concern. Studies have reported antibiotic, flavophospholipol, may have the ability to reduce Salmonella in swine, as well as alter the gut microbiota in favour of beneficial bacteria by inhibiting pathogenic bacteria. Thus, the objective of this study was to investigate the fecal microbiota of weaned pigs receiving in-feed flavophospholipol and challenged with Salmonella Typhimurium.
Results
Twenty-one weaned pigs were fed either a diet containing 4 ppm of flavophospholipol (treatment group) or a non-medicated feed (control group) for 36 days post-weaning (Day 1 to Day 36). The pigs were orally challenged with a 2 mL dose of 10 8 CFU/mL of S. Typhimurium at Day 7 and Day 8. Community bacterial DNA extracted from fecal samples collected at Day 6 (before challenge) and Day 36 (28 days after challenge) were used to assess the fecal microbiota using the V4 region of the 16S rRNA gene with Illumina MiSeq next-generation sequencing. Sequencing data were visualized using mothur and analyzed in JMP and R software. The fecal microbiota of pigs in the treatment group had differences in abundance of phyla (Firmicutes, Proteobacteria) and genera ( Lactobacillus, Roseburia , Treponema, unclassified Ruminococcaceae, Blautia , Streptococcus , Megasphaera , Dorea , Sporobacter , Peptococcus , unclassified Firmicutes, Clostridium IV and Campylobacter) when compared to pigs that were controls, 28 days after challenge with Salmonella ( P <0.05). Specifically, results demonstrated a significant increase in phylum Proteobacteria ( P= 0.001) and decrease in Firmicutes ( P =0.012) and genus Roseburia ( P =0.003) in the treated pigs suggestive of possible microbial dysbiosis. An increased abundance of genera Lactobacillus ( P =0.012) was also noted in the treated group in comparison to the control.
Conclusion
Based on these findings, it is difficult to conclude whether treatment with 4 ppm of flavophospholipol is promoting favorable indigenous bacteria in the pig microbiota as previous literature has suggested.
A study on the antioxidant and antimicrobial activities in the chloroformic and methanolic extracts of 6 important medicinal plants collected from North of Iran
Authors: Ghahari Somayeh , Hadadi Zahra , Nematzadeh Ghorban Ali 
Published: March 2020

Abstract
Background: as possible sources of natural bioactive molecules, the plant essential oils and extracts have been used globally in new antimicrobial compounds, food preservatives, and alternatives to treat infectious disease.Methods: In this research, the antimicrobial activities of chloroformic and methanolic extracts of Sophora flavescens, Rhaponticum repens, Alhagi maurorum, Melia azedarach, Peganum harmala, and Juncus conglomeratus were evaluated against 8 bacteria (S. aureus, B. subtilis, R. toxicus, P. aeruginosa, E. coli, P. syringae, X. campestris, P. viridiflava) and 3 fungi (Pyricularia oryzae, Fusarium oxysporum and Botrytis cinerea), through disc diffusion method. Furthermore, the essential oils of plants with the highest antibacterial activity were analyzed utilizing GC/MS. Moreover, the tested plants were exposed to screening for possible antioxidant effect utilizing DPPH test, guaiacol peroxidas, and catalase enzymes. Besides, the amount of total phenol and flavonoid of these plants was measured. Results: Among the tested plants, methanolic and chloroformic extracts of P. harmala fruits showed the highest antibacterial activity against the tested bacteria. Besides, the investigation of free radical scavenging effects of the tested plants indicated the highest DPPH, protein, guaiacol peroxidase, and catalase in P. harmala, M. azedarach, J. conglomeratus fruits, and J. conglomeratus fruits, respectively. In addition, the phytochemical analysis demonstrated the greatest amounts of total phenolic and flavonoid compositions in J. conglomeratus and P. harmala, respectively.Conclusion: The results indicated that these plants could act as a promising antimicrobial agent, due to their short killing time.
The prevalence of domestic violence and its association with family factors: A cross-sectional study among pregnant women in urban communities of Hengyang City, China
Authors: Zheng Baohua , Zhu Xidi , Hu Zhao , Zhou Wensu , Yu Yunhan , Yin Shilin , Xu Huilan 
Published: March 2020

Abstract
Background

With the increased vulnerability during pregnancy, domestic violence (DV) is a serious threat to the physical and mental health of pregnant women, making it a significant issue in public health initiatives. In China, family is of great significance to pregnant women, but few scholars have focused specifically on the relationship between the family factors of pregnant women and DV. This study aimed to explore the prevalence and association between family factors and DV among women in late pregnancy, to provide evidence for the prevention of domestic violence during pregnancy.

Methods

A cross-sectional survey was conducted from July-October, 2019 among pregnant women in urban communities of Hengyang City, Hunan Province, China. A total of 813 participants were included by a multi-staged cluster random sampling method. DV was assessed by the Abuse Assessment Screen Questionnaire (AAS). A multivariate binary logistic regression model was used to evaluate the relationship between family factors and DV.

Results

Ultimately, 127 (15.62%) participants were identified as victims of DV. After adjustment, the potential risk factors of DV were tensions between their mother-in-law and other family members (OR: 2.85; 95% CI: 1.29 to 6.30 and OR: 3.30; 95% CI: 1.57 to 6.93), medium household debt (OR: 2.17; 95% CI: 1.18 to 4.00), middle and low family APGARI (OR: 2.01; 95% CI: 1.30 to 3.13 and OR: 4.01; 95% CI: 2.09 to 7.69).

Conclusions

In summary, women in late pregnancy were at higher risk of DV in the family with tensions, medium household debt and family dysfunction, which may help medical personnel intervene in cases of domestic violence against pregnant women in a reasonable and timely manner.